Stress is a commonplace aspect of contemporary living that affects people of all ages and backgrounds. While stress can be motivating in moderation, prolonged stress can be harmful to one’s physical and emotional well-being. The effect of stress on heart health is one area that warrants special attention.

The Heart-Stress Relationship

It is commonly known that stress and heart health are related. When people are under prolonged stress, their bodies release stress hormones like cortisol and adrenaline. These hormones can raise heart rates, blood pressure, and the risk of atherosclerosis, a disorder in which plaque accumulates in the arteries.

Stress can also contribute to harmful lifestyle choices including binge drinking, smoking more than usual, and eating poorly. These actions may make heart health problems worse.

How Stress Affects Different Populations

While stress can negatively influence anyone’s heart health, particular populations may be more prone to its effects:

Older Adults: People who are older may have bodies that are less able to withstand stress, which increases their risk of developing cardiovascular diseases linked to stress.

Women: Stress reactions and heart health can be impacted by hormonal changes that occur during a woman’s life, including pregnancy and menopause.

People with Pre-existing Conditions: Stress can have a more detrimental impact on a person’s cardiovascular system if they have diabetes, high blood pressure, or a history of heart disease.

Socioeconomic Factors: Due to financial instability, limited access to healthcare, and other social determinants of health, those with lower socioeconomic status may experience higher levels of chronic stress.

Stress’s Impact on Heart Health

Prolonged Stress: Prolonged stress can raise blood pressure, which puts additional strain on the heart and arteries.

Heart Rate Variability: Stress can cause abnormal heartbeats and possibly arrhythmias by upsetting the heart’s normal rhythm.

Atherosclerosis: The accumulation of plaque in the arteries that causes an increased risk of heart attack and stroke is a condition that can be exacerbated by stress.

Chronic stress can lead to inflammation in the body, and inflammation has been connected to several cardiac conditions.

Blood Clotting: Heart attacks and strokes can result from blood clots, which are made more likely by stress.

Diagnostic Tests to Measure Heart-Related Stress

The following are a few typical tests used to identify heart problems linked to stress:

ECG: An electrocardiogram, sometimes known as an ECG, is a test that measures your heart’s electrical activity. It can identify indications of cardiac disease or irregular heartbeats.

Stress Test: This test tracks how well your heart works when you exercise or take medicine that mimics the effects of physical activity. It can assist in detecting cardiac issues that could only manifest while under stress.

Echocardiogram: This test produces images of your heart by using sound waves. It can assist in evaluating the anatomy and physiology of your heart and detecting any anomalies.

Coronary Angiography: A dye is injected into your arteries during a coronary angiography test, which uses X-rays to show how blood flows to your heart. It can aid in the diagnosis of coronary artery disease, a significant source of stress-related cardiac issues.

Blood tests: Blood tests can be used to look for stress hormones, inflammatory markers, and other potential heart issues.

For an accurate assessment, it’s critical to speak with a healthcare provider if you’re exhibiting signs of stress-related cardiac problems, such as chest pain, dyspnea, or an irregular heartbeat.

Controlling Stress for Heart Health

Even while it might not be feasible to completely remove stress, there are useful ways to manage it and safeguard your heart health:

1. Techniques for Stress Management:

Meditation and mindfulness: Engaging in these practices can help lower stress and increase relaxation.

Exercises for Deep Breathing: Deep breathing techniques can reduce stress hormones and blood pressure while calming the body and mind.

Progressive Muscle Relaxation: To encourage relaxation and lessen tension, this technique alternates between tensing and relaxing various muscle groups.

Yoga and Tai Chi are examples of mind-body exercises that can increase strength, flexibility, and lower stress.

2. Good Living Practices:

Frequent Exercise: Physical activity on a regular basis can help lower stress, strengthen cardiovascular health, and elevate mood.

Balanced Diet: Eating a diet full of fruits, vegetables, whole grains, lean meats, and other nutrients helps improve general health and lessen inflammation brought on by stress.

Sufficient Sleep: Sleep is vital for maintaining good physical and mental health. Try to get seven to nine hours each night.

Reduce Stressors: Determine the pressures in your life and try to eliminate or minimize them.

3. Social Connect:

Connect with Others: Having a solid social network can assist you emotionally and ease stress.

Seek Professional Assistance: If you’re having trouble managing your stress on your own, you might want to think about getting assistance from a therapist or counselor.

4. Effective Time Management:

Set Task Priorities: Managing your time well will help you feel less stressed and overwhelmed.

Establish sensible objectives: Achievable goals will help you avoid needless stress.

5. Hobbies and Relaxation:

Take Up a Hobby: Hobbies and enjoyable activities are great ways to unwind and reduce stress.

Conclusion

Although stress is a normal occurrence, it’s crucial to understand how it affects heart health and take preventative measures to manage it. By integrating stress management strategies, heart-healthy eating habits, and social support, you can lower your chance of heart disease and enhance your general health.

For a child’s general growth, development, and well-being, thyroid function is essential. Nutritional deficits can have a major effect on thyroid function, even if hereditary factors may also be involved. Parents can actively support the thyroid health of their children by learning about the necessary nutrients and dietary practices.

Thyroid Hormones: Their Significance

Hormones that control growth, development, and metabolism are produced by the thyroid gland, which is situated in the neck. These hormones, also referred to as T3 and T4, are essential for the body’s ability to produce energy, regulate heart rhythm, and regulate body temperature.

Hyperthyroidism (an overactive thyroid) or hypothyroidism (an underactive thyroid) can result from thyroid gland dysfunction. Both disorders may have serious effects on a child’s growth and well-being.

Crucial Elements for Healthy Thyroid Function

1. Iodine:

 An essential component for the production of thyroid hormones is iodine. Iodine is required for the thyroid to make T4 and T3, therefore it’s a necessary nutrient for healthy thyroid function. Goiter (enlargement of the thyroid gland) and hypothyroidism can result from an iodine shortage. Since their bodies are still developing, children are particularly vulnerable to iodine deficiency, and even slight deficits can have an impact on cognitive and physical development.

Iodine sources: Dairy products, eggs, seafood, seaweed, and iodized salt are all excellent sources of iodine. A child’s diet can help guarantee they receive enough iodine for thyroid health by including these foods. On the other hand, since too much iodine might interfere with thyroid function, it is best to minimize intake.

