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  Sleep hygiene When we were young, our parents were very conscious about our sleep. They never let us stay up at night to do anything, including studying, they used to say – “There is no alternative to healthy sleep - to lead a healthy life . If we do not sleep properly, our head will not be well, which means the brain will not function properly. If the brain does not function properly, it means that the day is wasted”.  God has also designated night for rest and day for work.  But unfortunately, in the present era of extreme modernity, people have turned day into night – and night into day, we see every where!!   Desire is - I went to sleep, again - spent a few days without sleeping. Or having to take sleeping pills because you can't sleep, going to bed late, so getting up late the next day - none of this is healthy. It is not right to become dependent on sleeping pills because you are not sleeping. Said the expert - There is no substitute for adequate sleep t...

Lead a healthy life 123

Variant asthma

Variant asthma

Once upon a time - I had a very serious condition due to flu, it wouldn't go away. I went to the doctor. The problem was diagnosed and I got better with treatment. At that time, a patient came to the doctor - who was sitting next to me and was coughing a lot. I was a little more curious about everything. So, then I learned a lot through various questions from the doctor.

The doctor said - there is no tuberculosis in the tuberculosis test, antibiotics did not work, there are more allergies - this type of cough is called variant asthma.

This is a type of asthma, where the main symptom is not shortness of breath, but a dry cough. It increases in winter. You should stay away from dust and smoke. To have a healthy life, you should use an inhaler on the advice of a doctor.

Experts make us aware of some other problems of our respiratory system, i.e. lungs, such as ---

(1) Water accumulation in the chest -

When you go to the doctor with various symptoms including shortness of breath - cough, you often hear that water has accumulated in the chest.

Although it may seem strange, the real thing is that this water is not water accumulated inside the lungs. This water accumulates in the thin membrane or pleura that surrounds our lungs, hence the name of this problem is pleural effusion.

# So does water never accumulate in the lungs?

Water also accumulates in the lungs, especially at the very bottom of the lungs, then it is called pulmonary edema.

The doctor said - the mechanism of this body clock created by God is truly mysterious, health problems can appear in one place, and their manifestations can appear in another place, such as --

Water can accumulate in the lung lining or pleura for many reasons. Some are diseases of the lungs themselves, some diseases have nothing to do with the lungs.

Usually, fluid can accumulate in the pleura in pulmonary tuberculosis, pneumonia, and cancer. Again, there is no problem in the lungs, but in heart failure, liver cirrhosis, nephrotic syndrome, kidney failure, malnutrition, pericarditis or inflammation of the heart membrane, and liver abscess, fluid can also accumulate in the pleura of the lungs.

When fluid accumulates, the patient has difficulty breathing, and there may be problems like chest pain, heavy congestion, cough, mild phlegm, and fever. Fluid can also accumulate elsewhere in the body. A chest X-ray can give an idea about pleural effusion, but if the fluid accumulates in a very small amount, an ultrasound or CT scan may be necessary.

Specialist doctors confirm the cause of the problem based on the results of various tests and start treatment based on that.

For example, if this is due to TB, the patient is given TB medicine, and if this is due to cancer, cancer treatment has to be started. Similarly, if the problem is due to any other disease outside the lungs, pleural effusion will get better if that disease is treated.

If treatment is not started even after water has been present in the pleura for a long time, then it can cause permanent damage to the lungs and in that case major surgery is required. Water accumulation in the chest is not a normal thing at all. Therefore, if this is the case, treatment should be sought immediately.

# What to do if you have sudden shortness of breath -

Asthma patients experience sudden shortness of breath. Especially in cold weather, during the change of season, when dust is present, when sweeping the house or when coming into contact with flower pollen, the patient's asthma flares up. Viral infections, colds and coughs are also responsible for this problem. It is good for those who have asthma and others to know what to do immediately if they suddenly have shortness of breath, especially in children. 

# Doctors make people aware of the immediate actions to take in this sudden, difficult and life-threatening health problem –

1)    Ask the patient to sit up straight and reassure him that there is nothing to worry about.

2)    Slowly take five puffs of the inhaler containing salbutamol or salbutamol and ipratropium with the help of a spacer. If there is no spacer, you can use a paper straw.

3)    Take five puffs of the spacer, one puff each time, and inhale five times. Do this five times. In the case of adults and children, pay attention to whether the medicine is being inhaled properly by taking a deep breath, as swallowing it will not work.

4)    Wait 5 minutes. Rest. If the shortness of breath does not subside, take five puffs again and inhale five times. A total of 25 puffs can be taken in five times.

5)    If the shortness of breath or asthma attack does not subside even after this, the patient should be taken to the nearest hospital or a nebulizer machine should be used. Continue to take five puffs of the inhaler until you reach the hospital.

6)    If the patient's tongue, nails, or fingers turn blue at the beginning and they can't even speak due to difficulty breathing or they are losing consciousness, don't just sit at home - hoping that 'if you're lucky, you'll get better'. Of course, it's important to take them to the hospital quickly. In this case, oxygen is needed in addition to a nebulizer.

I think it is important to know to lead a healthy life.

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