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Acupuncture is a form of treatment by inserting very fine gold, steel or silver needles into certain points through the skin in order to eliminate the pathology (pain, dysfunction) in the skin, tissues and organs.

The center of acupuncture treatment dating back 2500 years is China. According to Traditional Chinese Medicine (TCM), acupuncture philosophy has acupuncture points, meridians presumed to be above these points, and energy circulating in these paths. This energy is divided into 2 as ‘yin’ and ‘yang’. Our body has 12 energy meridians and 365 acupuncture points in total. Diseases occur as a result of balance disorders of yin and yang energy. It is aimed that these two energies, which are supposed to circulate in the acupuncture meridians, are stimulated with special and disposable needles and are in balance. Regulation of the body is essential for health. The basic principle of acupuncture treatment is to regulate and maintain energy balance.

Analgesic (painkiller) Effect: Pain threshold is raised. It provides a healthier nutrition and blood supply of tissues and organs. These effects are achieved by secretion of endorphins.

Sedation (tranquillizer) Effect: The release of hormones and substances such as serotonin and endorphins in the brain is achieved by the secretion of these substances.

Homeostatic Effect: By balancing the sympathetic and parasympathetic system, it ensures that the kidneys work better, the heart and respiratory functions improve, sweat secretion and the abdominal organs work healthier. It adjusts the balance of many minerals and ions in our body, strengthens the immune system, and improves motor functions.

We now know that acupuncture points are points on the fascia surrounding the muscles and surrounding the whole body, and that artery-vein-nerve-lymph vessels emerge from these points.

We can list other usage areas of acupuncture as follows:

  • Migraine and tension-type headaches
  • Skin diseases
  • Depression
  • Stress
  • Hormonal disorders
  • Diabetes
  • Goitre
  • Constipation
  • Diarrhea
  • Acute and chronic colitis
  • Acute and chronic gastritis
  • Acute and chronic pharyngitis
  • Acute and chronic rhinitis
  • Acute sinusitis
  • Acute bronchitis
  • Osteoarthritis (arthritis)

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Ozone is an unstable gas molecule made up of three oxygen atoms. It is located in the outermost layer of the atmosphere and enables the continuation of life by preventing the radiation from the sun. Ozone gas was discovered in the 18th century. Over the years, the importance of ozone has been understood and ozone has been used in industry and health. Ozone is a powerful oxidative molecule and has a lethal effect on bacteria. For this feature, it has been used in various fields for years.

What are Ozone Application Methods?

Major Autohemotherapy

It is the most common application method. In this method, an amount of blood taken from the patient’s vein (50-120ml) is taken up in a sterile tube ozone resistant. The appropriate dose of ozone – oxygen mixture is given to this blood and after the mixture is provided, it is given back to the body in the same way. Major autohemotherapy is the main application method and takes about 20 minutes.

Minor Autohemotherapy

A small amount of blood is mixed with ozone in a syringe and injected intramuscularly.

Injection into the Joint

In this method, 3-5 injection gases (ozone-oxygen mixture) are applied to the joints with calcification intermittently.

Local Application

Ozone-oxygen injection is applied to myofascial trigger points (grip) and painful trigger points in the muscle. Generally, 1-1-3 application is sufficient. Similar application can be made in tendon rheumatism. Since it is a little painful, it is not preferred.

Paravertebral Ozone Injection

Paravertebral ozone therapy is performed by injecting ozone-oxygen mixture into the muscles on both sides of the spine in lumbar and neck hernias. The application is a 30-second process and is performed in 1 to 3 times a week depending on the situation of the patient. In most patients, a 10-session injection course is sufficient. In simple cases, up to 5 sessions and in very severe cases up to 20 sessions can be performed. During the injection, although there is a varying degree of pain depending on the patient, it resolves within a few minutes. Paravertebral ozone injection gives extremely bright results in waist and neck hernias and can provide a very rapid recovery.

