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Interaction Between Celiac Disease and Diabetes.

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Principal Functions From a Good Digestion

C E L I A C   D I S E A S E

Celiac disease is a digestive disorder caused by the consumption of gluten, a protein commonly found in many grains, especially wheat, barley & rye. Therefore, those products containing these grains must be avoided by those diagnosed with celiac disease. Among those products to be especially mindful of an area; bread, pasta, cookies, pizza crust, and other foods, containing wheat, barley or rye.

Oats may contain gluten as well, but this is currently in dispute due to the fact that some seem to be able to digest oats without consequence.

It is important that you followed your doctor’s advice on this matter. When a person with celiac disease eats foods containing gluten, an immune reaction occurs in the small intestine, resulting in damage to the surface of the small intestine and an inability to absorb certain nutrients from food.

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Celiac Disease

The malabsorption is a decrease in the absorption of nutrients can cause vitamin deficiencies that deprive your brain, peripheral nervous system, bones, liver and other organs of vital nourishment, which can lead to other illnesses. This is especially serious in children, who need proper nutrition to develop and grow.

Many who suffer celiac disease also develop related vitamin and mineral deficiency-related diseases.
Also known as celiac sprue, celiac disease occurs in people who have a susceptibility to gluten intolerance. Although the celiac disease affects people of all races, it is most prevalent in those of white European ancestry.

It also affects women to a greater extent than me.
Celiac disease has been around as long as man has eaten wheat and other grains containing the protein, but it has only been in the last 50 years that researchers have gained a better understanding of the conditions and how to treat it.

 

Celiac Disease and Complication

Get Celiac disease and Diabetes is not a good prognostic. Living with multiple health problems can complicate things. As a diabetic balancing the levels of carbohydrates. (starches and sugars) with the level of insulin requires thorough and discipline.

You should always consult your doctor and dietician for specific advice.
The person with type I Diabetes is at greater risk of developing celiac disease. It follows that they will need to manage a diet that controls both conditions. The diets do sit perfectly well together, but it needs careful planning.

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Gluten resources

Symptoms of gluten intolerance are diarrhea, bloating, irritable bowel syndrome, food allergies, and fatigue. Other conditions are now being associated with gluten intolerance.

Common autoimmune disorders such as Type I diabetes and thyroid disease are linked to gluten. Also, bone and nervous systems can be affected, causing serious health care problems.
As a diabetic, you need to eat a well-balanced diet.

The one area of difficulty is managing your carbohydrates intake with gluten-free.

You can find gluten-free carbohydrates in potatoes, rice wild rice, buckwheat, maize millet, sago, tapioca, corn flour, soya, polenta, flax, sorghum, linseed, gram flour, carrageenan, chana (chickpea flour), quinoa, arrowroot, codex wheat starch, corn pasta, pure rice noodles, gluten-free pastas are available, as are gluten-free versions of bread.

G L U T E N  T H E  V E G E T A L  P R O T E I N.

It is a protein and a common ingredient in such foodstuff as wheat, barley rye, and oats. For many people sufferers, there is no medicine available to relieve their symptoms. The only way to reduce, and possibly eliminate, the symptoms are no to ensure that they follow a strict gluten-free diet for the rest of their life.

For the majority of patients a gluten-free diet for the rest of their lives.

For the majority of patients, a gluten-free diet will prevent further damage to the intestines and give them the opportunity to heal to an extent, if not wholly, dependent on the length of time they have been eating a normal diet before switching to gluten-free.

Other patients may not be as lucky and may find that the damages are irreversible or aggravated by other ingredients such as eggs or dairy products. These sufferers are certainly in the minority.

A gluten-free diet can be difficult to follow as it is present in all manner of foodstuffs. The diagnosis of the disease in most people is during childhood, particularly if other members of the mainly are already diagnosed.

This can be hard for a teenager to deal with particularly when eating out or at the home of a friend. However, it is important for sufferers to accept that they will not be able to get over the disease but can manage it better if they stick to the special diet.

They effectively manage celiac disease through the elimination of gluten products from your diet. There is an alternative treatment that promotes the enzymatic process in that way, which helps you to improve the Digestive Process make your life free from symptoms and discomfort.

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The symptoms of Gluten Intolerance

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Uterine Fibroids Impact a Woman’s Fertility and Pregnancy.

 Myomas and Early Detection

Detection of Uterine Fibroid or Myomas to Avoid Medical complication

Uterine fibroid is the noncancerous growths, probably during the pregnancy periods, of the woman’s uterus. Commonly known as Leiomyomas, fibroid and Uterine myomas, the tumors range in size from sprouts, hard to deduct by human eyes, to the large uterus causing heavy periods and abdominal pains.

You may have a single fibroid or multiple ones that can extremely enlarge the uterus to reach the rib cage.

Symptoms Of Uterine fibroids

This situation’s not unusual for women to have the Uterine fibroids in their lifetime, rather, the National Institution of Health revealed that up to 80% of women, between the ages of 30 years to 50 years, have a fibroid. However, most of the women are not aware that they have fibroid because they often have no symptoms.
Off the chances, your physician may discover fibroid during a prenatal ultrasound or a genital exam.
Some women may have fibroid symptoms as experiencing longer menstrual period and heavy bleeding, pelvic discomfort or pain, more than frequent urination and constipation.

Women with fibroid may face difficulty in emptying the bladder and may have back pain or leg pain.

Different Types Of Uterine fibroid

Uterine fibroids are classified by their location, and they have an effect on the symptoms and the type of treatment. A woman can have more than one type of fibroid from its four basic types

1. Intramural Fibroid

Intramural fibroids are the most common type of uterine fibroid, and they grow between the muscles of the uterus. These fibroids keep on expanding inside the uterus and result in the large size of the uterus.

A common misconception about the intramural fibroid is relating it to the pregnancy or weight gain.

 

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Type of Intramural Fibroid.

• Anterior intramural fibroid: Found on the front of the uterus
• Posterior intramural fibroid: Located on the uterus back
• Fundal intramural fibroid: Located at the upper area of the uterus

Causes of intramural fibroid

The exact causes of the intramural fibroid are not known, rather it has invisible symptoms, making it hard to diagnose this fibroid unless there are some complications.

However, many doctors believe that the development of intramural fibroid occurs in the middle layer of the urinate wall from an abnormal muscle.

These fibroids expend gradually resulting in the distortion of the urine cavity. The fact is women of child-bearing age suffer from the abnormal growth of the muscle in urinate wall.

Change in lifestyle can be a cause of these fibroids, however, genetic factors and hormonal imbalance can’t be ignored.
Development of intramural fibroid is not the outcome of any specific cause, instead, various factors contribute collectively to the formation of these fibroids the principal is the excessive production of this hormone estrogen, a lack of the reproductive function from a uterus.

The nulliparous women have high risk in the development of fibroid. Exist increase in the African American woman. Exist another factor like the excess of junk food and improper sleep also contribute to the development of intramural fibroid.

2. Submucous fibroid

Submucosal Fibroid leads to the blockage of a woman’s fallopian tube, thus preventing sperms to travel
in the uterus and fertilize the egg. Also known as Stalk fibroid, these are located on the inner
layer of the uterus and also in the endometrial cavity.

Some obvious symptoms are observed in these fibroids, specifically heavy menstrual bleeding and more
than a frequent menstrual period. It may lead to the passing of clot and soiling which may affect
your lifestyle. Unnoticed or prolonged menstrual bleeding can cause intense complicated health
conditions like fatigue and anemia.

However, the submucous fibroid can be treated by a nominal casual method called Hysteroscopy.

Causes of Submucous fibroid

Though there are no significant causes of a submucous fibroid, it is related to infertility to a great
extent. It is believed by the doctors that some hormones, specifically hormones created by the ovary as
estrogen and progesterone, cause the submucous fibroid in women. Genetic factors and heavy body
weight also contribute to the formation of this fibroid.

