Monday Health Burst

Endometriosis, Health, Health Communication, Monday Health Burst / cfhinitiative

ENDOMETRIOSIS – CAUSES, SYMPTOMS, AND TREATMENT

Endometriosis, sometimes called “Endo,” is a common health problem in women. It gets its name from the word endometrium, the tissue that normally lines the uterus or womb. Endometriosis happens when tissue similar to the lining of the uterus (womb) grows outside of the uterus and on other areas in the body where it does not belong. It is especially common among women in 30s and 40s and may make it harder to get pregnant. Endometriosis is often found on the ovaries, fallopian tubes, tissues that hold the uterus in place or outer surface of the uterus.

The cause of Endometriosis is yet unknown, However, there are several theories associated with the causes of Endometriosis. The widely accepted theory is that the womb lining does not leave the body properly during a period and embeds itself on the organs of the pelvis. This is known as retrograde menstruation. Other factors include

Genetic factors -Because endometriosis runs in families, it may be inherited in the genes.
Immune system problems -A faulty immune system may fail to find and destroy endometrial tissue growing outside of the uterus. Immune system disorders and certain cancers are more common in women with endometriosis.
Hormones -the hormone estrogen appears to promote endometriosis. Research is looking at whether endometriosis is a problem with the body’s hormone system.
Surgery -during a surgery to the abdominal area, such as a Cesarean (C-section) or hysterectomy, endometrial tissue could be picked up and moved by mistake. For instance, endometrial tissue has been found in abdominal scars.

Endometriosis is a long-term (chronic) condition. Symptoms can vary significantly from person to person and some women have no symptoms at all. Yet, the most common symptoms include: painful periods or heavy periods which gets worse overtime; pain in the lower abdomen, pelvis or lower back, pain during and after sex, bleeding between periods, difficulty getting pregnant, painful bowel movements or pain when urinating during menstrual periods. Most women with endometriosis get pain in the area between their hips and the tops of their legs. Some women experience this pain all the time.

Other symptoms may include persistent exhaustion and tiredness, discomfort when defecating, bleeding from the back passage (rectum) or blood in feces, and coughing blood in rare cases when the endometriosis tissue is in the lung. How severe the symptoms are depends on where in the body the abnormal tissue is, rather than the amount of tissue present. A small amount could be more painful than a large amount. It is worthy of note that Endometriosis is rare in women who are in the menopause stage.

There is presently no cure for endometriosis. Endometriosis can be a difficult condition to deal with, both physically and emotionally but treatments are available for the symptoms and problems it causes. The symptoms of endometriosis can often be managed with painkillers and hormone medication, which help prevent the condition interfering with daily activities. Still, there is no known cure for endometriosis. For women who are not interested in getting pregnant, hormonal birth control is generally the first step in treatment. Patches of endometriosis tissue can sometimes be surgically removed to improve symptoms and fertility also. However, Surgery is usually chosen for severe symptoms, when hormones are not providing relief or if there are fertility problems.

Monday Health Burst is an initiative of CFHI to address issues of basic health concerns. Join us every Monday for more interesting episodes

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Female Genital Mutilation, Gender, Health, Health Communication, HIV/AIDS, Hygiene, Mental Health, Monday Health Burst, Stop FGM, Women's Rights / cfhinitiative

EFFECTS OF FEMALE GENITAL MUTILATION (FGM)

According to World Health Organization, more than 200 million girls and women alive today have undergone female genital mutilation (FGM) in 30 countries in Africa, mostly in the Middle East and Asia. All forms of FGM are associated with increased health risk in the short- and long-term. Below are some of the health risks.

Short-term health risks of FGM

Severe pain. Cutting the nerve ends and sensitive genital tissue causes extreme pain. The healing period is also painful.

Shock. Can be caused by pain, infection and/or haemorrhage.

Genital tissue swelling. Due to inflammatory response or local infection.

Infections. May spread after the use of contaminated instruments (e.g. use of same instruments in multiple genital mutilation operations), and during the healing period.

Excessive bleeding (haemorrhage). Can result if the clitoral artery or other blood vessel is cut.