Intradiscal Application

It is a special application where ozone-oxygen is administered in the form of injection with long needles into the disc with fluoroscopy or tomography in the operating room environment in patients with lumbar hernia. It is an effective treatment by reducing the size of the hernia. It is applied by pain specialists. The results are successful, but there may be few complications. Other disadvantages are that the patient receives radiation and it is expensive.

Bagging

It is mostly preferred in non-healing bed and diabetes wounds and gangrenes. The patient’s body part is placed in a special bag and the ozone-oxygen mixture is given into this bag and the healing effect is obtained by ensuring the contact of the gas and the wound.

Rectal Ozone Application (Insufflation)

Rectal application of ozone in patients who cannot be administered intravenously.

Ozonated Water

It is done with ozonized isotonic saline. In particular, infected wounds are treated by washing with this water.

Ozonated Oil

Ozonized oil is used in skin lesions.

Ozone Sauna

Mostly used for cosmetic purposes.

Conditions where ozone is used

  • Musculoskeletal System
  • Circulatory System
  • Eye Diseases
  • Cosmetic Applications
  • Slimming

Diseases in which ozone therapy is used

  • Diabetes
  • Rheumatoid arthritis
  • Circulatory disorder
  • Gout
  • Candidiasis
  • Alzheimer’s
  • Parkinson’s
  • Dementia
  • Emphysema, COPD, acute respiratory stress
  • Retinitis pigmentosa, cataracts, glaucoma, age-related macular degeneration
  • Hypertension, venous insufficiency, peripheral arterial disease, venous
  • Herpes simplex, herpes zoster, AIDS, hepatitis A, B, C, human papilloma virus
  • Cerebral palsy
  • Allergic diseases
  • Chronic fatigue syndrome
  • Systemic lupus erythematosus
  • Crohn’s disease
  • Intestinal diseases
  • Avn disease
  • Nonhealing chronic wounds
  • Diabetic foot sores
  • Complementary therapy in cancer treatment

 


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Internal Diseases (Internal Medicine) Specialist Dr. Emre Yilmaz shared important information about Anemia, one of the most common diseases of our age.

What is anemia?

Anemia is the fact that our red blood cells (RBCs), which are responsible for carrying oxygen to our cells, are below certain values according to gender.

What are the causes of anemia?

Although the most common cause is Iron Deficiency anemia, other vitamin and mineral deficiencies (b12, folic acid, zinc, etc.), chronic diseases (kidney failure, thyroid diseases, liver diseases, etc.) or genetic reasons (Mediterranean anemia) can be seen.

What are the symptoms of anemia?

In Iron Deficiency anemia, as we often see in women, is due to chronic blood loss (menstrual bleeding) in the long term, even if it becomes severe, symptoms may be uncertain. Weakness, increased hair loss, nail breakage, shortness of breath, pale skin colour, palpitations are the common symptoms. Rare symptoms like depression and irritability can also be seen.

Who is at greater risk for anemia?

Pre-menopausal women and those with chronic diseases (rheumatism, kidney, heart and liver failures, hemorrhoids, etc.) have a higher rate of anemia.

How is anemia treated?

Anemia treatment is in the form of treatment of the missing substance, or the disease causing it. In the most common Iron Deficiency anemia, we can rapidly deliver iron in an amount equivalent to the amount of iron that can be received in 1-2 months with serum treatment for 15 minutes in patients who have digestive problems with these drugs in addition to iron drugs in the form of tablets or capsules, or when these drugs are not effective.

How to live with anemia?

You do not have to live with anemia, it is easy to diagnose and treat with regular controls.


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Since January is the month of cervical cancer awareness, our hospital’s Obstetrics and Gynecology Specialist Op. Dr. Nida Cannazik gave important information on the subject.

What are the symptoms of cervical cancer?

Cervical cancer usually occurs with irregular bleeding. There may be intermittent bleeding outside the menstrual period and bleeding during sexual intercourse. Usually, the bleeding begins in small amounts, similar to broth. Conditions such as pain during sexual intercourse, back pain, leg pain, fatigue, weight loss can also be seen. When the patient goes to the doctor with a complaint, the disease is usually at an advanced stage.

