ppressure sore hospitals in dubai - Best Private Hospital in Dubai Al Mankhool

Reconstructive Plastic Surgery

Posted on May 2, 2017June 21, 2023

The incidence of Cancer both benign and malignant is on the rise worldwide. Cancer treatment especially for malignancy can damage or disfigure the body parts function and or appearance. Reconstructive Plastic Surgery helps to repair the damage and restore near normal appearance.

Anti aging treatment and plastic surgery concept. Beautiful faces of young woman with arrows isolated on white

Unlike Cosmetic Surgery, most insurance companies cover Reconstructive Plastic surgery.

Reconstructive surgery is usually needed after a tumour is removed and there is a defect which needs to be covered. E.g. after Mastectomy ( surgical removal of breast) for cancer- the patient may choose to have the breast volume restored . Or after a jaw tumour when the onco-surgeon has removed one side of the jaw bone and cheek completely and there is a huge open defect.

Portrait collage of young, healthy and beautiful woman

Reconstructive Surgery can be performed immediately after removal of the tumour (Immediate reconstruction) or can be performed after completion of other cancer treatments like chemotherapy and radiation therapy (Delayed Reconstruction).

Reconstructive surgery can make use of several body parts solely or in combination to facilitate good reconstruction. Options of reconstruction may include use of only skin (skin graft) or flap surgery ( combination of skin, fat , muscle or bone).

With the advancement in Microsurgery and techniques, single stage reconstruction with good cosmesis is possible. It works by taking tissue and blood vessels from one part of the patient’s body and placing it over the damaged part and joining the vessels under the operating microscope.

All options of reconstruction are to be discussed with the reconstructive plastic surgeon before surgery.

Reconstructive Surgery is no longer a social taboo, but a way forward to a better quality of life and better future.

Not paying attention to your nasal symptoms may turn your sinusitis chronic

Posted on December 15, 2016June 21, 2023

Headache disorders Info Graphics in circle.Vector illustrations Approximately 20% of the UAE population suffers from Chronic Sinusitis. Symptoms range from stuffy nose, nasal blockage, headache, facial pain, postnasal discharge, cough and bad breath. These are all symptoms of chronic sinusitis. The weather in UAE plays a significant role in the development of these symptoms. Fine sand in the air, humidity, allergies, sudden temperature changes too trigger it. Deviation of the nasal septum and nasal polyps too can lead to chronic sinusitis.

KNOW YOUR SYMPTOMS

When you have chronic sinusitis, the mucous membrane of the nose, sinuses and throat get inflamed, possibly from a pre-existing upper respiratory tract infection or allergies. Swelling obstructs the sinus opening and prevents normal mucous drainage, causes mucous and pressure to buildup.

Symptoms include – thick greenish post nasal discharge, nasal stuffiness, and pain around the eyes, cheeks, nose and forehead. There could be an associated reduced sense of smell and or taste.This condition if not treated on time can lead to Bronchitis, asthma or other respiratory diseases,

Many people with sinusitis either silently suffer or opt for self medication, making the problem worse leading to a chronic ailment. A common cold is usually caused by a viral infection and it gets better in approximately a week’s time. If it lasts for more than that, you need to see a Doctor.

HOW TO GET WELL

sinus-1 Visual inspection, nasal endoscopy and CT scan, paranasal sinuses can help screen for chronic sinusitis. A CT scan can accurately diagnose chronic sinusitis. Once diagnosed, it is treated with nasal decongestants, steroid nasal sprays, antihistamines, antibiotics etc.
Sinus surgery may be required when conservative treatment fails. Endoscopic sinus surgery is done under local or general anesthesia. The main aim of the surgery is to enlarge the natural opening of the sinuses and to restore the normal sino-nasal ventilation and drainage.

HOME REMEDIES THAT CAN HELP

Steam inhalation
Saline spray
Pain in the nose and sinuses can be relieved by warm compress.

TIPS TO AVOID SINUSITIS

Keep yourself hydrated – Drinking water prevents mucus from thickening and blocking the sinuses.
Avoid smoking – Smokers are more prone to suffer from sinusitis.
Consult a Doctor if a cold persists for more than 10 days.
Complete prescribed course of antibiotics. When indicatedHeadache disorders Info Graphics in circle.Vector illustrations

Prepare your kids for exams!!!

Posted on November 12, 2015June 21, 2023

Exams are important milestones in your children’s education. Younger children need much more assistance than older children in preparing for exams. The guidance that you provide in the early stages will enable your children to study with discipline and dedication later on, on their own. If your children are still in kindergarten or primary classes, you will need to invest much more time. However, with older children, you may face problems of a different kind—disobedience and rebellion, which require greater tact.

• Never let your children postpone studying until a day before the exams. This will only increase their anxiety and stress levels. Preparation is the key to success. Don’t listen to any excuses and don’t be swayed by assurances. The best course is to have your children study for some time everyday. Even if this is not possible, ensure that they begin preparing for the exams at least two to three weeks in advance.

• Do not impose yourself on your children. Some children require more support while others are happier studying on their own. This depends on your children’s nature. However, let them know that you’re always there to help them.

• It is not enough to read up matter. Your children should be able to recall the same in the examination hall. Hold question and answer sessions where you ask them random questions on the subject once they have finished studying.

