Heart And Gynae Clinic

Hello, mera naam Dr Sujata Agarwal hai, mein MBBS MD Gyaene hoon, obtsetrology mein mera diploma kiya hua hai, main Sarita Vihar, Badarpur aur Apollo hospital mein practice karti hoon. Main aap logo ko pregnancy aur usse related ultrasound ke baare me batana chahungi, agar aap log mujhe dikha na chahte hain ya consult karana chahe toh aap mera number Lybrate se le sakte hain. Pregnancy aur ultrasound aajkal dono ek doosre ke saath bilkul mil rahe hain, main aim hamara pregnancy mein ultrasound karne ka ye hota hai, ki bache ki growth theek ho aur baccha us samay deliver karaya jaaye jab woh safe ho, koi complication ho toh hum usko pata karle, bache ke andar kisi bhi tarah ka defect ho to usko pata karle. Kuch logon ka iss tarah se myth hota hai ki ultrasound jo hai bahut jyada karana pregnancy mein safe nahi hai, lekin yeh bilkul galat hai dharna hai. Ultrasound ek tarah ka different mechanism hai jisme sound waves bache ke andar ja ke reflect hoke wapas machine mein aati hain, isme Koi x-ray ya koi aur tarike radiation nahi hai jo bacche ki growth pe ya uski kisi development pe problem kare. Isliye pregnancy me ultrasound bhale hi doh ho, dus ho, bees ho depending upon our requirement woh bilkul hi safe hote hain. Jo pehla ultrasound hum karte hain wo do se teen mahine ke beech mein karte hain yeh janane ke liye ki kaee baar twin pregnancy hoti hai, triplet pregnancy hoti hai, ke number of foetuses kitne hain. To know number of foetuses No.1, No. 2 bacche ko hum naap ke uski age pata laga sakte hain aur usse delivery ki date hum confirm karte hain aur teesra bacche ki heartbeat dekh ke hum bata sakte hain ki bacche ke andar koi missed abortion hai ya koi cruel problem nahi hai. Toh pehla ultrasound hota hai dating viability scan between 2 to 3 week preferably 8 weeks mein, second ultrasound humlog usko NT scan bolte hain 11 to 30 weeks me kiya jata hai. Iss ultrasound baccha pura bann chukka hota hai, uske charo haath pair bann chuke dekhte hain uske sar ki mainly, sar k i haddi bani hai ki nahi skull bone woh nazar aati hai kabhi kabhi kuch defects ho bacche ka skull nahi bana hota hai. Waise anal carefree baby ko hum early diagnose kar sakte hain. Teesra bache ke neck ki bone ko major karte hain jo main anteen hota hai aur uski thickness se hum bata sakte hain ki bacche mein koi development chromosomal defect hai ya nahi hai. Agar anteen normal se jyada hoga toh phir hame aage janch karne ki jarurat hogi kyunki usme bache ka defective hone ka risk badd jata hai. Uske alawa bache ka hame bacche ka stomach, urinary bladder, bacche ka heart care flow, ductors flow aur ek basic heart ka structure hame dikh jata hai aur hum ye bata sakte hain ki bacche mein basic koi defect nahi hai, yeah 11 to 13 weeks Mein NT scan hota hai. Iske baad mein jo sabse important ultrasound hai woh 4 se 5 mahine ke beech mein hota hai preferably 18 to 19 weeks mein 20 weeks se pahle hame dekh lena hota hai ki bache ke andar kisi bhi tarah ka koi defect nahi hai. Toh 20 weeks ke baad agar bachche defective bhi hai toh bhi abortion karne ke liye Supreme Court ke paas ja ke unse hame permission leni padti hai. MTP act mein sirf 20 weeks tak hi hum log agar defective baby ho toh terminate kar sakte hain. Toh 18 to 19 weeks mein baby jo hai pura develop ho chuka hota hai, uski puri body, brain, skull, heart, kidney, hath, pair har tarah ki cheeze hume dikh jati hain aur hum confidently bol sakte hain ki bacch bilkul safe hai aur aap pregnancy aram se continue kariye. In 18 to 19 weeks jisko hum anomaly scan bolte hain, uske baad jo next ultrasound hai wo patient to patient requirement pe depend karta hai. Normally ye around 30 to 34 weeks pe karte hain aur isko coloured optical scanning bolte hain. Isme hum bache ke sare brain, heart or uske alag alag naso me blood ka Prabhav dekhte hain aur usse hame pata chal jata hai ki bacche ki growth jo hai thik hai ke nahi hai, uterus ki arteries mein blood flow dekhte hain usse pata chal jata hai ki high BP hone ka risk hai ki nahi pregnancy ke samay. Aur jin baccho mein growth retardation hota hai, unka phir hum doh doh hafte pe serials scan karke dekhte hain ki growth ho rahi hai ki nahi ho rahi hai aur agar hame lagta hai ki baby bahut jyada week hai aur pait mein uski maa ke andar uterus mein dala jata hai isliye hum timely delivery plan kar sakte hain ultrasound ke dwara. Toh is tarah se ultrasound pregnancy mein bahut hi safe hai, isko karane mein koi hichak nahi honi chahiye. Deliveries ki requirement ho aur aapke doctor suggest kare, toh usko bina kisi darr ke karaiye, uska koi side effect nahi hai. Thank you so much agar aap logon ko mujhse kabhi kuch scan karana ho ya milna ho toh aap mere se appointment le sakte hain.