3. Pedunculated fibroid

These are non-cancerous fibroid attached to the stalk of the uterus wall either the inner or outer side.
They have the stalk-like growth known as a peduncle. If the fibroid grows inside the uterus wall it
is called as a Pedunculated submucosal fibroid, whereas, if the growth is outside the uterus wall,
it is known as a Pedunculated subserosal fibroid.
While the symptoms of these fibroids are not very known but based on the size and location of growth,
these fibroids may result in constipation, prolonged periods and painful menstrual cycle. If the size
of pedunculated fibroid becomes too large or it covers a large area in the uterus then it may lead to the trouble for a woman with fertility.

Causes of a pedunculated fibroid
Though the causes of a pedunculated fibroid are not known, the doctors believe that genetics and
heredity may be the factors contributing to these fibroids. A woman with a family history of this fibroid,
specifically pregnant woman, might be at risk of a pedunculated fibroid.

4. Subserosal fibroid

These fibroids usually grow on the outer wall of uterine, and they can continue to grow to enlarge in
size. The growth of subserosal fibroid will catch the surrounding organs and may cause pain in
them.
We may not relate subserosal fibroid to the heavy menstrual periods, instead, these fibroid cause
pelvic pressure and back pain. Other complications may happen depending on the size and location of
these fibroids.

It is possible that these fibroids may grow very large in size, yet more common in the childbearing years of a woman. but the common symptoms include

Symptoms of Subserosal fibroid

We can not say what are the exact symptoms of subserosal fibroid,
back pain or pelvic pressure and constipation. If your urination is more than frequent and you have
potential kidney damage, then it can be related to the occurrence of a subserosal fibroid.

How Uterine fibroid Impact A Woman’s Fertility And Pregnancy
Studies show that fibroid is present in almost 5-10% of infertile women. If the fibroid changes the shape of the uterus from inside then it is likely to reduce fertility. the fibroid can result in the blockage of fallopian tubes obstructing sperms to reach the eggs. The fibroid is critical in the destruction of the endometrial cavity, causing hormonal milieu and changed endometrial growth.

On the other hand, the fibroid may impact the pregnancy as the reports have shown that fibroid in pregnancy ranges from 0.1 to 10%. During pregnancy, a fibroid is likely to encounter women who are 5 years old or above resulting in an increase in pregnancy complications. During pregnancy, the fibroid can grow rapidly, causing severe pain. off the chance, the fibroid can lead to miscarriage.

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Myomectomy Resection

 

How To Treat The Uterine fibroid
a fibroid can be managed and treated in various ways depending on their size, location and the age of the affected woman. You may receive a single treatment or a combination of treatments. In general, treatment may include:

1. Medication
A fibroid can be shrunk by giving medication to regulate the hormonal levels. Gonadotropin-releasing
hormone agonist can be used to treat the fibroid which lowers the levels of progesterone and
estrogen, eventually resulting in a stoppage of unusual menstruation.

2. Myomectomy
It can be used to remove all types of fibroid, regardless of their location. It is a surgical
treatment to remove the large and multiple growths of fibroids. Three different approaches can be
used in Myomectomy which are:
• Hysteroscopy: fibroids are removed by inserting a scope into the uterus by the way of vagina and
cervix.
• Laparotomy: It is an Abdominal Myomectomy, in which small incisions are inserted in the abdomen to
reach the uterus and remove fibroids.
• laparoscopic: During Laparoscopy, two small cuts are made in the abdomen to remove the fibroid. A
laparoscope is inserted through one cut to reach the fibroid and the catheter is inserted through the
other cut.

3. Hysterectomy
It is the most common surgical treatment to remove the fibroid. This type of surgical treatment is
recommended for women with heavy menstruation and large fibroid. If all the other treatment
fail
then this option can be used as the last one surgery can be partial or full, and Hysterectomytomy it will result in the elimination of a woman’s ability to give birth. This surgical treatment is fie
for the women of old age because the elimination of your ability to give birth hardly matters in
old
ages.

 

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Uterine Fibroids Distribution

 

4. Uterine Fibroid Embolization
Uterine fibroid embolization is a minimally invasive, completely non-surgical, procedure performed by
a vascular specialist. The femoral artery, supplying blood to the fibroid, is identified in this
procedure and high-frequency sound waves are directed to destroy the fibroid.
Usually, a specialist locates the artery and makes a minor nick in the artery to insert the
catheter
and destroy the fibroid. The symbolization shrinks the fibroid by cutting off the blood supply to
them.

5. Endometrial Ablation
Endometrial ablation is another way to treat the fibroid in which a special instrument is inserted
into the uterus to destroy the uterus lining and fibroid. This procedure is recommended for a small
fibroid that is developed inside the uterus. Women having moderate to extreme fibroid symptoms
such
as a heavy menstrual cycle and pelvic pressure can use this option.

Before choosing any type of treatment, you should consult your physician. Carefully understand each treatment, and consider the risks and benefits associated with it. If you are at childbearing age and expecting a baby in the future, you might not go for any treatment that can result in your disability to have a child.

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Cleanse or Detoxification from the Colon.

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Digestive Problems Related with Hepatotoxicity

The Natural Colon Detox.

The best Cleanse or Desintoxifiaction from Colon use natural herbs that help your body do relieve health problems which are often related to a colon which is nos functioning normally.

More and more people are suffering from health problems, including pain, constipation and lack of energy which is related to dirty bowel.

The principal thing to do is cleanse the colon because if you have a dirty colon with impacted fecal matter, this will create extra toxins which the other organs then have to continually cleanse and detox. If you have this problem usually present with bloating stomach, bad breath, constipation, and inflammation. One of the principal digestive problems is the Colon Cancer about adult people.

A person on a typical Western Diet holds 8 meals of undigested food and waste. Everyone would
benefit from doing a full Colon cleanse at least one per year. It is recommended that Parasite Cleanse be taken at the Colon Cleanse as well.

Recommended the cleanse from other Lexus organs like liver specially.
One of the most frequent bowel problems that people experience today is constipation. Constipation is generally attributed to a low fiber diet and lack of sufficient water, which cause our fecal impaction.

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Cleanse or Desintoxifiaction from Colon

Good Cleansing Program.
Should always start by removing the waste from the colon. If you attempt to clean your liver, blood or lymph system without first addressing a waste filled bowel, the excreted toxins will only get recycled back into the body.

The longer your body is exposed to putrefying food in your intestines, the greater the risk of developing the disease. Even with one bowel movement per day, you will still have at least three meals worth of waste matter putrefying in your colon are all times.

On top of all this, your system can also become continuously self polluted by the poisonous gases that are caused by foods you don’t tolerate.

These poisonous gases can enter your bloodstream irritating your organs.
The body immune system is the first line of defense against almost all infections and diseases. If your body has a strong immune system you will be less prone to infection.

Immune system is made up of a vast system of lymphatic channels and lymph nodes. Detoxing your body and your colon with the right herbs and supplements is an all natural way to remove unwanted toxins and heavy metals from the lymphatic system improving the overall immune system.

Cleanse with Natural Fibre
Fiber plays an essential role in maintaining the health of the digestive system, and adequate fiber in the diet has significant value in the prevention of cardiovascular disease, cancer, diabetes, and other ailments. Fiber cleanses the digestive tract and enhances its function.

Metabolized by intestinal bacteria into substances that prevent colon cancer, fiber dilutes and speeds the removal of carcinogens and other toxins in foods so that they spare the delicate lining of the GI tract, Fibre helps achieve the optimal blood sugar control and cholesterol levels by slowing digestion and maximizing cholesterol excretion.

