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Importance of Eating Right Pattern to Strengthen The Body

    /    บทความ    /    Importance of Eating Right Pattern to Strengthen The Body

Better Posture, Better Health.

Importance of Eating Right Pattern To Strengthen The Body

Food refers to what the body takes in both matter and energy and the synthesis process occurs until the body can use it for benefit. Therefore, eating the right pattern properly should be considered especially how the food you are about to eat will benefit or harm you in order to get the body to get complete nutrition. 

Criteria for Choosing Right Eating Pattern

According to Thaihealth Watch 2022, Thai people prefer to eat high-fat foods, processed foods, and bottled beverages and don’t eat enough fruits and vegetables which affects health in the long run, especially the risk of getting sick with NCDs may affect the mortality rate of Thai people. Check out the criteria for selection of healthy food as follows: 

  • Type: Have a variety of food from all 5 food groups. Foods that are harmful to the body such as fried food, potato chips, desserts, coffee, alcohol, additives, preservatives, and various processed foods should be avoided. 
Reduction formula 6:6:1 on Sweet, Oily and Salty food: Consumption of these food per day should be limited according to the following amount as maximum
– 6 teaspoons of sugar
– 6 teaspoons of oil
– 1 tablespoon of salt 
 
  • Amount: The daily consumption should not be exceeding as follows: Sugar – 150 calories per day, Fat – 20g to 30g of saturated fat per day and Salt – 2,300mg 
  • Time: Enjoy the meal. Try not to eat between meals. You can do intermittent fasting as well.
Canada Food Guide 2019: Sample Canadian Government Food Guide 
 
Eat fruits and vegetables, whole grains and protein rich food, when choosing a protein food, opt for plant-based protein including choosing healthy fats instead of saturated fats. However, a good eating pattern must have the following characteristics: 

1. Complete nutrition value
2. Healthy
3. Satisfaction
 
Overall, the research concluded that a good eating pattern is choosing to eat vegetables, fruits, whole grains and various protein foods such as beans, yogurt, lean meats, etc., including reducing and avoiding processed foods, salt and sugar so that the body can get useful nutrients and use it for the development of the body.
 
How To Eat To Get Complete Nutrition? 
 
  • Focus on eating foods such as vegetables, fruits, whole grains. and suitable protein: Have protein from plants, such as beans, and reduce the consumption of foods that are high in saturated fat, such as fat from certain meats, including fat in milk, butter, cheese, lard, palm oil, etc. Increase the consumption of lean meats such as fish like tuna, chicken breasts, as well as eating good fats such as olive oil, sesame seeds and flaxseed.
  • Reduce the consumption amount of processed foods: Processed foods that should reduce consumption include sausages, bacon, ham, as they contain a lot of salt, saturated fat and there are carcinogenic substances that occur in the food preservation process. When preparing for your own food, avoid salt, sugar, and saturated fat.
  • Drink water instead of of sugary drinks: Water can help quench your thirst and resolve dehydration without consuming excess calories. However, if you want a replacement drink, you can drink plant-based drinks that do not contain sugar, such as soy milk, almond milk, coffee, tea (without sugar) or fat-free milk without sugar, etc.
  • Always read the label: Labels will provide more accurate information to make good food purchase decisions, especially ingredients such as calorie content, nutritional proportions, nutrients, expiration dates and amounts of nutrients that are harmful if taken in large amounts, such as salt, sugar, saturated oils, etc.
  • Eat mindfully: Always know your status if you’re full or still hungry
  • Cook by yourself in the kitchen: Cooking helps develop good eating habits because it can control the amount of salt, sugar and various seasonings. In addition, cooking helps to learn new skill and it might help to reduce consumption of processed foods
  • Dining with others: Eat with other people like friends or family. It creates a good environment for eating, making you happier.

If you are looking to consult a doctor to adjust lifestyle behavior for better health or to consult for the personalized meal plan for the diabetic, come down to get advice at PrimoCare Medical Clinic to join the Personalized Lifestyle Medicine program designed for individuals. You can inquire or make an appointment in advance here.

References:

The Hormone Handbook by Thierry Hertoghe, MD. 2006 

Canada food guide diet

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How Does Using Ultrasound in Physiotherapy help?

    /    บทความ    /    How Does Using Ultrasound in Physiotherapy help?

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How Does Using Ultrasound In Physiotherapy Help?

Ultrasound is a technology that has been used for physiotherapy with high frequency sound waves that produces heat to under the skin at 2-5 cm. It is used to reduce pain, tissue inflammation, increase flexibility of joints in deep layers, reduce swelling and accelerate tissue repair Including the release of muscle spasms. However, choosing the setting level, frequency, and waveform physicians and physical therapists will determine the individual patient’s suitability.

Benefits of Ultrasound Therapy

Ultrasound used in physical therapy can be used to treat the following symptoms as follows:

  • To reduce pain
  • To increase the flexibility of the muscle 
  • To reduce the spasms of tissues and fascia
  • To reduce swelling due to inflammation in the early stages
  • To treat deep tissue areas providing maximum heat to bone, cartilage, ligament and muscle
  • Can treat areas with metal

Which Symptoms Can Be Treated With Ultrasound Therapy?