2. Selenium:

 Another essential vitamin for thyroid health is selenium, which is involved in the conversion of T4 into the more active hormone T3. Because of its antioxidant characteristics, it also aids in shielding the thyroid gland from oxidative damage. Thyroid problems can be made worse by selenium insufficiency, which can affect thyroid function.

Selenium-rich foods: These include eggs, lean meats, fish (such salmon and tuna), sunflower seeds, and Brazil nuts. You may help your child reach their required selenium intake by including a variety of these foods in their diet.

3. Zinc:
   Thyroid hormone production is aided by zinc, which also boosts immunity. Zinc deficiency may hinder the thyroid’s capacity to generate enough hormones, which may result in hypothyroidism.

Zinc sources: It includes meat, seafood, nuts, lentils, chickpeas, and beans, as well as pumpkin seeds and legumes. It can assist children’s thyroid function if certain foods are consistently consumed by them.

4. Iron:
   Thyroid peroxidase, an enzyme involved in the creation of thyroid hormones, requires iron to be produced. Iron deficiency can impact thyroid function and potentially exacerbate hypothyroidism, especially in youngsters.

Iron-rich foods: It include red meat, chicken, fish, lentils, beans, spinach, and fortified cereals. Iron absorption can be improved by eating vitamin C-rich foods, such as citrus fruits, together with diets high in iron.

5. Vitamin D:
   In addition to boosting immunity, vitamin D may also help control the thyroid gland. Maintaining appropriate amounts of vitamin D may assist support thyroid health, as studies have suggested a possible connection between low levels and thyroid diseases.

Vitamin D Sources: The best natural source of vitamin D is exposure to sunlight. Fortified milk, egg yolks, fortified cereals, and fatty fish (such salmon and mackerel) are examples of dietary sources. Supplementation may be an option if kids aren’t getting enough vitamin D from their diet and sunshine.

Nutritional Techniques to Promote Thyroid Health

• A well-rounded diet: Promote a diet rich in a range of fruits, vegetables, whole grains, lean meats, and healthy fats, all of which are well-balanced. This will supply the nutrients required for the thyroid to perform at its best. 

• Limit Processed Foods: Cut back on the amount of processed foods you eat, as they frequently include high levels of artificial additives, added sugars, and harmful fats. These may affect the synthesis of thyroid hormones as well as general health.

• Be Aware of Allergens: Thyroid function may be impacted by food sensitivities or allergies in certain people. In order to determine possible triggers, speak with a healthcare provider if you think your child may have a food sensitivity.

• Think About Supplements: To guarantee sufficient consumption of critical nutrients for thyroid health, supplements may be required in specific circumstances. However, it’s crucial to speak with a medical expert before beginning any supplementation, particularly with young patients.

Children’s Thyroid Dysfunction Symptoms and Indications

Understanding the warning signs and symptoms of pediatric thyroid dysfunction is crucial. These could consist of:

• Gaining or losing weight
• Fatigue or exhaustion
• Sluggish development and growth
• hair thinning
• Intolerance for cold
• Constipation
• Intolerance or fluctuations in mood
• inability to concentrate
• Enlarged thyroid gland known as a goiter

For an assessment and diagnosis, it’s critical to speak with a healthcare provider if you observe any of these signs in your child.

When to Get Medical Advice

If you are worried about your child’s thyroid health, especially if thyroid issues run in the family, it is advised that you speak with a healthcare provider. Thyroid function can be optimized and problems can be avoided with early identification and treatment.

Diagnostic Tests for Children’s Thyroid Health

A child’s growth and development depend heavily on the condition of their thyroid. One or more of the following diagnostic tests will probably be suggested by your physician if you think your kid may have a thyroid condition:

Blood Tests

• Thyroid Stimulating Hormone (TSH): Indicates the extent to which the pituitary gland is able to activate the thyroid gland.
• T3 and T4: Determine the blood levels of thyroid hormones. The amount of thyroid hormones in the blood that are not bonded to proteins is measured by Free T3 and Total T4.
• Thyroid Antibodies: Look for antibodies like anti-TPO and anti-TG antibodies that may affect thyroid function.

Imaging Tests

• Ultrasound: Produces images of the thyroid gland using sound waves.
• Thyroid Scan: This procedure visualizes and evaluates the thyroid gland using radioactive iodine.

Additional Tests

In certain situations, genetic testing may be advised to detect hereditary disorders that may impact thyroid function.

Note: Your child’s symptoms and medical history will determine the precise tests that are advised. It’s critical that you do all the tests that your pediatrician recommends.

Please get in touch with Mediscan Labs to arrange a consultation or for further information.

Conclusion

To maintain children’s thyroid function, nutrition is essential. The thyroid gland in children can be kept functioning at its best by parents feeding them a well-balanced diet full of vital nutrients. Seek advice and an appropriate assessment from a healthcare provider if you are worried about your child’s thyroid health.

Recent years have seen amazing developments in interventional radiology, which have completely changed how many medical diseases are identified and managed. This minimally invasive specialty performs procedures without the need for open surgery by combining specialized instruments with imaging techniques including CT, MRI, and X-rays.

An Understanding of Radiology Interventions

In the 1960s, catheter-based techniques for vascular treatments were introduced, giving rise to the field of interventional radiology. The “father of interventional radiology,” Dr. Charles Dotter, was one of the early pioneers who cleared the path for methods like angioplasty. Since then, a wide range of diagnostic and therapeutic applications have been covered by the area, which has grown significantly.

A subspecialty of medicine called interventional radiology makes use of imaging technology to direct less intrusive treatments. It provides a less invasive substitute for conventional open surgery, which frequently leads to quicker healing periods, less discomfort, and fewer problems.

Important Developments in Image-Guided Interventional Radiology 

1. Image-Guided Procedures:

Robotic-Assisted Interventions: The use of robotic technology in interventional procedures has improved control and precision, enabling the performance of more intricate and delicate operations.

3D imaging: State-of-the-art 3D imaging methods offer more precise and thorough visualizations, enhancing procedure accuracy and safety.

Virtual Reality: To lower the risk of problems, complex treatments are planned and trained using VR-based simulations.

2. Minimally Invasive Techniques:

Embolization: It is a medical procedure used to treat uterine fibroids and aneurysms by obstructing blood arteries.

Angioplasty: A common treatment for coronary artery disease that involves enlarging constricted or obstructed arteries.

Chemoembolization: This minimizes systemic side effects by administering chemotherapy medications directly to malignancies.

3. New Tools and Devices:

Microcatheters: These tiny catheters make it possible to precisely navigate through organs and blood arteries.