Human immunodeficiency virus (HIV). The direct association between FGM and HIV remains unconfirmed, although the cutting of genital tissues with the same surgical instrument without sterilization could increase the risk for transmission of HIV between girls who undergo female genital mutilation together.

Urination problems. These may include urinary retention and pain passing urine. This may be due to tissue swelling, pain or injury to the urethra.

Impaired wound healing. Can lead to pain, infections and abnormal scarring.

Death. Death can result from infections, including tetanus, as well as haemorrhage that can lead to shock.

Mental health problems. The pain, shock and the use of physical force during the event, as well as a sense of betrayal when family members condone and/or organize the practice, are reasons why many women describe FGM as a traumatic event.

Long-term health risks of FGM

Infections:

Chronic genital infections. With consequent chronic pain, and vaginal discharge and itching. Cysts, abscesses and genital ulcers may also appear.
Chronic reproductive tract infections. May cause chronic back and pelvic pain.
Urinary tract infections. If not treated, such infections can ascend to the kidneys, potentially resulting in renal failure, septicaemia and death. An increased risk of repeated urinary tract infections is well documented in both girls and adult women who have undergone FGM.

Painful urination. Due to obstruction of the urethra and recurrent urinary tract infections.

Vaginal problems. Discharge, itching, bacterial vaginosis and other infections.

Menstrual problems. Obstruction of the vaginal opening may lead to painful menstruation (dysmenorrhea), irregular menses and difficulty in passing menstrual blood, particularly among women with Type III FGM.

Excessive scar tissue (keloids). Excessive scar tissue can form at the site of the cutting.

HIV (Human immunodeficiency virus). Given that the transmission of HIV is facilitated through trauma of the vaginal epithelium which allows the direct introduction of the virus, it is reasonable to presume that the risk of HIV transmission may be increased due to increased risk of bleeding during intercourse, because of FGM.

Sexual health problems. FGM damages anatomic structures that are directly involved in female sexual function and can therefore also influence women’s sexual health and well-being. Removal of, or damage to, highly sensitive genital tissue, especially the clitoris, may affect sexual sensitivity and lead to sexual problems, such as decreased sexual desire and pleasure, pain during sex, difficulty during penetration, decreased lubrication during intercourse, and reduced frequency or absence of orgasm (anorgasmia). Scar formation, pain and traumatic memories associated with the procedure can also lead to such problems.

Childbirth complications (obstetric complications). FGM is associated with an increased risk of caesarean section, postpartum haemorrhage, recourse to episiotomy, difficult labour, obstetric tears/lacerations, instrumental delivery, prolonged labour, and extended maternal hospital stay. The risks increase with the severity of FGM.

Obstetric fistula. A direct association between FGM and obstetric fistula has not been established. However, given the causal relationship between prolonged and obstructed labour and fistula, and the fact that FGM is also associated with prolonged and obstructed labour, it is reasonable to presume that both conditions could be linked in women living with FGM.

Perinatal risks. Obstetric complications can result in a higher incidence of infant resuscitation at delivery and intrapartum stillbirth and neonatal death.

Mental health problems. Studies have shown that girls and women who have undergone FGM are more likely to experience post-traumatic stress disorder (PTSD), anxiety disorders, depression and somatic (physical) complaints (e.g. aches and pains) with no organic cause.

Pain. Due to tissue damage and scarring that may result in trapped or unprotected nerve endings.

Though FGM may be normative and considered to be of cultural significance in some settings, the practice is always a violation of human rights, with the risk of causing trauma and leading to problems related to girls’ and women’s mental health and well-being. (WHO,2020)

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2 Comments / Attention Deficit, Health Communication, Hyperactivity Disorder, Mental Health, Monday Health Burst / cfhinitiative

