Modern Diagnostic & Lall Nursing Home

Hi,

Main Dr. Sankalp Mohan hoon. Aaj hum baat karenge headache ke upar. Ab headache ek aam bimari hai yeh sabhi jante hain in fact shayad hi koi aisa hoga jiske sir mein dard kabhi hua na ho, agar woh keh raha hai to vo shayad jhooth hi bol raha hai. Toh normally headaches jo hote hain voh 2 prakar ke hote hai: ek jise hum kehte hai primary headache aur doosra jise hum kehte hai secondary headache. Primary headache vo hota hai jisme koi kaarand hume nazar nahi aata hai, hum kuch bhi test kara le usme koi kaarand nahi nazar aata aur kuch hote hai secondary headaches. Ab primary headaches jo hai woh jyada common hai unme se jo sabse common jo hota hai vo hota hai tension type headache aur migraine. Toh jyadatar logo mein tension type headache dekha jata hai, log jo hain tension type headache mein usually unhe dono taraf sir mein dard hota hai, thoda sa aise tightness jaisi feeling aati hai, stress ke sath associated hota hai aur sham hote hote vo badh jata hain.

Inn logi mein jyadatar aur koi problem nahi hoti aur voh apna kaam kar pate hain. To isme hum usually sirf kabhi kabhi koi pain killer de dete hai at the time of headache ya kabhi kabhi hume thoda long treatment dena padta hai agar voh chronic headache ho, chronic tension type headache. Migraine bhi ek common bimari hai toh migraine mein jyadatar migraine ke patients ko photophobia hota hai jaise light se problem hoti hai, light se headache badh jata hai, phonophobia hota hai jaise kisi sound se ya koi chilla raha ho usse ya koi loud sound se headache badh jata hai, unhe nausea hota hai, vomiting jaisi feeling hoti hai, kabhi kabhi vomit bhi ho jati hai.

Jyadatar ye ek taraf hota hai aur migraine generally attacks mein aata hai, jo attacks kuch 4-72 ghante tak rehte hai. To migraine ka jo treatment hai vo thoda alag hai. Usme aapko triggers avoid karne hote hai jaise aap loud sound ya bright light ko avoid kare, kuch khane ki cheeze se bhi logo ko jaise chocolate, coffee se bhi kayi logo ko headache ho jata hai, koi perfume se headache ho jata hai use avoid kare. Jisko frequent bar bar attack aa rahe ho unhe hume treatment dena padta hai jise hum prophylaxis kehte hai. Ab jyadatar jo headaches hote hain usme hume MRI ki zarurt nahi padti hai lekin agar neurologist ko lage ki yeh primary headache nahi hai ya kuch red flag signs hai ki matlab koi aur bimari ho sakti hai tab hum MRI karate hain. Ab secondary headaches mein bhi kayo kaarand nikalte hai, kabhi kabhi kuch rarely koi serious kaarand nikal jata hai.

Toh agar kuch aise lakshan ho jaise aapko headache ke sath bar bar dikhne mein bhi problem ho rahi ho, bar bar bahut tez headache ho raha ho jo aapko life mein kabhi nahi hua ho aur aapko uske sath kuch symptom aane lage, hath pair sunn ho jana, paralysis jaisa attack aa jana ya seizure ya mirgi ke daure aajana, toh aise type ke headaches mein hume MRI karana hi padta hai. So ant mein yahi kahenge ki headache ek aam bimari hai, more than 90-95% headache jo hote hain vo benign hote hain, unme kuch khaas ghabrane ki zarurt nahi hoti hai lekin treatment lena padta hai taki aapko baad me koi takleef na ho aur pain killers bar bar khane se bhi nuksan ho sakta hai. Thank you for watching this video and aapko aur information chahiye to aap lybrate ya fir Dr. Sankalp's neuro clinic pe contact kar sakte hai.