Ultrasound waves are suitable for the treatment of recently injured tissues to accelerate the rebuilding process and reduce the duration of the inflammatory phase. The suitable symptoms for ultrasound treatment are as follows:

  • Office Syndrome: It is a group of symptoms in the muscles and fascia (Myofascial Pain Syndrome) due to a pattern of work that uses the same muscle repeatedly for a long period of time.
  • Knee Osteoarthritis: It is a disease caused by the degeneration of the cartilage of the knee joint in terms of shape, structure, function of joint bones and the bones near the joints wear and deteriorate with age.
  • Tennis Elbow Disease: It is pain of the elbow when moving the elbow, when flicking the wrist up vigorously or when clenching things in the hand.
  • Ankle Sprain: Injuries caused by stumbles, falls, twisted feet, sports or car accidents which may tear the ligaments of the ankle.
  • Lower Back Pain: It is the pain in the back, tight back muscles or stiff in the back from the back of the rib to the lower part.
  • Hip Flexor Nerve Symptoms (Piriformis Syndrome): It is a disorder of the nervous system and muscles. It occurs when the piriformis muscle in the buttock near the hip presses on the sciatic nerve resulting in pain in the buttocks spreading to the legs.
  • Shoulder joint pain (Frozen Shoulder): It is a pain in the shoulder area resulting in inability to fully raise arms or fully cross back. The pain increases with movement. The most prominent symptom is the inability to move the shoulder joint and having pain when lying down.
  • Finger lock (Trigger Finger): It is when the knuckle is painful or the finger is locked, unable to extend itself while the knuckle is moving.

However, the patient should be taking the physical examination by a physical therapist. or physician in detail to diagnose the disease and know the cause of the disease correctly in order to optimize the best treatment efficiency through the suitable treatment for each patient.

If you need consultation with a doctor about physical therapy, come down to PrimoCare Medical Clinic to receive advice from professionals. We have complete services from the physical examination including personal physical therapy. You can inquire or make an appointment in advance here.

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Get to Know the Effects of Different Fats on the Body and How to Have a Balanced Diet?

    /    บทความ    /    Get to Know the Effects of Different Fats on the Body and How to Have a Balanced Diet?

Better Posture, Better Health.

Get to Know the Effects of Different Fats on the Body and How to Have a Balanced Diet?

Fat is usually considered bad for the health. But nowadays, it is proven that not all fats are harmful to health. Although trans fats and saturated fats are the causes of obesity, heart disease, clogged arteries and many other health problems, healthy fats like polyunsaturated fats play an important role in the well functioning of the body. It also helps to balance your mood, increase your energy, and help you control your weight. 

How to Differentiate between Good and Bad Fats?

Fat is an important nutrient, just like protein, carbohydrates, minerals and vitamins. According to the advice of doctors and nutrition experts, a healthy meal doesn’t have to be fat-free but should adhere to the principle of choosing to eat according to the following criteria:

  • Focus on consuming foods that contain good fats or unsaturated fats
  • Limit the amount of foods that are high in saturated fat
  • Avoid foods that contain trans fats

Trans Fats

Trans fats are also known as ‘bad fats’ and even if they are consumed in small amounts, they can increase your risk of various diseases as it is the type of fat that increases the level of bad cholesterol (LDL) and also reduces the level of good cholesterol (HDL), causing the risk of cardiovascular disease and stroke including obesity and subsequent diabetes. We should limit our daily intake of trans fats to no more than 1% of total calories.

Most trans fats are produced in the food industry as from the introduction of vegetable fat or unsaturated fat that is in liquid state through a chemical reaction by adding some hydrogen until it coagulates into a solid mass so that it can be stored for a long time and does not smell rancid.

High Trans Fat Content Food

  • Margarine, white butter, creamer that is often used in fast food dishes such as fried food, baked goods, bakery and processed crispy snacks.
  • Occurs naturally in foods from animal fats and dairy products but in very small quantities so it is not as concerning as the partially hydrogenated trans fats in the first group.

With the rise in awareness of the dangers of trans fats, many countries around the world have passed laws prohibiting the production, import and sale of partially hydrogenated oil including Thailand, this law has been enforced since January 9, 2019.

However, some products may advertise that they are trans fat free. According to the law, if there is less than 0.5 grams of trans fat, it can be listed as 0 grams. 

Saturated Fat

Saturated fat is not as dangerous as trans fats but it may have negative effects on health so it should be consumed in moderation. The recommended consumption amount is approximately no more than 7% of calories received per day where this type of fat can occur naturally in food. 

High Saturated Fat Content Food

  • Red meat such as pork, beef, lamb, leather, lard
  • Some vegetable fats such as coconut oil, palm oil, coconut milk, etc.
  • Fast Food such as butter, cheese, ice cream, cookies, bacon, sausage
The health effects of saturated fat intake are unclear. A study that analyzed research over the past 20 years found that saturated fat did not increase the risk of heart disease and some saturated fats may be better than others. For example, the saturated fat in milk may be better than red meat.
 
Nowadays, many products and foods follow the health trend by choosing something else instead of saturated fat. Before buying, make sure the replacement ingredients are good fats that help reduce the chances of heart disease or is it a carbohydrate diet that may increase your risk of heart disease?
 

Unsaturated Fat or Good Fat

Unsaturated fat is heart-healthy fat. Research has shown that good fats help reduce blood cholesterol levels and reduce the risk of heart disease, cerebrovascular disease, heart attack, blood pressure and also helps reduce inflammation in the body that is one of the causes of many illnesses and chronic diseases including various cancers. 