• Prepare a timetable for each child. You can cover subjects in the order of the examination schedule or you can tackle difficult subjects first. For younger children, two to three hours of study a day should suffice. Children in the secondary and higher secondary classes should study for four or five hours a day when the exams are due. Alternate languages and practical subjects like mathematics to minimise boredom.

• Especially for older children, access to question papers from previous years is a must. These may be available in the school library, with teachers or you can secure them from the senior students. Have them solve at least one or two papers in each subject, within the given time limit. This is like a rehearsal and helps in mitigating exam nerves. It will also give your child an idea of how much time to allot for each question.

• Don’t allow your children to stay up or wake up too early. Make sure that they get at least eight hours of sleep. Inadequate sleep affects the brain’s functioning and will reduce your children’s retention. Discourage use of caffeine or other stimulants to remain awake.

• Children these days suffer from as much stress as adults. Do not pressurise your child ever. Do not entertain negativity and empower them with confidence if they start moaning about previous performances.

• Create a study-ritual for your children. Encourage them to use the same place to study everyday, preferably somewhere quiet and pleasant. The outdoors is a great option as well. Let them be silent and make a resolve to study well before beginning the session. End every session with a revision of what has been covered. Set small goals–one or two chapters or even topics. If they are studying for long durations, schedule breaks every one or two hours. Let them do what they like such as go for a walk, meditate or solve a puzzle.

• Older children may benefit from group study, especially for subjects that they find difficult. It is preferable if your child can go to his friends’ houses rather than having them over. This way, he can leave if the session is proving to be a waste of time.

• On the D-Day, wake your children up well in time and serve them a light breakfast. Set aside time for a disciplined revision. Teach them relaxation exercises. Ensure that they have their pens and pencils, examination pad and other necessary items before leaving the house. Wish them luck and hope for the best!

Bedsore or Pressure Sore

Posted on September 12, 2015June 21, 2023

What are bedsores?

A bedsore is an area of broken down skin and underlying tissue to form ulcers. Bedsores are also known as pressure sores, decubitus ulcers, pressure ulcers and pressure wounds.

What causes bedsores?

Bedsores are caused from a lack of blood flow and from mechanical stress to the skin and tissues over a bony area that has been under pressure for a prolonged period. If blood supply is cut off to an area of skin for more than 2 or 3 hours the skin is deprived of oxygen and begins to die. In addition, when slowly sliding down a bed or chair, friction to the outer skin layer such as from wrinkled bedding and clothing contribute to skin injury and ulcers. Excessive exposure to moisture such as sweat, blood, urine or faeces also increases the likelihood of bedsores.

Who is at risk of bedsores?

People whom are immobile due to illness or injury are at greatest risk of getting bedsores. These people may be wheelchair-bound or bedridden and are unable to change position without assistance. Also at risk are people whom, due to nerve damage from injury or illness such as diabetes or stroke, are unable to sense pain or signals that normally make people move. Elderly people are also at greater risk because their skin is thinner and more fragile.

Different pressure points on the human body while lying down

Occiput or back of the head
Both elbows
Sacrum or lower back
Both the gluteal regions or buttocks
Both heels

What are the signs and symptoms of bedsores?

Bedsores are classified into stages according to wound severity.

Stage	Features
1	· Skin is unbroken but shows a pink or reddened area · May look like a mild sunburn · Skin may be tender, itchy or painful
2	· Skin is red, swollen and painful · Blisters that may be broken or intact may be present · Upper layers of skin begin to die · Wound is prone to infection
3	· Sore has broken through the skin and wound extends down to deeper layers of skin tissue · Crater-like ulcers are present · Wound is prone to infection
4	· Sore extends past the skin and into fat, muscle and bone tissue · Blackened dead tissue called eschar may be seen in deep opened wounds

What is the treatment for bedsores?

Bedsores can be difficult to treat once they go beyond stage 2. In the early stages when the skin is still intact bedsores usually heal by themselves once the pressure has been removed. Use of special ointments can prevent further bedsore infections. Once the skin is broken the main aim is to prevent infection and protect the sore so that it can heal. Special dressings may be used to help the healing process. Occasionally dead tissue may be removed with a scalpel (debridement, either in the ward or the patient may be required to be taken up in the operation room).

Therapeutic devices include:

The newest and promising mode of therapy for pressure sore is Negative Pressure Wound Therapy NPWT) also known as Vacuum Assisted Closure (VAC).
Hydrotherapy debridement, using saline solution in a syringe or water pressure jets.
Chemical debridement using special debriding agent

Deep bedsores are very difficult to treat and often require surgical treatment to remove dead and decaying tissue. Sometimes healthy skin may be transplanted to the damaged area. Infections need treatment with antibiotics. In severe or life-threatening situations amputation of limbs may be necessary.

Can bedsores be prevented?

Bedsore can be managed if proper care is given to the bedridden patient from the very beginning.

Correct malnutrition if present (fluid, energy, protein, vitamins and minerals)
Daily inspection of an immobile person’s skin to detect early redness
Frequent repositioning of the patient (recommendation is to turn them every 2 hours)
Keep the skin clean
Special foam, fibre and gels as padding materials used on chairs and beds to relieve the pressure on bony prominences
Powered alternating-pressure mattresses and overlays

Prevention of bedsores is the best approach as established bedsores can be painful and life threatening. They also lengthen hospital stays and increase medical costs dramatically.

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