Are there elderly people who take regular medicines at home? 5 things to pay attention to

 Are there elderly people who take regular medicines at home? 5 things to pay attention to

Diabetes, cataracts, high blood pressure, arthritis and mental problems can appear in old age and advice from a psychiatrist should be sought.

Keep medicines in a safe place, make a list of medicines, double check to avoid taking the wrong medicines and follow the doctor's instructions.

With increasing age, various diseases take hold in the body. The body becomes weak. Problems such as diabetes, cataracts, high blood pressure, hearing loss, heart disease, joint pain and arthritis can appear. Similarly, mental problems such as depression, dementia, sleep problems, etc. can appear.

Old age is a stage of life. There is a possibility of getting diseases in this state. Many things have been neglected due to urbanization. In such a situation, people do not respond properly to the elderly and try to stay away from them.

Due to this, the elderly also fall into depression. In old age, advice from a psychiatrist should be sought so that these diseases do not harm the body. Then the long list of medications begins. Sometimes some medications have to be taken for life. However, with advancing age, caution should be exercised when taking medications, otherwise they may cause harm instead of benefit. According to many studies, many people over the age of 65 are dependent on medications. Therefore, medication management is very important.

How to pay attention to the elderly's medications?

1. Keep all medications and vitamins in one place

If the medications are kept in different places, it is much easier for the elderly in the house to keep them in one place. Sometimes there may be no other members in the house, in which case the elderly can take the medication themselves. However, if the medications are kept in different places, the elderly may forget to take some medications.

For example, some people keep some pills in the kitchen, while others keep them by the bed or in other places. But many medications have to be taken at the same time. In such a situation, they may be missed due to the medications being kept in different places. Which may reduce the effectiveness of the medication. Therefore, it is important to understand well with the doctor which medicine to take and when. Negligence in time or dosage can put you at greater risk. If the elderly take their own medication, set a reminder on their mobile phone.

2. Keep the medication in a safe place

In general, medications should be stored in a cool and dry place. This means that they should be stored carefully. Otherwise, cold and sunlight can reduce the effectiveness of the medication. Medications should be stored out of reach of children or pets. Follow the doctor's or pharmacist's instructions for medications that need to be stored in a special place.

3. Create and maintain a medication list

To avoid negative drug interactions, it is important for the elderly to know what regular medications they are taking. Therefore, an up-to-date list of their medications, vitamins, and supplements should be kept.

The name of the medication should be kept, and the condition it is used for. It is helpful to note how many times a day they take the medication or use it. It is important to keep track of whether the elderly are taking each medication prescribed by the doctor correctly.

It is important to know whether the medication is for short-term or long-term use. You should also pay attention to the expiration date of the medication and to ensure that the elderly do not take any medication repeatedly.

4. Double-check to avoid taking the wrong medication

Some elderly people are taking multiple medications, vitamins, or supplements. In such cases, you should be careful not to take any other wrong medication. Use an online drug interaction checker to avoid any interactions with your doctor or pharmacist.

5. Make sure the medication instructions are clear

It is important to follow the doctor's instructions with the medication. If this is not followed, the medication may not work properly. Therefore, it is important to follow what the doctor says. This reduces the risk of negative drug interactions and side effects.

Elderly people should understand which medications are safe to take at the same time. Some medications need to be taken with food before taking them, while others need to be taken on an empty stomach. If there is any uncertainty, you should seek clarification and detailed instructions from your doctor.

E-cigarettes are becoming a fashion among the youth, health is at risk

 E-cigarettes are becoming a fashion among the youth, health is at risk

12-year-old Sarah Griffin, who lives in the UK, suffered from asthma last September. Sarah, who has been in a coma in the hospital for a few days, is now improving. But his addiction to vape has badly damaged his lungs.

According to the BBC, one of the girl's lungs is almost completely destroyed. According to the doctor, his respiratory system has become like that of an 80-year-old instead of a 12-year-old child. Vape, which can make a 12-year-old's respiratory system look like an 80-year-old's, is now gaining popularity not only in Western countries, but also in Eastern countries. Vape (e-cigarette) has started to become a headache among tobacco products.

What is vape?

A vape is an electric cigarette that runs on a battery. People use it to heat liquids into a vapor that can be inhaled. It is considered a cancer-causing tobacco product because the inhaled vapor contains nicotine (a drug that makes tobacco addictive), flavors and toxic substances.

Vape became fashionable in Yuvapindi

Doctors say that the number of school-aged children who use vape in Nepal is increasing. Chest specialist Niraj Bam says, 'Vape has become like a fashion among young people. School and plus two age group studying in urban areas who have started adolescence are getting addicted to vape.