Stents: Self-expanding stents are used to maintain arterial permeability and enhance blood flow.

Biodegradable Materials: By eliminating the need for multiple operations, biodegradable materials are being employed more and more in interventional radiology.

4. Treatment of Complex Conditions:

Cancer Treatment: Drug delivery, biopsy, and tumor ablation are all important aspects of cancer treatment that interventional radiology plays a critical part in.

Vascular Diseases: Interventional radiology procedures are an efficient means of treating aneurysms, arteriovenous malformations (AVMs), and peripheral artery disease.

Genitourinary Disorders: Minimally invasive interventional treatments can be used to treat conditions such as kidney stones, prostate cancer, and uterine fibroids.

Interventional Radiology Diagnostic Tests

To precisely visualize medical problems and direct focused therapies, interventional radiologists employ various imaging tests. These minimally invasive diagnostic techniques offer precise images of anatomy and function without requiring surgery.

Accurate diagnosis is essential for interventional radiologists to provide individualized treatment plans that meet the unique requirements of every patient. In interventional radiology, some important diagnostic techniques include:

CT Angiography: It uses contrast dye to provide images of organs and blood arteries. beneficial for displaying tumors, aneurysms, vascular obstructions, and other anomalies.

MRI: 3D pictures of soft tissue structures are produced in depth using magnetic resonance imaging. aids in the detection and characterization of cancers, back problems, joint disorders, and more.

Ultrasonography: uses sound waves to capture photos of blood flow and anatomy in real-time. directs procedures and vascular access.

Fluoroscopy: X-ray imaging using fluoroscopy that shows interior structures moving while treatments are being performed. allows for accurate device placement and navigation.

Angiography via Digital Subtraction: To highlight blood arteries on an x-ray, contrast dye is injected. assesses anatomy, bleeding, obstructions, and aneurysms.

Fistulogram: An x-ray diagnostic that assesses dialysis fistulas and grafts to direct blood flow-improving therapies.

Discogram: To evaluate the integrity of the spinal discs and identify the causes of back pain, contrast dye is injected into the discs.

Benefits of Interventional Radiology

1. Minimally Invasive: Lower chance of problems, quicker recuperation periods, and less discomfort than open procedures.

Accuracy and Precision: Targeting the afflicted area precisely is ensured via image-guided approaches.

2. Quicker Recovery: Following interventional procedures, patients frequently resume their regular activities sooner.

3. Decreased Hospital Stay: A lot of interventional procedures are available as outpatient treatments.

4. Enhanced Quality of Life: By treating a variety of illnesses, interventional radiology can greatly enhance patients’ quality of life.

Interventional radiology applications

• Cardiovascular: Aneurysm embolization, stent implantation, angioplasty.

• Oncology: Chemoembolization, biopsies, and tumor ablation.

• Neurology: Stroke prevention and aneurysm treatment.

• Genitourinary: Prostate embolization, embolization of uterine fibroids, kidney stone excision.

• Musculoskeletal: Pain control, joint injections.

• Gastrointestinal: Stent implantation, management of gastrointestinal hemorrhage.

Interventional Radiology’s Future

We may anticipate more advancements in interventional radiology as long as technology keeps developing. Currently being researched areas include:

• Artificial Intelligence: AI-driven robotic aid and image analysis will improve the precision and effectiveness of procedures.

• Nanotechnology: Even more focused and accurate treatments will be possible thanks to tiny tools and materials.

• Virtual Reality Training: Interventional radiologists will receive advanced training through VR simulations.

Conclusion

With safer, less invasive choices and quicker recovery times than standard surgery, interventional radiology is transforming the way many medical diseases are handled. Interventional radiology is set to become more and more significant in the future of healthcare due to continuous technological improvements, new procedures, and field extension into uncharted territory. With the resolution of obstacles including patient awareness, training, and regulatory concerns, IR has the potential to revolutionize medical practice and enhance patient outcomes.

Throughout their lifetimes, women’s bodies experience major hormonal shifts, ranging from puberty to menopause. Their bone health is only one of the many elements that can be significantly impacted by these hormone swings. For women of all ages to retain strong and healthy bones, they must understand the relationship between hormones and bone density.

Estrogen’s Function in Bone Health

The female sex hormone estrogen is essential for controlling bone metabolism. It aids in promoting bone formation, which is the process of creating new bone tissue, while preventing bone resorption, which is the breakdown of old bone tissue. Maintaining healthy bones depends on this delicate balance between bone production and resorption.

Hormonal Changes and Bone Loss

The ovaries gradually stop producing estrogen during menopause. Bone loss may ensue from a marked increase in bone resorption brought on by this drop in estrogen levels. Osteoporosis, which is characterized by weak, porous bones that are prone to fractures, can become more likely over time as a result of this bone loss.

Hormonal Shifts During Adolescence

For girls, puberty is a critical time in the development of the bones. Bones grow quickly during this period, and bone mass accumulation peaks. Puberty in girls is accompanied by elevated estrogen levels, which promote the development of bone density. A strong skeleton is developed as a result of the rise in estrogen levels that occurs during adolescence.

Reduced bone density can result from some illnesses that alter normal hormonal cycles, such as anorexia nervosa or delayed puberty. In these situations, low estrogen levels may hinder normal bone formation, raising the chance of fractures and other bone problems in later life. Young ladies must make sure they eat a balanced diet high in calcium.

Pregnancy’s Effect on Bone Health

Pregnancy-related hormonal changes, such as elevated progesterone and estrogen levels, improve calcium absorption and bone growth, which serves as a preventive factor. However, women who have several pregnancies in a short period of time or who consume insufficient amounts of calcium may lose more bone than usual, increasing the likelihood of developing osteoporosis in later life. 

Pregnant women can combat this by making sure they eat enough foods high in calcium, exercising in a low-impact manner, and consulting their healthcare professional about whether or not they require supplements.

The Impact of Menopause on Bone Density

One of the most important periods of hormonal transition in a woman’s life is the menopause, which is defined by a sharp drop in estrogen levels. One of the main contributing factors to postmenopausal women’s higher risk of osteoporosis is this decline in estrogen. According to studies, within the first five to seven years following menopause, women may lose up to 20% of their bone density.

The menopause’s negative effects on bone health can be lessened by women doing a few actions. One treatment that can help lower bone loss and restore estrogen levels is hormone replacement therapy (HRT). 