Benefits of Colon and Liver Detoxification

Detox from colon and liver increase the levels of energy.
Cleanse from colon and liver improve the digestive system.
Detox from colon and liver result in clearer skin complexions.
Cleanse from colon and liver improve the blood circulation
Detox from colon and liver increase mental alertness
Cleanse from colon and liver support weight maintenance
Detox from colon and liver balance the function of nexus to the Digestive System (liver, lymphatic system, and circulatory system).

If you want to skeep to be vegetarian for your entire life, drinking detox means to experience for short term result out constant body cleansing.

Detox teas are made of natural and organic plants and herbs that have detoxifying properties.

These herbs support the proper functioning of the excretory organs: liver, kidney, intestines, skin, and lungs.

There is a lot the detox teas available commercially or make your own.  When buying, remember to read the ingredients list so you are assured that it can help you achieve better health and not do otherwise. Most ingredients of detox tea have holistic properties promoting optimal cleansing and health.

Such ingredients are classified as blood purifier are sarsaparilla root, red clover, and yellow dock. Aside from purifying the blood, these ingredients likewise promote blood circulation and other organs. Milk thistle seed and dandelion roots help protect the liver, gall bladder and spleen.

Burdock is known to neutralize and excrete toxin from the body and promote proper functioning of the kidney. Hibiscus flower is an herbal plant used in ancient Egypt to give relief to stomach ailments.

Fenugreek seed supports lung functions in many ways.

Echinacea Angustifolia is a cleanser for the lymphatic system and strengthens the body defenses.

Ginger root has cleansing properties for the intestines kidneys, and skin.

Licorice is ideal for a smoker who wishes to quit from the habit and I help soothe the throat of both non-smokers and smokers.

Natural Colon Cleansing & Detox is it Necessary

The Obesity the Door to Another Complications

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How to Get Lose Belly Fat

 

The Obesity should be treated like one of the most common nourishment disorders, that result in many medical complications, principally frustration and difficulty to obtain the effective result in the manage.

Obesity is considered to be the direct result of a sedentary lifestyle with the continued and persistency ingestion in the excess of calories.

40-70% of obesity is explained like genetic influence. The rapid increase in obesity in the last decades point to the roles of environmental and behavioral factors in the development.

Obesity And The Evaluation of The Different Degrees
Consider this different factor that contribute to develop overweight age, recent weighty changes, history of obesity, occupation, eating, exercise pattern and the use of tobacco and alcohol.

The assessment of the BMI for the evaluation of the different degrees and distribution of body fat, nutritional status evaluation, for the prevention of concomitant disorders.
T H E   B M I
The BMI closely correlates with excess adipose tissue. It is calculated by dividing measured body weight in kilogram by the height in meters squares.
According to the National Institutes of Health (NIH) define a normal BMI as 18.5-25.9.
Overweight is defined as BMI = 25-29.9
Class, I Obesity is 30-34.9
Class II Obesity is 35-39.9
Class III OBESITY 9(extreme) obesity is BMI greater than 40.
An obese person with increasing abdominal circumference (greater than 102 cm in men and 88 cm in women) or with high waist-hip ratios. Have a greater risk of diabetes mellitus, stroke, coronary artery disease, and early death than equally obsess patients with low radios.
All persons with overweight or obesity should be assessed for possible medical consequences by screening for metabolic syndrome. Blood pressure, waist circumference, fasting glucose, low density lipoprotein (LDL) and HDL cholesterol and triglycerides should be measured.

Definition of Metabolic Syndrome.
The 25% of the general nonobese, nondiabetic population has insulin resistance of a magnitude similar to the type 2 diabetes. This insulin resistant nondiabetic individuals are in much higher risk for developing type 2 diabetes also has elevated plasma triglycerides, lower high-density lipoproteins (LDLS) and high blood pressure a cluster of
abnormalities named syndrome X or metabolic syndrome.

The goals of this syndrome to correct hyperglycemia, to manage the elevated blood pressure and Dyslipidemia that result in increased cerebrovascular and cardiac high risk.

Different ways of Management and Treatment.
The successful program employs a multidisciplinary approach to weight loss, with low diet in calories, behavior modification to change eating disorders, aerobic exercise, and social support, with the final goals to keep the good diet habits and the ideal weight for the age and high.

Diets.
Low in carbohydrate can be used safely and effectively for weight loss without adverse effects on lipids or other metabolic parameters. Long term changes in eating behavior are required to maintain weight loss.
Very low-calorie diets between (800-1000 kcal/day) result in rapid weight loss and marked initial improvement in obesity. A person in this program for 4-6 months loses an average of 2 pounds per week.
The best plan is the daily many and exercises.

Exercise.
Has a great value to people to try to lose weight and keep it. Specially aerobic exercise directly increase the daily energy expenditure and is particularly useful along term.
Exercise alone result in small amounts of weigh loss. The diet plus exercise result in slightly greater weight loss that diet alone. A more exercise per day is associated with greater amount of weight loss.
The social support in the process is the great value for the accomplishment of the goals. The combination of aerobic exercise and the diet give excellent results.

Medication.
For the treatment of obesity are available bot over the counter and by prescription. A person with BMI greater than 30 or those with 27 with obesity and complication follow the medical prescriptions.

Bariatric Surgery.
Is a treatment option for patients with severe obesity. Most popular is the roux in Y gastric bypass (RYGB) The operation can be done laparoscopically with the RYBG typically result in substantial loss of over 30% in some cases.
Another operation is gastric banding results in less dramatic weight loss that RYGB and has short-term complications

DIFFERENTS GUIDELINE OF DIET MANAGEMENT.
You can sign in and download your favorite guideline diet.

Download your copy

References:
Mueller C. et al ASPEN clinical guidelines: nutrition, screening, assessment.

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Familial Adenomatous Polyposis Related to Colon Cancer.

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Cleanse or Detoxication from the Colon.

Familial adenomatous polyposis (FAP) syndrome.

Falimial Adenomatous Polyposis is Affecting 1:10,000 people and accounts for approximately 0.5% of colorectal cancer. 
The classic form of FAP is characterized by the developments of hundreds to thousands of colonic adenomatous polyps.
and a variety of extracolonic symptoms.

Colon Cancer.

Colorectum cancer is the second leading cause of death due to malignancy in the EU. Colorectal cancer will develop in approximately 65% of Americans and 40% of those will die of the disease.

Between 1996 and 2010, mortality has decreased by 46%. During this same period, the percentage of patients 50 years older who were screened for colorectal cancer has increased to 66.1%.

The high suspicious about more of colorectal cancer originates from familial adenomatous polyposis in the colon.

These cells grow like fungus and are usually benign, once in a while they turn cancerous with time. In more of the cases, the diagnosis from cancer localized is for colonoscopy.

 

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Familial Adenomatous polyposis location.

R I S K   F A C T O R S.

The population in the USA has the risk to contract cancer colon is about 7%. Such kind of factor that helps to develop this disease.

#1. Age.  The risk to develop colorectal cancer increases with age. Most of the cases present between 60 to 70 years. It is less common           before 50 hears except with the presence of colorectal cancer.

Particularly adenomatous polyps. The elimination of polyps from the colon around the colonoscopy dismiss the subsequent risk from          colon cancer.

 

#2. History of cancer or Familiar Adenomatous Polyposis.
  The individuals that previously was diagnosed and treated with cancer has one high risk from the population to get colorectal cancer.

The woman with a history of ovary cancer, wound or breast has a risk in the apparition of colon cancer.

 

#3. Inherence. It is the second important cause of colorectal cancer the cause of death around the world every year and their most                common form of cancer. The history of colorectal cancer in the family, especially from one closer member less the 55 years.

 

#4. Familial adenomatous polyposis in 100 % develops to colorectal cancer for the 40 years.

 

#5. Lynch Syndrome or heritage colorectal cancer is associated with polyposis.

 

#6. Chronic ulcers colitis of Crohn disease, approximate 30% from 25 years if the whole colon is compromised.

 

#7. Smoking.