High Unsaturated Fat Content Food

Unsaturated fats can be divided into two types: monounsaturated fats and polyunsaturated fats.

  • Monounsaturated fat is in liquid form at room temperature and clumps when refrigerated. It is found in a lot of vegetable oils like olive oil, canola oil, peanut oil and in nuts such as almonds, hazelnuts, pecans, and avocados. 
  • Polyunsaturated fat is a liquid both at room temperature and when refrigerated and it can be found in sunflower oil, soybean oil, corn oil, flaxseed oil, flaxseeds and fatty fish such as salmon, tuna, sea bass, catfish and snakehead fish. It is an essential fatty acid that the body cannot produce by itself and is one of the types of unsaturated fat. It is recommended to consume the aforementioned fish foods 2-3 times a week to get enough omega-3s.

Does Each Type of Fat Contain the Same Calories?

Every gram of fat provides 9 calories, which is twice that of 1 gram of protein, which has only 4 calories. Eating too much fat can lead to weight gain. The recommended amount of fat per day is no more than 25-30% of total calories.

Fat is the building block of many cells in the body and is an essential part of a healthy diet. In addition, fat is beneficial for those who are losing weight as it helps to feel full and hungry more slowly, however, good fats such as nuts, fish and unsaturated fats such as oils should be consumed at the right amount. The portion of consumption can be arranged as per the following instructions.

  • Include the other types of food portions to complete the appropriate amount of calories that should be consumed each day.
  • Focus mainly on fruits, vegetables and whole grains.
  • Choose lean protein or lean meat. Avoid red meat. 
  • Reduce salty, sodium-containing foods including oily foods, fried foods, sweet foods, and sugary drinks.
Eating healthy is not difficult but it’s not easy to get started. Consult with a nutritionist/dietitian at PrimoCare about a healthy diet including how to eat to meet your lifestyle and health conditions. Make an advance appointment here.

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Facing Insomnia because of stress?

    /    บทความ    /    Facing Insomnia because of stress?

Better Posture, Better Health.

Facing Insomnia Because of Stress?

During the outbreak of COVID-19 while working from home, many people are addicted to working irregular hours or working late at night, coupled with unfavorable work environments,  no concentration at work which are causing stress until insomnia. These result in exhaustion during the day and decreased performance and creates an ever-increasing amount of stress. So the insomnia became more severe. 

Is there any way that can help to get out of this endless cycle of stress until insomnia? Let’s learn the causes and ways to relieve stress by yourself recommended by doctors at  PrimoCare Medical. 
 

Why Do We Feel Stressed while Working from Home?

Some people may think that working from home should be comfortable as there is no need to leave the house to encounter traffic jams and pollution outside, without needing to worry about the chaos in the office and would be able to concentrate more on work

Indeed, working from home for extended periods of time can cause unconscious stress build-up. As some tasks require brainstorming together or need someone to give advice and talk to each other all the time, the work and rest time are overlapped until there is no real rest time resulting in the discomfort of working from home.

For all these reasons, working from home can be stressful. This stress is a major cause of insomnia, waking up in the middle of the night and not getting enough rest. By survey results in many countries around the world, it was found that the number of people with sleeping problems or insomnia has increased significantly during this COVID-19 period.

 

Causes of Insomnia

Our doctors at PrimoCare Medical explain the causes of insomnia that can happen from a number of factors as follows:

  • An environment that is not suitable for sleeping such as a room that is too hot or too cold, there is a light or noise that disturbs sleep, etc.
  • Certain foods and medications that induce a lack of sleep such as tea, coffee or caffeinated sodas that are stimulants that make you feel alert, nicotine. exposure from smoking including taking weight loss drugs, asthma medications and some nasal decongestants.
  • Working with irregular sleep hours, such as shift work, work that requires constant shifts in work hours until the body is unable to adapt.
  • Not exercising or exercising too little may make it difficult to fall asleep. Additionally, exercising too close to bedtime can cause your body to be so awake causing you insomnia.
  • Physical symptoms such as hunger, pain, aches and pains, breathing problems, etc.
  • Stress and anxiety is one of the main reasons why many people cannot sleep, especially working people who have to be stressed about work. Stress causes negative effects on both the body and the mind, such as headaches, stomach pains, frustration, discouragement, and depression. All of these symptoms further increase the severity of insomnia.

How to Cure Insomnia: De-Stress Before Going to Bed

Don’t let stress diminish the quality of your sleep. Let’s start changing behavior before bedtime to relieve stress and prepare the body and brain for sleep following these instructions:

  • Plan work to suit the available time. Separate work and rest time. When it’s time to get off work, stop thinking about work and give yourself time to relax.
  • Try to go to bed at a consistent time. Go to bed as soon as you feel sleepy for the body to remember sleep time. Adjust the biological clock in the body to balance.
  • Organize the environment in the bedroom appropriately. Adjust the temperature so that it is neither too hot nor too cold. Turn off lights and noises.
  • Eat foods that are high in magnesium, such as soybeans, peanuts, almonds, cashews. and whole grains to help relax the nervous system.
  • Stretch your muscles, massage them, twist them, or soak them in warm water to relieve tension.
  • Sip a warm drink that helps to relax, such as chamomile tea, etc.
  • Create a sleep environment by using scents that help sleep, such as lavender, chamomile, etc., to help relieve stress. Makes you feel calm and free.
  • Do some activities to help you feel relaxed  such as reading books, listening to music, drawing, meditating, etc. 
  • Exercise regularly. But do not exercise for 4 hours before bedtime as it will make the body awake and make it harder to fall asleep.
  • Avoid using your phone before bedtime. Place your phone away from your bed to prevent the light from your phone screen from disturbing your sleep.
  • Avoid having heavy meals before going to bed. If you feel hungry, eat light meals such as bread, juice, milk, etc.
  • Avoid drinking alcohol, tea, coffee and caffeinated soft drinks at least 6 hours before bedtime.
  • Stop thinking about things that make you feel stressed, worried and sad. Try not to think about the future that is yet to come.

