Cancer is preventable
by Nilma DOLE
Breast cancer
Although
breast cancer is the commonest form of cancer in females, it
is controllable in most women. They can live a near normal
life - if properly treated in the early stages of the
disease. It is most common among women in the West. Breast
cancer is a form of cancer which originates from the breast
tissue, usually from the inner lining of milk ducts or the
lobules that supply the ducts with milk.
There are many different
types of breast cancer and different stages depending on the
spread and genetic make-up.
* Most breast cancers depend
on hormones oestrogen and progesterone to grow and therefore
women using oral hormonal contraceptives for long periods
(usually over five years) may be at a risk of developing
breast cancer.
* Screening for breast
cancer before the symptoms are detected will help to
identify the disease
* If you are above 50 years,
have a mammogram done every year
* You should undergo a
physical examination and seek medical advice
* Be careful of breast
abnormalities
* Research has shown that
women with certain risk factors are more likely to develop
breast cancer those over 60 years, a personal history of
breast cancer, family history, gene changes, re-productive
and menstrual history and certain breast changes
* Women at risk should be
concerned about their weight and have a balanced diet and do
regular exercise.
* Radiation therapy the
chest, early menarche, late menopause, lack of exercise, and
smoking can increase a womans risk of having breast cancer
* Treatment options include
surgery, radiation therapy, chemotherapy, hormone therapy,
and biological therapy and usually these are combined
* Mastectomy is done when
the breast cannot be saved
* Most patients respond well
to chemotherapy and hence there is hope |
Prostrate cancer
The prostrate gland that
contributes to form seminal fluid which provides nourishment
to sperms when you are young. In old age it can become
bigger and it could be benign or malignant, the latter being
caused by cancerous changes. As the prostate gland enlarges,
the layer of tissue surrounding it stops it from expanding
and blocks the urethra. The bladder wall becomes thicker and
irritable and contracts sending little urine, causing more
frequent urination.
* Prostate problems such as
pain in the genitals, difficulty in passing urine and
erectile dysfunction make people consult a doctor for a
check-up
* There are symptoms like
waking up in the middle of the night to pass urine and slow
unsteady urine flow which is also part of prostrate problems
* First a physical
examination is done and then tests are checked to see if the
biopsy is cancer-causing
* A Prostate-Specific
Antigen (PSA) Blood Test and a Urine Flow Study might also
be done
* In young men, a prostrate
problem called prostatitis can occur in which the prostrate
gland can be infected due to an unknown reason.
* Advances in medical
science help produce drugs to relax and reduce the size of
the prostrate
* Minimal Access Surgery
including transurethral microwave thermotherapy (TUMT) can
be used
* Seek advice from a
qualified urologist or physician
* There is no way of
preventing benign prostate enlargement since it occurs in
old age but the best way to prevent complications is to
submit yourself to a medical checkup early and seek
treatment before the worst happens
* Neglecting prostrate
problems can cause much discomfort and disruption in the
quality of ones life. It may occasionally be life
threatening if one fails to detect a cancer in time, or wait
till the bladder and kidneys are affected. |
Some people wrongly think that cancer has something to do with karma
and destiny but it is preventable in most cases. According to Maharagama
Cancer Hospital Consultant and Secretary of the College of Oncologist
Dr. Kanthi Perera, Cancer is a one-hundred percent treatable disease
but people die due to bad habits and ignore the warning signs.
She said that there are patients who take treatment but do not heed
advice and continue the habit of smoking and drinking. The doctor said
that when cancer is diagnosed, it is often too late. Hence, its not
just detecting it early but changing your lifestyle and attitude.
We always advise them to take an example from other patients but
they dont pay heed to it. Is it worth spending Rs. 3 lakhs for
treatment when your life is wasted by smoking a pack of cigarettes worth
Rs.100? Dr. Perera queried.
Cancer occurs when different conditions cause cells to multiply
uncontrollably. One such condition is the division beyond normal limits,
invasion or intrusion on and destruction of adjacent tissues and
sometimes metastasise which means spreading these cells to other parts
of the body via lymph or blood.
These three malignant properties of cancer differentiate them from
benign tumours, which are self-limited, and do not invade or metastasise.
