Dr.Adil khan

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Information presented in a manner to educate and inform people's on one or more types of diseases or medical conditions or treatments of such, for the purpose of raising public awareness and knowledge of such diseases, conditions or treatment.

مردوں کو بڑھتی ہوئی عمر کے ساتھ ایک مسئلہ پیدا ہوتا ہے اور اسے کہتے ہیں "پروسٹیٹ انارلجمنٹ" یہ کیوں ہوتا ہے جب آپکا پروس...
21/01/2024

مردوں کو بڑھتی ہوئی عمر کے ساتھ ایک مسئلہ پیدا ہوتا ہے اور اسے کہتے ہیں "پروسٹیٹ انارلجمنٹ"
یہ کیوں ہوتا ہے جب آپکا پروسٹیٹ بڑھتی عمر کے ساتھ ساتھ بڑھتا ہے۔ اس کے اندر موجود گلانڈ جو کے عمومی طور پر ایک آخروٹ کے سائز کا ہوتا ہے ہمارے بلڈر کے نیچے موجود ہوتا ہے اس ٹیوب کے آس پاس جس کی مدد سے ہم چھوٹا پیشاب کرتے ہیں۔
تقریباً آدھے سے زیادہ مرد جن کی عمر 50 سے 80 کے درمیان ہوتی ہے ان کے اس کے بڑھنے کی وجہ سے تکلیف پہنچتی ہے۔
اس کی علامات کیا ہیں؟
جب آپکا پروسٹیٹ بڑھا ہوا ہو تو آپکو چھوٹا پیشاب کرنے میں تکلیف پہنچتی ہے یا آپکو یہ کافی زور لگا کے کرنا پڑتا ہے۔ اس کے علاوہ آپ کے پیشاب کی دھار کمزور ہوتی ہے یعنی یہ ٹوٹ ٹوٹ کر آتا ہے۔ اس کی ایک اور بڑھی وجہ آپکو رات کو کہیں بار آٹھ کر ٹائلٹ جانا پڑتا ہے اور جب آپ آپنے بلڈر کو خالی کرتے ہیں تو وہ ٹھیک طرح سے خالی نہیں ہوتا۔
اس کے ہونے کی وجوہات کیا ہیں؟
ابھی تک اس حوالے سے کوئی خاص مخصوص وجہ ہمیں نہیں پتہ لیکن اس کی دو اہم رسک فیکٹرز ہیں ایک آپکی عمر اور دوسرا ہارمونز کا لیول سپیشلی ٹیسٹاسٹیرون یا ایسٹروجن کا بیلنس جب یہ خراب ہو۔ اس کے علاوہ ایک اور سٹڈی میں یہ آیا ہے کے موٹاپا یا وہ لوگ جنہیں شوگر ہے وہ بھی اس کے زیادہ تیزی سے بڑھنے کا شکار ہو سکتے ہیں۔
اس کا کیسے ٹیسٹ کرا کے معلوم کیا جا سکتا ہے؟
تو اس کے لئیے کافی سارے ٹیسٹ ہیں جو آپکا ڈاکٹر آپ کے لئیے تجویز کر سکتا ہے جیسے پیشاب کا ٹیسٹ یا بلڈ ٹیسٹ جس میں ڈاکٹر آپ کے خون میں اینٹیجن پروٹین کا لیول وغیرہ چیک کرتے ہیں اگر اس کا وقت پر علاج نا کروایا جائے تو یہ پروسٹیٹ کینسر میں بھی بدل سکتا ہے۔
اس کا علاج بھی اب ممکن ہے بہت سے یورولوجسٹ آپکو لیزر ٹریٹمنٹ کا علاج بھی تجویز کرتے ہیں جس میں لیزر کی مدد سے اس بڑھے ہوئے پروسٹیٹ کو ختم کیا جا سکتا ہے اور اسی دن آپ گھر بھی جا سکتے ہیں۔ اس کے اور بھی علاج ہیں جسے آپ کا ڈاکٹر آپکے لئیے بہتر تجویز کرے گا۔ اگر آپکو ایسا کوئی مسئلہ ہے تو آپنے قریبی ڈاکٹر سے رجوع کریں اور اس کا وقت پر ٹیسٹ کروائیں۔۔۔۔۔