Bone Loss: Contributing Factors

Women’s bone loss can be caused by a number of circumstances, including:

• Genetics: An increased risk may result from a family history of osteoporosis or other bone problems.
• Lifestyle: A sedentary lifestyle, heavy alcohol use, and smoking can all have a detrimental effect on bone health.
• Nutrition: A deficiency in calcium and vitamin D, two important minerals for healthy bones, can cause bone loss.
• Medical conditions: Rheumatoid arthritis, celiac disease, and hyperthyroidism are a few illnesses that can have an impact on bone density.

How to Stop Bone Loss

Although hormone fluctuations may be a factor in bone loss, women can take a few precautions to lessen or avoid the impacts of bone loss:

• Eat a diet high in calcium and vitamin D: To maintain a healthy diet, dairy products, leafy greens, and fortified foods are good sources of calcium. Sunlight exposure, fortified meals, and supplements are good sources of vitamin D. 

• Frequent physical activity: Bone strength is enhanced by weight-bearing movements including dancing, weightlifting, walking, and running. Steer clear of smoking and too much alcohol: These behaviors may hasten the loss of bone.

• Hormone treatment: Hormone therapy may be suggested for certain women in order to assist control of menopausal symptoms and lower the chance of bone loss. But it’s crucial to talk to a healthcare professional about the possible advantages and disadvantages.

• Bone density testing: Frequent bone density scans can be used to track the health of your bones and spot osteoporosis early on.

Bone Health Diagnostic Tests for Women

A woman may benefit from multiple diagnostic tests to evaluate her bone health. The most widely used test is:

Bone mineral density (BMD) can be measured non-invasively using Dual-Energy X-ray Absorptiometry (DEXA). It scans the hip and spine, which are frequently fractured, using low-dose X-rays. If a woman is at risk for osteoporosis, a DEXA scan can assist identify that risk.

In certain situations, other tests that might be employed include:

Blood Tests: To screen for diseases like vitamin D insufficiency or thyroid issues that might impact bone health.

Urine Tests: To determine protein and calcium levels, which can reveal information regarding bone metabolism.

It’s crucial to speak with your healthcare physician for a thorough assessment if you have concerns about the condition of your bones. If required, they can talk about treatment choices and suggest the right testing.

Treatment for Osteoporosis

Several therapy methods are available to strengthen bones and lower the risk of fractures if osteoporosis is diagnosed. These could consist of:

• Medication: The most popular medications used to treat osteoporosis are monoclonal antibodies, bisphosphonates, and selective estrogen receptor modulators (SERMs).

• Lifestyle changes: You can enhance the health of your bones by continuing to eat a balanced diet, getting regular exercise, abstaining from tobacco use, and consuming less alcohol.

• Surgery: To cure fractures or fix abnormalities, surgery can be required in extreme circumstances.

Conclusion 

Women’s bone health is significantly influenced by hormonal shifts. By being aware of the link between hormones and bone density, women can take proactive measures to stop bone deterioration and keep their bones strong for the rest of their lives. Women can considerably lower their risk of osteoporosis and the issues it causes by leading a healthy lifestyle, visiting the doctor on a regular basis, and exploring their choices for treatment.

ಡೆಂಗ್ಯೂ ಒಂದು ರೋಗವಾಗಿದೆ, ಇದರ ಬಗ್ಗೆ ಮಾಹಿತಿ ತಿಳಿದಿರುವುದು ಬಹಳ ಮುಖ್ಯವಾಗಿದೆ. ಇದು ಮಳೆಯ ಋತುವಿನಲ್ಲಿ ಸಾಮಾನ್ಯವಾಗಿ ಕಂಡುಬರುವ ರೋಗವಾಗಿದೆ. ಜನರು ಡೆಂಗ್ಯೂ ಅನ್ನು ಸಾಮಾನ್ಯ ಜ್ವರ ಎಂದು ಭಾವಿಸಿ ಹೆಚ್ಚಿನ ಗಮನ ನೀಡುವುದಿಲ್ಲ. ಇದರ ಪರಿಣಾಮವಾಗಿ ಕೆಲವು ವೇಳೆ ಚಿಕಿತ್ಸೆ ತಡವಾಗಿ ಆದ್ದರಿಂದ ರೋಗಿಯ ಸಮಸ್ಯೆಗಳು ಹೆಚ್ಚಾಗಬಹುದು. ಆದ್ದರಿಂದ ಎಚ್ಚರಿಕೆಯಿಂದ ಇರಬೇಕು ಮತ್ತು ಡೆಂಗ್ಯೂ ಕುರಿತು ಮಾಹಿತಿ ಹೊಂದಿರಬೇಕು. ಅಗತ್ಯ ಬಿದ್ದಾಗ ಪರೀಕ್ಷೆ ಮಾಡಿಸಿಕೊಳ್ಳಿ ಮತ್ತು ಡಾಕ್ಟರ್‍ರನ್ನು ಸಂಪರ್ಕಿಸಿ.

ಡೆಂಗ್ಯೂ ಏನು? (What is Dengue?)

ಡೆಂಗ್ಯೂ ಎಡಿಸ್ ಕೀಟದಿಂದ ಹರಡುವ ರೋಗವಾಗಿದೆ.

• ಡೆಂಗ್ಯೂ ಹರಡಿಸುವ ಕೀಟಗಳು ಶುದ್ಧ ನೀರಿನಲ್ಲಿ ಬೆಳೆಯುತ್ತವೆ ಮತ್ತು ಈ ಕೀಟಗಳು ರಾತ್ರಿ ಬದಲಿಗೆ ಹಗಲು ಹೊತ್ತಿನಲ್ಲಿ ಹೆಚ್ಚು ಕಡುತ್ತವೆ.
• ಡೆಂಗ್ಯೂ ವೈರಸ್ ಸಂಪೂರ್ಣ ದೇಹದಲ್ಲಿ ಜ್ವರ, ತಲೆನೋವು, ಚರ್ಮದ ಮೇಲೆ ಚಕತ್ತೆ ಮತ್ತು ನೋವು ಉಂಟುಮಾಡಬಹುದು.
• ಡೆಂಗ್ಯೂನಲ್ಲಿ ಜ್ವರದೊಂದಿಗೆ ಕೈ, ಕಾಲುಗಳಲ್ಲಿ ತೀವ್ರವಾದ ನೋವು ಉಂಟಾಗುತ್ತದೆ, ಆದ್ದರಿಂದ ಇದನ್ನು ಬ್ರೇಕ್-ಬೋನ್ ಫೀವರ್ ಎಂದೂ ಕರೆಯುತ್ತಾರೆ.
• ಡೆಂಗ್ಯೂ ಜ್ವರದ ಹೆಚ್ಚಿನ ಪ್ರಕರಣಗಳು ತೀವ್ರವಾಗಿಲ್ಲದಿದ್ದು, ಪ್ರಾಯಃ ಒಂದು ವಾರದ ನಂತರ ಸ್ವಯಂ ಸುದೃಢಗೊಳ್ಳುತ್ತವೆ.
• ಡೆಂಗ್ಯೂನ ತೀವ್ರ ಸ್ಥಿತಿಯಲ್ಲಿ ಪ್ಲಾಸ್ಮಾ ಲೀಕೇಜ್ ಉಂಟಾಗಬಹುದು.