In most cancer cases, causes a tumour but others do not.
A survey conducted in Sri Lanka, revealed that 20.4 percent of major
cancer cases were due to oral cancer which was commonly in men. There
was a high incidence of oral cancer in men and women but with changing
behavioral patterns and education, betel-chewing is now less prevalent
among youth, she said.
The doctor who counts nearly 20 years experience as a consultant said
that today, 25.4 percent of women have breast cancer which has become
the number one cancer in women.
Modernisation and urbanisation has made it convenient for women to
delay pregnancy, marry late and take various types of contraceptive
pills, she said. Even though breast cancer is common in the West, many
Sri Lankan women get it quite early in life and this is a dangerous
sign, she said.
The problem is that many people are stressed out and dont check
themselves which is vital in detecting cancer in its early stages, said
Dr.Perera. She said that if someone uses a certain type of contraceptive
pill or a medicine, she generally gives it to others and explains that
it is beneficial.
Whats good for one person doesnt mean its good for another, she
said. Nutrition levels among people were very poor. With junk food
freely available and the habit of not having meals time, make people
sick. People should eat greens, yellow vegetables, a variety of fruits
and drink plenty of water. It is often due to negligence on the part of
people that they fall victim to cancer at an early stage in life, she
said.
Cervical cancer
Studies have shown that if you are addicted to smoking and taking
strong drinks at the same time, the chances of getting cancer are more.
Also there are other forms of cancers that spread sexually like the
human papillomavirus which causes cervical cancer, she said. We should
be careful and not indulge in bad habits, Dr.Perera said.
With a country having a history of oral cancer due to betel-chewing,
the odds are heavily weighed against us with more cancer cases like lung
cancer, colon cancer, ovarian cancer and even esophagus cancer becoming
common.
At present, some men may feel that prostrate cancer wont affect them
and its only a western disease. But in the future, the major cause of
cancer in men would be prostrate cancer. She said, Firstly, I would
advise people to drink kola kenda at least three times a week, consult a
qualified doctor if you are taking any form of medicine and have a
healthy lifestyle with plenty of exercise and good food.
Today is World Mental Health Day:
Counselling - a psycho-social intervention
by L.H. Thilakarathne
Every year, the Ministry of Social Services celebrates the National
Counselling Day on 15th of October with the participation of government
and non-government organisations, in parallel with the International
Mental Health Week which commences from 10th of October each year. It
concentrates on bringing professional counselling services in a
qualitative and productive manner, towards the Sri Lankan community.
The World Federation for mental health has declared Mental Health
and Chronic physical Illnesses as the theme for the year 2010. Based on
this, the National Counselling Center of the Ministry of Social Services
has selected the theme Counselling for a Healthy and Happy Life for
this year.
Divisional level programs
A training programme for coordinators of community counselling
service as active listeners will be conducted in parallel with the
national Counselling Day programme. Government officers and community
leaders with direct relationship with community services are selected
for the training. The objective of this program is to create resource
person at community level to intervene in solving mental health and
issues of the community.
Counselling plays an important role in minimising and preventing the
social problems and social issues seen in Sri Lanka at present and also
in personally development and re-establishment of mental conditions of
the community. Increasing crime rate, alcohol, and drug addiction,
increasing family problems and break down of family relationships,
increasing suicide attempts, neglecting elders and increasing child
abuse are few of the prominent social problems seen in society today.
Counselling is a psychological process of empowering an individual.
It concentrates on bringing on the potential power within the individual
to deal with the mental difficulties he faces during expected and
unexpected incidents of his daily life and on personality development,
preventing psychological imbalance and using scientific processes in
giving psychological treatment when necessary. At any time of ones
life, the self awareness needed to take more productive decisions,
esteem and confidence of any person can be gained by counselling.
Introduction of a development approach for an individual or a group, to
move from negativity to positivity is also done by this. A professional
counsellor possesses the capability to eliminate the obstacles with the
help of psychological techniques.
Counselling can be used to minimize and prevent mental, emotional or
behaviourial problems, not only of an individual but also of the family
or other groups its benefits can be listed as follows.