Is probably that one smoker death from colorectal cancer than nonsmoker person. The American society against cancer made a study and found the 40% is more probable than smoker woman’s death from colorectal cancer compared with women who never smoke. The male smoker has a risk of 30% high to die than those who do not smoke.

 

#8. Diet.

The studies show up the diet with meat and in fruit, vegetable bird and fish increase the risk of colorectal cancer.

One prospective Europe Study by Cancer and Nutrition suggests that diets high in red meat, the same as the low fiber are associated with colorectal cancer, such people eat fish show up low risk.

However other studies put in dude, to confirm a diet rich in fiber decrease the risk of colorectal cancer.     The less fiber diet is associated with colorectal cancer. The less fiber diet is associated with colorectal cancer is controversial.

 

#9. Physical activity.

Persons with activity has a less risk to develop colorectal cancer.

 

#10.

The lack of selenium corporal is a factor.

 

#11. Alcoholism

Plays an important role in the risk of colorectal cancer.

 

Other epidemiologic studies show an association with the alcohol and cancer of the colon is not determinate.

A study found those who drink more than 30-45 have more risk to develop colorectal cancer. Other studies show that consumption of one alcoholic drink every day is associated with a high incidence in 70% high to the half of colon cancer.

While we found a duplication of colon cancer. With the consumption of alcohol, including beer and other beverages. The studies show for minimizing the risk of colorectal cancer is better minimized the consume.

 

 

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Cancer Colon Stages

SY M P T O M S.

Colorectal cancer cannot give symptoms in the advanced stage and for the mayor of patients present tumors and invade all the intestine wall or are affected the regional ganglions. When appear the symptoms and signs of colorectal carcinoma are variable and specific. The age the development of cancer colorectal is between 60-80 years of age.

 

When there is hereditary the diagnostic is before 50 years ago. The frequent symptoms include low digestive hemorrhages and rectorrhagia, changes in the defecations and abdominal pain. The present of distinguishes systems o the form of manifestation depends on the site from the tumor and the extension from the disease.

P A T H O L O G Y.

The pathology report after the resection of tissue through the operation. The pathologic description of the cells type and the degree of advance. The common type is cancerogenic cells is Adenocarcinoma, in 95% of the cases. Other less frequent are lymphomas and the squamous cells carcinoma.

 

Cancer from the right size (ascendent colon and sigmoid), with an exophytic pattern, it means the tumor grows into the intestinal space. This type cause obstruction from the feces and present symptoms like anemia. Cancer from the left side can be circumferential and produce obstructive symptoms.

Frequent Types of Cancer.

Right Colon Cancer. The principal symptoms are anemic syndrome and occasional, palpitation from the abdominal tumor. In this portion the tumors can be a bigger size, producing stenosis without obstructive symptoms. The abdominal pain presence in more the 60% of patients in the right half from the abdomen.

The anemic syndrome is present in 60% for the continued loose, that not modifies the feces aspect, from the ulcers superficies from the tumor.

Presence of fatigue, palpitations angor pectoris with anemia hypochromia and macrocytic with the iron deficit. Is necessary to do Endoscopy and Radiology from the whole colon.

 

Cancer left colon. The pain in abdomen inferior can relief with the defecations in case some patients can develop anemia for lack of iron in case of colon cancer right.

 

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Recommendations for Colorectal Cancer Screening.

Average risk individuals >59 years old.

Annual fecal occult blood testing using higher sensitivity ties (Hemoccult SENSA)

Annual fecal Immunochemical test (FIT)

Fetal DNA test (interval uncertain)

Flexible sigmoidoscopy every 5 years

Colonoscopy every 10 years

CT Colonography every 5 years.

Individuals with a family history of a first-degree member with colorectal neoplasia.

Single first degree relative with colorectal cancer diagnosed at age >60 years. Begin screening at age 40.

Screening guidelines same as average risk individual; the however preferred method is colonoscopy every 10 years.

A single first degree relative with colorectal cancer or advanced adenoma diagnosed at age <60 years, or two first-degree relatives: being screening at age 40 or at age 10 years younger than the age at diagnosis of the youngest affected relative, whichever is first in time.

Recommended screening colonoscopy every 5 years.

 

 

Colonoscopy Test for Early Detection of Familial Adenomatous Polyposis.

The colonoscopy allows evaluation of the entire colon and is the way of detection and removing adenomatous and serrated polyps.

It should be performed in all patients who have positive FOBT, FIT, fecal or DNA test or iron deficiency anemia (see Occult Gastrointestinal bleeding and obscure gastrointestinal bleeding) as the prevalence of colonic neoplasm is increased in this patients.

 

The Stages from Colon Cancer.

The TNM system is used classification to stage colorectal cancer. Staging is important not only because it correlates with the patient long term survival but also because it is used to determine which patient should receive therapy.

State I. Has a 90-100% survival 5 years rate, no therapy required.

Stage II. The 5 years survival year drops to 80% and who are at higher risk for recurrence (perforations, obstruction, T4 tumor or fewer than 12 lymph nodes) get to benefit from adjuvant chemotherapy.

Stage III. (node-positive disease) The surgical resection alone, the expected 5-year survival rate is 30-50%. Postoperative adjuvant chemotherapy significantly increases disease-free survival as well as overall survival up to 30% and is recommended tor all fit patients.

Large designated studies of adjuvant therapy for stage III colon cancer reported a higher rate of disease-free survival at 5 years for patients treated for 6 months postoperatively in combination with chemotherapy.

Stage IV. (metastatic disease) Approximately 20% of patients have metastatic disease at the time of initial diagnosis and additional 30% eventually develop metastasis. A subset of these patients has a limited disease that is potentially curable with surgical resection.

The majority of patients with metastatic disease do not have a respectable (curable) disease. In the absence of other treatment, the median survival is less than 12 months. However, with current therapies, median survival approaches 24 months.

 

You can get more information

Colorectal cancer

 

Remember the thoughts are transformed into emotions the emotions are transformed in actions. And I asking you have a good thought, emotions, and actions sharing my posts.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How to Get Lose Belly Fat

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Lose Belly Fat

Free ebook The Bullet Proof about Keto Diet

In western cultures like ours, countries like the US, UK, Australia, Canada, and other European nations, what’s the first thing that anybody thinks of or tells you whenever the ide of weight loss is brought up? You’ve got to hit
the treadmill, exercise bike or the street and burn those calories! On the surface of it, this makes sense, right? After all, you’re going a lot of work and you’re seating and breathing heavy. Surely running a few miles every day must be dissolving those unsightly LB’S like crazy, right? Would you be surprised to hear that this is actually wrong? No, I’m not crazy -let me lay it out for you…

Yes, cardio does burn calories, it’s true. And yes, some cardio is good for you. Light cardio promo healthy heart and increases your endurance. on the other hand, though…heavy cardio actually begins to have the opposite effects.

Before I get into why let me give you a simple but common sense example. Imagine a prehistoric man. These men and women are running around the Paleolithic world chasing down antelope, red deer, aurox, bison and the occasional wooly mammoth. Most of their diet comes from animal protein and what edible plants they can scrounge.
Well, if cardio was so great for losing weight, these people would simply starve to death while running down their food. All that cardio would burn through their energy reserves faster than they could replace them. Yet they didn’t starve to death..why?

For one thing, a lot of heavy cardio is hard on your knees and feet. Second, it’s also hard on the heart. Too much cardio actually begins to add scar tissue to your heart and increases your rate of a heart attack. We didn’t realize that for a while until many scientific studies were done on the subject.

As for losing weight, excessive cardio actually has the reverse effect and here's why. Our bodies are genetically designed to survive. Our body's job is to store energy as fuel both for its immediate use and in the form of fat for those times when food is scarce. In modern times, of course, food isn't really scarce, so this built-in safety feature is rarely needed.

How to Slim the Stomach.