ಡೆಂಗ್ಯೂನ ಕಾರಣ ಏನು? (What Causes Dengue?)

1. ಡೆಂಗ್ಯೂ ವೈರಸ್ ಡೆಂಗ್ಯೂ ಜ್ವರಕ್ಕೆ ಕಾರಣವಾಗುತ್ತದೆ. ಈ ವೈರಸ್ ಸೋಂಕಿತ ಹೆಣ್ಣು ಎಡಿಸ್ ಕೀಟದ ಎರಡು ಜಾತಿಗಳ ಕಡಿತದಿಂದ ಹರಡುತ್ತದೆ – ಎಡಿಸ್ ಎಜಿಪ್ಟಿ (Aedes aegypti) ಮತ್ತು ಎಡಿಸ್ ಎಲ್ಬೋಪಿಕ್ಟಸ್ (Aedes albopictus).
2. ಡೆಂಗ್ಯೂ ಹರಡಿಸುವ ಹೆಣ್ಣು ಎಡಿಸ್ ಕೀಟವು ಡೆಂಗ್ಯೂನಿಂದ ಸೋಂಕಿತ ವ್ಯಕ್ತಿಯನ್ನು ಕಡಿದಾಗ, ಅದು ಈ ವೈರಸ್‌ನ ವಾರ್ಗನವಾಗಿ (carrier) ಮಾರ್ಪಡುತ್ತದೆ. ಈ ಕೀಟವು ಪುನಃ ಆರೋಗ್ಯವಂತ ವ್ಯಕ್ತಿಯನ್ನು ಕಡಿದಾಗ, ಆ ವ್ಯಕ್ತಿಗೆ ಈ ವೈರಸ್‌ನಿಂದ ಸೋಂಕು ತಗುಲುತ್ತದೆ. ಈ ರೀತಿಯಾಗಿ ಡೆಂಗ್ಯೂನ ಸೋಂಕು ಹರಡುತ್ತದೆ.
3. ವೈರಸ್ ಕೀಟದ ದೇಹದಲ್ಲಿ ಪ್ರವೇಶಿಸುತ್ತದೆ ಮತ್ತು ಅದರ ಮಧ್ಯಗಟಿಕೆಯಲ್ಲಿ (middle pharynx) ಬೆಳೆಯುತ್ತದೆ. ನಂತರ ಇತರ ತುಂಡುಗಳಲ್ಲಿ, ಜೊತೆಗೆ ಉಗುಳುವ ಗ್ರಂಥಿಗಳಲ್ಲಿಯೂ (spitting glands) ಹಾಸುಹೊಕ್ಕಾಗುತ್ತದೆ. ಈ ಕಾರಣದಿಂದ ಗಂಟಲು ನೋವು ಮತ್ತು ನುಂಗಲು ಕಷ್ಟ ಉಂಟಾಗುತ್ತದೆ.
4. ಡೆಂಗ್ಯೂ ವೈರಸ್ ಫ್ಲೇವಿವೈರಸ್ ಜೀನಸ್‌ನ ಭಾಗವಾಗಿದೆ, ಇದರ ನಾಲ್ಕು ವಿವಿಧ ಸೀರೋಟೈಪ್ಗಳು ಇವೆ. ಈ ನಾಲ್ಕು ಸೀರೋಟೈಪ್ಗಳು – DENV-1, DENV-2, DENV-3 ಮತ್ತು DENV-4.
5. ಯಾವುದೇ ವ್ಯಕ್ತಿಯು ಒಂದೇ ಸೀರೋಟೈಪ್ನಿಂದ ಸೋಂಕಿತಗೊಳ್ಳುವಾಗ, ಆ ಸೀರೋಟೈಪ್ ವಿರುದ್ಧ ಆತನ ದೇಹದಲ್ಲಿ ಜೀವಿತಾವಧಿಯ ರಕ್ಷಣೆ ದೊರೆಯುತ್ತದೆ. ಆದರೆ ರೋಗಿಗೆ ಇತರ ಸೀರೋಟೈಪ್ಗಳ ವಿರುದ್ಧ ಸದಾ ರಕ್ಷಣೆ ದೊರೆಯಬಹುದು ಎಂದು ನಿರೀಕ್ಷಿಸಲಾಗದು. ಈ ರೀತಿಯಾಗಿ, ಒಬ್ಬ ವ್ಯಕ್ತಿಗೆ ಡೆಂಗ್ಯೂನ ನಾಲ್ಕು ವಿಭಿನ್ನ ಸೀರೋಟೈಪ್ಗಳೊಂದಿಗೆ ವಿಭಿನ್ನ ಸೋಂಕುಗಳು ತಗುಲಬಹುದು.

ಡೆಂಗ್ಯೂನ ಅಪಾಯಕಾರಿಯಾದ ಕಾರಣಗಳು ಯಾವುವು? (What are the risk factors of dengue?)