* Treatment
* Prevention
* Personal Development
* Rehabilitation
* Promotion of Well-Being
As counselling is a psycho-social intervention and is effective
during any individual or social problem, the field of counselling is
extended as to gain the above mentioned benefits. Counselling field is
also divided as psychological counselling, family counselling, education
counselling, career counselling and also as spiritual or therapeutic or
treatment etc...
Institution for Counselling
The Counselling services are provided free of charge by the following
institutions
1. Counselling Service centers in Divisional Secretariats where
counselling officers and Social Service officers who have completed
Counselling Diploma are attached. : T.P. No. 0112877375/380
2. Counselling centers by Sri Lanka womens bureau: 0112827068
3. Yowun Mithuro Counselling center of National Youth Center:
0112850990
4. Students counselling Centers conducted in Schools by Education
Ministry: 0112785150
5. Counselling Centers at family in Judicial Service Commission:
0112433119
Non Government institution
1. Alokaya Counselling Centers of Family Planning Association:
0112584203
2. Women in need Counselling Service - 0114718585
3. Sahanaya - National Mental Health Council - 0112685960
4. Sith Sawiya - Psychological Institute - 0115367489
5. Sahana Sevana Counselling Service Hekiththa Wattala: 0112942655
6. Sahana Medura Counselling Services, Colombo / Kandy: 0112235359
/
0812201586
The writer is Director, National Counselling
Center, Battaramulla
Mano Roga or Ayurveda Psychiatry
by Ayur. Psychiatrist Dr.Saman S.Hettige
Mental illnesses are increasing day by day. According to the WHO
there are 450 million psychiatric patients around the world.
Mano Roga is classified into twenty two psychopathologies. It
emphasizes how important the biological predisposition is to amalgamate
with the environmental factors to develop psychiatric disease in human
beings. This system is still being practised in its original form at
Manasa Hospital Boralesgamuwa, Neelammahara by generations of
traditional psychiatrists, which is endemic to them.
Ayurvedic medicine is a system of Traditional medicine native to the
Indian sub continent and practised in other parts of the world as a form
of alterative therapy.
Ayurveda remains an influential system of medicine in South Asia The
earliest literature on Indian medical practice appeared during the Vedic
Period in India. The Suśruta Saṃhitā and the Charaka Saṃhitā were
influential works on traditional medicine during this era. Over the
following centuries, Ayurvedic practitioners developed a number of
medicinal preparations and surgical procedures for the treatment of
various ailments and diseases and the first plastic surgery was done by
Ayurvedic surgeon Susrutha 3500 years ago and the blood circulation was
exactly described in earliest ayurveda literature exactly as William
Harvey described in 17th century.
According to Ayurveda, Nidrava or sleep factor plays a vital role
in ones mental health. One needs to have a sound sleep for at least 7
to 8 hours a day for the well-being of ones mental health. It is
stressed that breaking rest at night and sleeping during the day time,
are factors detrimental to the well-being of ones mental health.
The food we consume has an impact on our Mano dhosa and Kaika dhosa
(Mental and physical health). If consuming harmful food influences the
Mano Dhosa, it can affect the Kaika dhosa and Manasika dhosa as well as
in the end cause the malfunction of the brain.
Treatment
This also indicates that physical conditions also affect the
psychological state of and individual and vice versa. In Sankaya
dharshanaya this bond is known as Samavai Sambandathavaya if broken
there will be losses in the bond between the body and mind. Environment
plays a vital role in ones mental health. If the individual is
frequently exposed to stress induced environment or, if a person is
addicted to substance such as alcohol, heroin, or even betel leaves they
are vulnerable to mental illness. Hereditary factor is also mentioned in
the classical text as Nija Roga.
In ayurveda the treatments are mainly divided into three. Ukthhi
Viyapashra (Rational therapy), Daivap Viyapashra (Spiritual therapy) and
Sathvawviyapashra (Psycological therapy).
Treatments are conducted according to the severity of the
individuals condition.