24/09/2023
I've just reached 400 followers! Thank you for continuing support. I could never have made it without each one of you. 🙏...
11/09/2023

I've just reached 400 followers! Thank you for continuing support. I could never have made it without each one of you. 🙏🤗🎉

13/07/2023

Million-patient Ontario study suggestes increased screening for patients with type 2 diabetes and those at risk of diabetes.
say no to carb #

29/06/2023

Eid UL Adha Mubarak to a dear diabetes patient! Celebrate with care and make healthy choices. Enjoy lean proteins, fresh fruits, and vegetables. Limit sugary treats and opt for whole grains. Stay hydrated and engage in light exercise. Wishing you a joyful and diabetes-friendly Eid. Stay healthy and Eid Mubarak!

Diabetes prevalence in Pakistan ranks highest globally. It is crucial to raise awareness and prioritize our health in co...
19/05/2023

Diabetes prevalence in Pakistan ranks highest globally. It is crucial to raise awareness and prioritize our health in combating this growing concern.

22/04/2023

May your Eid be sweeter than a sugar-free dessert, and your blood sugar levels stay in check! Eid Mubarak!"

It is important to know   that can increase the risk of low blood sugar, especially in diabetics who take low-sugar drug...
18/04/2023

It is important to know that can increase the risk of low blood sugar, especially in diabetics who take low-sugar drugs, because sharing them with diabetic drugs causes a sharp drop in blood sugar and can become life-threatening, as a sharp drop in sugar levels It leads to Coma, seizures, cardiovascular disorder, cardiac arrest, and death.

Antibiotics linked to low blood sugar are:

1 Fluoroquinolones

2 clarithromycin

3 linezolid

4 tigecycline

5 cefditoren

6 doxycycline

7 trimethoprim-sulfamethoxazole

All anti-sulfonylureas drugs caused weight gain except   where it was found to cause weight loss (2 kg) within 8 weeks o...
20/03/2023

All anti-sulfonylureas drugs caused weight gain except where it was found to cause weight loss (2 kg) within 8 weeks of use in patients with obese (BMI > 30kg/m2).

20/03/2023

is the first therapeutic line in the treatment of hepatic encephalopathy.

! In patients with hepatitis, the liver cannot overtake ammonia, so the amount of ammonia NH3 in the blood rises and enters the brain causing stroke, and the patient enters into a state of unconsciousness.

💊Dose
✅By mouth: 20 to 30 g (30 to 45 ml) 3-4 times a
day.

🕹MOA drug processing mechanism Lactalose turns ammonia NH3 into ammonium NH4 in the intestines and therefore it is not absorbed into the blood circulation.

We all know that the popular use of lactulose drug in the treatment of constipation, so when giving it to treat constipation do not forget to tell the patient that the effectiveness of the drug appears after 28-48 hours.
📚
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19/09/2022

awareness.

Platelet deficiency is not the cause of death in people suffering from Dengue

According to International guidelines, unless a patient’s platelet count is below 10,000, and there is spontaneous, active bleeding, no platelet transfusion is required. The outbreak of dengue in the City and Hospital beds are full and families are seen running around in search of platelets for transfusion. However what most people do not realize is that the first line of treatment for dengue is not platelet transfusion. It, in fact, does more harm than good if used in a patient whose counts are over 10,000.