Hi!

I'm Dr. Sujata . Me ek gynecologist hun. Aur mere 2 clinic hain ek sarita vihar mein hai ek badarpur mein hai aur me Apollo mein bhi bethti hun.

Aj me ap logon ko Polycystic ovarian syndrome ke bare mein batana chahungi. Aj kal apne dekha hoga ziada tar larkian bari pareshan rehti hain PCOS hogaya hai Polycystic ovarian syndrome hogaya hai aur sab is barey mein chinta kerte hain ke humari ovary mein cyst hogaye hain. Basically is mein chinta ki koi baat nahi hai. Polycystic ovarian syndrome ek tarah ka syndrome hai jis mein buhat sari cheezain ek sath hoti hain. Basically yeh un logon mein hota hai jin ke family history mein diabetes ho ya jin ke parents, grandparents ya jau khud prone ho diabetes ko un larkion mein polycystic ovarian syndrome hota hai. Aur jau clinical presentation hoti hain in patients ki us mein patient ka weight barha hota hai, un logon ke abnormal hair patterns hote hain, facial hairs hosakte hain hath pairon mein ziada baal hosakte hain, pigmentation hosakta hai, bas unko periods irregular hote hain. Irregular ka matlab hai periods over ho ker hote hain, one month two months till 6 months. Kabhi bhi unko total irregular cycle hoti hai. Jau main karan polycystic ovarian syndrome ka hai uske karan yeh hai ke patient ke andar regular menstruation nahi hota hai kyoun ke regular ovulation nahi hota hai. Har mahinay ek egg banta hai, jau rupture hota hai aur uske baad periods hote hain. In patients mein egg banta nahi hai chota sa banna shuru hota hai aur ovary mein para rehta hai is liye unko periods nahi hote. Aur dhere dhere kerke multiple chote chote eggs ho jate hain jinko hum follicles bhi bolte hain aur jau clinical presentation ultrasound mein dikhta hai woh typical polycystic ovaries mein who chote chote eggs dikhte hain. Yeh cyst kisis tarah se dangerous nahi hai yeh koi cancerous cyst nahi hai is liye inke barey mein ziada pareshan nahi hona chahye. Per iska treatment is liye zaruri hai kyoun ke polycystic ovarian syndrome hone se number 1 patient obese hojaega, uske facial hair ho jaenge, usey pigmentation hojaegi, tau uski external appearance kharab hojaegi, uska confidence kam hojaega number, usko diabetes ka risk barh jaega yeh dekha gaya hai ke jau log ka insulin level ziada hote hain un logon ko yeh condition ziada hoti hai. Aur agar hum sahi time per pata kerke insulin resistance de ker usko treat karen tau who diabetes ko prevent bhi ker sakte hain aur unka jau polycystic ovarian syndrome hai who clear hojata hai. Thirdly is mein infertility ka problem hota hai, infertility mayney baby nahi ata hai. Ovulation nahi hoga tau conception ki problem hogi. Aur lastly is mein periods irregular hote hain. Agey ja ker yeh patients jau hote hain unko diabetes ho sakti hai, diabetes ki wajah se unko heart disease hosakti hai, kidney failure ho sakta hai inka lipid profile kharab ho sakta hai. Is liye yeh ek pura syndrome hai jisko hum Polycystic syndrome bolte hain jis mein irregular periods, egg nahi banna matlab anovulation, mota hona obesity, abnormal hair pattern hirsutism plus diabetes ka risk, blood mein lipids cholesterol barhne ka risk, heart disease ka risk aur baad mein kidneys per effect hone ka risk hoskta hai. Is ka treatment buhat simple hai, is mein ghabrane ki koi zarurat nahi hoti hai. Is mein lifestyle modification karna hota hai, exercise karna hota hai, diet control karna hota hai, plus kuch basic tests kerwa ker kuch simple dawaiyan khani hoti hain aur yeh araam se control hojata hai.

Agar ap logon ko is tarah ka koi problem hai tau ap mere ko aker mere clinic per mil sakte hain direct contact ker sakte hain ya ap through Lybrate mujhe contact ker sakte hain. Thank you so much!