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Nourish Your Body for Optimal Health Through Balanced Diet

    /    บทความ    /    Nourish Your Body for Optimal Health Through Balanced Diet

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Nourish Your Body for Optimal Health Through Balanced Diet

An eating pattern represents the combination of foods and beverages that completes an individual’s dietary intake over time including habitual eat and drink and the eating pattern does have an impact on the health. So it is important to have the proper diet and right eating pattern to maintain good health in the long term. 

Eating a balanced and nutritious diet is essential for maintaining overall health and well-being. With the variety of delicious and flavorful food options, it can be easy to indulge in high-calorie, high-fat, and high-sugar foods. However, it’s important to remember that a diet that is high in such types of foods can lead to a number of health problems such as obesity, diabetes, heart disease and other chronic diseases. 

One of the key ways to ensure to get all necessary nutrients is through a healthy eating pattern. A healthy eating pattern means consuming different foods from all food groups in the right amount. In Asian countries, especially in Thailand, rice plays a major role in the traditional diet but there are a variety of vegetables and fruits together with moderate portions of fish, seafood and meat. This type of consumption can be considered as a healthy diet since all food groups are consumed and it is low in fat, high in fiber, high in protein and rich in vitamins and minerals.

Moreover the Thai traditional diet is also rich in herbs and spices, which have been shown to have anti-inflammatory and anti-cancer properties. Some common herbs and spices used in Thai cooking include ginger, lemongrass, kaffir lime leaves, and chili peppers.

To maintain a healthy diet, it’s important to avoid the consumption of processed foods and foods that are high in refined sugar, saturated fats, and sodium. Additionally, it’s important to have an appropriate portion, especially making sure to consume enough fruits, vegetables, and whole grains in your diet.

Follow these checklists to maintain a healthy diet and keep your body nourished and strengthened. 

  • Eat a variety of foods from all food groups
  • Have appropriate amount of rice or carbohydrate
  • Have adequate amount of protein
  • Consume plenty of fruits and vegetables
  • Include fish, lean meat, eggs, grains in your diet
  • Avoid sweet and salty foods
  • Limit or reduce the consumption of alcoholic beverages
By following a healthy eating pattern, you can provide your body with the necessary nutrients to function properly, and help to prevent chronic diseases and illnesses. Eating a diet that is rich in fruits, vegetables, whole grains and lean proteins can help to strengthen your body and keep your optimal health.  

PrimoCare Medical Clinic is ready to take care of your health and your mind to be completely strong.  You can inquire or make an appointment in advance here.


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How Does Regular Exercise Help to Strengthen Immunity?

    /    บทความ    /    How Does Regular Exercise Help to Strengthen Immunity?

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How Does Regular Exercise Help to Strengthen Immunity?

Exercising is a regular physical activity that plays a crucial role in maintaining sound health and preventing illnesses as exercise contributes to overall health, which may help support the strong immunity and its functions.

Types of Exercises

There are many types of exercises but the following exercises are those which can support strengthening of the immune system. 

1) Walking: Regular moderate exercise such as 30 minutes active walk is beneficial in maintaining a sound immune system. Daily routine can increase the number of immune cells. One study said that those who walked for 30 to 45 minutes a day had 43 percent less sick days than those who didn’t. When walking, it is important to start pacing at a moderate rate first and gradually increase the intensity of the routine. 

2) Aerobic Exercise: Aerobic is the type of exercise where breathing controls the amount of oxygen that can make it to the muscles to help them burn fuel and move. Aerobic exercise is the best for the heart and helps maintain a healthy weight, decreasing chances of developing heart diseases, diabetes, stroke, and cancer. Aerobic exercises tend to elevate the body temperature, which helps fight infection in the body. Aerobic activities should be done at least 30 minutes a day to maintain the optimal health..

3) Strength Building and Training: It is also known as immunity booster exercise. Regular and continuous strength training allows the body to constantly stretch to repair muscles and leave them stronger. This type of exercise requires the use of assistive devices such as springs or dumbbells. Strength training helps burn calories, reduce fat, and improve muscle mass in older adults.

Benefits of Regular Exercises

Regular exercises not only help strengthen the immune system but support the wellbeing of overall health. The benefits of exercises are as follows: 

  • Weight control
    Exercising regularly will help to control weight. If you do not have time to fully exercise, always look for opportunities to be physically active, such as walking up the stairs instead of using the elevator. 
  • Prevent chronic diseases and other health problems
    Regular exercise can help prevent and control the worsening of certain diseases and health problems. 
  • Boost Self Esteem
    People who are physically active feel better or more satisfied with their bodies and themselves, feeling more self-confident. 
  • Stronger overall 
    People who exercise regularly have stronger muscles as exercise transports oxygen and nutrients to the tissues helping the cardiovascular system work more efficiently. 
  • Prevent Insomnia
    Exercising regularly helps to fall asleep faster and stay asleep, leaving the body energetic and strong.
According to research published in the academic journal “British Journal of Sports Medicine”, it was found that patients with COVID-19 with a history of less than 150 minutes of physical activity per week have a rate of severity of disease symptoms higher than patients with regular physical activity of 150 minutes or more per week. The World Health Organization (WHO) recommends proper physical activity in each age by dividing physical activity into 3 levels:
 
  1. Low Intensity: Normal body movement, standing and walking
  2. Moderate Intensity: It is an activity that causes breathing to increase from normal to fast, such as brisk walking, cycling and watering the plants
  3. High Intensity: It is an activity where the heart rate beats significantly faster than normal until making you feel tired, such as aerobic dancing and Zumba

If you want to know more about how to strengthen your immunity, you can come for a consultation at PrimoCare Medical Clinic and join the personalized lifestyle medicine program designed for individuals. We are ready to take care of your health and your mind to be completely strong.  You can inquire or make an appointment in advance here.