The primary cause of death in patients suffering from dengue is capillary leakage, which causes blood deficiency in the intravascular compartment, leading to multi-organ failure. At the first instance of plasma leakage from the intravascular compartment to the extravascular compartment, fluid replacement amounting to 20 ml per kg body weight per hour must be administered. This must be continued till the difference between the upper and lower blood pressure is over 40 mmHg, or the patient passes adequate urine. This is all that is required to treat the patient. Giving unnecessary platelet transfusion can make the patient more unwell.

“While treating dengue patients, physicians should remember the ‘Formula of 20' i.e. rise in pulse by more than 20; fall of BP by more than 20; difference between lower and upper BP of less than 20 and presence of more than 20 hemorrhagic spots on the arm after a tourniquet test suggest a high-risk situation and the person needs immediate medical attention.”

Dengue fever is a painful mosquito-borne disease. It is caused by any one of four types of dengue virus, which is transmitted by the bite of an infected female Aedes aegypti mosquito. Common symptoms of dengue include high fever, runny nose, a mild skin rash, cough, and pain behind the eyes and in the joints. However, some people may develop a red and white patchy skin rash followed by loss of appetite, nausea, vomiting, etc. Patients suffering from dengue should seek medical advice, rest and drink plenty of fluids.

Paracetamol can be taken to bring down fever and reduce joint pains. However, aspirin or ibuprofen should not be taken since they can increase the risk of bleeding.

The risk of complications is in less than 1% of dengue cases and, if warning signals are known to the public, all deaths from dengue can be avoided.

DENGUE NS1-Best test is NS1

Cannot be false +ve

Is + from day 1 to 7 ideally.

If on day 1 is -ve, repeat it next day.

Always ask for ELISA based NS1 tests as card tests are misleading.

Value of IgG & IgM dengue-

In a pt with reduced platelets and looking "sick" on day 3 or 4 of illness, a very high titre of IgG with borderline rise in IgM signifies secondary dengue. These pts are more prone to complications.

In primary dengue IgG becomes + at end of 7 days, while IgM is + after day 4.

Immature Platelet fraction/IPF

A very useful test in Dengue for pts with thrombocytopenia.

If IPF in such a pt is > 10%, despite a pl count of 20, 000 he is out of danger & platelets will rise in 24 hrs

If its 6%, repeat the same next day. Now if IPF has increased to 8% his platelets will certainly increase within 48 hrs.

If its less then 5%, then his bone marrow will not respond for 3-4 days & may be a likely candidate for pl transfusion.

Better to do an IPF even with borderline low platelet count.

A low Mean Platelet volume

or MPV means platelets are functionally inefficient and such patients need more attention.

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17/08/2022

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Why lemon is the perfect food for people with diabetes?A recent study has shown how lemon juice can significantly lower ...
22/07/2022

Why lemon is the perfect food for people with diabetes?
A recent study has shown how lemon juice can significantly lower peak blood glucose.
Lemon is a powerhouse of Vitamin C, fibre, anti-inflammatory, and anti-oxidant properties and its low glycaemic index aids in lowering blood sugar levels significantly. Also, the nutrients present in lemon help in better metabolism.

If you have been suffering from diabetes and finding ways to control those sugar spikes that often come unannounced, the humble lemon could come to your rescue thanks to the abundant soluble fibre and Vitamin C that's found in the citrus fruit. A recent study has shown how lemon juice can significantly lower peak blood glucose and delay that peak by more than 35 minutes. This is not surprising as lemon has long been considered a superfood for diabetes even by American Diabetes Association.

10/07/2022

Can diabetics eat meat?

If your sugar levels are not controlled, and you are a chronic patient of diabetes, it will be more dangerous for you to consume high protein and high fats diet on this Eid. For diabetic patients, the chances of having cardiac issues are more. So be cautious while eating the meaty meals.
Dr.Adil khan

11/06/2022

وَرَفَعْنَا لَكَ ذِكْرَكَ ○
میرے نبی ﷺ کا ذکر ہمیشہ بلند رہے گا
❣️💯❣️

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Islamabad

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+923446055973

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