Introduction

Most often in a developing country, each minute of every day, a woman dies from complications related to pregnancy. For all women who die, 30 to 50 percent of women suffer from injury, infection, or other complication. Almost 15% complications of these are life-threatening and require immediate obstetric care. Hence, safe motherhood can be achieved by providing high-quality maternal health services to all women during pregnancy, childbirth, and during the postpartum period.

Maternal mortality

Most of the maternal mortality is due to following major medical causes:

1. Severe bleeding (hemorrhage);

2. Infection;

3. Unsafe abortion complications;

4. Hypertensive disorders of pregnancy; and

5. Obstructed labor.

Warning signs during pregnancy:

1. Failure to gain weight (at least 6 kilograms should be gained during pregnancy)

2. Anemia or paleness inside the eyelids (healthy eyelids are red or pink)

3. Unusual swelling of legs, arms or face

4. Movement of fetus being either very little or not at all.

Therefore, a pregnant woman needs to be checked at a clinic or health facility at least four times during every pregnancy. It is also important to seek the advice of a skilled birth attendant (such as a doctor, nurse or midwife), about where the baby should be born. A pregnant woman should also be properly educated so that she can take care of herself and her baby.

Still, a pregnant woman is susceptible to all those possible diseases which a normal human being can encounter. Hence, if there is any disorder during pregnancy, the situation can be best managed under the guidance of good physician.

Considering the above facts, in Ayurveda, Kashyap samhita has given two full chapters on this subject. Harita samhita has enlisted emaciation, nausea, vomiting, edema, fever, anorexia, diarrhea and discoloration etc. According to Sushruta samhita, pregnant women are prone to facial paralysis. Similarly Charaka samhita and Vagbhata also have suggested that the pressure caused by growing fetus increases in cases of piles and edema.

According to Charaka (C. 1000 B.C.), pregnant woman should be treated with soft, sweet, cold drugs, dietetics and gentle pleasing behaviour. She should not be given emetics and purgatives.

Exercise and use of pungent drugs should be avoided (Charaka Sutra sthan 25/40).

According to Harita(10-12th Cent. A.D.), unripe fruit of Bilva (Aegle marmelos Corr.) mixed with curd and sugar is always beneficial.

There are certain diseases whose treatment at the initial stage itself prevents them from becoming major disorders at a later stage. Treatments of such diseases are mentioned below:

Line of treatment in different gestational month:

During fourth month of pregnancy: In this, if woman suffers from any disease of vata, retention of urine, pain etc. then castor oil with milk should be given (Kashyap khil sthan, 10).

During fifth month: Evacuative enema and nutritive enema containing sour, salty drug and sweet substance should be given (Kashyap khil sthan, 10).

During sixth month: In case of lymphadenitis, furunculous, inflammation, abscess, use of cauterization and surgery should be done (Kashyap khil sthan, 10).

During seventh month: If there is protuberant flesh then its suppression should be done with help of surgery or cauterization (Kashyap khil sthan, 10).

General disorder during pregnancy and their management:

1. Vomiting:

The vomiting related to pregnancy is classified as simple vomiting of pregnancy (milder type) and

Hyperemesis gravidarum(severe type). Slight vomiting is common in early pregnancy (about 50%). It may however, occur at any time in day, generally occurs in morning. It does not produce any impairment of health or restrict the normal activities of women and gets disappeared with or without treatment by 12-14 weeks of pregnancy.

It could be managed by avoiding fatty and spicy foods. Patient is advised to take plenty of fluids (2.5l in 24hr.) and fruit juices.

Hyperemesis gravidarum is severe type of vomiting of pregnancy which has got deleterious effect on the health of the mother in day to day activities. The etiology is obscure but the following are the known facts:

-It is mostly limited to first trimester.

-It is most common in first pregnancy.

-It has got a familial history.

-It has more prevalence in hydatidiform mole and multiple pregnancies.

-It is more common in vata vaigunya, non-fulfillment of dauhrida stage (i.e. non fulfillment of desired substance by mother during pregnancy)

Management:

To correct the fluids in body and other metabolic disturbance.

Nutritional support should be given with rich balance diet.

Nursing care: sympathetic but firm handling of the patient is essential.

Some useful drugs:

Paste of Dhanyaka (Coriandrum sativum Linn.) mixed with rice water and sugar should be given (Yogratnakar, Stri rog chikitsa sthan).

Flour of parched barley mixed with decoction of Sunthi (Zingiber officinale Rosc.) and Bilva (Aegle marmelos Corr.) (Yogratnakar, Stri rog chikitsa sthan ).

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2. Pre-eclamptic toxemia: It is a multi system disorder of unknown etiology characterized by development of hypertension to the extent of 140/90mm Hg or more with proteinuria after the 20th week. It may appear even before 20th week as in case of hydatidiform mole and acute poly hydramnios.

Demonstration of pitting edema over the ankles after 12hr. bed rest, rapid gain in weight of more than 1lb a week or more than 5lb a month of pregnancy may be earliest evidence of pre-Eclampsia.

There is increased association of pre-eclampsia with primigravida, family history, placental abnormalities, genetic disorder and thrombophilias.

Management: As long as the etiology is obscure the treatment is mostly empirical and symptomatic.

Diet should contain adequate amount of protein (about 100gm). Usual salt intake and fluids is not restricted. Total calories approximate 1600 cal/day.