However, when you deprive your body of the nutrients it requires, either by starving yourself on some crazy diet or by overtaxing your body with lost or cardio, it begins to switch into survival mode. Additionally, and unfortunately, with heavy cardio, your body also becomes anabolic.
This means that it begins to burn the most effective source of energy first -and that’s not fat… it’s your muscle. Take a good look at some of these chronic long distance runners who compete. Many of them are kind of stringy looking and have to pack in the carbs just to maintain their muscle mass.

You want your body to lose fat, not muscle obviously. It’s not really about calories, as many diets and so-called fitness gurus try to make you believe. Calories are only a means of measuring food energy. Yes, if you want to lose weight, you must take in fewer calories than you consume, yet there’s so much more to it that.

The biggest secret to weight lose isn’t running 10 miles every day, starving yourself or even avoiding some of your favorite carbs, believe it or not. In fact, if you’re going to lose weight properly, its actually important that you do eat some of your favorite food!

I know that sounds crazy, too -but it’s absolutely true, and I can prove it to you! if you know how to use your body’s natural processes to your advantage, its entirely possible to lose 10,20 or even 30 plus pound in a short time without starvation diets, gut-wrenching cardio, ridiculous workouts and eating anything gross! It’s true and I can show you the science to pro it!.

Want to know more about dropping some stubborn LB’S right away! Then click this link and I’ll show you a video that’ll explain how and show you the science backed by independent clinical studies to prove it.

Why Do People Fail with Most Diets?

Your Skin is your First Protection.

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Skin Reflex Different Aspect from the General Health, Specially the Diet and the Life Style.

How I Can Not Keep My Good Health.

 

The skin the more extensive organ, the weight around 6 to 11 pounds. With the extension of more that two meter. Few parts from  the parts from the body are regenerate quick like the skin. The external stracto; the Epidermis is renew every month, at the velocity of 30,000 death squamous cells for minute.

The external exposition and the dynamics can carry probles, like eruptions, spots, sores and eczema. Also show cutaneos tumors for the exposition to toxic and chemical substances or the ultraviolet radiation of the other type.

The skin is one of the most important organs our organism. Where there is a lose more of the 40% of extension in case of burned, is almost impossible the life. The skin act like protect barrier that aisle the organismo from the enviroment that surrounded, protege and contribute to keep the integrity from the structures, and the same time act like communications systam with the environment.

Read moreYour Skin is your First Protection.

Diabetes is Sweet, Bad and Ugly.

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The Honey Disease Diabetes Mellitus.

High Levels of Sugar and Insomnia

#1. Definition

Diabetes Mellitus is the conjunction of metabolic disorders with the principal characteristic is the presence of high concentration of glucose in the blood in persistent or chronic, resulting in a defect in the production of Insulin, for the consequence resistance in the action to utilize glucose and elevation in the production.

The presence of dysfunction in the metabolism of lipids, proteins, minerals, and electrolytes.
The main symptoms of Diabetes Mellitus are the excessive production of urine (polyuria) and the weight loss without apparent reason. Many times we take like reference this tree symptoms called the Triad from Diabetes or 3 P’ rule (Polyphagia, Polydipsia, and Polyuria) when they are suspicious of Diabetes Mellitus Type 2 or the presence of Insulin resistance.

Diabetes is associated with the presence of complications in diverse organic system from the body; like lose of the view that is associated with the blind, the kidney compromise that develop insufficiency in cases of dialysis and transplant, the blood vessels compromise that progress in the loss of the limbs (Diabetic vasculopathy), in the heart the coronary disease and myocardial acute infarction, the brain compromise and in the intestine. This develops into a diverse complication that limits the life quality of the Diabetic.
The word Diabetes the Greek root (diabetes) protractor. Another Latin found similar to Sifon. Like the reference term characterized for the elimination of big amount of urine (polyuria). This was used in the first century from Arturo de Cappadocia, the Greek doctor.

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Diabetes was recognized for the first time around 15000 b.c. in the Egyptian antique, who observed that persons that urinated a lot and lost weight. In the papyri from Ebers found in Egypt are described the symptoms and the treatment from that time.

One diet from four days that include boiling from bones, wheat, grains sand, green pump, and soil was Areteo from Cappadocia, who between the 80 and 138, give this affection the name of Diabetes, that means in greek run though, doing reference to sign more attractive in the exaggerated elimination from water, that attribute to a fail from the kidneys, expressed that the water coming in and out from the diabetic without keeping in the body.

The word Mellitus (latin mel, miel) honey was added by Thomas Willis in 1675 when he tests the urine from a diabetic patient with a flavor of honey (the glucose is waste from the urine).

#2 Epidemiology.

In the year 2015, this time around millions of persons in the world are diabetic it will grow to 370 million in 2030. This disease causes diverse complication and frequent damage in the eyes, heart, kidney, nervous and blood vessels.

The acute complications (hypoglycemia, ketoacidosis, hypoosmolar no ketosis are consequences in the ineffective control of this disease. Where the chronic complication (cardiovascular, nephropathic, neuropathies, microvascular damage) are a consequence in the illness progress.
Between the big risk and more frequent that Diabetes produce is to drive. The treatment with Insulin and oral hypoglycemics that give repercussion in the nervous system that progress in microvascular complication, problems produce visual problem like cataracts or glaucoma, principally in the low levels of sugar or hypoglycemia that provoke dizziness, loss of balance, lack of concentration and discoordination and lose of conscience. The diabetes drivers have a high risk to get accidents.

#3 Types of Diabetes.

The classification from the OMS Health World Organization, are recognized three forms of Diabetes Mellitus: Type 1, Type 2 and Gestational Diabetes (develop in the pregnancy), everyone with different causes and different incidence and the second classification is proposed for the committee of experts from the (ADA) American from Diabetes Association.

Induce from pharmacies or chemical substances (pentamidine, nicotinic acid, glucocorticoids).
According to ADA the Diabetes is classified into four groups.
The Mellitus Type 1 Diabetes, in which exist the total destruction (90%) from the cellulose B, it to attend absolute Insulin deficiency. Represent the 5-10% from the DM.
The Mellitus type 2, generate like consequence one progressive defect in the Insulin secretion with elevation in the peripheral resistance at the same time high in the glucose production. Represent between 90-95% of the D.M.
Gestational Diabetes is diagnostic around the second or the 3er trimester from pregnancy, where many time is transitory and the cure is the delivery.
-Multifactorial Diabetes. Produce for many causes; genetic defect from the B cellules, diverse type diabetes neonatal, genetic defects in the Insulin action. Fibrosis cystic, endocrinopathies; like acromegalia of Cushing syndrome.
Substance (pentamidine, nicotinic acid, glucocorticoid) and infection that affects the Immune system.

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#4. Diabetes Mellitus type 1

Called Diabetes Insulin Dependent (DMID), diabetes from beginning juvenile or diabetes infant juvenile. Don’t show production from Insulin such to the cells B from the isolates from Langerhans from the Pancreas. The begging destruction in short places, especially in the young, with the predisposition to acute descompensation from the metabolism called ketoacidosis.

Is more frequent in young persons (for low the 25) years) and effect to close to 4.9 millions of people in the world. with high prevalence in North America, represent 5-10% from the DM.
The origin from the DM1 is the autoimmune destruction from the B cells from Pancreas, in one 10% from the cases doesn’t found immunity markets called “idiopathic”. This last situation we see in the incidence of DM1 from Africa and Asia.
The DM1 belong diabetes autoimmune very different from the adult, from the epidemiologic and clinical point of view is close to DM2, the origin is autoimmune and the treatment requires Insulin.
This influence is special for the determination of alleles from the genes from the Histocompatibility Mayor Complex (CMH)inside the group from HLA, THE CLASS 1. In the group from the HLA class II, Affect overall various alleges from the loci DR3 and DR4 in the heterozygous DR3/DR4 are especially susceptible to present this disease.