ATTENTION DEFICIT/HYPERACTIVITY DISORDERS (ADHD) IN CHILDREN

ADHD is one of the most common neurodevelopmental disorders of childhood. It is usually first diagnosed in childhood and often lasts into adulthood. ADHD symptoms can appear as early as between the ages of 3 and 6 and can continue through adolescence and adulthood. Symptoms of ADHD can be mistaken for emotional or disciplinary problems or missed entirely in quiet, well-behaved children. Adults with undiagnosed ADHD may have a history of poor academic performance, problems at work, or difficult or failed relationships.
It is normal for children to have trouble focusing and behaving at one time or another. However, children with ADHD do not just grow out of these behaviors. A child with ADHD might: daydream a lot; forget or lose things a lot; squirm or fidget; talk too much; make careless mistakes or take unnecessary risks; avoid tasks needing extended mental effort; have trouble taking turns or have difficulty getting along with others which can lead to academic failure and judgment by other children and adults; the tendency to have more accidents and injuries of all kinds; the tendency to have low self-esteem; increased risk of alcohol and drug abuse and other delinquent behavior.
There are 3 subtypes of ADHD: Predominantly inattentive (Majority of its symptoms fall under inattention); predominantly hyperactive/impulsive (Majority of its symptoms are hyperactive and impulsive) and combined (This is the combination of inattentive symptoms and hyperactive/impulsive symptoms).
Among the cause(s) and risk factors for ADHD, current research shows that genetics plays an important role. However, other factors include: Brain injury, exposure to environmental toxins during pregnancy, such as high levels of lead found mainly in paint and pipes in older buildings at a young age, premature delivery and low birth weight. Also, studies show that ADHD is more common in males than females. Females with ADHD are more likely to have problems primarily with inattention.
Diagnosis of ADHD requires a comprehensive evaluation by a licensed clinician, such as a pediatrician, psychologist, or psychiatrist with expertise in ADHD. Research shows that, ADHD is best treated with a combination of behavior therapy and medication. For preschool-aged children (4-5 years of age) with ADHD, behavior therapy, particularly training for parents, is recommended as the first line of treatment before medication is tried.
Monday Health Burst is an initiative of CFHI to address issues of basic health concern. Join us every Monday on all our social media platforms for more episodes.

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2 Comments / Drug Abuse, Health, Health Communication, Mental Health, Monday Health Burst / cfhinitiative

Schizoaffective Disorder in Adolescents
Schizoaffective disorder is part of a cluster of diagnoses called the schizophrenia spectrum and other psychotic disorders. Schizoaffective disorder is a neuropsychiatric or mental disorder in which a person experiences a combination of schizophrenia symptoms and mood disorder symptoms (typically either major depressive disorder or bipolar disorder).
The symptoms and behavior of children and adolescents with schizoaffective disorder may be different from those of adults with this illness. The following symptoms and behaviors can occur in children or adolescents with schizoaffective disorder: Changes in weight or appetite, Suicidal thoughts or attempts, agitation, sleeplessness, and paranoia; depressive symptoms, including sadness, fatigue, trouble concentrating, and loss of interest in daily activities; and/or psychotic symptoms, such as hallucinations, delusions, and confused thinking. Without treatment, the disorder may lead to difficulty functioning at work, at school, and in social situations.
Adolescents schizoaffective disorder is very hard to accurately diagnose, as it is difficult to distinguish from schizophrenia, bipolar disorder, and other mood disorders. Many adolescents with schizoaffective disorder are often initially misdiagnosed with bipolar disorder or schizophrenia.
The greatest risk factor for developing a schizoaffective disorder is generally family history of the same illness or other forms of psychosis, there are a few other risks associated with the development of a schizoaffective disorder in Adolescents, which includes but not limited to drug abuse (Overuse of mind-altering substances such as; methamphetamine, cannabis, cocaine, alcohol, amphetamines, and psychedelics. Some drugs, like ecstasy, can produce lasting or persistent psychosis even after single use in certain individuals) and trauma ( An extremely stressful event triggering latent symptoms. Though trauma is entirely subjective. A horrific event witnessed by multiple persons may only leave one or two struggling with traumatic mental health issues afterwards).
There is no effective cure, but symptoms can be managed and reduced to the point where a normal life without dire consequences can be possible. Adolescents are highly adaptive, and with some therapeutic intervention and possibly the use of medication, most adolescents with schizoaffective disorder can find relief. However, the disorder cannot be completely removed from a person’s mind. Managing it is an ongoing process, and there can be setbacks at times.
Monday Health Burst is an initiative of CFHI to address basic health issues. Join us every Monday on all our social media platforms for more health-related articles.