If the insomnia has not improved after following the advice mentioned above, you need to consult with a doctor to find the cause, receive treatment and plan a sleep plan as recommended by your doctor. If it leads to chronic insomnia, it can affect the health, quality of life, work performance, contributing risk factors for medical problems like cardiovascular disease, anxiety and diabetes etc. 

Let the sound sleep be a time of true relaxation by starting to pay attention to healthy physical and mental health from today or get a further consultation with a doctor at PrimoCare Medical Clinic. Click here to visit us or make an appointment to enquire more about our services.

References:

 

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Good Vaccine Checklist

    /    บทความ    /    Good Vaccine Checklist

Better Posture, Better Health.

When and how should you get vaccinated?

Vaccination is considered primary prevention, which means the prevention before the disease progresses. The vaccination can help stimulate the body to build immunity against the pathogen. Getting vaccinated can help reduce the intensity of infection and the mortality rate, as well as reducing the likelihood of infection and the severity of illness.

Influenza Vaccine

There are two types of Influenza Vaccine: 

  • Vaccine against 3 different types of influenza It protects 2 strains of A virus and 1 strain of B virus.
  • Vaccine against 4 different types of influenza It protects 2 strains of A virus and 2 strains of B virus. 
The influenza vaccine can be injected starting from the age of 6 months and should be injected once a year. We should get vaccinated every year because the composition of influenza vaccines are updated annually. The influenza vaccine in Thailand is highly safe and it is 70-90% effective in preventing infection.

Cervical Cancer Vaccine

There are three types of HPV (Human Papillomavirus) vaccines:

  • Vaccine that protects against two types of cervical cancer: strains 16 and 18.
  • Vaccine that protects against four types of cervical cancer: strains 6, 11, 16 and 18.
  • Vaccine protects against nine types of cervical cancer, including strains 6, 11, 16, 18, 31, 33, 45, 52 and 58.

The cervical cancer vaccine can be injected in women and men from the age of 9 to 45 years old and it can prevent cervical cancer, vulvar cancer and female uterine cancer. It can also prevent anal cancer and genital warts in males. Vaccination against HPV requires a total of 3 injections at the intervals of 0, 2 and 6 months.

Shingle Vaccine

The shingle vaccine (Zostavax) can reduce the chance of developing shingles by 51% and reduce the post infected symptoms by 67%. With or without having shingles or chickenpox before, the vaccine is recommended for only one injection for adults over 60 years old.

Diphtheria and Tetanus Vaccine

Diphtheria tetanus vaccine (dT) is a mandatory vaccine for all children 7 years of age and older, with three doses at intervals of 0, 1 and 6 months, followed by the booster every 10 years. Moreover, pregnant women and people with wounds should receive tetanus-diphtheria vaccination as they are more likely to be contaminated with tetanus.

Pneumonia Vaccine

Pneumonia vaccine (Pneumococcal vaccine) is a vaccine for preventing bacterial infections. Two types of pneumonia vaccine are:

  • Pneumococcal conjugate vaccines (PCV13, PCV15, and PCV20)
  • Pneumococcal polysaccharide vaccine (PPSV23)

The vaccination should start with 13 conjugated vaccinations and in order to build a high immunity, polysaccharides should be vaccinated after 1 year. It is recommended to use in the elderly 65 years and older. The pneumococcal pneumonia vaccine and the influenza vaccine are safe vaccinations and it has been widely used all over the world for a long time.


Hepatitis B Vaccine

Hepatitis B Vaccine prevents infection from the hepatitis B virus and it can help prevent liver cancer resulting from hepatitis B. Hepatitis B virus can cause 80% of liver cancer and is the second leading cause of cancer death. All Thai children should receive 3 doses of hepatitis B vaccination with intervals of 0, 1 and 6 months. In general, people after the injection can build up to 95% immunity to hepatitis B and can prevent lifelong infection.

If you would like to make an appointment for vaccinations or consult with a doctor, PrimoCare Medical Clinic is ready to take care of your health in its entirety. You can inquire or make an appointment in advance here.

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Healthy work-life balance

    /    บทความ    /    Healthy work-life balance

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Healthy Work-Life Balance

 Mental health refers to cognitive, behavioral, and emotional well-being in order to adapt to society and environment and live happily. Mental health in the workplace should be prioritized because work is an essential part of daily life. Also work-related stress and anxiety can be avoided. It is critical to manage your mental health at work in order to achieve work-life balance in your life.

Mental Health

Mental health is a state of well-being in which an individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and is able to make a contribution to his or her community.