The patients express DR32 also are in risk to develop other autoimmune endocrinopathies and Celiac disease. Nearly one 6% from the patient with Diabetes type 1 show Celiac disease associated. In most of the cases this disease is not recognized because show digestive symptoms, this are lights of mistakenly attributed to the bad control of the Diabetes, to one gastropexy or Diabetic Neuropathic.

The Diabetes and the Celiac share common genetic and the inflammation from the nutritional deficiencies cause for the Celiac disease increase the risk to develop Diabetes Type 2. The persons with such diseases are associated have bad control from the glycemic control and the increase in the risk of complications, like retina damage and in the kidney the mortality.

The diet without gluten, result in strict improve from the symptoms from the Diabetes and has protected effect again the development of complication to long term the manager is only the use of Insulin.

#5. Diabetes Mellitus Type 2

Actually, the important factor in the apparition from the Diabetes Type 2 is with one possible Insulin resistance and intolerance to glucose, with the Obesity with the exaggerate ingestion of meals, the relation from the rapid absorption polysaccharides or the slow consumption and the lack of exercise.

The abdominal Obesity is associated with high grease acid levels, which participate in the Insulin resistance and the damage to the B pancreatic cell. Contrary happened with the Diabetes Type 1, is not identifies auto immunizations process.
In the Langerhans islets, the cells produce hormone-like Insulin and the Glucagon, other pancreatic hormones that increase the glucose in the blood. In the Diabetes Mellitus, the pancreas produces a little Insulin or nothing is when called Diabetes Mellitus type 1 when the cells from the body no respond normally to the Insulin that produces DM Type 2.
This avoids or difficult the entrance from glucose in the cells, increase their levels from blood (hyperglycemia). The chronic Hyperglycemia produces in the Diabetes Mellitus one toxic effect that deteriorates the different organs and systems and develops com and death.                                                                                                                                                                    The Diabetes Mellitus is one chronic endocrine-metabolic disorder, that affects the function from the organs and systems from the body, the process median wich dispose meals like energic resource for the organism (metabolism), the blood vessel (arteries, veins, and capillaries) and the circulation from the blood, the heart, kidney and the nervous system (brain, retina, skin, and sensibility).

 

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Symptoms to Detect Diabetes.
The symptomatology is derivative from the excess of glucose in the blood. Signs and symptoms more frequent:
Polyuria, Polydipsia, and Polyphagia, lose weigh event eating more. Due to the glucose can not store in the tissues the reason don’t get the Insulin sing; like weakness, blurring vision and to progress to blind.

#6. Treatment.
The treatment is restorer the normal glycemic levels in the Diabetes Type 1 and Diabetes Type 2.
In the Diabetes type 1 and in the Diabetes Gestacional the use of the substitutive of Insulin or analogs for Insulin. In the Diabetes Type 2 the treatment substitutive from Insulin or Analogs (oral hypoglycemics).
How can determine if the treatment is given an adequate result, the test glucoside hemoglobin is required (HbA1COA1C). One person no diabetic has one HBA1c 6%, the treatment should be close the result from the A1 the max possible to the value in the DM1.
One wide study called DDCT shows the good result in the A1c around year reduce o include wipe the presence of traditional complications associated with Diabetes: Insufficiency renal chronic, diabetic retinopathies, neuropathic peripheral, etc.

The good manage from the Diabetes Mellitus in all the variants; is the implementation of educational therapy to the sick person, to get a result in the management from right control of their disease, with modification in the food habits sometimes is necessary. (Diet, physical exercise and pharmaceutical treatment).

I invite you to follow the instructions of your doctor and follow a healthy diet with you don’t put in risk your health. I encourage you to follow my advice with the next post about Diabetic Diet post.
Remember the share this post with your family or somebody you know can appreciate it.

Types of Diabetes Mellitus

Prevent Acne for Progressing to a Sever Type

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 Acne Progressing to Sever Type

Your Skin is Your Fist Protection

Acne or vulgar acne is known, as a chronic disease from the skin that involves the pilosebaceous unit (hear follicles and oil gland)characterized by the formation of comedones, papules, pustules nodules, and scars, that appear in the face a de superior trunk.

Acne and principal causes.

The development from the vulgaris acne is common in the puberty. Rosacea is more frequent among adults, which is a similar aspect. The presence of the vulgaris acne in adults of older age can be the condition of a subjacent condition like the pregnancy and another like the ovarian polycystic or in the Cushing Syndrome.

The multifactorial causes and the unknown the how some have acne and others do not, which is partially genetic and the gen existence in the predisposition.

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Acne and different Presentation

 

Causes From Acne

Increase in the production of oil and hyperplasia from the oil glands. Abnormal peeling from the keratinocyte. Bacteria  Propionibacterium acnes presence. Inflammation. Another cause of the presence of acne. Hormonal dysfunction, like the menstrual cycles in the puberty. Shrink from a follicular channel.

The abnormal spreading from the follicular cells, abnormal vincula cells between the follicle and the water retention in the skin, are mentioned like the important mechanism. Stress impulse triggers the discharge from the suprarenal glands.

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Stages of Acne

Hormonal Factor in the Development.

The center attention in the overproduction of seborrhea with the hormonal liberation it’s the principal cause. The cause of acne is the association with many hormones. Androgens are the principal regulation in the production oil; testosterone, the dihydrotestosterone (DTH) and the dehydroepiandrosterone sulfate (DHEAS).

Progesterone inhibit the 5-alfa reductase, that requires to convert the testosterone in the more potent dihydrotestosterone. Estrogens reduce the size of the sebaceous glands and reduce the production of oil. The Insulin and the factor Insulin type 1 of growing (IGF-1) the insulin stimuli the grow in the sebaceous glands. Adrenocorticotrophic hormone delivers, It converts in proopiomelanocortin in the anterior pituitary, induce lipogenesis in the oil glands.

Melacortines are the product from the proopiomelanocortin and stimuli the sebaceous glands. Hormone adrenocorticotropic stimuli the production of oil. What Food Can Causes Acne? There exist speculation in the relation between the consumption of such kind of meals and the production or got worse acne.

There was thinking that the chocolate, mil, sugar or chemicals substances, can be related with the worst acne situation. Only can relationship in the severity of acne between kids and teenager that ingest a diet rich in fat and sugar.

Some kind individual presents such kind of predisposition when the type of the skin is grease make the situation worse.

Causes of Facial Acne and Distribution.

The presence of oil face type in complexity with the hormonal factors can develop this condition, with the appearance in the face and other areas of the body. there exists obstruction of the hair follicles (compound for the hair follicles and the pilosebaceous unit).

The excess of the production of oil starts around 9 years old that stimuli a high production of adrenal androgens and high levels of peeling from squamous epithelium that recover the interior of the follicles with the abnormal quaternization.

With obstruction from the follicular ostium. First in the microscopic way (microtomed). When the production of oil continues, the follicles it gets wide until it’s visible the basic damage from the acne: the comedown.

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Severe acne

 

The difference of a pimple is when existing the microscopic lesion (microtomed) inflammatory stage. Develop acne when microtomed grow and mature and break the skin show up the lesion in comedown. What causes the skin from the face breaks out.

The obstruction contributes to the super population to the bacteria’s Propionibacterium acnes, which produce tissue inflammation, and the present of immunology cells: lymphocyte TCD4 and neutrophils, which infiltrate the zone and disrupted the follicular wall, produce the follicles content; lipids, cellular content and fund bacterias to the surrounding dermis.

The inflammatory answer is extreme with the delivery from the mediator; cytokines, peptides and other, produce the apparition of the papule. To the mayor, inflammation conduces the formation of pustules and the extension and formation of a cyst. The presence of nodules where exist deep inflammation and compound various hair follicles. This lesion produced skin scars.

Treatment.

The number of people that have acne, especially the teenager, present psychological and social alteration. In some cases, can develop a lack of confidence and can be depressed, because of low esteem and shame.