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Gender, Health, Mental Health, Monday Health Burst, Postpartum Depression / cfhinitiative

POSTPARTUM DEPRESSION (PPD)

Postpartum depression (PPD) or postnatal depression is a complex mix of physical, emotional, and behavioural changes that happen in some women after giving birth. According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), PPD is a form of major depression that begins within 4 weeks after delivery.

Symptoms of postpartum depression can be hard to detect. However, many women have these symptoms following childbirth: Difficulty sleeping, change in appetite, excessive fatigue, decreased libido, frequent mood changes, depression, low self-esteem, suicidal thoughts, panic, thoughts of hurting someone else, and obsessive-compulsive disorder (OCD). The OCD obsessions are usually related to concerns about the baby’s health, or irrational fears of harming the baby.

There is no one cause of postpartum depression. A number of factors can increase the chances: A history of depression prior to becoming pregnant, or during pregnancy; Age at time of pregnancy; Ambivalence about the pregnancy; Number of children — the more children, the more likely it is for one to be depressed in a subsequent pregnancy; Having a history of depression or premenstrual dysphoric disorder (PMDD); Limited social support; Loneliness during pregnancy; Marital conflict; Sleeplessness; Anxiety; Hormonal imbalance — The dramatic drop in oestrogen and progesterone after giving birth may play a role. Other hormones produced by the thyroid gland may also drop sharply and make one feel tired, sluggish, and depressed.

The diagnosis of postpartum depression is based not only on the length of time between delivery and onset, but also on the severity of the depression. PPD often keeps one from doing their daily activities. Hence, when the ability to function is affected, it is important to consult a health care provider, such as Obstetrician-gynaecologist or primary care doctor, who will screen for depression symptoms and develop a treatment plan. This is because PDD symptoms worsen when left untreated. Though PPD is a serious condition, it can be treated with medication and counselling.
Postpartum depression is treated differently depending on the type and severity of a woman’s symptoms. Treatment options include anti-anxiety or antidepressant medications, psychotherapy, and participation in a support group for emotional support and education. For severe cases, intravenous infusion of a new medication called brexanolone (Zulresso) may be prescribed.

Monday Health Burst is an initiative of CFHI to address basic health issues. Join us every Monday on all our social media platforms for more health-related articles.

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16DaysOfActivism, Gender Based Violence, Monday Health Burst / cfhinitiative

GENDER BASED VIOLENCE – A THREAT TO WOMEN’S REPRODUCTIVE HEALTH

Gender-Based Violence is any act of violence that results in physical, sexual or psychological harm or suffering directed towards persons on the basis of their gender. This includes threats of violence, coercion or arbitrary deprivation of liberty, whether occurring in public or private. World Health Organisation (WHO) defines reproductive health as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity, in all matters relating to the reproductive system and to its functions and processes.

Globally, it is estimated that one in three women experience either physical or sexual intimate partner violence or non-partner sexual violence in their lifetime. These figures are mirrored in Nigeria, with 30 percent of girls and women aged between 15 and 49 reported to have experienced sexual abuse. It is a great concern because sexual abuse poses great threat to the general health of its victims, most especially on their reproductive health. Examples include inability to control their own reproductive health and plan their families, unwanted pregnancies and sexually transmitted infections (STIs), including Human Immunodeficiency Virus (HIV).

Aside sexual abuse, there are other forms of GBV that puts women at risk like female genital mutilation, child marriage, emotional violence, work place violence, among others. In Nigeria, harmful practices such as child marriage are prevalent with 43 percent of girls married before the age of 18, of which the highest number is found in the North Eastern part of the country according to WHO. Also, the report states that once girls in Nigeria are married, only 1.2 percent of those aged 15 to 19 have their contraception needs met, leading to high levels of early and teenage pregnancy.