Mental health is fundamental to our collective and individual ability as humans to think, emote, interact with each other, earn a living and enjoy life. On this basis, the promotion, protection and restoration of mental health can be regarded as a vital concern of individuals, communities and societies throughout the world.

 

Work-related Stress

Pressure at the workplace is unavoidable due to the demands of the contemporary work environment. Pressure perceived as acceptable by an individual may even keep workers alert, motivated, able to work and learn, depending on the available resources and personal characteristics. However, when that pressure becomes excessive or otherwise unmanageable it leads to stress. Stress can damage an employees’ health and the business performance by following : 

  • Feeling bored, unwilling to work or lacking of enthusiasm 
  • Constantly experience stress
  • Problems with tobacco, alcohol and other drugs
  • Heart disease and other medical conditions  

Mental Health Assessment Form

The Thai Mental Health Questionnaire (short version) 15 questions by Department of Mental Health, Ministry of Public Health. The following questions will inquire about your experiences over the previous month. about your symptoms, or your thoughts and feelings. Then choose the answer that best describes you. The answer will have 4 options: Not at all (1 point), Slightly (2 points), Very (3 points) and Very Much (4 points).

  1. Do you feel satisfied in life?
  2. Do you feel comfortable?
  3. Do You feel disgusted with your daily life?
  4. Do you feel disappointed in yourself?
  5. Do you feel that your life is full of suffering?
  6. Are you willing to accept problems that are difficult to resolve?
  7. Are you confident that you can control your emotions when something serious happens?
  8. Are you confident that you will face stressful events in your life?
  9. Do you feel compassion when others are suffering?
  10. Do you feel comfortable helping others who have problems?
  11. Do you assist others when you have the chance?
  12. Do you feel proud of yourself
  13. Do you feel stable safe with family
  14. If you are seriously ill, do you believe that your family will take good care of you?
  15. Have your family members love and bond with each other?

Assessment Result

The Thai Mental Health Questionnaire (short version) 15 questions by the Department of Mental Health, Ministry of Public Health has a total score of 60.

  •  51-60 points indicate that you have better mental health than the average person (Good)
  • 44-50 points indicate that you have the same mental health as the general population (Fair)
  • 43 points or less indicate that you having poorer mental health than the general population (Poor)


Work-Life Balance

There’s no sure way to prevent mental illness. However, if you have a mental illness, taking steps to control stress, to increase your resilience and to boost low self-esteem may help keep your symptoms under control. Follow these steps:

  • Pay attention to warning signs: Work with your doctor or therapist to learn what might trigger your symptoms. Make a plan so that you know what to do if symptoms return. Contact your doctor or therapist if you notice any changes in symptoms or how you feel. Consider involving family members or friends to watch for warning signs.
  • Get help when you need it: Mental health conditions can be harder to treat if you wait until symptoms get bad. Long-term maintenance treatment may also help prevent a relapse of symptoms.
  • Take good care of yourself:  Sufficient sleep, healthy eating and regular physical activity are important. Try to maintain a regular schedule. Talk to your primary care provider if you have trouble sleeping or if you have questions about diet and physical activity.
  • Mindfulness causes imbalance: When you practice mindfulness techniques, like meditation or breath awareness, you become more in-tune with your emotions and physical sensations. 
  • Find something you love outside of work to engage in:  If you have something that you’re excited about doing after work, it will make it easier to disconnect from work. Hobbies boost our energy and vitality. When we play and feel creative, we bring our fresh selves back to work.

If you would like to make an appointment to consult with a psychologist, please make an appointment at PrimoCare Medical Clinic, where we are ready to care for your health. as well as your mental wellbeing. You can inquire or schedule an appointment here in advance. 

Reference

Work-Life Balanceปรับสมดุลชีวิตทำงาน

 

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How blood pressure affects the body?

    /    บทความ    /    How blood pressure affects the body?

Better Posture, Better Health.

How blood pressure affects the body?

Blood pressure is the pressure of the bloodstream exerting force against the artery walls. It arises from the process of pumping blood. However, if there is high blood pressure or low blood pressure, it can affect the health of the body. Patients should be aware of their symptoms. for timely examination and finding ways to take care of themselves appropriately. Abnormal symptoms can be deducted by measuring blood pressure or regular health checks.   

Blood Pressure

Blood pressure is the amount of pressure exerted by the bloodstream against the artery walls as a result of the heart’s pumping process. It can be divided into two parts: upper pressure and lower pressure and the differences are as follows:

  • Systolic Blood Pressure is the blood pressure when the heart contracts or pumps blood to deliver blood into the blood vessels throughout the body.
  • Diastolic Blood Pressure is the blood pressure as the heart relaxes as a result of the flexibility of the blood vessels.
In Thailand, normal blood pressure is set as the systolic blood pressure does not exceed 140 and the lower body does not exceed 90 mm Hg. Reading blood pressure can be divided as follows:
 
  • Normal: The upper number is in the range of 120-129 mm Hg and the lower numbers are in the range of 80-84 mm Hg (120-129/80-84 mm Hg).
  • Optimal: The upper number is in the range of 90-120 mm Hg and the lower numbers are in the range of 60-80 mm Hg (90-120 / 60-80).
  • Hypertension: The upper number is greater than 140 mm Hg and the lower numbers are greater than 90 mm Hg (140 / 90 mm Hg).
  • Hypotension: The upper number is less than 90 mm Hg and the lower number is less than 60 mm Hg (90 / 60 mm Hg).