Is early diagnosis possible? If possible, what methods are used for early diagnosis?

With screening tests performed in routine examinations without symptoms, the early period usually emerges and the treatment results are promising. Pap Smear and HPV tests are used as screening tests for cervical cancer. Both tests are easily performed during vaginal examination under polyclinic conditions.

What is the diagnosis and treatment process of the cancer?

For people who are diagnosed with the disease through screening tests, the size of the disease is evaluated with additional examinations; and treatments such as radiotherapy, chemotherapy and surgery in an advanced oncology center are planned. Since the treatment results are much more positive especially in the case of early-stage disease, periodic screening tests are very important.

To whom are the screening tests done?

All women between the ages of 21 and 65 can have cervical cancer screening tests. Under the age of 30, Pap Smear test is suitable every 3 years. HPV test should not be recommended routinely for women under 30 years of age, as the lesions associated with HPV spontaneously show a high rate of improvement. Between the ages of 30-65, PAP Smear test should be done once in 5 years, preferably with HPV, and Pap Smear alone should be done once in 3 years if HPV is not performed. Screening is terminated at the age of 65. Screening is not performed in patients whose uterus has been removed completely for benign diseases such as myoma and cyst.

What are the factors that increase cancer risk?

The biggest risk for cervical cancer is HPV. HPV is only sexually transmitted and is responsible for more than 90% of cervical cancers. Sexual intercourse at an early age, having a large number of partners are the situations that increase the risk most. The risk is high in smokers, as for many cancers.

Can a mother with cervical cancer breastfeed or give birth?

It is recommended that all women planning pregnancy should have a routine pre-pregnancy examination and screening test during the examination. There is no harm in having a Smear or HPV test during pregnancy. If cervical cancer is diagnosed during pregnancy or process, treatments are planned according to the stage of the disease, and birth and breastfeeding recommendations are made according to the planned intervention to the patient.

Is there a possibility of relapse after the disease has been treated?

Even if people diagnosed with cervical cancer have undergone surgery or other treatments and have no more complaints, they should not disrupt their controls at regular intervals according to the oncology specialist’s recommendation, because the cancer may recur and treatment may be required again.


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With the cooling of the weather in winter, our skin experiences moisture loss, and our skin needs extra care in this process. Our Hospital Skin and Venereal Diseases (Dermatology) Specialist Dr. Burcu Minareci made suggestions so that our skin does not lose moisture in winter and stay healthy.

How to increase the moisture value of dry skin in winter due to weather conditions?

As you know, our skin is a texture that is related to the external environment, so it is very affected by the changes in the external environment and climate. In the coming days, the weather will start to get colder. Both cold air and wind will cause a decrease in the moisture content of our skin. Therefore, we should take care to use moisturizer daily. Since sweating is more intense in summer, we prefer water-based moisturizers, while in winter, we should prefer intense moisturizers suitable for our skin that reduce moisture loss.

Do we need to use protective sunscreen in winter to protect our skin?

It is very important for our skin to protect from the sun. Because the sun’s rays damage and dry our skin over time, causing various sunspots and carcinogenic transformations. The ultraviolet rays of the sun that damage our skin are present in summer and winter. In other words, the harmful rays we are exposed to in the summer reach the world even when we do not see the sun in the winter or when the weather is cloudy. And it has the same accumulating and carcinogenic effect on our skin. For this reason, it is very important to protect from the sun also in winter. I recommend wearing sunscreen at least when leaving the house, even in cloudy sunless weather.

What are the care suggestions for dry skin and oily & combination skin?

Skin type features are important in product selection. While mostly oil-based moisturizers are recommended for dry skin, water-based or acne prevention products are recommended to reduce the risk of acne in oily and combination skin. My advice to people who care about their skin is to wash them with a cleansing product suitable for their skin, then use a suitable moisturizer and  sunscreen for summer and winter, and to choose an antiageing product suitable for their age at night. With this simple standard care, the skin stays both healthier and younger.