It is important for everyone to scale up prevention efforts that address unequal gender power relations as a root cause of gender-based violence in order to mitigate GBV cases in the society. GBV is not a family affair, hence, all perpetrators should be made to face the law rather than having family members intervene. This is because GBV is never a one off case. Social media is also an important platform that can be used to connect to others outside the normal social circles. Just like the #16DaysOfActivismAgainstGBV, everyone including government and civil societies should work together to amplify the need to stop GBV.

Monday Health Burst is a platform created by Centre for Family Health Initiative (CFHI) to address basic health issues. Join us every Monday on all our social media platforms for more health related articles.

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Health, Health Communication, HIV/AIDS, Monday Health Burst / cfhinitiative

HUMAN IMMUNODEFICIENCY VIRUS (HIV) PREVENTION AND CARE

PREVENTION

The US Centre for Disease Control and Prevention (CDC) places abstinence as the first practice to reduce the risk of HIV transmission. This includes abstinence from oral, anal or vaginal sex, and avoiding sharing of sharps (needles, blades, clippers etc) with an infected person.

In cases where abstinence becomes difficult, the following must be put into consideration:

Use of condoms: Male latex condoms are most effective in preventing HIV and other Sexually Transmitted Infections (STIs) during an intercourse. Because a man does not need to ejaculate to give or get some STIs, make sure to put the condom on before the penis touches the vagina, mouth, or anus. Female condoms can also help to prevent HIV infection.

Routine testing: It is important to carry out routine HIV testing. Sexual partners Should endeavour to speak to each other about their HIV and STI status. This is because having an STI increases the chances of becoming infected with HIV during sex. If a partner has an STI in addition to HIV, the chances of transmitting the virus increases. The CDC recommends at least one HIV test for everyone ages 13 to 64 years. Yearly testing is recommended if one is at higher risk of infection. For gays and bisexual men, CDC recommends that HIV testing is carried out every three to six months.

Be monogamous: Having sex with just one partner can lower the risk of contacting the HIV virus and other STIs. After being tested for STIs, be faithful to each other. That means that you have sex only with each other and no one else. The risk of getting HIV and other STIs goes up with the number of sexual partners.

Get vaccinated: You can get a vaccine to protect against Human papillomavirus (HPV) and hepatitis B, which are STIs. There is no vaccine to prevent or treat HIV.

Do not douche: Douching (washing or cleaning out the inside of the vagina with water or other mixtures of fluidsremoves some of the normal bacteria in the vagina that protects one from infections. This may increase the risk of getting HIV and other STIs.

Do not abuse alcohol or drugs: Alcohol or drug abuse may lead to risky behaviours such as sharing needles to inject drugs or not using a condom when having sex.

Pre-exposure prophylaxis (PrEP)
PrEP is an HIV prevention method for people who do not have HIV infection but who may be at high risk. For example, mixed-status couples (also known as serodiscordant), people with multiple sex partners, inject illegal drugs or share needles. For mixed-status couples who are interested in having a child, PrEP may help protect the mother and child. CDC estimates that PrEP could prevent transmission in as many as 140,000 serodiscordant heterosexual couples.

Post-exposure prophylaxis (PEP)
PEP is an anti-HIV medicine for people who may have been recently exposed to HIV, like in cases of a condom break or sexual assault. However, PEP must be taken within three days of exposure to help lower the risk for HIV. It is also important to take two to three antiretroviral medicines for 28 days to prevent the virus from copying itself and spreading through the body. While taking PEP, one still needs to take steps to prevent HIV, including using a condom with sex partners.

HIV/AIDS CARE

Use of Antiretroviral (ARV) Drugs becomes important when one tests positive to HIV to help reduce the viral load (the amount of HIV in the blood). Knowing the viral load measurement and how to control it by reducing it to undetectable levels can protect mother to child transmission of HIV during pregnancy, labour, and delivery. It can also help prevent spreading HIV to a sexual partner, or people who come in contact with the infected blood.

In conclusion, HIV is a preventable disease. Effective HIV prevention interventions have been proven to reduce HIV transmission, and people who get tested for HIV and are well sensitized can make significant behavioural changes to improve their health and reduce the risk of transmitting HIV to others.