In favorable cases, there is fall of blood pressure and weight with subsidence of edema. Urinary output increases with diminishing proteinuria, if previously present.

In unfavorable cases, the definitive treatment of pre-eclampsia is termination pregnancy through which mother could be saved.

3. Eclampsia:

Pre-eclampsia when complicated with convulsion and /or coma is called as eclampsia. The causes of cerebral irritation leading to convulsion are not clear. The irritation may be provoked by anoxia (spasm of the cerebral vessels following hypertension). Cerebral edema may also contribute to cerebral irritation, arrhythmia which increases following anoxia / edema.

Management:

Patient should be placed in a railed cot in an isolated room.

Anticonvulsant and sedative regime should be used.

4. Fever:

Fever to pregnant women is most troublesome disease and fetus also suffers due to transfer of heat of fever from the mother. If fever occurs before 4th month then patient should be advised to fast for one day, followed by use of drinkables free from fat and salt. She should take only rice gruel followed by cereals with soups and no medicine should be given. Lekhan karma (the measures which makes the body light) could be used if it occurs after 4th month (Kashyap khil sthan,10).

In taruna jwara (recent fever), massage with oil, nasal drops and sternutatory drugs (causing sneezing) should be avoided as they influence the fetus by making it stiff or immobile (Kashyap, khil sthan 10/18).

Similarly emesis produces fetal abnormalities, abortion and other serious disorders (Charka, siddhi sthan 2/9).

General treatment:

Decoction of Chandan (Santalum album Linn.), Sariva (Hemidesmus indicus R.Br.), Lodhra (Symplocos racemosa Roxb.) & mardvika (Vitis vinifera Linn.) mixed with sugar should be given. (Yogratnakar, Stri rog chikitsa sthan).

Hriberadi decoction prescribed for diarrhea is also beneficial (Kashyap, khil sthan.10).

5. Diarrhea during pregnancy:

Dietetic abnormalities, use of ripened fruits and polluted water, fear, grief etc. psychological trauma, emaciation and due to doshas or other body disease can cause diarrhea to anybody. However during pregnancy presence of least abnormalities may produce diarrhea.

Management:

Digestive drugs should be prescribed when diarrhea has sufficient quantity of mucous in feces and constipation drug should be prescribed incase feces do not contain mucous.

Kalyanakawaleha and Hriberadi decoction is beneficial in all types of diarrhea (Kashyap, khil sthan.10).

6.  Epilepsy:

In this, incidence of fetal malformation and still birth increases. The malformation includes- cleft lips/palate, mental retardation, cardiac abnormalities, limb defect. There is chance of neonatal hemorrhage. There is also a risk of developing epilepsy to the offspring of an epileptic mother.

Management:

-Juice of lemon mixed with vid and rock salt.

-Decoction of agnimantha (Premna mucronata Roxb.)

-Soups of meat of quail mixed with fat.

7. Jaundice:

When the serum bilirubin level exceeds 2mg % (normal being .2-.8mg %), visible yellow staining of the tissue appear. Its overall incidence in India is 1-4% per 1000 deliveries.

It may be due to severe pre-eclampsia, eclampsia, acute fatty liver (acute yellow atrophy of the liver), severe hyperemesis gravidarum, intra hepatic cholestasis is the second most common cause of jaundice in pregnancy, the first one being the viral infection.

Management:

-Decoction of prsniparni (Uraria picta Desv.), bala (Sida cordifolia Linn.) and vasa (Adhatoda vasica Nees) should be given (Yogratnakar, stri rog chikitsa sthan).

-Use of pippali (Piper longum Linn.) and root of ankotha (Alangium salvifolium Linn.f.) mixed with juice of horse dung and curd of buffalo’s milk is beneficial (Kashyap, chikitsa sthan. 2/6).

8. Heart pain:

In 32nd week of pregnancy the pressure on heart is highest and with time it goes on increasing. In such cases, the patient needs special care.

We may use powdered pippali (Piper longum Linn.) with paste of patra (Digitalis purpurea Linn.), coca ( Coffea arabica Linn.) and priyangu (Callicarpa macrophylla Vahl.) mixed with juice of lemon(Citrus medica Linn.). (Kashyap, khil sthan.10).

9.  Tuberculosis:

The incidence ranges between 1-2% among the hospital deliveries in the tropics, and is predominantly confined to the under privileged sectors of society. Incidence of T.B. is also rising worldwide with the rising prevalence of HIV infected patients, positive family histories etc. Alcohol addiction and intravenous drug abuse are also responsible for this.

Management:

- An electuary made with maricha (Piper nigrum Linn.), bharngi (Clerodendrum serratum Linn.), and pippali (Piper longum Linn.) mixed with lemon juice should be given (Kashyap, khil sthan.10).

- If it is associated with trauma then use of an electuary made with madhuka (Glycyrrhiza glabra Linn.), sankhapushpi (Convolvulus pluricaulis Chois.), jiva (Leptadenia reticulate W. & A.), sugar and honey should be used (Kashyap, khil sthan.10).

- Pippalyadi leha is also useful (Kashyap, khil sthan.10).

10. Anemia:

It is the most common hematological disorder that may occur during pregnancy. According to standard laid down by WHO, anemia in pregnancy is present when the hemoglobin concentration in the peripheral blood is 11gm/100ml or less. During pregnancy, plasma volume expand (maximum around 32nd week) resulting hemoglobin dilution, which result in fall of hemoglobin concentration.