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How does prolonged holding urine affect the body?

    /    บทความ    /    How does prolonged holding urine affect the body?

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How Does Prolonged Holding Urine Affect the Body?

Holding back the urine from time to time may not be very harmful however, habitual urinary incontinence may increase the risk of urinary tract infection and can also result in health problems such as bladder spasms, lower abdominal pain or bladder inflammation, etc.

Holding Urine

The size of the bladder is about 500 – 1,000 ml. When there is about 160 – 300 ml of urine in the bladder, or about half of the bladder it causes pain to urinate because the nerves in the bladder are stimulated to send signals to the brain. The brain then sends a signal back to the bladder to hold urine until it is ready to pass.

Holding your urine for a long time can cause the muscles around the bladder to work too hard resulting in urinary incontinence which will adversely affect health. This can cause a risk of infection in the urinary tract especially the occurrence of cystitis.

Disadvantages of Holding Urine 

  • Bladder spasms
  • Ruptured bladder
  • Bacterial infection in the urethra
  • Cystitis
  • Pyelonephritis
  • Kidney infection
  • Infection in the bloodstream

Cystitis

Cystitis is one of the groups of urinary tract infections (Urinary Tract Infection or UTI) caused by bacterial infection in the urinary tract. Cystitis often occurs more in women than men as women have a short urethra resulting close to the vagina and anus. It makes it easy for bacteria to enter the bladder through the urethra.

Symptoms of Cystitis

Patients with cystitis will experience frequent urination, severe pain while urinating, having blood in the urine, lower abdominal pain and a small amount of urine coming out. Common abnormalities can be observed as follows.

  • Frequent urination, sporadic, symptoms similar to urinary incontinence
  • Pain in the lower abdomen, severe sensation, burning sensation during urination 
  • Abnormal colored urine, sometimes there is an unusual smell or the urine containing blood
  • In children, symptoms may include bedwetting, fever, loss of appetite, vomiting, and fatigue.
  • In the elderly, there are no urinary symptoms. But they will show signs of fatigue, confusion or fever.

Although the disease is not severe, when receiving the wrong and proper treatment, the infection may spread from the bladder through the ureter and sometimes to the kidney. This causes inflammation of the ureter and can cause permanent damage to the kidneys if there is a severe infection and may spread into a bloodstream infection and cause death. Therefore, urinary incontinence causes more harm to the body than you think!

If you need a consultation with a doctor, visit PrimoCare Medical Clinic to receive advice from professionals. You can inquire or make an appointment in advance here.

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Types of Diabetes and Symptoms

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Types of Diabetes and Symptoms

Diabetes is a chronic health condition that affects millions of people worldwide and is a health condition that affects how the body utilizes sugar from the food. The food we consume is broken  down and sugar is one of the nutrients degraded from carbohydrates which is able to be absorbed into your bloodstream through the gut. Once the blood sugar level increases ,the body releases insulin (a biological signal) to let your body’s cells consume and use it as energy.

With diabetes, the body doesn’t make enough insulin (type I diabetes) or being stubborn to the signal (type II diabetes : insulin resistance). As a consequence, blood sugar rises because it is unable to be used by the cells. It could lead to a range of serious health complications if it is left untreated.

Type 1 Diabetes:

Type 1 diabetes is also known as insulin-dependent diabetes which is a chronic condition where the pancreas makes too little insulin. This type is commonly found at a young age and usually caused by genetic factors. Insulin therapy is the main treatment for this type to prevent complications.

Type 2 Diabetes:

Type 2 diabetes is also known as non-insulin dependent diabetes and it is the most common form of diabetes and usually diagnosed in adulthood. This type is caused by insulin resistance and associated with both genetics and the patient’s behavior. With proper lifestyle modification, many patients can live their lives normally without any medications.

Gestational Diabetes:

Gestational diabetes is a form of diabetes that develops during pregnancy. The body, in response to an increase of hormones, resists the signal from insulin. Thus the blood sugar rises.

Good managing of gestational diabetes is crucial to make sure to avoid complications from pregnancy and a healthy baby. This type of diabetes usually disappears after childbirth, it may increase the risk of developing type 2 diabetes later though. 

Symptoms:

Symptoms of Type 1 and Type 2 diabetes share common symptoms. The symptoms includes:

  • Increased thirst than usual
  • Frequent urination
  • Hunger, or sugar cravings
  • Easy fatigue 
  • Unintentional weight loss
  • Areas of darkened thickened cracked skin, usually in the armpits and neck (Acanthosis nigricans : commonly found in type 2 diabetes)

However, signs and symptoms of type 2 diabetes often develop slowly and less noticeable. 

It is important to note that different people may experience different symptoms, or some may not experience any symptoms. Therefore, it is crucial for individuals to have regular check-ups with medical professionals and undergo testing for diabetes.

Learn how to modify the lifestyle, be supervised and receive personalized behavioral advice to match with the personal health conditions from a team of medical professionals, physiotherapists and dietitians at PrimoCare Medical Clinic.

If you need a consultation with a doctor about diabetes and diet patterns, visit PrimoCare Medical Clinic to receive advice from professionals. You can inquire or make an appointment in advance here.

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Importance of Eating Right Pattern to Strengthen The Body

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

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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?

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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?

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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.

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Good Vaccine Checklist

    /    บทความ    /    Good Vaccine Checklist

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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

Better Posture, Better Health.

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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