Centre for Family Health Initiative (CFHI) has worked in different states across Nigeria for over 10 years to tackle issues around HIV/AIDS. Some of its interventions include communication/house-to-house testing of HIV, health facility testing, counselling, community sensitization, provision of ARV drugs, household economic strengthening, among others. Join us every Monday on Monday Health Burst on all our social media platforms for more health related articles of basic health concerns.

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Health, HIV/AIDS, Monday Health Burst / cfhinitiative

MONDAY HEALTH BURST – HIV/AIDS (INTRODUCTION)

HIV (Human Immunodeficiency Virus) is a sexually transmitted infection (STI) which can be transmitted through contact with infected blood, semen or vaginal fluids. According to Institute of Human Virology, AIDS (Acquired Immune Deficiency Syndrome) is the final and most serious stage of HIV disease, which causes severe damage to the immune system, leaving the body vulnerable to a variety of life-threatening illnesses like Cancer.

Centre for Disease Control (CDC) reports that about 47 million people worldwide have been infected with HIV since the start of the epidemic, and it is the fifth leading cause of death among persons between ages 25 and 44 in the United States. According to United Nations AIDS (UNAIDS), Nigeria has the second largest HIV epidemic in the world and one of the highest rates of new infection in sub-Saharan Africa. Also in 2019 alone, 45,000 people died from AIDS-related illnesses in Nigeria.

There are several means of HIV transmission like the mother to child during pregnancy, childbirth or breast-feeding, but the most common ways that HIV is passed from person to person include sexual contact with infected persons and sharing of needles or syringes. In recent times, a cure has been said to be found from stem cell therapy according to researchers from University College London, but this is not widely used yet. So, medications are used to dramatically slow the progression of the disease.

Monday Health Burst is an initiative of Centre for Family Health Initiative (CFHI) to tackle issues of basic health concerns. Join us next week for details on HIV/AIDS prevention, care, and CFHI’s intervention in curbing this menace.
#WorldAIDSDay2020.

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9 Comments / Diabetes, Diabetes Awareness and Care, Health, Health Communication, Monday Health Burst / cfhinitiative

DIABETES AWARENESS AND CARE

Diabetes mellitus is derived from the Greek word Diabetes, meaning Siphon (to pass through) and a Latin word mellitus meaning honeyed or sweet. This is because in Diabetes, excess sugar is found in blood as well as the urine. It was known in the 17th century as the “pissing evil”.
There are accounts that the term Diabetes was coined by Apollonius of Memphis around 250 BC but Diabetes was first recorded in English, in the form Diabetes, in a medical text written around 1425. It was in 1675 that Thomas Willis added the word “’Mellitus’” to the word Diabetes. This was because of the sweet taste of the urine. The ancient Greeks, Chinese, Egyptians, Indians and Persians had also noticed this sweet taste in urine as it is evident in their literatures.
According to World Diabetes Foundation (WDF), over five million people are living with either Type 1 or Type 2 Diabetes in Nigeria. However, millions are still unaware of their status. The general symptoms of diabetes include increased hunger, increased thirst, weight loss, blurred vision, frequent urination, extreme fatigue, tingling, numbness of hands and feet, itching and yeast infection, wounds and sores that are slow to heal.
Diabetes mellitus is managed in two ways; the non-drug treatment and drug treatment, but it is important to note that education is involved in both ways. People living with Diabetes should be educated on lifestyle modification in the aspects of diet and exercise and on blood sugar monitoring, identifying symptoms, emergencies and complications, medications, and foot care. Also, people without diabetes should be educated on the fact that Diabetes is a lifelong disease with no cure yet. It can be prevented through lifestyle modifications and knowing one’s health status by having regular medical checkups even when you feel healthy.
The first way to manage Diabetes Mellitus which is the non-Drug treatment entails healthy and appropriate diet, adequate physical activities and regular blood sugar and blood pressure checks. The second which is the drug treatment entails the use of oral glycemic tablet and insulin injection. The insulin injection should be administered either alone or alongside oral glycemic tablets for Type 2 Diabetes Mellitus but administered alone for Type 1 Diabetes Mellitus on abdomen, thighs, buttocks, or arms.