ಕೆಲವು ಕಾರಣಗಳು ತೀವ್ರ ಜ್ವರದಿಂದ ತೀವ್ರ ಡೆಂಗ್ಯೂಗೆ (severe dengue) ಮಾರ್ಪಡುವ ಅಪಾಯವನ್ನು ಹೆಚ್ಚಿಸಬಹುದು. ಇವು ಅಪಾಯಕಾರಿಗಳು:

• ಕೀಟಗಳ ಸಂಪರ್ಕ: ನೀರು ತುಂಬಿರುವ ಪ್ರದೇಶಗಳು, ಅಲ್ಲಿ ಹೆಚ್ಚು ಕೀಟಗಳು ಬೆಳೆಯುತ್ತವೆ – ಇಂತಹ ಸ್ಥಳದಲ್ಲಿ ವಾಸಿಸುವುದು ಡೆಂಗ್ಯೂನ ಅಪಾಯವನ್ನು ಹೆಚ್ಚಿಸುತ್ತದೆ.
• ಹಿಂದಿನ ಡೆಂಗ್ಯೂ ಸೋಂಕು: ಡೆಂಗ್ಯೂನ ಅಪಾಯ ಈ ಮರುರೋಗಿಗಳಿಗೆ ಹೆಚ್ಚಾಗಿರುತ್ತದೆ, ಅವರು ಈಗಾಗಲೇ ಡೆಂಗ್ಯೂನಿಂದ ತೊಂದರೆಯಾದವರು.
• ಆರೋಗ್ಯದ ಪಾತರಗುಳ: ಡಯಾಬಿಟಿಸ್ ಮತ್ತು ಹೃದಯ ಸಂಬಂಧಿತ ಕಾಯಿಲೆಗಳಿಂದ ಬಳಲುತ್ತಿರುವವರಿಗೆ ಡೆಂಗ್ಯೂ ಅಪಾಯ ಹೆಚ್ಚು.
• ಗರ್ಭಿಣಿಯರು: ಗರ್ಭಿಣಿ ಮಹಿಳೆಯರಿಗೆ ಮೊದಲು ಹೆರಿಗೆಯಂತಹ ಅಪಾಯವನ್ನು ಎದುರಿಸುವ ಸಾಧ್ಯತೆ ಇರುತ್ತದೆ.

ಡೆಂಗ್ಯೂನ ಲಕ್ಷಣಗಳು ಯಾವುವು? (What are the symptoms of dengue fever?)

ಸೋಂಕಿತ ಕೀಟದ ಕಡಿತದ ನಂತರ, ಡೆಂಗ್ಯೂ ಜ್ವರದ ಲಕ್ಷಣಗಳು ಸಾಮಾನ್ಯವಾಗಿ 4 ರಿಂದ 10 ದಿನಗಳಲ್ಲಿ ಕಾಣಿಸಿಕೊಳ್ಳುತ್ತವೆ. ವಿವಿಧ ರೋಗಿಗಳಲ್ಲಿ ಈ ಲಕ್ಷಣಗಳ ತೀವ್ರತೆ ವಿಭಿನ್ನವಾಗಿರಬಹುದು. ಈ ಲಕ್ಷಣಗಳು ಇಂತಿವೆ:

• ತೀವ್ರ ಜ್ವರ – ರೋಗಿಗೆ ತೀವ್ರ ಜ್ವರ ಉಂಟಾಗುತ್ತದೆ, ಇದು 104 ಡಿಗ್ರಿಯವರೆಗೆ ಏರುತ್ತದೆ.
• ತೀವ್ರ ತಲೆನೋವು – ರೋಗಿಗೆ ತೀವ್ರ ತಲೆನೋವು ಉಂಟಾಗುತ್ತದೆ, ಇದು ಸಾಮಾನ್ಯವಾಗಿ ಕಣ್ಣುಗಳ ಸುತ್ತ ಕಾಣಿಸಿಕೊಳ್ಳುತ್ತದೆ.
• ಕಣ್ಣುಗಳ ಹಿಂದೆ ನೋವು – ರೋಗಿಯ ಕಣ್ಣುಗಳ ಹಿಂದೆ ನೋವು ಉಂಟಾಗುವುದು ಡೆಂಗ್ಯೂ ಲಕ್ಷಣಗಳಲ್ಲಿ ಪ್ರಮುಖವಾಗಿದೆ.
• ಸಂಯುಕ್ತ ಮತ್ತು ಸ್ನಾಯು ನೋವು – ಸ್ನಾಯುಗಳು, ಸಂಯುಕ್ತಗಳು ಮತ್ತು ಎಲುಬುಗಳಲ್ಲಿ ನೋವು ಉಂಟಾಗುತ್ತದೆ, ಅದ್ದರಿಂದ ಇದನ್ನು ಬ್ರೇಕ್-ಬೋನ್ ಫೀವರ್ ಎಂದೂ ಕರೆಯುತ್ತಾರೆ.
• ಕೇಲಿಕೇಳು ಮತ್ತು ವಾಂತಿ – ಗ್ಯಾಸ್ಟ್ರೋಇಂಟೆಸ್ಟೈನಲ್ ಲಕ್ಷಣಗಳು, ಅವುಗಳಲ್ಲಿ ವಾಂತಿ, ಹೊಟ್ಟೆ ನೋವು ಕಾಣಿಸಿಕೊಳ್ಳುತ್ತವೆ.
• ಚರ್ಮದ ರಾಶಿಗಳು – ಜ್ವರ ಉಂಟಾದ ಕೆಲವು ದಿನಗಳ ನಂತರ ಚರ್ಮದ ಮೇಲೆ ರಾಶಿಗಳು ಕಾಣಿಸಿಕೊಳ್ಳುತ್ತವೆ.
• ಸಣ್ಣ ರಕ್ತಸ್ರಾವ – ಹಲ್ಲು ಮತ್ತು ಮೂಗಿನ ರಕ್ತಸ್ರಾವ, ಸುಲಭವಾಗಿ ಗಾಯವಾಗುವುದು.

ಡೆಂಗ್ಯೂನ ತೀವ್ರ ಪ್ರಕರಣಗಳಲ್ಲಿ ಡೆಂಗ್ಯೂ ಶಾಕ್ ಸಿಂಡ್ರೋಮ್ (DSS) ಅಥವಾ ಡೆಂಗ್ಯೂ ಹೈ ಫೀವರ್ (DHF) ಉಂಟಾಗಬಹುದು. ಈ ಎರಡೂ ಸ್ಥಿತಿಗಳು ಜೀವಕ್ಕೆ ಅಪಾಯಕಾರಿಯಾಗಬಹುದು ಮತ್ತು ರೋಗಿಗೆ ತುರ್ತು ಚಿಕಿತ್ಸೆ ಮತ್ತು ಪರಿಹಾರದ ಅಗತ್ಯವಿರುತ್ತದೆ. ತೀವ್ರ ಡೆಂಗ್ಯೂನ ಲಕ್ಷಣಗಳು ಇಂತಿವೆ:

1. ಅಸ್ವಸ್ಥತೆ (Fatigue)
2. ಚಿಂತೆ (Restlessness)
3. ಹೊಟ್ಟೆ ನೋವು (Severe abdominal pain)
4. ನಿಷ್ಕಂಟಕ ವಾಂತಿ ಮತ್ತು ಕೇಲಿಕೇಳು (Persistent vomiting)
5. ವೇಗವಾದ ಉಸಿರಾಟ (Rapid breathing)
6. ಹಲ್ಲುಗಳಿಂದ ರಕ್ತಸ್ರಾವ (Bleeding gums)
7. ವಾಂತಿಯಲ್ಲಿ ಅಥವಾ ಮಲದಲ್ಲಿ ರಕ್ತದ ಅಂಶಗಳು (Blood in vomit or stool)
8. ಶುದ್ಧ, ಚಳಿ ಮತ್ತು ಚಿಪ್ಪುವಾದ ಚರ್ಮ (Pale, cold, or clammy skin)

ಡೆಂಗ್ಯೂ ಜ್ವರವನ್ನು ಹೇಗೆ ಪತ್ತೆಮಾಡುತ್ತಾರೆ? (How is dengue fever diagnosed?)

ಡೆಂಗ್ಯೂ ಜ್ವರವನ್ನು ಪತ್ತೆಮಾಡಲು ಕ್ಲಿನಿಕಲ್ ತಪಾಸಣೆ (clinical evaluation) ಮತ್ತು ಲ್ಯಾಬೊರೇಟರಿ ಪರೀಕ್ಷೆಗಳು (laboratory tests) ಸೇರಿವೆ.

• ಕ್ಲಿನಿಕಲ್ ಇವೆಲ್ಯೂಯೇಷನ್ (Clinical evaluation):

ಈ ಪರೀಕ್ಷೆಯಲ್ಲಿ ಆರೋಗ್ಯ ತಜ್ಞರು ರೋಗಿಯ ಲಕ್ಷಣಗಳು, ಇತ್ತೀಚೆಗೆ ನಡೆಸಿದ ಪ್ರಯಾಣ, ಡೆಂಗ್ಯೂನ ಇತಿಹಾಸ ಮತ್ತು ಕೀಟಗಳ ಕಡಿತದ ಅಪಾಯವನ್ನು ವಿಶ್ಲೇಷಿಸುತ್ತಾರೆ. ತೀವ್ರ ಜ್ವರ, ತಲೆನೋವು, ಸ್ನಾಯುಗಳು ಮತ್ತು ಸಂಯುಕ್ತಗಳಲ್ಲಿ ನೋವು ಮತ್ತು ಚರ್ಮದ ಮೇಲೆ ರಾಶಿಗಳು ಡೆಂಗ್ಯೂನ ಶಂಕೆಯನ್ನು ಮೂಡಿಸುತ್ತವೆ.

• ಲ್ಯಾಬೊರೇಟರಿ ಟೆಸ್ಟ್ (Laboratory tests):

ಈ ಪರೀಕ್ಷೆಯಲ್ಲಿ ಡೆಂಗ್ಯೂ ವೈರಸ್ ಅಥವಾ ದೇಹದಲ್ಲಿ ಆಂಟಿಬಾಡಿ (antibody) ಇರುವಿಕೆಯನ್ನು ಪರೀಕ್ಷಿಸಲು ರಕ್ತ ಪರೀಕ್ಷೆ (blood test) ನಡೆಸಲಾಗುತ್ತದೆ. ಈ ಪರೀಕ್ಷೆಯಲ್ಲಿ ಎರಡು ಪರೀಕ್ಷೆಗಳು ಸೇರಿವೆ:

• PCR Polymerase Chain Reaction (ಪಾಲಿಮೆರೇಜ್ ಚೈನ್ ರಿಯಾಕ್ಷನ್): 

ಈ ಪರೀಕ್ಷೆಯನ್ನು ಸಾಮಾನ್ಯವಾಗಿ ಸೋಂಕಿನ ಆರಂಭಿಕ ಹಂತದಲ್ಲಿ ರಕ್ತದಲ್ಲಿರುವ ವೈರಸ್‌ನ ಜಿನೋಮಿನ ವಸ್ತುವನ್ನು ಪತ್ತೆಹಚ್ಚಲು ನಡೆಸಲಾಗುತ್ತದೆ.

• ELISA Enzyme-Linked Immunosorbent Assay (ಎಲಿಸಾ ಎಂಜೈಮ್– ಲಿಂಕ್ಡ ಇಮ್ಯೂನೊಸಾರ್ಬೆಂಟ್ ಅಸಾಯ್): 

ಈ ಪರೀಕ್ಷೆ ವೈರಸ್‌ನಿಂದ ರಕ್ಷಿಸುವ ಇಮ್ಯೂನ್ ಸಿಸ್ಟಮ್ (immune system) ರೂಪಿಸುವ ಆಂಟಿಬಾಡಿಯನ್ನು ಪತ್ತೆಹಚ್ಚಲು ಮಾಡಲಾಗುತ್ತದೆ.

ಡೇಂಗ್ಯೂ ಚಿಗಟವನ್ನು ಹೇಗೆ ಚಿಕಿತ್ಸೆ ನೀಡಬಹುದು? (How is Dengue Fever Treated?)

ಡೇಂಗ್ಯೂ ಚಿಗಟವನ್ನು ಚಿಕಿತ್ಸೆ ನೀಡಲು ನಿಮ್ಮ ವೈದ್ಯರನ್ನು ಸಂಪರ್ಕಿಸಬೇಕು. ಡೇಂಗ್ಯೂ ಚಿಕಿತ್ಸೆಯಲ್ಲಿ, ಜಟಿಲತೆಯನ್ನು ತಡೆಯುವುದು ಮತ್ತು ಡೇಂಗ್ಯೂ ಲಕ್ಷಣಗಳಿಂದ ಪರಿಹಾರ ನೀಡುವುದು ಮುಖ್ಯವಾಗಿದೆ. ಡೇಂಗ್ಯೂ ಚಿಕಿತ್ಸೆಯಲ್ಲಿ ವಿವಿಧ ರೀತಿಯ ತಂತ್ರಗಳು ಒಳಗೊಂಡಿವೆ:

1. ಹೈಡ್ರೇಶನ್ (Hydration): ದೇಹದಲ್ಲಿ ನೀರಿನ ಕೊರತೆಯನ್ನು ತಡೆಯಲು ಹೆಚ್ಚು ನೀರು ಕುಡಿಯಬೇಕು. ಇದಲ್ಲದೆ, ತಣ್ಣೀರಿನ ಪುನರ್ಜಲೀಕರಣ (oral rehydration) ಅಥವಾ ಮೊಟ್ಟೆಚಿಟ್ಕೆಯಿಂದ ಪುನರ್ಜಲೀಕರಣ ಮಾಡಬೇಕು, ಮತ್ತು ರೋಗಿಗೆ ಸೂಪ್ ನೀಡಿ.
2. ನೋವು ಮತ್ತು ಜ್ವರವನ್ನು ನಿಯಂತ್ರಿಸುವುದು (Pain and Fever): ಆರೋಗ್ಯ ವೃತ್ತಿಪರ ಅಥವಾ ವೈದ್ಯರು ಸೂಚಿಸಿರುವ ಔಷಧಿಗಳನ್ನು ಮತ್ತು ಮಾರ್ಗಸೂಚಿಗಳನ್ನು ಅನುಸರಿಸಬೇಕು. ಸ್ವತಃ ಔಷಧಿಯನ್ನು ತೆಗೆದುಕೊಳ್ಳುವುದನ್ನು ತಪ್ಪಿಸಬೇಕು.
3. ವಿಶ್ರಾಂತಿ (Rest): ಶೀಘ್ರ ಗುಣಮುಖತೆಗೆ ವಿಶ್ರಾಂತಿ ಅತ್ಯಗತ್ಯ. ಶಾರೀರಿಕ ಚಟುವಟಿಕೆ ಕಡಿಮೆ ಮಾಡಿ ಮತ್ತು ಸಾಕಷ್ಟು ನಿದ್ರೆ ಪಡೆಯಿರಿ.
4. ಮೇಲ್ವಿಚಾರಣೆ (Monitoring): ರೋಗಿಯ ಲಕ್ಷಣಗಳನ್ನು ಸಮರ್ಥವಾಗಿ ಗಮನಿಸುವುದು. ಪರಿಸ್ಥಿತಿ ಗಂಭೀರವಾಗಿದಾಗ ಆಸ್ಪತ್ರೆಗೆ ದಾಖಲಿಸಬೇಕು, ಜೊತೆಗೆ IV (intravenous fluids) ದ್ರವಗಳನ್ನು ನೀಡುತ್ತಾ ಕಾಳಜಿ ವಹಿಸಬೇಕು.

ಡೇಂಗ್ಯೂಗೆ ತಡೆಗಟ್ಟುವ ಮಾರ್ಗಗಳು (How to Prevent Dengue?)

• ಡೇಂಗ್ಯೂ ತಡೆಗಟ್ಟಲು, ಕೊರತೆಯಾದ ಚಿಗಟದ ಪ್ರಮಾಣವನ್ನು ನಿಯಂತ್ರಿಸಬೇಕು. ಡೇಂಗ್ಯೂ ಅಪಾಯವನ್ನು ಕಡಿಮೆ ಮಾಡಲು ಇಲ್ಲಿವೆ ಕೆಲವು ಮಾರ್ಗಗಳು:
• ನಿಲ್ಲಿಸಿದ ನೀರನ್ನು ತೆಗೆದುಹಾಕಿ. ಅಲ್ಲಿ ಚಿಗಟಗಳು ಬೆಳೆಯುತ್ತವೆ, ಉದಾಹರಣೆಗೆ ಗಿಡಗಳ ಕುಣಿಕೆಗಳು, ಹೂವಿನ ಹಡಿಕೆಗಳು, ಚರಂಡಿಗಳು, ಕುಲರ್ ಇತ್ಯಾದಿ.
• ಅಲ್ಲಿ ನಿಲ್ಲಿಸಿದ ನೀರನ್ನು ತೆಗೆದುಹಾಕಲು ಸಾಧ್ಯವಿಲ್ಲದಿದ್ದಲ್ಲಿ, ಲಾರ್ವಿಸೈಡ್ (larvicides) ಮತ್ತು ಕೀಟನಾಶಕ (insecticides)ಗಳನ್ನು ಬಳಸಿರಿ.
• ದೀರ್ಘಗೊಳಿಸುವ ಬಟ್ಟೆಗಳು, ಪ್ಯಾಂಟ್ ಮತ್ತು ಮೋಜೆಗಳನ್ನು ಧರಿಸಿ. ಇದು ಚರ್ಮವನ್ನು ಚಿಗಟಗಳ ಸಮ್ಮುಖದಲ್ಲಿ ಕಡಿಮೆ ಮಾಡುತ್ತದೆ.
• ತೇಳುಗಳನ್ನು ತಡೆಯಲು ಚರ್ಮ ಮತ್ತು ಬಟ್ಟೆಗಳಿಗೆ ಕ್ರೀಮ್ ಅಥವಾ ಲೋಶನ್ ಅನ್ನು ಹಚ್ಚಿರಿ.
  ಅಧಿಕ ಚಿಗಟಗಳು ಇರುವ ಸ್ಥಳದಲ್ಲಿ ಮಚ್ಚೆರೆಯನ್ನು ಬಳಸಿಕೊಳ್ಳಿ.
• ಮನೆಗಳಲ್ಲಿ ಬಾಗಿಲು ಮತ್ತು ಕಿಟಕಿಗಳಿಗೆ ಜಾಲಿಗಳನ್ನು ಅಳವಡಿಸಿ
• ಡೇಂಗ್ಯೂ ಹರಡುವ ಪ್ರದೇಶಗಳಿಗೆ ಪ್ರಯಾಣ ಮಾಡುವಾಗ ಎಸಿಮಾಡಿದ ಮತ್ತು ಜಾಲಿಗಳುಳ್ಳ ಕಿಟಕಿಗಳುಳ್ಳ ಕೊಠಡಿಗಳನ್ನು ಆಯ್ಕೆಮಾಡಿ.

ಡೇಂಗ್ಯೂ ಪ್ರಕರಣಗಳನ್ನು ತಡೆಯಲು, ಇದನ್ನು ತಿಳಿದುಕೊಳ್ಳುವುದು ಮತ್ತು ತಡೆಗಟ್ಟುವಿಕೆ ಮಾಡಲು ಸಮಯದಲ್ಲಿ ಸರಿಯಾದ ಪರೀಕ್ಷೆ ಮತ್ತು ಚಿಕಿತ್ಸೆ ಮುಖ್ಯವಾಗಿದೆ.