Hypertension

Normal blood pressure should not exceed 130/85 mmHg and blood pressure higher than 130/85 mm Hg is considered abnormal. More than 90% of people with high blood pressure have an undetected cause, but if detected, it is more likely to be caused by other diseases or conditions, such as heredity, kidney disease, and arterial stenosis. It is also caused by behavior or risk factors such as smoking and drinking alcohol, etc.

However, most high blood pressure patients usually have no symptoms at all. Complications in blood pressure can often be detected through annual health checks. Patients with high blood pressure may have pain, numbness in the neck, stiffness in the nape of the neck, dizziness when waking up and some people may have migraine throbbing headaches. If these symptoms occur, you should see a doctor immediately for immediate treatment as there may be a risk of disease that could cause a heart attack, cerebrovascular disease, kidney disease, and eye problems

 

Maintaining high blood pressure within normal parameters 

Blood pressure is a condition that can occur at any age. If your blood pressure is found to be abnormal, you should see your doctor for treatment and continually behave properly in order to prevent further complications. Monitor symptoms and seek treatment to maintain blood pressure back to normal. Patients with high blood pressure can adjust behavior to keep the normal blood pressure as follows:

  • Weight control for those who are overweight or underweight
  • Consumption of healthy food
  • Restricting the amount of salt and sodium in the diet
  • Increasing physical activity or exercising regularly
  • Limiting or abstaining alcohol
  • Smoking cessation

Hypotension

Hypotension is a condition in which arterial blood pressure is less than 90 mm Hg. The reasons that may cause low blood pressure range from dehydration to serious medical conditions so it is important to identify the exact cause of low blood pressure in order to get the right and proper treatment.

Low blood pressure usually does not cause any symptoms but if the blood supply to the brain is insufficient, the temporary symptoms such as dizziness, blurred vision, nausea, palpitations, loss of balance, fainting, or shock with severe hypotension can occur. These symptoms of hypotension can cause a danger to physical health and life.

Maintaining Low Blood Pressure within Normal Parameters

Fainting when changing sitting positions or sudden standing is a symptom of low blood pressure. When these symptoms happen, you should stop all activities that you are doing. Sit down or lie down and drink water. Avoid the behaviors that will make your symptoms worse.

  • Drinking the right amount of water helps to increase the amount of fluids in the body
  • Sit or lie down immediately if you feel faint or dizzy, trying to raise your feet above your heart level to allow blood to flow to your brain

Regular check-ups can help you find any abnormalities in your body including high pressure or abnormally low. If you have any of the above symptoms and would like to make an appointment for a health check or get advice from a medical professional about high blood pressure, PrimoCare Medical Clinic is ready to take care of your health in its entirety. You can inquire or make an appointment in advance here.

Reference

2019 Thai Guidelines on the Treatment of Hypertension

Low Blood Pressure (Hypotension

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How can I treat chronic back pain?


Better Posture, Better Health.

How Can I Treat Chronic Back Pain?

According to research, 90% of middle-aged to elderly people are suffering from back pain. Back pain can be divided into many forms, from short-term pain to chronic pain that comes from a variety of causes whether it is a sprain bone pain or pain caused by an accident. In some cases, the back pain may be caused by being overweight as well.  

Chronic Back Pain

Uncomplicated muscle soreness generally resolves in less than a week but if you have back pain continuously for more than 2 weeks onwards or have other complications such as weakness, numbness, fever, history of trauma, unintentional weight loss, history of cancer, steroid use and intravenous drug use, you should consult with a doctor to identify the cause of pain and get treatment before chronic back pain occurs. However, chronic back pain is considered as one of the key symptoms of Office Syndrome. Myofascial Pain Syndrome is caused by repetitive work on the same muscle for a long period of time resulting in muscle inflammation and pain in various sites.

How to Prevent Chronic Back Pain?

The following methods will help prevent back pain. In order not to let it happen again, start doing these methods yourself.

  • Exercise 
    Many of you may think you should not exercise while you are suffering back pain. But in fact exercise is one of the best things you can do for your back pain. Stretching exercises can help you improve mobility at some stiffness areas of your body  such as your lower back and have a lot of benefits to not only your back pain symptoms but also improve your overall health status. And the exercises should be considered by a professional.
  • Control Body Weight
    Being overweight can result in back pain as the main function of the back muscle is to support the body stability and it should be controlled to be within the standard with nutritious food and exercising regularly to help prevent back pain.
  • Take a Break
    If you sit in any position for too long it can result in back pain. Try to rest for 10 minutes every 1 hour, and change the sitting position correctly. This can help prevent back pain.
  • Keep the Body Posture Properly
    Whether it’s sitting, standing, walking, or lying down, getting the right body posture until it becomes habitual is important. Because in addition to helping you to look better, it will also help prevent pain in different parts of the body as well.

 

Physical Therapy 

Physical therapy is the therapy to restore and strengthen the ability to use the body with various techniques through the audit method and treating the deficiencies of the body caused by the condition of the disease or abnormal movements. However, physical therapy may help relieve pain recovering from injury and help keep the body in balance.