Myths and misconceptions about Diabetes
There are many mistaken beliefs about Diabetes; some of these are highlighted below.
• Diabetes is not that serious.
Fact: According to American Diabetes Association, Diabetes causes more deaths than breast cancer and HIV/AIDS combined, people with Type 2 Diabetes (the most common form of the disease) may go a long while, even years, before being diagnosed. This is because, they may downplay their symptoms or write them off to other causes.

• Being overweight causes Diabetes.
Fact: Gaining weight does not necessarily need the person is going to get Type 2 Diabetes. Having a body mass index over 25 is just one of several risk factors for Diabetes, but there are many overweight people who do not ever get the disease.

• Having Diabetes means you must eat foods that are different from everyone else’s.
Fact: People with Diabetes do not need to follow a restricted diet but instead should try to follow the same healthy eating guidelines as everyone else, including choosing foods that are lower in fat, higher in nutrients, and contain an appropriate amount of calories.

• A Diabetes diagnosis means you automatically need Insulin.
Fact: That is the case with Type 1 Diabetes but not with type 2 Diabetes. In some cases, proper diet, exercise, and oral medications, if needed, can keep Type 2 Diabetes under control for some time before Insulin becomes necessary.

• Only older people are at risk of having Diabetes
Fact: Even children are being diagnosed with Type 2 Diabetes. However, those most at risk for Type 2 Diabetes are adults 45 years and older and those of any age who are sedentary and overweight.

Monday Health Burst is an initiative of Centre for Family Health Initiative (CFHI) to tackle issues of basic health concerns. Join us every Monday for more health-related articles on all our social media platforms.

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Health, Mental Health, Monday Health Burst, WHO / cfhinitiative

STROKE – CAUSES, PREVENTION AND TREATMENT

According to the World Health Organization (WHO), stroke is defined as a “rapidly developing clinical signs of focal (or global) disturbance of cerebral function, with symptoms lasting 24 hours or longer or leading to death, with no apparent cause other than of vascular origin”. Stroke occurs when there is a sudden interruption of blood supply to the brain, preventing brain tissue from getting oxygen and nutrients.

World Stroke Organization (WSO) stated that 90 per cent of strokes are associated with 10 risk factors that can easily be identified: hypertension, exercise, diet, weight, smoking, alcohol, cholesterol, diabetes, depression and stress, and atrial fibrillation (AF, or AFib). They further stated that 1 in 4 people will develop stroke globally, and 58 percent of all stroke cases happen between the age of 25 and 70 which can be blamed on “modern lifestyle”. In Nigeria, just like other low and middle-income countries, the primary care services are often limited, leading to high burden of stroke mortality. About 1000 stroke cases are recorded in Nigeria yearly and still counting according to Web Med.

Stroke can be prevented in many ways across all boards, from government and policymakers to healthcare professionals to members of the community. Knowing the signs of stroke is the first step to its prevention. Hence, some of the ways to prevent stroke include increasing awareness, discovering risk factors for stroke and managing them appropriately, implementing population-wide preventive strategies, amongst others.

Over the years, Medical organizations worldwide have been working towards making sure there is improvement in the treatment of stroke. Treatment consists of blood thinners. Early treatment with medication like TPA (clot buster) can minimize brain damage. Other treatments focus on limiting complications and preventing additional strokes like cardiac monitoring (using an electronic device to heart rate and rhythm which can be done at home or in the hospital), carotid endarterectomy (this is a surgical removal of plague built up in the carotid arteries), speech therapy, rehabilitation, physical therapy, the use of natural herbs and supplements, among others.

Early detection will not just save lives but will reduce the effect of stroke. Most people do not check their mental state or relax as they ought to. Adequate medical checkup is essential as it will help to know when rest is needed and when you need to give yourself a break from certain duties.

Monday Health Burst is an initiative of Centre for Family Health Initiative (CFHI) to tackle issues of basic health concerns. Join us every Monday for more health related articles on all our social media platforms.

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