Due to anemia pre-eclampsia, recurrent infections, heart failure at 30-32 week of pregnancy and preterm labor may happen.

General treatment:

1. A realistic balance diet rich in protein and vitamin is prescribed.

2. To improve the appetite and facilitate digestion, some drugs could be given, such as use of powder of pippali, pippalimula (root of Piper longum Linn.), mustak (Cyperus rotundus Linn.) with sweetened milk or honey. (Kashyap, Chitiksa sthan. 2/13)

3. Effective therapy to cure disease contributing to the cause of anemia.

Special therapy: The principal is to raise the hemoglobin level to normal as far as possible. Thereafter an attempt is made to restore the iron reserve, before the patient goes in labor.

11. Acute pain in abdomen:

Some amount of abdominal pain is common during pregnancy.  In approximately 80% of women who are pregnant, back pain is present. The etiology of pain is probably related to a combination of mechanical, metabolic, circulatory, and psychosomatic and social contributing factors. The fact that one-third of the patients who experience pain starting during the first trimester when mechanical forces are not a significant force, highly indicates that the most probably cause is due to a change in hormonal influence. Patients are instructed to avoid excessive weight gain; exercise to strengthen the back muscles, maintain correct posture and wear sensible shoes (not high heels).

Pregnancy is one of the most beautiful aspects of womanhood. Each pregnancy, each child born, is a special opportunity for a woman to discover within herself great strength and flexibility. She can discover her great power yet her ability to surrender, her great compassion yet a detachment, most importantly, her greatest capacity to love.

In conclusion, considering all the disorders and their management mentioned above, it can be advocated that if the fetus and the pregnant woman are taken care of during each of the nine months, we can not only control all the possible disorders but can also help both mother and her child to live a healthy and happy life.

Reference:

1. Charaka Samhita: Charak Samhita of Agnivesh, Elaborate by Charak, redacted by Drdhabala   (vol.-1), Edited with  ”Vaidyamanorama”, Hindi Commentry Along with Special Deliberation etc. by Acharya Vidyadhar Shukla and Prof. Ravi Dutt Tripathi, Forward by Acharya Priy Vrata Sharma, Chaukhamba Sanskrit Pratishthan, Delhi, (2002).

2. Dutta D.C.: Text book of Obstetrics, 6th Edi., New Central Book Agency (P) LTD., Calcutta, (2004).

3. Tewari PV: Ayurveda Prasutitantra Evam Striroga, (Part 1) PrasutiTantra (Obstetrics), by Prof. (Km.) Premvati Tewari, Chaukhambha Orientalia, Varanasi (2003).

4. Tewari PV: Kashyap Samhita, (1 Ed.), Chaukhambha Viswabharati Prakashan, Varanasi (1996).

5. Harita Samhita: Harit Samhita,”Hari” Hindi Commentry by Pandit HariharPrasad Tripathi, Chaukhambha Krishndas academy, Varanasi (2005).

6  Sushruta samhita: Susruta Samhita of Maharsi Susruta, Edited with Ayurveda-Tattva-Sandipika, Hindi Commentary, Scientific Analysis, Notes etc, by Kaviraja AmbikaDutta Shastri, A.M.S.(Part-1) Chaukhambha Sanskrit Sansthan, Varanasi, (2004).

7  Yogratnakar : Yogaratnakara with ”Vidyotini” Hindi Commentry by Vaidya Laksmipati Sastri, Edited by Bhisagratna Brahmasankar Sastri, Chaukhambha Prakashan, Varanasi (2008).

8. Kashyap samhita: The Kashyap samhita or (Vrddhajivakiya Tantra), by Vrddha Jivaka, Revised by Vatsya, With Sanskrit Introduction, By Nepal Rajaguru ”Pandit Hemaraja Sarma”, with The ”Vidyotini” Hindi Commentary and Hindi Translation of Sanskrit Introduction  by Ayurvedalankar, ”Sri Satyapala Bhisagacharya”, Chaukhambha Sanskrit Sansthan, Varanasi (2008).

9. Vaghbata: A. Astanga Hrdayam of Srimad Vagbhata, Edited with ”Nirmala” Hindi Commentary, along with special delibration etc. By Dr. Brahmanand Tripathi, Chaukhamba Sanskrit Pratishthan, Delhi (2007).

B. Astanga Samgraha with Hindi Commentary (Vol.1) by Kaviraj Atrideva Gupta Vidyalankar, Bhishagratna. Foreword by Rajvaidya Pandit Sri NandaKishor Sharma, Bhishagacarya, Chowkhambha Krishnadas Academy, Varanasi (2005).

From:-

Dr. Vandana Sharma (BAMS & NDDY)

Medical Officer

Constipation is a symptom, not a disease. Constipation is one of the most common digestive complaints. Constipation refers to a decrease in the frequency of bowel movements. Constipation is one of the most common gastrointestinal complaints in the United States. Constipation is a very common condition that affects people of all ages. Constipation is most common in children and older people, and affects women more than men. In children, constipation can lead to soiling. Constipation most often are women and adults ages 65 and older. Pregnant women may have constipation, and it is a common problem.

Approximately 40% of pregnant women also experience constipation during their pregnancy. It varies greatly between different people, as each person’s bowel movements differ. In common constipation, the stool is hard and difficult and painful to pass. Straining to pass stool may cause hemorrhoids and anal fissures, which are themselves painful. In later stages of constipation, the abdomen may become distended and diffusely tender and crampy, occasionally with enhanced bowel sounds. Constipation is most commonly caused by a diet that is low in fiber, but can also be caused by drinking too much milk.