Techniques and Methods of Physical Therapy

Physical therapy focuses on rehabilitation of various ailments with behavior modification together with exercise or use physical therapy tools such as:

  • The science of massage to relax after exercise (Sport massage)
    It is a muscle massage for exercisers or those who have been using heavy muscles and it is different from other massages. The relaxation massage after exercise will focus on deep muscle massage. In sport massage, various techniques are used so that people who exercise can use their muscles to their fullest potential and reduce the likelihood of injury while exercising

  • Ultrasound Therapy
    Ultrasound therapy is the usage of high frequency sound waves to reduce pain, swelling or inflammation of tissues. It accelerates tissue repair and loosen tense muscles as well as increasing the flexibility of the joints in the deep layers. It can also be used to help in the treatment of office syndrome as well.

  • Shockwave Energy Therapy
    Shockwave therapy has the ability to stimulate the injured fascia so that the body can create new muscle cells and helps to break down the fascia and loosen the muscle layer. Shockwave energy has the ability to relieve chronic pain.

Physical Therapy Procedures

Physical therapy is one of the important steps in helping to restore the bones and muscles of the body through the use of techniques such as the science of massage, relaxation after exercise (Sport massage), ultrasound therapy and shockwave therapy, etc. The treatments in addition to physical therapy, also include

  • Assessment of the body structure to determine the cause of illness, pain, muscle inflammation, chronic pain and the balance of the body.
  • Building knowledge and understanding to adjust working posture as appropriate for individual.
  • Educating and promoting exercise continuously in the right way so that the muscles are strong and flexible in order to prevent muscle injuries

Who Should Get Physical Therapy?

Physical therapy can be performed both before and after having abnormal symptoms as physical therapy is about taking care of and restoring the functioning systems of different parts of the body such as muscles, bones and blood circulation in order to work more efficiently

  • Office syndrome patients : Many symptoms like painful symptoms related to the musculoskeletal system can affect daily life or cause movement impairment. These symptoms can be treated with physical therapy to restore the patient to be able to return to daily life as usual.
  • People with chronic back pain: There are many types of physical therapy to reduce chronic back pain such as ultrasound, electrical stimulation, or physical therapy with muscle relaxation including adjusting the patient’s daily posture to be correct
  • People with neck and shoulder pain : Physical therapy can treat and relieve aches and pains so that everyone can go on with their daily lives as usual. The doctor will make a diagnosis and consider the appropriate treatment for each patient by focusing on treatment at the root cause of symptoms including alleviating pain to a minimum

However, visit Primocare Medical Clinic to identify and assess the body structure to treat aches and pain and myositis chronic pain. We are ready to take care of your health completely with prevention and maintaining physical health by exercise management with the use of specialized tools. You can inquire or make an appointment in advance here.

Reference

16 Ways to Avoid Back Pain

9 Tips for Better Posture

What to Know About Myofascial Release Therapy


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Nutrition Therapy for Diabetes Patients


Better Posture, Better Health.

Nutrition Therapy for Diabetes Patients

Diabetes is a chronic disease in which blood sugar levels are consistently higher than normal. It is resulted by pancreatic dysfunction causing the secretion of the hormone insulin is less than usual or there is insulin resistance. The patient therefore needs to control the level of blood sugar below 140 mg/dL. Diabetes is preventable by regular exercise for patients without disease or blood sugar level is controllable with nutritional therapy and exercise in order to minimize pharmacological therapy for diabetes patients. 

Diabetes

Normally, the pancreas produces insulin in order to bring blood sugar to the tissues of the body to refuel energy. In which diabetes can occur only when the body acts abnormally as follows:

  • When the pancreas no longer produces insulin
  • When the pancreas produces a very small amount of insulin
  • When the body does not respond properly to insulin a condition known as “Insulin resistance”

However, if the body is unable to fully utilize the sugar in the blood as energy due to a lack of the insulin, it will result in higher blood sugar levels.

Types of Diabetes

For diabetics, it can be divided into 4 types as follows:

  1. Type 1 diabetes mellitus is a condition where the cells in the pancreas are unable to produce insulin. Patients with type 1 diabetes must use insulin injections to help to control blood sugar in the right amount. 
  2. Type 2 Diabetes  mellitus is a condition in which the body is still able to produce its own insulin but cannot respond to insulin effectively. As a result, blood sugar level gets higher than normal. In case of severe symptoms, the body will not be able to produce enough insulin as needed. However, the treatment for type 2 diabetes requires patients to take medication along with behavioral modifications such as weight loss, diet control. and exercise regularly.
  3. Gestational diabetes mellitus is diabetes that occurs during pregnancy and it usually occurs in the 2nd and 3rd trimester of pregnancy.
  4. Specific types of diabetes mellitus can be occurred for many reasons, such as genetic diseases, pancreas disease, endocrine diseases and the usage of certain drugs, etc.

Prediabetes

Prediabetes is a condition in which the level of blood sugar is higher than normal but not high enough to be diagnosed with diabetes. Patients with pre-diabetes had no symptoms However, they can develop type 2 diabetes or may lead to other complications of diabetes, such as heart disease, commonly occurring symptoms in people with pre-diabetes.

Diet Therapy

Diet therapy is a therapy to provide diet knowledge to help in treatment and alleviate the symptoms of sick people. Various conditions including the suitability of the disease or condition during illness are considered according to the needs of the body in order to return to normal condition. 