If the patients are aggressive, hostile, and if the treatment cannot
be conducted at home, we admit them to hospital for indoor
treatments.For patients who are aggressive and hostile, special
treatments such as Nasna (Nasal draining), Hisagalvum (head packs)
Werechana (Purgatives) and Sheerodara are administered. If their
condition is critical, counselling would have no effect. Therefore we
are using these special methods to sedate the aggressive patients in the
initial stage.
Today (10) is World Mental Health Day. Boralesgamuwa Neelammahara
Manasa Ayurveda Hospital the first ayurvedic mental hospital in Sri
Lanka would be conducting a mental health campaign at the hospital
premises today from 10 a.m. to 4 p.m. to raise public awareness about
mental health issues. We want to make people aware of three conditions.
Most often patients guardians fail to recognize these conditions.
And bring them to us only after the situation becomes worse. Once the
disease becomes Nidangatha or chronic, it is very difficult to handle
than during acute phase.
International Arthritis Day - Oct 12:
Arthritis and its effects
Arthritis is not a single disease - it is a term that covers over 100
medical conditions. Osteoarthritis (OA) is the most common form of
arthritis and generally affects elderly patients. Some forms of
arthritis can affect people at a very early age. In order to better
understand what is going on when a person suffers from some form of
arthritis, let us look at how a joint works.
Basically, a joint is where one bone moves on another bone. Ligaments
hold the two bones together. The ligaments are like elastic bands, while
they keep the bones in place your muscles relax or contract to make the
joint move.
Cartilage covers the bone surface to stop the two bones from rubbing
directly against each other. The covering of cartilage allows the joint
to work smoothly and painlessly.
A
capsule surrounds the joint. The space within the joint - the joint
cavity - has synovial fluid. Synovial fluid nourishes the joint and the
cartilage. The synovial fluid is produced by the synovium (synovial
membrane) which lines the joint cavity. If you have arthritis something
goes wrong with the joint(s). What goes wrong depends on what type of
arthritis you have. It could be that the cartilage is wearing away, a
lack of fluid, autoimmunity (your body attacking itself), infection, or
a combination of many factors. There are over 100 types of arthritis.
Here is a description of some common ones, together with the causes:
Osteoarthritis - cartilage loses its elasticity. If the cartilage is
stiff it becomes damaged more easily. The cartilage, which acts as a
shock absorber, will gradually wear away in some areas. As the cartilage
becomes damaged tendons and ligaments become stretched, causing pain.
Eventually the bones may rub against each other causing very severe
pain.
Arthritis sufferers will find there are good and bad days. Most
patients with arthritis will suffer from discomfort, pain, stiffness
and/or fatigue.
You may also feel frustrated that you are no longer able to grip
things so well or get around like you used to. It is important to
remember that if you suffer from arthritis this does not mean you have
to give up having an active lifestyle. With some changes to your way of
life there is no reason why you cannot continue being active. Physical
therapy: Physical therapy and occupational therapy help maintain joint
mobility and range of motion. How much therapy you need, and what kind
of therapy will depend on many factors, such as the severity and type of
arthritis you have, your age, and your general state of health. This has
to be decided by you with your physician and physical or occupational
therapist.
People with arthritis will often avoid moving the affected joint
because of the pain. A physical therapist can help the patient work out
the joint stiffness without damaging it. In order to perform your daily
activity the physical therapist will help you achieve a good range of
motion. This may involve building strength in the muscles that surround
the affected joint-stronger muscles help stabilize a weakened joint. You
will also be taught the best way to move from one position to another,
as well as learning how to use such walking aids as crutches, a cane or
a walker, if you need one.
Occupational therapy can teach you how to reduce the strain on your
joints as you go about your daily activities. The occupational therapist
can help you modify your home and workplace so that your movements do
not aggravate your arthritis. You may need a splint for your hands or
wrists, as well as aids for dressing, housekeeping, work activities,
driving and washing/bathing yourself.
An occupational and/or physical therapist can make an enormous
difference to your quality of life if you suffer from arthritis.
He/she will help you learn more about your arthritis, devise a
dietary plan if you are overweight and overstressing the joints as a
result, help you make better decisions about what shoes to buy if that
part of the body is affected. You will learn how and when to rest A
therapist will most likely devise an exercise program. Exercise is a
crucial part of effective arthritis therapy.
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