How can we make a fresh start to the new season and new weather conditions by purifying our skin from the effects of summer and the sun?

In summer, sun rays, salt water of the sea, chlorinated pool water may cause dryness, loss of elasticity, sunspot on our skin. This situation causes our skin to look dull, pale, lifeless and older. In addition, skin blemishes create light and dark brown areas on the face and cause aesthetical anxiety.

We can say that it is the skin renewal period since September. First of all, we should begin with drinking plenty of water, we should include more antioxidants (walnut, avocado, grapefruit, etc.) and green tea in our diet. We should use moisturizers, support the skin with creams containing A, E and C vitamins in the evening, and cleanse the upper dead tissue.

In addition, the best time to do mesotherapy where regenerating serums, hyaluronic acid and vitamins are applied to our faces with small injections is the autumn and winter months. Again, with the youth vaccine, intense moisture loss can be eliminated. With golden needle applications, elasticity, colour equalization, subcutaneous collagen formation can be restored.

What should be done to prevent rashes and windburn?

In the autumn and winter months, our skin is under the influence of different factors. Cold and windy weather can also harm the skin; this situation will be more disturbing especially in patients with a tendency to rosacea with more prominent superficial capillaries on the face. Again, drying, redness, cracking, thickening of the skin of the hands, that is, an eczematous appearance may occur in our body parts and hands that are in contact with cold and dry air. The most effective way to prevent this is to protect ourselves by wearing suitable clothing, e.g. gloves. In addition, we should use moisturizers containing dense oil and urea for our hands and body, and if we cannot prevent them with these, we can use cortisone creams recommended by our doctor.7

THE SEASONS MAY CHANGE BUT DO NOT LET THE BEAUTY OF YOUR SKIN CHANGE 🙂


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Our hospital’s Mental Health and Diseases Specialist Dr. Ufuk Çalışkan who made statements on the effects of COVID-19 on psychology, also listed what needs to be done to deal with the COVID-19 anxiety.

What are the effects of the pandemic on our mental state, how did the pandemic affect us psychologically?

The pandemic had a negative impact on all of us, as everyone can clearly see in their own lives. In this case, it is not possible that it will not affect negatively. When we look at human beings, they are defined by human genes, and they try to survive and stay for future generations like any other gene. From our point of view, it becomes a directly effective process in terms of survival and staying for future generations, so it threatens our lives. While threatening our lives, it affects and changes us. Our brains come into play at this point. We think there is a different mechanism in our brain for each event, but there is a general mechanism for each event in our brain. For example; there are separate mechanisms for threat and separate mechanisms for pleasure. When you gamble, fall in love, or perform religious rituals, the same mechanism is involved, so it is involved in all pleasures. There is likewise a different mechanism for threat and this is related to our perception of threat. Our threat perception differs according to the current situation and age, and it constantly works to keep us alive. And the Coronavirus also makes this situation constantly active. Therefore, we are constantly faced with a state of uneasiness and anxiety.

How is the psychology of the people who lost their relatives due to coronavirus or whose relatives have this disease affected by this situation?

As we do not expect a person who has never faced an earthquake to have a very high anxiety about the earthquake, likewise, the anxiety about the coronavirus is not that high.

The feeling of being affected and worrying is greater in the loss of a relative. This is an extremely normal process when we consider it in terms of brain mechanism. But when anxiety increases, tendency to all diseases, especially depression, also increases. With COVID-19, our anxiety level also increases. And this situation causes an increase in all psychiatric diseases.

What should individuals do for a solid psychology during the Coronavirus process?