Certain hormonal disturbances, such as an underactive thyroid gland, can develop impairment. Pregnancy is another popular reason of impairment. Certain medications can induce impairment. These include pain medications , antacids that carry aluminium, antispasmodic drugs, antidepressant drugs, tranquilizers, iron supplements, anticonvulsants for epilepsy. Constipation is better treated by making changes in your kid’s diet. A diet with sufficient fibre helps the system kind tender, bulky feces. Dietitian can assist intend a proper diet. Drinking lot of fluids and exercising regularly will assist to arouse intestinal action.

Special exercises may be needed to color upward abdominal muscles after pregnancy or whenever abdominal muscles are weak. Surgical removal of the colon may be an alternative for folk with serious symptoms caused by colonic inertia. Eat a balanced diet that includes raw bran, whole-wheat grains, sweet fruits and vegetables. Osmotic laxatives make by increasing the sum of fluid in your bowels. This helps to arouse your system to give stools. Osmotic laxatives can too assist by softening your stools. Mineral oil or docusate (Colace, Surfak), to weaken fecal issue so that it passes through your intestines more well.

Ayurveda is an ancient medical practice in India. It is considered a science of life. As such Ayurveda remedy is an alternative therapy that is practiced and adapted to keep insightful expression of the body’s holistic nature to achieve good health. In general, each of the Ayurveda remedy is used to heal the facets of the spirit, the body, and the mind all at the same time. It is believed that doing so could improve overall condition of any human being. If you are into Ayurveda, you should be able to learn and be knowledgeable about various Ayurveda remedies and therapies.

Ayurveda remedy provides wellness to treat specific disorders or health abnormalities. The system is aimed at eliminating or setting out characteristic symptoms. In effect, it could work to cure the human being as a whole. It has prominent accent towards enhancement of basic life attributed like ingested food, nature of thoughts, and daily or seasonal lifestyle. You should always understand that Ayurveda is not concerned most about bringing about temporary relief. Instead, it aims to uproot and eliminate causes and roots of diseases. Thus, Ayurveda remedies are collections of numerous therapies that are used to relieve or heal every part and facet of not just the body but the whole human being.

There is a most intriguing part or aspect of Ayurveda remedy. It lies in the basic knowledge that Ayurveda is incorporating all methods of physical and mental cuing like aroma, meditation, lifestyle regimen, amulets, gems, diet, surgery, and herbs. In history, it could be found that Ayurveda remedies have emanated from enlightened wisdom of the sages. It has become a self-regulating practice through the years. It recommends inheritance of habits that have been proven to heal the individual soul and Cosmic Being aside from the physical aspect of the body. It integrates specific Ayurvedic exercises, massages, diets, and bodywork for completion and attainment of a relaxed body, mind, and soul.

Ayurveda remedies basically involve herbs and strategic uses to bring about better health and relief from illnesses. There are specific examples. For vomiting (a way of body cleansing), honey and licorice could be best. Calamus root tea is also bringing about similar results. This Ayurveda remedy is often used for treatment of colds, asthma, cough, nausea, fever, anemia, loss of appetite, diabetes, and skin diseases. The herbs could also treat attacks of epilepsy and edema.

For common problems like jaundice, constipation, worms, fever, abdominal tumors, skin diseases, irritable bowel syndrome, and gastrointestinal problems, there are specific herbs that induce purgation. For purgation or cleansing therapy, there are specific herbs that could act as laxatives. They include prune, senna, dandelion root, castor oil, mango juice, and bran. Enemas could cleanse the internal body system effectively. To do the therapy, you need herbs like calamus and sesame oil. Form a decoction and put into the rectum as a form of laxative.

Herbal inhalation therapy could treat problems involving the nose, eyes, throat, and ears. The necessary herbs to be appropriately used are onion, cayenne, gotu kola, garlic, ginger, black pepper, and calamus. However, this form or Ayurveda remedy should not in any way be conducted or taken after taking a bath, eating food, drinking alcohol, and indulging in sex. The herbs for nasal inhalation should also not be used during menstruation or pregnancy.

Temporal lobe seizure is the most frequent cause of partial seizures and aura. During a temporal lobe seizure, you may smack your lips, swallow repeatedly or pick at things with your fingers. Such activities are called automatisms. The temporal lobe is located close to the ear. Temporal lobe seizures can affect people of any age, and can occur as a single episode or can be repeated as part of a chronic (ongoing) condition. The seizures of temporal-lobe epilepsy often start in childhood. Temporal lobe epilepsy is difficult to diagnose because temporal lobe seizures may not show up on an EEG. Sometimes these seizures are caused by an abnormality in the temporal lobe, such as a tiny scar or tumor, but often no identifiable cause is found. A seizure is an episode of abnormal electrical activity in the brain that can involve loss of consciousness or reduction of consciousness, involuntary movements, and overwhelming sensations. Certain patterns of electrical activity can cause seizures, which are episodes when electrical signals spread in abnormal patterns within the brain.

