Wednesday, December 31, 2008

Prostata cancer - which treatment is the "correct one"?



By Fritz Frei


The cancer illness can be attacked by many working methods. No other kind of cancer has so many possibilities. But we do not know to today yet, whether also only one of the possible types of treatment is value, the life of patient with Prostate cancer to extend. Naturally, results from it that for the patients in addition, for the treating physician for a certain working method to decide to have itself. However often the expertise of the before and disadvantages is missing to the patient. The treating physician is however often technically embarrassed and partial. the Urologist's tell it for years after that a radical operation should be made and the only working method it is. However, we forgotten that there are no hard proofs for it. It's could be affected also by a financial motivation. (the interference costs between $20'000 and 30'000). The radiologist recommends of course naturally the irradiation and that holistic oriented expert wants its "alternative" working methods applied. The patient is advised well to catch up a second or third specialized medical opinion before it decides for a working method. A working method for Prostate cancer is "Watchful Waiting". Beside the treatment procedures of the "radical operation" or the irradiation treatment wins this methodology and meaning. Although neither for the operation nor for the irradiation treatment proofs for a concrete survival advantage for the patient is present, these procedures in highest place stand. Still will "Watchful Waiting" to treat (without the cancer observe decisive therapy) reluctantly by many physicians in addition, patients concerned by around perhaps only later with coming problems. "Watchful Waiting" is one of expert recognized treatment strategy for many patients. For example, we know that in the USA only 1 patient of eight patients at the consequences of the illnesses will die. The problem is, we can not forecast, which of the eight patients with died present possibilities of treatment has the largest chances. Even if we knew, there is no warranty the fact that the present possibilities of treatment this man to heal or would extend its life. This points us out that we are in a problem of the ways to the treatment.Conclusion: Let's you guide from your own feeling. Reading all over this sickness and let you know a second opinion of a doctor of your confidence.Thank you for your reading. Cancer-Info-Health-Service CenterAdmin Fritz About the author:Fritz from the Health-Service Organzation set up the problems of the cancer treatments for prostate cancer on the point. Everbody must know the reality before he made a decision.To receive your free article visit the http://www.cancer-info.info/

Tuesday, December 16, 2008

Hernia

Introduction
Hernia is an abnormal protrusion of internal organs through an abnormal opening in the wall of the cavity.A combination of increased pressure inside the body with weakness in the wall is responsible for this condition.In this condition internal organs or parts of organs are protruded out forming a swelling which will increase the size with coughing and lifting weight,and while passing stool and urine.In lying down position the swelling goes inside except in strangulated and irreducible hernia.
Causes:-
1, Weakness in the body wall:--
a) Congenital weakness.
b) Acquired weakness due to injuries,wasting of muscles,suppurative lesions in the wall and presence of weak natural openings,obesity,lack of exercise,repeated pregnancy.
c) Surgical operation with improper suturing or sepsis of operated site.
2) Increased pressure inside the body. a) Chronic constipation.
b) Recurrent cough.
c) Weight lifting.
d) Stricture of urethra.
Common sites for hernia:--
Hernia can occure anywhere in the body.However there are some common sites for hernia.Due to the presence of hard bony covering chest wall is normally not affected.Hernia in the lower back is also rare due to spine and back muscles and tough ligaments and sheeths.The common site for hernia is abdominal wall.Compared to other parts the abdominal wall is weak due to the presence of some natural orifices.There are some areas wherein the abdominal muscles are weaker and thin and all these factors make a chance for herniation.The common sites for hernia are following.
a) Inguinal hernia:
Here the abdominal contents protrude through the inguinal canal (passage in the lower abdominal wall just above the inguinal ligament.It is seen on either side).This type is common in males.Initially the swelling comes only while straining and goes back while lying down. Later the large portion of intestine may come out which may not go back easily. b) Femoral hernia:
This type of hernia is more in females.Here the abdominal contents pass through the femoral canal which is seen just below the junction between the thigh and lower abdominal wall(Inside the femoral triangle).The contents pass downwards and comes out through saphenous opening in the thigh and forms a swelling under the skin.
c) Umbilical hernia:
This is common in children.The umbilicus is the weaker part of the abdomen.The contents of the abdomen may protrude as a bulb like swelling while crying and defecating.
d) Incisional hernia:
These hernias are seen in operated sites. Due to improper suturing or sepsis the operated site becomes weak resulting in hernia. e) Epigastric hernia:
Here the hearniation occures in the epigastrium. It is a rare type.
f) Lumbar hernia:
Here the hernia appear in the lumbar area on either side of the lumbar spine(in the lumbar triangle).This is also a rare type.
g) Obturator hernia:
This is a rare type of hernia. Here the contents pass through obturator foramen in the pelvic bone.
Complications of hernia:--
1) Strangulation:
If the hernial orifice is narrow the abdominal contents may not go back easily, and later the blood flow to the herniated tissues may be blocked due to constricition.This can cause death of protruded intestine.
2) Intestinal obstruction:
This occures when the whole portion of the intestine is protruded in to the hernial sac. The narrow hernial orifice will block the passage of bowels.
3) Infection and peritonitis:
If there is strangulation with death of a portion of intestine there will be spread of infection to the abdomen resulting in peritonitis.
Treatment of hernia:--
Initial treatment: In the initial stages of hernia the following steps may be useful
1) Use of hernia belt:
Special types of hernia belts are available for each type of heania.This will prevent the protrusion and will reduce pain.
2) Constipation,recurrent cough,urinary obstruction ect should be treated.
3) Fat reduction will increase the strength of abdominal wall.
4) Abdominal exercises to increase the muscle tone.
5) Take plenty of leafy vegetables, fruits and fibrous diet for easy bowel movements.
6) Try other systems like Homoeopathy,Herbal medicine and ect
If no relief by the above steps consult a general surgeon for surgical management.
Surgical treatment.
The following operations are done depending up on the type and nature of hernia.
1) Hertniotomy : In this operation the contents of hernial sac is pushed in to the abdomen and neck of the sac is ligated with transfixion ligature and the sac is cut off.
2) Herniorrhaphy: Here along with herniotomy the posterior wall is repaired.
3) Hernioplasty: This operation is done if herniotomy is not possible due to wide neck of the sac.Here the repair is done with the healp of non absorbable materials like tantalum gauze,polypropylene mesh or stainless steel mesh.