We are doing many things just as we learned, especially our native language, Turkish. We are trying to solve problems, we perceive life as a place of problems. We cannot deny that there are problems in our lives and that we need to solve them, but we have to solve them, because our survival depends on it. But unlike all living things, we must have a different distinction as human beings. We need to make an effort to be happy and produce happiness. We need to develop our behaviour accordingly. Let’s strive for happiness. If we fill the room that we are in with problems, there will not be enough space to put happiness. However, on the contrary, if we fill the room with happiness, there will be no place for problems. Life can compare us with economic difficulties with COVID-19 and other diseases but we must strive for happiness. We should be able to define life not as a place of problem or a problem-solving place, but as a place to produce happiness besides and unlike them. When we can behave in this way, life becomes more comfortable and peaceful. In addition to the pleasure mechanism and problem solving mechanism in our brain, there is also an oxytocin substance. Oxytocin substance gives us peace of mind and confidence. This substance comes into play in intimate relationships and when we hug each other.

If we create peace by activating this substance, many problems will actually not be a problem anymore. This does not mean that no problem will be solved, it means to make problem solving enjoyable. In addition, regular walking and regular exercise should be done. Our brain actually tracks our whole body. It moves depending on the body’s reactions. We should be cared for ourselves, not for someone to see, especially in this period when the pandemic prevails and we cannot host anyone in our home. When we do all these, life will turn into a more enjoyable place.


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Enlarged prostate; Benign prostate enlargement, or benign prostatic hypertrophy (BPH) as it is known in medical literature, is an important health problem affecting most men over the age of 50. Our hospital’s Urology Specialist Op. Dr. Hakan ÇAKICI made a statement on the subject.

What is the prostate?

The prostate is an organ found only in men and located at the exit of the urine bag. There is a belief among the public that the prostate is found only in old men and it is formed later, this is incorrect information. Just like our liver, kidney and other organs, it is an organ that exists from birth. The prostate is a secretory gland and secretes some of its content and plays a role in maintaining the vitality of the sperm. It is an important organ in men’s sexual health and reproduction.

What is an enlarged prostate?

The size of the prostate gland is on average 15-25 cc in young adults. With advancing age, prostate tissue begins to grow with the effect of hormonal changes in the body and since it is located at the outlet of the bladder, it also puts pressure on the urinary ducts. As a result, frequent findings such as difficulty urinating and intermittent urination occur. Prostate enlargement can be in the form of benign growth or cancer (malignant). It is benign growth that is common in society.

What are the symptoms of an enlarged prostate?

Difficulty urinating, intermittent urination, frequent urination, urinating twice or more at night and the feeling of inability to empty the bladder completely are among the complaints of prostate enlargement.

How is an enlarged prostate diagnosed?

After all complaints are evaluated, an examination is performed first. Blood tests (PSA) and urinalysis are performed. With ultrasonography, the size of the prostate is measured and the kidneys are evaluated. With the measurement of the urine flow rate, the level of the person’s urinary problem is decided. In the light of all these evaluations, prostate biopsy can be performed if cancer is suspected.

How to treat enlarged prostate?

Treatment for benign prostate enlargement is divided into two as medical treatment and surgical treatment. There are several drugs for medical treatment and can be used safely in eligible patients. However, nowadays, there are products that are claimed to be made of herbal origin and sold on the internet with increasing frequency. It is recommended not to use such products without consulting your doctor.

Surgical treatment can be basically described as open and closed methods.

Open surgery is generally a preferred method for 80cc and above prostates. For prostates under 80cc, closed surgery methods are preferred. Today, as closed surgery, the method we call TUR is the accepted gold standard surgery. With technological development, different methods (Laser, Microwave, Tuna etc.) have been described. However, since the long-term results of these methods are not yet sufficient, TUR surgery is still considered as the gold standard method. Treatment should be individualized for each patient; While drug therapy is appropriate for a patient with a 60 cc prostate, surgery may be required for another patient with a 60 cc prostate.

What should be done to prevent prostate enlargement?

Prostate enlargement starts after the age of 45, depending on hormonal changes in our body. We can accept this growth as a part of the transition from middle age to old age. It is known that a natural and healthy diet can prevent the development of prostate cancer and benign prostate enlargement. Rather than consuming a specific food, it is recommended to focus on a diet based on vegetables and fruits and to avoid constipation. It is claimed that a Western fast-food diet increases the risk of prostate cancer. Restricting smoking and alcohol use will also help reduce prostate enlargement and related problems.


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