Temporal lobe seizures commonly result from damage to specific areas in the temporal lobe of the brain. This damage includes scarring, called mesial temporal sclerosis. The seizures associated with TLE consist of simple partial seizures without loss of awareness (with or without aura) and complex partial seizures (ie, with loss of awareness). For most people, the seizures of TLE can be completely or at least mostly controlled with the medications for partial seizures. Many seizure medicines can be used, either alone or in combination. Temporal-lobe epilepsy is usually classified as simple or complex partial seizures. Repeated TLE seizures can damage the hippocampus, a part of the brain that is important for memory and learning. Pregnancy, lack of sleep, skipping doses of medications, use of recreational drugs (including alcohol), or illness may cause seizures in a person with a previously well-controlled seizure disorder. Temporal lobe resection may be an option for people with epilepsy whose seizures are disabling and/or not controlled by medication, or when the side effects of medication are severe and significantly affect the person’s quality of life.

Causes of Temporal lobe seizure

The common causes and risk factor’s of Temporal lobe seizure include the following:

Temporal lobe seizures commonly result from damage to specific areas in the temporal lobe of the brain.

Past infections, e.g. herpes encephalitis or bacterial meningitis.

Certain patterns of electrical activity.

Causes can include traumatic injury, infection, brain tumors, genetic syndromes, and lesions of any sort.

Although a brain tumor is an uncommon cause, a seizure may be the first indication of a brain tumor.

Blood vessel disorders, such as arteriovenous malformation (AVM), can be a cause of seizures.

Symptoms of Temporal lobe seizure

Some symptoms of related to Temporal lobe seizure are as follows:

Abnormal sensations.

A sudden sense of unprovoked fear.

Hallucinations or illusions (vision, smells, tastes, or other sensory illusions).

Nausea.

Epigastric sensations (“a funny feeling in my gut,” “stomach rising”).

Forced turning of the eyes.

Abdominal pain or discomfort.

Changes in vision, speech, thought, awareness, personality.

Rapid heart rate/pulse.

Treatment of Temporal lobe seizure

Here is list of the methods for treating Temporal lobe seizure:

Standard medications to control temporal lobe seizures include phenytoin (Dilantin), carbamazepine valproic acid (Depakene), phenobarbital, lamotrigine (Lamictal), topiramate (Topamax), tiagabine (Gabitril) and zonisamide (Zonegran).

Oral anticonvulsants (anti-seizure medications taken by mouth) are used to prevent or reduce the number of future seizures.

Multiple, repeated seizures are usually treated with long-term use of an antiepileptic drug.

For temporal lobe seizure disorders that don’t respond well to medications, surgery may be an option.

The operation (called a temporal lobectomy ) usually removes only the abnormal part of the temporal lobe, not the entire lobe. Many also benefit from vagus nerve stimulation or the ketogenic diet.

Use of informational jewelry or cards (such as Medic-Alert or similar) that indicate a seizure disorder may be advised. These accessories may help in obtaining quick medical treatment if a seizure happens.

Both Wellbutrin and Zyban are the brand of drugs containing the same active ingredient, which is Bupropion. Bupropion can be used as an antidepressant and as an aid to quit smoking.

As an antidepressant, it is sold under the brand name Wellbutrin, Wellbutrin SR and Wellbutrin XL. It is used to treat major depression and seasonal affective disorder or SAD, as well as certain other conditions. No one really understands how it works, but its beneficial effects are due to its ability to inhibit the reuptake of the neurotransmitters dopamine and norepinephrine, and to a much lesser extent, serotonin, which causes an increase of these chemicals in the brain . These chemicals have an impact on our moods and increased levels of these neurotransmitters, it is possible to relieve the symptoms of depression.

As smoking cessation aid under the name Zyban, it appears to work by reducing nicotine cravings and symptoms of nicotine. It also helps to prevent weight gain unwanted, that often accompanies quitting. One thing to remember when taking Zyban is that it is important to take it earlier in the day to help prevent insomnia at night and both doses are taken, we must take eight hours after the first for the first should be taken in the morning.

As with all medicines, there are some factors to consider before taking Bupropion, including possible side effects and against indications, which may have an impact if it is an appropriate treatment for you or not.

Bupropion

If you are prescribed Zyban or Wellbutrin, it is essential that you inform your doctor of any medication you take as there are a number of other drugs and substances that may interact with bupropion, and that includes prescription drugs , herbal remedies, vitamins and over against cough preparations such as medicines etc.

You must also inform your doctor if you drink much alcohol, coffee or other drinks containing caffeine if you smoke or use illicit drugs, if you are taking sedatives or MAOIs (monoamine inhibitors oxidase), or any other medicines containing bupropion, and if you have a medical complaint. In particular, the physician should be fully aware, if you suffer or have suffered from one of the following conditions that Bupropion May not be appropriate or May only be appropriate at a reduced dose:

• epilepsy

• Eating disorders

• Brain Tumor

• Kidney failure

• hepatic

• alcoholism

• A head injury or trauma

• Insomnia

• An allergic reaction to Bupropion

• Diabetes

• suicidal thoughts

• Tourettes Syndrome

• Heart disease

You must also inform your doctor if you are pregnant or currently trying to conceive or if you are breast-feeding or if you are due to undergo surgery or other treatment in the near future.