The treatment from acne depends on the extension e intensity from the disease, the production of scars, the factors from the patient like age, hormonal and skin characteristic. Lastly from the history of the clinic answer to the diversity of treatment, also from the psychology that impacts in the life quality.

In general, the acne can be auto limited in the 60% of the cases and respond to combine therapies plus the topic treatment. In the 40% of the cases, the chronic acne and the severity can be prolonged until for more 12 years. A requirement of permanent treatment. Most of the cases are benefit the oral isotretinoin.

Actually, exist a wide diversity of treatment with drugs or medical procedures that allow to limited or resolved the damage from the skin. The application from one thyme solution can be alternative therapeutic and the use of benzoyl peroxide in the control of acne with bactericide power again the Propionibacterium acnes.

Please sharing this post with your close family and friends.

Complementary about Acne

Are You Living With a Silent Killer?

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Arterial Hypertension is a Silent Killer.

Excercise and Body Function

Exist many people walking around with this disease without any symptoms or sing that nothing is wrong. The hypertension is called the Century XXI silent Plaque.

Arterial Hypertension is a chronic disease characterized by the continued increase of the blood pressure amount above the limits, to carry the cardiovascular risk. Regarding International studies, the cardiovascular morbidity and mortality have a direct relationship with the increase of the numbers in the systolic pressure above the 139 mmHg. or a diastolic pressure keep high of 89 mmHg. for complications of coronaries disease and the renal insufficiency.

Close to the third part of the adult population from developing countries suffer from HAS is the principal cause of the hypertensive crisis and medical attention. Over measure of 115.75 of arterial pressure for every increment of 20 mmHg of the systolic pressure or 10 mmHg of the diastolic pressure. The risk of one cardiovascular event can be duplicate.
Statistics show the man has more predisposition to develop Arterial hypertension compared with woman, a situation that changes when the woman get the menopause. A woman has protection with the hormonal balance, which disappears with the menopause and Arterial hypertension can equally.

That means menopause woman has more predisposition to get a vascular disease and stroke The Arterial pressure is expressed in two sizes, the Arterial systolic pressure and diastolic, for example, 120/80 mmHg. The systolic arterial pressure (first count) is the blood pressure in the arteries around the ventricular systole when the blood is expulsed from the heart to the arteries.

The arterial diastolic pressure (the inferior) is the pressure in the diastolic when the heart is relaxed the pressure fail. The hypertension is a cardiovascular risk factor, the anti-hypertensive treatment is focused to the reduction in the cardiovascular risk, however, the instance of treatment has in the account, of the arterial pressure, and another cardiovascular risk, kidney disease, diabetes or metabolic syndrome.

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8 Causes of Arterial Hypertension

Some of the environmental factors contribute to the development of Arterial Hypertension include obesity,alcohol consumption, genetic issues, and stress profession. There is a connection between the economic stable societies and the increase of hypertension with the age.

#1.The salt

The excessive consumption of salt induces and keep Arterial hypertension. Hypertension sensible to salt consists in the exaggerated increase of the pressure induce for salt. The increase of the ingestion of salt increase the osmotic pressure blood that keeps water and increases the blood pressure.
#2. Renin.

The observation that renin, excreted from the kidney is associated with Aldosterone. However, Arterial hypertension associated with a low level in renin is frequent in black people.

#3.Insulin Resistance.
In normal people, the stimulation of Insulin in the Sympathetic Nervous System without the elevation of Arterial pressure. However, in people with pathological conditions like metabolic syndrome. The resistance to Insulin is proposed like the cause in the increase of Arterial pressure in such patients with metabolic diseases.

#4.Diabetes.
Diabetic patients have higher Arterial pressure than the rest of the population.

#5.Obesity
There exist a huge correlation between the corporal mass index and the pressure. It’s convenient a hypo caloric diet plan in patients with obesity and hypertension that conduce to lower the pressure.

#6.Sleep apnea
It’s a common disorder and a possible cause of Arterial Hypertension. The treatment of this pathology through the arterial positive pressure.

#7.Genetic.
Arterial hypertension is one of the complex genetic disorder associated with more than 50 genes. Recent localization of 12 new genes in relation to diverse phenotype. It found 35 SNPs associated with Obesity, Diabetes Mellitus type II, Coronary disease and the kidney function, given evidence that those genes have a connection with the Arterial pressure with cardiovascular activity.

#8. Age.
With age the numbers of collagen fiber increases, produce rigidly in the blood vessels, reduction in the elastic created blood flow resistance and consequence compensatory increased in the Arterial pressure.

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P A T O G E N I C

Arterial pressure is cardiac waste and vascular resistance product. However, the factors affect determined the cardiac waste and the physiology and structure of the little arteries. When high viscosity of the blood have significance affects over the necessary work for bumping the amount of blood and can give persistence in the Arterial pressure.

The malleability of the wall from blood vessels (pulse components) affect the velocity of the blood flow, have an important relationship in the regulation of the Arterial pressure. The changes in the thickness of the wall affect the amplification of the peripheral vascular resistance in the hypertensive patient, conduce to the relaxing waves in direction of Aorta artery and opposite to the blood flow, with the increase in the systolic arterial pressure.

The volume of the circulating blood is regulated for the sodium (Na) from the Kidney system and the management of water, this phenomenon plays an important role in sensible hypertension in response to sodium concentration in blood. The associated mechanism to secondary hypertension is evident. However, such related to essential hypertension. The cardiac waste is elevated in the beginning, in the natural curse with a resistance periphery total (RPT) normal, but an increase in the total peripheral resistance.

This theory explains the process

1. The kidney capacity to excrete sodium, result in the apparition of sodium excretion factors, like the secretion of atrial natriuretic peptide that promotes the excretion of salt with the side effect of the increase of the total peripheral resistance.

2. The Renin-Angiotensin-Aldosterone hyperactive system that conduces to vasoconstriction and the consequence of sodium retention and water. The reflex increases the blood volume that conduces to Arterial hypertension.

3. The hyperactivity of the Sympathetic Nervous System produces high levels of stress. The hypertension is highly heritage and polygenic (causes for more of one gen). The endothelial changes are produced for the persistent elevated arterial pressure.

Affected Organs for Co-lateral Effects

The organs such structure and function are alternated like a consequence of the Arterial hypertension is called “Diana organs”. For example a individuals between the ages of 40 and 70 when the Arterial pressure between 115/75 to 185/115 mmHg. Every increase of 20  mmHg in the systolic pressure or 10 mmHg in the diastolic pressure duplicate the risk in the apparition of some this disease.

-Hypertensive retinopathy, vasospasm, an increase of arterial brightness, arteriovenous pathologic cross, hemorrhages, exudates, papilledema, and venous retina thrombosis.

-Central Nervous System.
The systolic pressure in more of 160 mmHg. The increased amount of systolic of diastolic is harmful, or one diastolic pressure of more than 100 mmHg.  Oher manifestations of hypertensive crisis conduce to cerebrovascular disease (stroke), hypertensive encephalopathy, cerebral microvascular damage and dementia of vascular origin consequent to multiples infarctions in the Central Nervous System.

-Peripheral Arteries.

Chronic endothelial dysfunction, arteriosclerosis progressive, atherosclerosis of great vessel, in special cerebral vessels aorta, coronaries, and low limb arteries. The complicated aneurysm eventually with the dissection or rupture, at the level of the thoracic aorta. Left ventricular hypertrophy, in the beginning, is parietal think without an increase in the muscle ventricular that progress to concentric hypertrophy, that develop the dilate phase (eccentric hypertrophy).

-Myocardial fibrosis.

Like the hypertrophic process with the deteriorating of the parietal distensible and the viscoelastic properties of the myocardial contractibility.
-Coronary microvascular ischemic principally for rarefaction of the capillary red and endothelial dysfunction of the remnants vessels.