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Hi,

I am Dr. Sankalp Mohan hoon, neurologist, Vashi, Navi Mumbai. Aaj hum baat karenge seizures ya epilepsy ki. Ab seizures kya hain? Seizures ko hum aam bhasha mein mirgi, daura, fit ya aakdi bhi kehte hain. Seizures ke lakshan kya hai? Seizure kayi prakar ke hote hain aur jis prakar ke seizure hain uss hisab se uske lakshan bhi hote hain. Commonly seizures ke seizure hone se hath pair akad jaate hain, hath pair jhatke marne lag jaate hain ya fir aapki aankhein upar chali jati hain, jaban cut jati hai, muh se jhaag nikalne lagta hai, yeh usually 2-3 minute tak rehta hai aur insaan behosh ho jata hai iske bad jo ek adh ghante tak bhi reh sakti hai. Ab kuch logo ko sirf ek part of the body yani ek hath ya ek pair mein jhatka ya akdi aati hai jise focal seizures kehte hain. Kabhi kabhi insaan sirf gumsum ho jata hai, use yaad nahi rehta hai kya hua kuch, kuch samay tak aur voh respond nahi karta hai jo absent seizures hote hain ya complex partial seizure ho sakta hai.

Ab seizures ke kya kaarand hai? Seizures jo hain chote bache se leke boodhe tak kisi mein bhi ho sakta hai, iske jo kaarand hai vo bachcho mein alag type ke hote hain aur boodhon mein alag type ke hote hain. Generally yeh kabhi kabhi jaise shareer mein sodium kam hone ki vajah se, sugar kam hone ki vajah se jo log alcohol bahut jyada lete hain unhe ho sakta hai ya koi bahut samay se alcohol le raha hai aur suddenly chord de use bhi ho sakta hai. Kayi bar hume koi kaarand nahi milta jise idiopathic seizures bolte hain. Ab epilepsy kya hai? Jisko baar baar seizures aate hain usko hum ek syndrome bolte hain vo epilepsy hota hai. Ab aam taur par jab kisi ko seizure aata hai to hum kuch tests karte hain, blood tests, MRI karte hain, EEG karte hain. Jyadatar log almost 50% log jo hai voh ek dawai se respond kar jaate hain.

Jab voh ek dawai se respond nahi karte toh unhe doosri ya teesri dawai dalni padti hai jise hum refractive seizures kehte hain. Aise mein jaroor aapko specialist ke pass jana chahiye, kabhi kabhi hume video ranging ki bhi zarurat pad jati hai aur kuch mareej hote hain kuch epilepsy syndromes aise hote hain jisme hum surgery bhi kar sakte hain jo kuch gine chune centres mein hi hoti hai. Ab important cheez yeh hai ki jab kisi ko seizure ho tab aapko use ek side letana hai taki vo aspirate na kar jaye ya choke na hojaye, doosri important cheez ye hai ki aapko uske muh ke andar koi bhi vasto nahi dalni hai jaise chamach ya fir hanky jo hum normally daal dete hain usko nahi dalna hai aur aapko turant hospital hi leke aana hai. Toh ant mein main itna hi kehna chahunga ki seizure ek aam bimari hai, kayi logo ko hota hai aur log jo hai isme ekdum normal life lead kar sakte hain bus kuch precautions lene hote hai jaise driving avoid kare, swimming avoid kare ya uchaiyon pe jana avoid kare aur acha sleep le, alcohol avoid kare. Thank you. Thank you for watching this video. For more information you can contact a lybrate.com

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Hello everybody!

Mai Dr. Sankalp Mohan hun. Neurologist at Vashi, Navi Mumbai. Aaj hum baat karenge stroke pe. Stroke jise lakwa kehte hain, yeh ek aam bimari hain. Yeh serious bhi ho sakti hain. Jab ki yeh bimari common hai lekin kai logon ko iske baare mei pata nahi hai – ek survey ke hisab se sirf ek ya do pratishad log hi iske baare mei, iske lakshano ke baare mei jante hain. Jo stroke hai wo aam taur pe do type ka hota hain, do prakar ka hota hain. Jise hum ischemic or haemorrhagic stroke kehte hain. Ischemic stroke mei blood mei clot ban jata hai. Jo nasey hoti hain usmein clot ban jata hai. Aur haemorrhagic stroke mei nasey faat jati hain. Aaj hum zyada baat karege ischemic stroke ke baare mei jo zyada common hain.