Side effects

Some side effects are more frequent than others and there are some that are more serious than others. Side effects associated with Bupropion may include:

• Dry mouth

• Changes in taste

• Insomnia

• Headaches

• Constipation

• Nausea

• Tremor

• Agitation

• Dizziness

• Increased perspiration

• Weight loss

• Mania, hallucinations

• Seizures

• Irritability

• Depression

• Anxiety

• irregular heartbeat or palpitations

• Chest pain

• Abdominal pain

• Rash and eczema, urticaria

• increased blood pressure

• Difficulty breathing or wheezing

• Confusion

• Blurred vision

• Fatigue

• Loss of interest in sex

• swelling of the face, tongue and throat

You should inform your doctor immediately if you have big changes in mood or behavior, especially if you feel depressed or have suicidal thoughts, and if you feel too agitated, hostile, anxious or hyperactive, and if you having trouble sleeping.

You must also obtain emergency medical care if you have trouble breathing, if your face, tongue and throat began to swell, if you have a convulsion if you experience rapid heartbeat or irregular or if you develop hives or severe skin eruptions.

Other important points

Wellbutrin and Zyban Both should be taken exactly as prescribed by your doctor. This means that you should not increase or decrease the dose unless your doctor tells you to do so, especially, do not suddenly stop taking the drug because it can have serious side effects. If you forget to take an hour, take it as soon as you remember again, unless it is almost time for you to take the next dose, if so, just take the next dose as usual and not taking the penalty that you forgot.

It is important to note that drinking lots of alcohol and other drugs taken once you start taking bupropion may increase the risk of seizures and other side effects, such as the launch or the sudden alcohol and other drugs, including Bupropion stop it, it is not advisable to make any changes whatsoever, without first seeking medical advice.

Both Zyban and Wellbutrin are brand name prescription drugs that contain the same active ingredient, which is Bupropion. Bupropion can be used both as an antidepressant, and as an aid to giving up smoking.

As an antidepressant, it is sold under the brand names Wellbutrin, Wellbutrin SR and Wellbutrin XL. It is used to treat major depression and also seasonal affective disorder or SAD as well as some other conditions. No one really understands exactly how it works, but its beneficial effects are due to its ability to inhibit the reuptake of the neurotransmitters dopamine and norepinephrine, and to a much lesser extent, serotonin, which results in an increase of these chemicals in the brain. These chemicals have an impact on our moods and so by increasing the levels of these important neurotransmitters, it is possible to alleviate the symptoms of depression.

As a smoking cessation aid under the brand name Zyban, it appears to work by reducing nicotine cravings and the symptoms of nicotine withdrawal. It also helps to prevent the unwanted weight gain which often accompanies stopping smoking. One thing to remember when taking Zyban is that it is important to take it earlier in the day to help prevent insomnia at night and if two doses are taken one must be taken eight hours after the first so the first one should be taken on waking.

As with all medications there are certain factors to be considered before taking Bupropion, particularly any potential side effects and contraindications, which can have an impact on whether it is an appropriate treatment for you or not.

Bupropion

If you are prescribed Wellbutrin or Zyban it is essential that you tell your doctor about any other medications that you are taking as there are a number of other drugs and substances that can interact with Bupropion and this includes prescription drugs, herbal remedies, vitamins and over the counter preparations like cough medicines etc.

You should also tell your doctor if you drink a lot of alcohol, coffee or other drinks containing caffeine, if you smoke or use illegal drugs, if you are taking sedatives, or MAOIs (monoamine oxidase inhibitors), or any other drug containing Bupropion, and if you suffer from any medical complaint. In particular your doctor should be fully aware if you suffer or have ever suffered from any of the following conditions as Bupropion may not be suitable or may only be advisable at a reduced dose:

• Epilepsy

• Eating disorders

• Cerebral tumours

• Kidney failure

• Liver failure

• Alcoholism

• A head injury or trauma

• Insomnia

• An allergic reaction to Bupropion

• Diabetes

• Suicidal thoughts

• Tourettes syndrome

• Heart disease

You should also inform your doctor if you are currently pregnant or are trying to conceive or if you are breastfeeding or if you are due to undergo surgery or any other treatment in the near future.

Side effects

Some side effects are more common than others and there are some that are more serious than others. Side effects associated with Bupropion can include:

• Dry mouth

• Changes in taste

• Insomnia

• Headache

• Constipation

• Nausea

• Tremor

• Agitation

• Dizziness

• Increased sweating

• Weight loss

• Mania, hallucinations

• Seizures

• Irritability

• Depression

• Anxiety

• Irregular heartbeat or palpitations

• Chest pain

• Abdominal pain

• Rash and eczema, hives

• Raised blood pressure

• Difficulty breathing or wheezing

• Confusion

• Blurred vision

• Fatigue

• Loss of interest in sex

• Swelling of face, tongue and throat

You should tell your doctor immediately if you experience any dramatic changes in mood or behaviour, particularly if you feel depressed or have suicidal thoughts and if you are feeling overly agitated, hostile, anxious or hyperactive, and if you are having any trouble sleeping.

You should also seek urgent medical attention if you have trouble breathing, if your face, tongue and throat start to swell, if you have a convulsion, if you experience rapid or irregular heartbeats or if you develop hives or severe skin eruptions.

Other important points

Both Zyban and Wellbutrin should be taken exactly as prescribed by your doctor. This means you mustn’t increase or decrease your dose unless your doctor tells you to; in particular, don’t suddenly stop taking the medication as this can have serious side effects. If you happen to forget to take one, take it as soon as you remember again unless it is nearly time for you to take the next dose, if this is the case then just take the next dose as normal, and don’t bother taking the one you forgot.