-Acute coronary syndrome.

Unstable angina or infarct without Q wave, called too like infarction without elevation of the segment S-T. Acute Myocardial infarction. The left ventricular diastolic dysfunction that consequence of ischemic, hypertrophy and ventricular fibrosis.   The left ventricular systolic dysfunction with the drop of the ejection fraction from the left ventricular (the percentage of the blood, that fill up the ventricle in diastole, is effectively pumped out of the cavity).

-Congestive Cardiac Insufficiency (ICC)

Global consequently of the fail left ventricular there is secondary compromise from right hemi-Cardium with dilatation of the chambers the secondary pulmonary arterial hypertension. & What does Pulmonary Arterial Hypertension means is, a complication of the insufficiency Cardiac Congestive global, consequently to the fail from the left ventricular and secondary compromise from right ventricular a total cardiac fail. The causes of PAH (Pulmonary Arterial Hypertension is a total fail from the heart can be ischemic Cardiopathy (75%) infarction of myocardium and hypertensive valvulopathy (severe hypertension).

-Ventricular arrhythmia, like c consequence o metro-centric for fibrosis damage or ischemic.

-Microalbuminuria.

Early marks of nephropathy and an independent factor of risk of cardiovascular morbidity. Focal and diffuse glomerulosclerosis win-loss of nephrons, like the consequence of hypertension intraglomerular chronic.
-Chronic renal ischemic due to atherosclerosis accelerate of the kidney

-Reduction of the glomerular

Filter rate, for the loss of the number of functional nephrons, progressive process that it’s accelerated in hypertension and more much in the presence of the diabetes mellitus.

Chronic Kidney insufficiency is a complicated and terminal event.

Early detection with the correct take of Arterial Pressure. The take of the arterial pressure in patients with high risk, take the right measure incorrect way with the finality of avoiding false results. With the use of sphygmomanometers and stethoscope.

D I A G N D I A G N O S T I C.

The clinical records from hypertension patient it is detailed and enriches with the provision of information from close parents, or other medical or paramedical staff from the pass. La hypertension is the asymptomatic disease for excellency, due is called “silent killer” don wonder not record of so much symptomatology in the medical records, or less specific symptoms (a headache, dizzies, visual disorder, red flash). Defining the motive from the visit.

If the person has cardiovascular symptoms (dyspnea, orthopnea, dyspnea paroxistic, palpitation, symcope, edema, intermittent claudication) or in speciffic mood state, erectile dysfuction, etc.

Cardiovascular symptoms: ischemic cerebral transitory, cerebrovacular accidents, chest angina, my6ocardial infarct, congestive cardiac insufficiency, chronic kidney insufficiency.

Eearly Detention From Arterial Hypertension

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The individual need to sit with the back reclined in the chair and the upper limb should rest over the superficies from the desk, and the forearm in pronation, to the high of heart. The soles are over the floor without cross the legs. After some minutes of res (about 5 minutes, after the interrogatories) put the wrist BP monitor or aneroid sfingmanometer appropriated in good conditions in the middle of forearm portion take the two thirds from the arm.

Expose the area, preferred to use physical exam gown, in persons with heart problems. Try to use a healthy arm without any compromise to avoid the false result. Precaution in some patients doesn’t take the pressure in of compromise arm with amputation, radical upper surgery history or the presence of an arteriovenous fistula.

Actually exist diverse diagnostic ways (aneroid sphygmomanometer, writs BP) it’s recommended the use of the Tensiometer or mercury that need it to calibrated regularly. The procedure from a take of pressure measurement. This procedure it doesn’t need to be discomfort and pain. The inflow from the inflation bulb need be less 20-10 mmHg high of the necessary pressure for disappears the pulse of the wrist or elbow, that separated the pressure of 220 mmHg.

The stethoscope over the arterial to deflate slowly until hear audible the first time the Korotkoff sound (systolic pressure). The early disappear of the sounds and you’re ulterior reappear, it called the auscultatory gag breach is frequent in elderly people, that reason deflate the inflation bulb slowly until disappearing all sounds (phase of Korotkoff diastolic pressure) arm be immobilized.

The measure of the arterial pressure in stand up the patient is recommended in an elderly person, leave the standing person around five minutes before to make the measure.
In the first appointment or early detection of the arterial pressure, it’s ideal took in two arms and make clarified in which of the limb it found higher and consequently take the same arm for the arterial pressure.

The doctor needs to teach to the patient the importance of taking a right measure of Arterial pressure (with heart disease of HA like complication) the use of this machines in a home is a confinable measure for the control and avoid strokes and sudden death. The measure of the pressure in the home is around 5 mmHg less than in a medical office, for both pressures systolic and diastolic.

Clinic Sings For the Diagnostic of Arterial Hypertension

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Eyes Exploration.

Count with the Keith Wagener classification of hypertensive retinopathy (shying arterial cross pathologic arteriovenous (Gunn sing), lose relationship venous arterial, exude, hemorrhages and anomalies of the optic disc and periphery retina. Remember the hypertensive incipient retinopathy (relation arteriovenous changes) are specific to the hemorrhages and exude.
Neck inspection of Jugular veins.

Palpation, and auscultation of carotid arteries and thyroid glandules valuation. Exhauster exploration cardiopulmonary describe aspect and expansion of thorax, lung ventilation, impulse max point of heart, fremitus and cardiac sound, the normal, accessories and pathologic.

Abdomen.

Adipose, visible pulsation presence venous circulation complementary, visceromegaly and tumor. Exploration of the peripheral pulses (amplitude, pulse wave and symmetry) of the capillary fill, acres zones temperature, venous peripheric nets.

Basic neurologic exploration.

It is exhausted in case of preview lesion or actual from the peripheric and central nervous system) pupils, oculars movements, facial symmetry, equilibrium, coordination tongue and force a sensibility, reflex osteotendinous and musculocutaneous normal and pathologic.

Laboratory Exams.

Creatinine (Ureic nitrogen is necessary in case of acute cardia insufficiency).
Potassium serum, glycemia, lipid profile; Cholesterol total / HDL and triglycerides, uric acid, EGO we look for microalbuminuria (proteinuria the possible kidney lesion for the type of risk present risk factor (diabetes mellitus).

Additional Exams.
The use to confirm the diagnostic to dismiss secondary causes and determine the presence of lesion of Diana organs and the severity.

Electrocardiogram.                                                                                                                                                                                  The use for the diagnostic of left ventricular hypertrophy, arrhythmia evaluation, the presence of X-ray of poster anterior from the thorax and lateral radiography is necessary. To value the cardiac shape, aorta, lungs, Helios, mediastinal, bone thorax and the lung parenchyma.

Effort test with an electrocardiogram.                                                                                                                                                                                                                      Help to value the physical condition, the pressure answer to the exercises in the patient in treatment and the presence or absence of ischemic lesion or inducible arrhythmias.

Doppler color echocardiogram.                                                                                                                                                                                                                                It’s a not invade study with great diagnostic value. It’s recommended only in case the persons with a patient with hypertension without symptoms or clinical evidence or damage in the cardiac organ.  Another procedure

Kidney arteries Doppler.                                                                                                                                                                                                                                             Holter monitorization, autonomic function studies, vascular mechanic probe, studies of nuclear medicine, computerized axial tomography, nuclear magnetic resonance.   In the treatment, the use of diuretic aKd beta-blocker reduce the apparition of site adverse for hypertension arterial related to the cerebrovascular disease.

However, diuretics are more effective in the reduction of event-related with coronary heart disease. The hypertensive patient that has the treatment has fewer possibilities for developing risk hypertension or insufficiency congestive heart disease. In an elderly patient with aisle systolic hypertension utilized alternative one inhibitor of a channel of calcium.

The preventive measures are important in the development of severe diseases, share the content with somebody can be beneficial to it.

Complications from the Arterial Hypertension

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