Psychiatrist Dr. Nirajan Bhattarai says that vape has made it easier for young people who are afraid or hesitant to smoke. Even if they want to smoke, children who are afraid and ashamed of their parents will confidently smoke in front of everyone. It has become a problem to openly smoke vape as a style. Because of this, the number of vape users is increasing, Dr. Bhattarai says.

Dr. Nirajan Bhattarai, Psychiatrist

Health risks

Dr. He says that the use of vape, which is being consumed like bomb cigarettes, will cause short-term and long-term health problems. According to him, the short-term effects may include vomiting, nausea, cough, difficulty breathing, mouth burning, and asthma and pneumonia. Long-term effects can include lung infections and damage, heart disease, cancer, and brain problems.

Dr. Bam adds, 'Nicotine products are considered harmful to health, which is why most countries have banned them. It should be banned in Nepal as well.

What do the statistics say?

According to a recent survey in the UK, one in five children between the ages of 11 and 17 use vape. This number is three times more than in 2020.

In the case of Nepal, there has been no research on this. Therefore, it is not possible to estimate how many people use vape. But many people who come to the OPD with lung problems are found to be using vape and hookah. Bam says. Because of this, he says, it will be difficult to control the use of tobacco products like vape and hookah, just as we have to gradually reduce smoking in Nepal.

Greater impact at younger ages

Dr. According to Bam, vaping poses a double threat to the younger age group. First, the various chemicals used in it, nicotine, harms the lungs. It weakens the lungs at an early age. Secondly, once you become addicted, the chances of getting addicted to cigarettes increase even more,” he says. Nicotine affects the brain development of children and adolescents. He says that in the future they will not be able to concentrate on their studies.

Dr. Neeraj Bam, thoracic specialist

Vaping is not a substitute for quitting smoking

In 2003, Hon Lik, a Chinese pharmacist who made e-cigarettes, claimed that he could easily quit smoking with its help. But e-cigarettes, which were created to help people get rid of cigarette addiction, have now become a big challenge for the world. Dr. There is no authentic research that the use of e-cigarettes helps to quit smoking. Bam says.

Is vape less dangerous than cigarettes? Dr. Bam says, 'Of the two types of poison, which one is better is the same thing. The possibility of quitting smoking through e-cigarettes is completely delusional. Harmful substances like nicotine are found in both.

How do you get addicted to vape?

Psychiatrist Dr. According to Bhattarai, vaping every day is likely to become addictive. It seems that after starting to eat under the pressure of social media, peers and friends, it gradually becomes a craving and becomes an addiction. If you start drinking tea during the day, as you get used to it, the more you consume the nicotine in the vape, the more you will become addicted. Nicotine increases the level of dopamine (hormone of pleasure). As a result, the desire to eat increases. The role of nicotine is to depend on it. Most people are taking it in the name of getting rid of smoking addiction. Who gradually becomes addicted to it,' said Dr. Bhattarai says.

Addiction treatment is possible

It is possible to get rid of vape addiction. But with family, own desire and medical treatment is necessary. Bhattarai says. In the treatment of its addiction, depending on the level of addiction, chewing gum and nicotine spray are given to reduce nicotine. After that, some medication and therapy will gradually reduce the desire for nicotine. Bhattarai says.

Who is more at risk of diabetes?

 Who is more at risk of diabetes?

Diabetes is a chronic health problem. Diabetes is a health problem that occurs when the body's pancreas does not produce enough insulin or when the body's insulin cannot be used effectively.

Insulin is a type of hormone that controls blood glucose. Disturbances in insulin also cause disturbances in the amount of glucose or sugar in the blood. A pregnant woman's glucose level is 95. Other people should have 100 under normal conditions or 140 two hours after eating. The condition that is more than that is called diabetes. If not controlled in time, it can cause serious damage to many body systems, especially nerves and blood vessels.

Diabetes (Type 2 type) has been increasing worldwide for the past three decades. According to the World Health Organization (WHO), 422 million people worldwide are currently suffering from diabetes. Most of them are citizens of low and middle income countries. Similarly, 1.5 million people die every year due to diabetes. A global target has been set to halt the rise in diabetes and obesity by 2025.

Types of diabetes

Like other diseases, there are many types of diabetes. Mainly it can be divided into four types namely type one, type two, gestational and secondary.