It is important to note that drinking a lot of alcohol and taking some other medications once you begin to take Bupropion can increase the risk of seizures and other side effects, as can starting or indeed abruptly stopping alcohol, and any other medications, including stopping to take Bupropion, so it isn’t advisable to make any changes whatsoever without first seeking medical advice.

Just like you, many women want to know what are ovarian cysts and how you can you get rid of them.

  

Ovarian cysts are fluid-filled sac-like structures that can form in, on or near a the ovaries — two walnut-sized organs located on either side of the uterus and under the fallopian tubes.  Ovarian cysts commonly affect women during their reproductive years, particularly between the ages of 20 and 35.

Women who suffer from endometriosis, pelvic inflammatory disease or bulimia, or take the epilepsy drug Valporate tend to be more susceptible to ovarian cysts than most.

Every month, women produce a small structure known as a follicle as part of the reproductive cycle.  This normal fluid-filled sac contains an egg which a woman’s body releases during ovulation around day 14 of the menstrual cycle.

What causes ovarian cysts?

 • Functional cysts

This type of cyst is common and develops from tissue changes during ovulation. Every month, ovaries normally grow cystic structures called follicles.  Typically, follicles return to normal ovarian tissue after ovulation. But sometimes there one or more fluid-filled cyst remains for four to six weeks.

• Follicular and corpus luteum cysts 

A follicular cyst develops from a follicle that grows larger than normal, fills with fluid and does release the egg.

A corpus luteum cyst is seen as a yellow tissue mass forming from the follicle after ovulation.    They tend to disappear after two or three menstrual cycles, and are associated with normal ovarian function.

• Abnormal/neoplastic cysts 

These cysts develop as a result of cell growth.  In most cases, they are benign and rarely become cancerous. There are two types of abnormal cysts.

Dermoid cysts occur when ovarian tissue grows abnormally to form other body tissues such as hair, teeth, fatty material, bone or cartilage.

 

Polycystic cysts develop as a result of a buildup of multiple small cysts which, in turn,  can cause hormonal imbalances in a woman’d body.

Diagnosing Ovarian Cysts 

The most common symptoms associated with cysts include:

• Sudden and severe pain in the abdomen or pelvis

• Increased facial hair

• Fullness or swelling of the abdomen

• Severe abdominal accompanied by fever or vomiting

• Pelvic pain during intercourse

• Constant ache that extends to lower back and thighs

• Menstrual irregularities – delayed, irregular or painful menstrual periods

• Pelvic pain shortly before your period begins or just before it ends

• Difficulty emptying your bladder completely as a result of pressure on the bladder

• Pain during bowel movements or pressure on your bowels

• Nausia, vomiting or breast tenderness that is experienced during pregnancy

One or more tests such as a pregnancy test, ultrasound, computerized axial tomography (CAT-scan), magnetic resonance imaging (MRI scanning), laparoscopy or blood test may be required.

Medical treatments

Treatment of ovarian cysts generally depends on the woman’s age, the size and type of cyst, overall health status and severity of symptoms. Sometimes treatment may not be required for cysts because they’re apt to heal on their own.

Periodic pelvic ultrasound monitoring should be performed regularly, especially for postmenopausal women.

Hormone therapy such as birth control pills may be prescribed to limit the development of new cysts and decrease your risk of cancer.

Surgical procedures 

If cysts are large, abnormal or cause pain, surgery may be recommended.

Cysts may be removed in a procedure known as a cystectomy which does not require removing the ovary; or an oophorectomy, which involves removing the affected ovary and leaving the other intact.

If the cyst is cancerous, a hysterectomy may be performed to remove both ovaries and uterus.

Natural remedies

Natural treatments such as herbal remedies are safe and effective.  They restore a woman’s hormone balance while reducing and preventing ovarian cysts.

These herbs are safe and gentle on your body’s system.  They’ll also enhance your overall health and wellbeing. 

 

Get the information you need to rid your body of ovarian cysts and ultimately prevent cysts from forming in the first place

Learn all you need to know about ovarian cysts and how you can get rid of them safely and effectively.

Go to http://Ovarian-Cysts-Relief.info 

anchkarma:

Panch mean : Five

Karma mean : Process or Work

Panchkarma mean five types of process. Panchkarma means a set of five major operative procedures. Like all major operative procedures.

Ayurveda has two types of treatments. One is Saman, and the second one is Sodhan treatment. Panchkarma is one of the Sodhan treatment. It is the purification and detoxification process. It is the cleansing process and remove toxins from our body.

Every day We are exposed to toxins in the air, water, and especially in processed food we eat. The external toxins which throughout from our body by urine, stool, perspiration and breathing. Some internal toxins are deposited in our body. When they become higher,  they create diseases.

PANCHKARMA:

PURVA KARMA:- ( Pre-treatments) PRADHAN KARMA: ( Main- treatments) PASCHYAT KARMA: ( Post-treatments ) PURVA KARMA:- ( Pre-treatments)

Pre-cleansing procedures:

Dipan-pachan Snehan Svedan Dipan & Pachan

First purva-karmas are Dipan and Pachan, means use of carminative and digestive herbs It is basically meant for ‘Niramikaran’ ( removal of Ama ). Unless and until Ama is removed from the associated dosha, chances of good recovery from the disease are very less. This is an unique approach for the treatment in Ayurveda. So for Dipan and Pachan specific diet and medicines are prescribed for certain period

Snehan

Snehan means oil therapy. The use of oily substances for the treatment is known as Snehan. Plant or animal fats are used for this purpose. It can be external as well as internal.