Nutrition Therapy for Diabetes

Nutrition therapy for diabetes not only helps to control blood sugar to be within normal limits but it can also help prevent complications that occur in people with diabetes, such as heart disease. Therapeutic methods are often used by choosing nutritious foods and it is good for health. There are 2 principles for choosing food as follows:

  1. Choose food that are low in calories
  2. Choose foods that are rich in complex carbohydrates such as starchy foods and dietary fibers including grain products, green leafy vegetables, nuts, and fruits.

Overweight Diabetics

Currently, there is no specific treatment for monkeypox but there are treatments to relieve symptoms and control complications. The Centers for Disease Control and Prevention says monkeypox is spread through direct contact with infected wounds, scabs, or bodily fluids. The disease can also be spread through respiratory secretions during prolonged exposure. Follow the below behaviors to protect yourself from being infected from monkeypox:

  • Wash your hands with soap or alcohol gel often especially after touching animals or commonly touched public items
  • Avoid contact with wild animals or animals that came from risk areas
  • Avoid contact with people who have a history of coming from a high-risk area and have symptoms
  • Avoid raising or importing wild animals from a foreign country where the origin is unknown
  • Avoid contact with animal blood, secretions or pustules
  • Consume only cooked meat
  • Quarantine for 21 days after returning from an epidemic areas
  • Vaccination against smallpox can help reduce the risk of infection

Treatment for Monkeypox?

Currently, there is no specific treatment for monkeypox. Treatment’s goal is to relieve symptoms and control complications. Monkeypox can be prevented by 85% with the vaccination against smallpox. 

Vaccination against human smallpox can also prevent monkeypox. Therefore older people who were previously vaccinated against smallpox are still immune to smallpox. However, people born after 1980 will never be vaccinated against smallpox. As of July 2022, smallpox is not an epidemic and there is no vaccine available in Thailand. 

To make an appointment for a consultation or talk to our doctors, Primocare Medical Clinic is ready to take care of your health and your mind to be completely healthy, promoting, protecting and healing. You can inquire or make an appointment in advance here.

Reference


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The Importance of Cervical Cancer Vaccine

Better Posture, Better Health.

The Importance of Cervical Cancer Vaccine

Approximately 6,000-8,000 Thai women are infected and die from cervical cancer per year. With a death rate of 8-10 people in a day, cervical cancer is the second most common disease in Thai women after breast cancer. It takes an average of 5-10 years for this virus to transform cervical cells into cervical cancer. For a woman who has been sexually active, the risk of HPV infection is up to 80%. Cervical cancer can be prevented through cervical cancer screening every year and vaccinated against HPV virus. 

Cervical Cancer

Most cervical cancer is found in women between the age of 30 and 55. It is caused by infection with HPV or Human Papilloma Virus, which can be transmitted sexually. It is the leading cause of epithelial infections that cause cervical cancer. It can also cause other types of cancer, such as vaginal cancer, vulvar cancer including genital warts. There are more than 40 strains of HPV that cause cervical cancer but the two most common strains for cervical cancer are strains 16 and 18.

However, most people with HPV show no symptoms at first. The symptoms of the disease can occur years after exposure and can be transmitted to other people. Cervical cancer patients have a variety of symptoms such as vaginal bleeding, fatigue, pelvic, back pain, menstruation that lasts longer or longer than usual, blood in the urine, loss of appetite and weight loss, etc.

 
Prevention and  Treatment for Cervical Cancer

Cervical cancer is one of the preventable cancers. Prevention is better than cure. Prevention and treatment steps can be divided into three steps:
  1. Primary Prevention means prevention before infection. This usually means promoting health as long as possible, such as vaccination against the main cancer-causing strain of HPV, using condom. Be careful not to come into contact with the infection and keep regular infection screening
  2. Secondary Prevention refers to cervical cancer screening once a year to detect infection before it spreads to cancer or the pre-emergent phase (pre-invasive) using a Pap smear test. It is a screening test for cervical cancer by using a tool inserted through the birth path and smearing cells from the uterus to detect abnormal cells or altered cells that can cause cancer. For women aged 35-55, including all women who have been sexually active, should be screened annually.
  3. Tertiary Prevention is the treatment of patients with cervical cancer to recover from the disease. The treatment will depend on the individual, such as surgery, chemotherapy or the use of radiation therapy, etc.

Vaccine Against Infection HPV

Currently, there are three types of HPV vaccines available in Thailand, types 2, 4 and 9. There are two strains that are the most common risk factors for cervical cancer, which are strains 16 and 18. Vaccines that protect against these two strains can prevent up to 70%-90% of cervical cancer.

All three vaccines are indicated for the prevention of HPV-related diseases in both women and men. Vaccines generally cover cervical cancer prevention, vaginal cancer, vulvar cancer, penis cancer and rectal cancer.

 

Who should get HPV vaccines?

Vaccination against cervical cancer can be administered to both women and men. It is recommended to be vaccinated in women aged 9-45 years and men should be vaccinated between 9-26 years old. However, if one get vaccinated before having sex for the first time and the body is at an age that is well immunized, it will get the most efficacy from the vaccine. Those who are sexually active can also have injections.

A total of 3 vaccinations are required within 6 months. The ability to prevent infection will occur within 1 month after 3 doses of vaccination, if you would like to get the HPV vaccine or get advice from a medical professionals, Primocare Medical Clinic is ready to take care of your health in its entirety. You can inquire or make an appointment in advance here. 

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