Type 1 diabetes: This is an auto immune disease. This disease, which usually occurs in children, is caused by the body's own immune system. The cells in the body that make insulin are called beta cells, which are located in the pancreas. Sometimes the body's immune system damages the beta cells and prevents them from making insulin. Due to the lack of insulin production in the body, the glucose in the blood becomes unbalanced. In the case of type 1 diabetes, children have problems like diarrhea and vomiting.

Type 2 diabetes: About 95 percent of people have type 2 diabetes. This is due to lifestyle, obesity and genetics. Nowadays, it has been found that type 2 diabetes is also caused by stress.

Gestational diabetes: Diabetes that occurs during pregnancy is called gestational diabetes. Diabetes occurs after 24 weeks of pregnancy due to imbalance in hormones. It can affect pregnancy and unborn baby.

Secondary diabetes: Secondary diabetes is a disorder that occurs when beta cells cannot produce insulin due to external factors. When drinking more alcohol, hypothyroid hormone is high and insulin cannot work. It is diabetes caused by other health problems. Secondary diabetes is also cured when the disease is cured.

How to know if you have diabetes?

There are two types of symptoms of diabetes, classic and non-classic. Diabetic patients experience increased hunger, thirst and urination. In this case, urine is more at night. If you don't have to get up the night before, you have to get up one or two or three times during the night when you have sugar. The only thing that will decrease is the weight. This is called a classic symptom.

Non-classical symptoms may include non-healing wounds, fatigue, and ringworm. But one thing to understand is that 50% of people with diabetes have no symptoms. You may have diabetes without knowing it.

Under what conditions will the test be conducted?

Even healthy people should check their sugar at least once a year. When testing like that, not only random sugar, fasting sugar, but 'glycosylated hemoglobin' should be tested, which can tell the blood sugar level of a person for three months. Testing can also be done on the basis of risk (risk factor). For example, if a family member has diabetes, is obese, has a stressful life, does not eat well, does not have a habit of physical exercise, or is planning to have children, it should be tested.

Sometimes the physical condition that we do not notice can also be a symptom of diabetes. For example, the neck looks dirty, the armpits look black. This condition is often seen in children, but it is more easily seen in women. We think this is due to the black sun. But because of diabetes and those who are about to develop diabetes, these symptoms should be tested.

What kind of people are at risk of diabetes?

In the past, people over the age of 50 were considered to be at risk for diabetes. Then it was said that people above 45 years of age can be allowed. But nowadays people above 30 years of age are also prone to diabetes. If there is diabetes in the family, if there is more weakness, then at least once a year a diabetes test must be done.

The changes in people's lifestyles after the Covid epidemic are also increasing the risk of diabetes. After covid, physical exercises from children to adults have decreased and children are also spending more time on laptops and mobile phones. Like in the past, cycling and participating in outdoor sports have disappeared. During the covid era, studying, playing, and entertaining were all on laptops and mobiles. Such physical inactivity also increases the risk of diabetes.

What is the risk of other diseases when having diabetes?

Half of people with diabetes have no symptoms. Diabetes causes health complications. Such complications may come after 5, 10, 15 years. Diabetes can cause problems in the heart, eyes, blood circulation in the legs and kidneys.

Diabetic patients are twice as likely to have heart attack and heart disease. It has been found that almost 90 percent of diabetic patients die due to heart disease. Moreover, the vision is worldwide Diabetes has also been found to be the cause of absence. It damages the retina of the eye, which leads to blindness.

Similarly, the risk of stroke in diabetic patients is 10 to 15 times higher and it also causes paralysis. Even now, diabetes is seen as the reason for having to amputate a leg after an accident. Similarly, diabetes is the main cause of kidney failure.

Something to note

Diabetes is normal, I can control it, I am told nothing happened. Most patients take medicine as soon as they get a little gastric. But instead of taking sugar medicine, there is a tradition that we should eat it and not talk about it. But this should not be done. Even if there are no bad symptoms, it weakens the person and sooner or later, complications can occur at any time. It causes dismemberment.

Most people think that obese people are more likely to develop diabetes. But people with more belly fat are more at risk of type 2 diabetes than fat-lean people. Therefore, more attention should be paid to losing weight than losing weight.

So don't despair if you get diabetes. Adjust your lifestyle, because this is a disease of lifestyle. Take medicine regularly. Consult a doctor on time. Get tested. Don't be careless because there are no symptoms. Raise children in a healthy manner.

Which medicines are available for free at the health post?

There are some such medicines, which we need in common diseases. Most of these medicines are distributed free of charge. You can go to a government hospital or health post of your choice and get these medicines.

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