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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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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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Ear, Nose and Throat Specialist, who started to work in Private Optimed Hospital in recent months. Dr. Koray KIRBIYIK gave detailed information about the preoperative and postoperative processes regarding rhinoplasty.
How is the process of deciding on the ideal nose of the patient?
Our patients come to us with a request for surgery when they first come to us, but we first examine the patient and determine the problems. We describe the nose we will make according to the nose problem to the patient. We give information about how much we can shrink that nose if it has a very large nose and how much we can intervene if it has a very curved nose. Not only the nose, but also the asymmetries on the face, nose, lip, eyebrow and facial bone. We share information not only about a region on his face, but also about his face in total. Patients come with a certain expectation and the noses we make can completely change the face of the patient. However, since there are some regions on the face that we do not intervene, there are also points that remain the same and we talk about them as well. Because we have patients with very high expectations, for this reason, we inform patients with large nose deformities in advance. We meet on a common ground with the patient and agree to make the nose that best suits the patient’s face, and then decide on the surgery.
Which techniques are used during the surgery?
Rhinoplasty operations are performed in two ways; open and closed. We usually do it openly because we have patients with a lot of nose problems. There are bones and cartilages not only inside the nose but also outside, and we are trying to fix everything related to the nose. Since we want to make big changes in the nose, we prefer to use open technique. If there is not too much problem in the nose and there is a small bone protrusion, we use closed technique in patients where we will make slightly more minimal changes.
Is there any pain after the operation?
The pain threshold differs in every person. If we generalize in rhinoplasty surgeries, there is pain on the first day. The pain subsides in the next days. We can say that the rate of pain for our patients is 50% -50%, as it is related to the pain threshold. There are patients who say I have pain, and there are also patients who say I am very comfortable. This situation also changes depending on the operation we perform on the nose. Pain is more in patients with bad nose condition.
What are the physical effects of the surgery? Are there consequences such as falling nose tip, facial bruising and swelling?
Swelling and bruises occur at the first time we do the surgery. Although it is more prominent in some patients, it usually disappears within a period of 1 week – 10 days. Swelling and bruises change according to the operation performed on the nose. If it is a very large nose and we reduce it, bruises and swelling are more. In rhinoplasty surgeries, the complete fit of the nose covers a period of 6 months to 1 year. Sometimes, although very rare, we encounter processes that take up to two years. During this time, the patient can continue his daily activities. On the first day, the patient needs a companion in his daily work in order to recover and recover on the first night of his hospitalization due to anesthesia. On other days, he can perform his own physical activities. After the operation, we place plaster and tapes on the outside of the nose and there are tampons in the nose. We keep it for an average week and then take it. They just look physically, but continue their daily activities.
When does he return to his daily life after the stitches and tampons are removed?
After the stitches and tampons are removed in a week after the operation, we put a tape on especially big and big noses and it stays for a week. In other words, something happens outside of the nose during the two weeks after the surgery. At the end of these two weeks, he continues his daily life and becomes normal in terms of appearance.


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Due to December 1, World AIDS Day, our Medical Center Nutrition and Diet Specialist Özlem Gökmen answered those who were curious about the measures to be taken to prevent the disease.

AIDS, acquired immune deficiency syndrome, is an infectious disease that is observed to accompany the disease by the emergence of opportunistic infections when the immune system becomes ineffective. It first appeared in the 1980s and continues to spread increasingly all over the world. AIDS disease is a disease that occurs as a result of HIV, ie human immunodeficiency virus. HIV infection can be transmitted by all kinds of unprotected sexual contact, the use of intravenous substances with common injectors and the administration of infected blood and blood products, or by breastfeeding from mother to baby during pregnancy, during birth or after birth. Due to the variety of transmission routes, HIV infection can be seen in all age groups.

The virus affects the immune system negatively with the reduced lymphocytes by destroying the lymphocytes, called the virus C4, which protect the body against microbes. With the weakening of the body’s immune system, the body becomes unable to cope with other disease factors that it can easily fight before being affected by the virus.

More than half of HIV-infected patients die due to simple infections as a result of their immune systems becoming ineffective. Nutrition in virus-infected individuals; It plays an important role in alleviating the symptoms that occur with decreased immunity, preventing nutrient-drug interactions and increasing the quality of life. In particular, nutrition plays a very important role in the positive effects of antiretroviral drug therapy, and it helps to take precautions against possible negativities that may develop due to the serum micronutrient before treatment.

Nutritional recommendations vary according to the nutritional status of the patient, body mass index, the extent of the disease progression and the accompanying diseases. Generally speaking; In order to maintain its current weight in HIV-infected adults and children, an increase of 10% is required in the energy requirement. In children, if loss of body weight is observed, energy intake is increased by 50-100%. In the process of combating HIV, catabolic, ie destructive activities in the body increase, and protein intake must be increased by 10% in order to prevent increases. In the presence of conditions such as cirrhosis, renal failure, pancreatitis, special arrangements should be made by considering the age, sex and disease course of the patient. Fat change in infected individuals varies from person to person. In patients with high serum triglyceride levels, omega-3 intake (spinach, purslane, walnut, flaxseed, salmon, etc.) should be increased.

Vitamin and mineral intake becomes important in infected individuals and it is observed that if taken low, it accelerates the progression of the disease, the risk of contamination and death. Especially the consumption of foods with high antioxidant content causes a tendency to decrease in the progression of the disease. Often, vitamin A, D, E and B12 deficiencies, B-carotene, selenium, zinc and iron deficiencies are observed. It is known that when the intake of vitamins B12 and C is increased, the number of protective lymphocytes increases and slows the course of the disease. Also; Nutrient-drug interactions gain importance in this process, attention should be paid to the hunger or full consumption of the drugs, and should not be taken with grapefruit juice and St. John’s Wort, which may cause side effects. In the table below, you can see which foods contain vitamins and minerals.

MINERAL NAME NAME OF NUTRITIONS VITAMIN NAME NUTRITIONS
IRON Meat and meat products, legumes, green leafy vegetables …
Vitamin A

Green and yellow leafy vegetables, carrots, pumpkin, apricots, spinach, meats…
ZINC Whole grain flours, nuts, milk and dairy products… Vitamin C Citrus fruits, rosehips, green leafy vegetables.
CALCIUM Milk and milk products, tahini, sesame… Vitamin B12 Red meats, mushrooms, sardines…
MAGNESIUM Cereals, vegetables, apricots, dried fruits … Folate Spinach, cabbage, liver, dried fruits …
SELENIUM Egg, cheese, meat and meat products, cereals… Vitamin D Fish oil, cod liver, sun…
IODINE Seafood, table salt… Vitamin E Vegetable oils, dried nuts…
DO NOT FORGET

Eat a sufficient and balanced diet to maintain our constant body weight.
Consume plenty of vegetables, fruits and grains in our meals.
Do not consume foods containing saturated fat (offal, lard, tallow, cream, etc.).
Do not consume salt and foods containing salt.
Do not consume refined sugar and foods containing sugar.
Make sure to increase your fluid intake, do not neglect to drink at least 2-2.5 liters of water a day.
Foods high in calcium (milk, cheese, yoghurt, soy milk, etc.) and Fe (dark green leafy vegetables, fish, eggs, legumes, etc.)


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