Abhi kin prakar ke logon mei zyada hone ke chances hote hain ya zyada sambhavana hain? Toh, jin logon ko blood pressure ho, jinko uncontrolled diabetes ya sugar ki bimari ho, jo smoking bohot zyada karta hai, jo koi alcohol zyada leta hain, kisi ki family history ho unko yeh hone ki samvabana zyada hoti hai. Ab stroke mei jo clot banta hai woh zyadatar ya toh heart se aata hai ya galey ki kisi nass se aata hai. Kabhi kabhi wo brain ke andar choti naso mein bhi ban jata hain jisey lacunar stroke kehte hain. Ab sabse zaruri hai ki stroke ke lakhshan jaanna. Toh stroke mei jo hai, kisi ko bhi agar achanak se bolne mein dikkat ho jaye, ya phir haat pair uthna bandh ho jaye, koi cheez pakadne mei problem ho jaye, achanak se langra kar chalne lage, ya balance na ho ya kabhi kabhi ekdam chhakar aa jaye, sir dard, ulti ho jayen toh yeh sab ho sakte hain stroke ke lakshan. Ab stroke ka jo treatment hai pichhle 20 saalo se kafi change ho chuka hai.

Usmein agar aap hospital mein 4.5 ghante ke andar aate hain toh ek dawai hai jisko hum thrombolysis kehte hain, vo de sakte hain. Thrombolysis clot buster hota hai jise hum clot ko dissolve karte hain. Agar isse 4.5 ghante mein diya jaye toh kafi had tak stroke se jo brain mei damage hota hai usko hum rok sakte hain. Kabhi kabhi yeh jo clot hota hai wo badi nass mein hota hain. Tab yeh bhi kaam nahi karta. Toh uske liye humey mechanically matlab us clot ko nikalna parta hai cath lab mein jakar. Ant mei mai yehi kehna chahunga ki stroke kafi common bimari hai lekin kayi logon ko iske bare mei pata nahi hai. Agar timely aap sahi time pe iske lakshan janey aur hospital mein le aaye toh kafi had tak hum patient ko bacha sakte hain aur usko aage aane wale brain damage ko bhi hum bacha sakte hain.

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Hello everyone, I am Dr Sankalp Mohan Neurologist at Artemis Hospital, Gurgaon, Saket, New Delhi and visit Neurologist in Panipat. Today I would be speaking on Migraine, Migraine is a very common disorder it affects about 14% of the general population. It is more common in females, 25% of females are affected and 9% of males are affected. Typically there are two types of a migraine, migraine without aura, which is known as a common migraine and migraine with aura which is known as a classic migraine. Now some people experience certain symptoms like visual symptoms, blurring of vision, seeing flashes of light or certain zigzag lines, some of them experience sensory symptoms like paresthesia abnormal sensation, some have autonomic symptoms, like palpitations or sweating etc., prior to the onset of a headache. This is typically followed by a headache which is one-sided although it can be both sided, it was accompanied by nausea or vomiting, some people have an intolerance to bright light or loud sound this headache attack is typically relieved by sleeping or rest. Now the duration of the attack typically lasts for 4 to 72, hours the frequency of the attack is variable. It may last once in 15 days or once in a week or sometime it may be almost daily. Now those people who experience almost daily attacks or more than 15 days a month are classified as a chronic migraine, now migraine is classified as a primary headache disorder that is it does not have any cause, most of the times we do not require any imaging CT Scan or MRI but however if your Neurologist feels that it might be due to a secondary headache that is due to some cause or there are certain red flag sign in that case and MRI may be needed. As far as the treatment of a migraine is concerned, if you are having very infrequent attacks like less than once a month or less than once in 15 days, in that case, all you need is a simple painkiller like paracetamol, brufen etc. during the attack and to avoid the trigger in factors. Now that triggers for a Migraine may be variable some people have an intolerance to light, sound etc. some people have chocolate, caffeine has a trigger, some people have bright smells as triggers so avoidance of the triggers is important. Those who have frequent attacks or very disabling or severe attacks they may require a long-term treatment which is known as prophylaxis, these include various kind of drugs like a beta blocker, amitriptyline, valproate, topiramate etc., special precautions need to be taken in pregnancy because some of these drugs cannot be given during pregnancy. Now those who have a chronic migraine may be more resistant to treatment, apart from taking regular profile access some other treatment modalities may also be given like botox injections or occipital nerve block. Now the effect of these injections typically last for 3 months and the injections may be repeated later. So the taken message is a migraine is a very common disorder if you are having infrequent attacks all you need is to avoid the triggers, have a good sleep, take less stress and to take painkillers during the attack but if you are having frequent or severe attacks then you need to consult a Neurologist. Thank you.