Svedana

A therapy by which a person is made to sweat is svedan. Sveda (sweat) is considered a waste product of the body. Snehan (oil therapy) should be followed by Svedan. Svedan is the best treatment for reducing vata and kapha. Herbal medicines may be added further to loosen the toxins from the individual. 

Svedan liquefies the aggravated doshas and increases their movement into the koshtha (trunk, gastro-intestinal tract) from the shakhas (extremities). After three to seven days of snehan and svedan, the doshas become well “ripened.” Then the aggravated doshas can be eliminated by Panchkarma (operative procedures) viz., vaman etc.

PRADHANKARMA : Main Purification measures of Panchakarma : Rejuvenation or Detoxification Program

Ayurveda prescribes Panchkarma Therapy for general fitness and complete eradication of the diseases with balance of mind, body and spirit. Also it is must for Rejuvenation Treatment (Rasayan Chikitsa) and Aphrodisiac Treatment (Vajikaran Chikitsa). VAMAN : ( EMESIS THERAPY )

A medicated emesis therapy:

When there is congestionof KHAPHA in the lungs or any other KHAPHA disorder, the Ayurvedic treatment is therapeutic vomiting – Vamana, to eliminate the Kapha which is causing the excess mucus.

Indications : 

Effective in Kapha predominant diseases like Bronchitis, Asthma, Severe Skin diseases (Psoriasis, Urticaria, Eczema etc.), Sinusitis, Diabetes, Chronic Cold, Anorexia, Specific Abdominal disorders, Chronic indigestion, Epilepsy, various psychological disorders etc.

VIRECHANA : ( PURGATION THERAPY )

Virechana is a process by which doshas are made to pass through Anus.

When excess bile, Pitta, is secreted and accumulated in the gall bladder, liver and small intestine, Ayurvedic literature suggests in these conditions the administration of therapeutic purgation or a therapeutic laxative.

Indications : 

Chronic Fever, Skin diseases, Acne, Allergic disorders, Eczema, Psoriasis, Ascites, Diabetes, Obesity, Hypertension, Thyroid Disease, Asthma, Arthritis, Jaundice, Infertility, Oligospermia, Hemiplegia, Constipation, Hyperacidity, Headache, Worms, Gout & in various “PITTA” predominant diseases.

BASTI : ( ENEMA THERAPY )

Vata’s predominant site is the colon. Ayurvedic Basti involves the introduction into the rectum of herbal concoctions of sesame oil, and certain herbal preparations in a liquid medium. Basti, is the most effective treatment of Vata disorders, although many enemas over a prescribed period of time are usually required. Basti therapy is divided in two main types ANUVASAN BASTI – medicated oil enema. and NIRUH BASTI – medicated oil and decoction enema.

Indications :

In all vata conditions like Neuromuscular and Musculoskeletal disorders, Chronic Constipation, Paralysis, Sciatica, Backache, Gynecological disorders, Infertility, Oligospermia, Arthritis, Heart disease & All types of Pains,constipation,fever, cold, sexual disorders, kidney stones, rheumatism, gout, muscle spasms and headaches, distention etc.

NASYA : ( NASAL ADMINISTATION )

The nose is the doorway to the brain and it is also the doorway to consciousness. The nasal administration of medication is called Nasya. An excess of bodily humors accumulated in the sinus, throat, nose or head areas is eliminated by means of the nearest possible opening, the nose.

Indications : 

Cleanses accumulated Kapha dosha from the head and neck region. Effective in treating urdhwajatrugata rogas (ENT & Eye disorders), Trigeminal Neuralgia, Facial Palsy, Paralysis, Insomnia, Pre-mature graying of Hair, Headache of various origin, Frozen Shoulder, Stiffness of the Neck, Neurological Dysfunctions, Sinusitis and also improves Memory & Eye Sight.

RAKTAMOKSHANA (Blood letting)

Elimination of vitiated blood & toxic elements from the body. Jalloka are also used for this purpose (Blood letting by leaches).

Indication :

Effective in Haemopathological Conditions, Allergies, Sciatica, Gout, Leucoderma, Skin diseases, Scabies, Chronic itching, Skin rashes, Alopecia, Urticaria, Hyper tension, Enlargement of liver & Spleen etc. associated procedures of Panchkarma.

PASCHAT KARMA : (POST- TREATMENT)

After any operative procedure of purification, always there is need to prevent the body from dosha re-aggravating causes and also prevent the AGNI.  

1. Samsarjana Karma –  the method of dietetic to restore Agni. 

2. Shaman Karma –  Sedative Type of Treatment. 

3. Rasayana Karma –  Promotive Type of Treatment 

4. Vajikaran Chikitsa  -  Aphrodisiac Type of Treatment.

Benefits Of Panchkarma :

1. Purifies the body by excreting out toxic waste materials so that the root cause of disease can be eliminated & recurrence of disease can be subsided.

2. Various systems of the body can be made healthy by regularizing the metabolism which was initially affected by irregular food habit, Environment Condition or other factor. 

3. Reverses biological age by its property of inducing Rasayana Karma (Rejuvenation therapy).

4. Minimizes drug doses & toxicit, it increases sound sleeping hours.

5. Gives easy recovery, sustained relief & inhibits the relapse. It affects mind and emotions.

6. This therapy is not just for an ill individual but a healthy one can also get a long, healthy & energetic life