rheumatoid arthritis and health, Uncategorized

RHEUMATOID ARTHRITIS

Rheumatoid arthritis is the inflammation of joints. The chronic condition mostly affects fingures, toes, knees and ankle joints. If untreated eyes, skin, heart, blood vessels, salivary glads, kidneys and lungs will be damaged.

Its occurrence is because of the immune system attacking the body tissues. The lining of joints is damaged and the affected area has a painful swell, becomes red and it feels warm. This is inflammation. Small joints are affected in mild arthritis and big joints in severe rheumatoid arthritis.

Here are some signs that can tell you are suffering from rheumatoid arthritis:

  1. Warm, red  and swollen  joints.Stiffness of the joints. It is especially painful in the morning.
  2. Catching a fever.
  3. Feeling tired (fatigue).

Rheumatoid Arthritis risk factors:

  • Women are the most affected because of their hormonal imbalances. They are at a high risk of getting affected when they take contraceptives.
  • The condition is generic so you are at a high risk of getting the disease if your family members have the disease.
  • The elderly are at the risk of suffering from the disease as compared to young people.
  • Tobacco smoking increases the severity of the disease especially for those who acquire it genetically.
  • Overweight and obesity.

Treatment:

  • Take NSAIDS to reduce or stop inflammation. Aspirin is the best NSAID for rheumatoid arthritis but a physician has to prescribe it.
  • Dieting to shed off the excess weight.
  • Exercising to shed off weight.
  • Avoid tobacco at all cost.
Advertisements
fitness and health, Uncategorized

PHYSICAL FITNESS

Working out is not an activity done by many. A number of people view it as a tedious, time wasting activity. Dieting is an alternative but may not be the answer to a fit body and good health.

Why is fitness important? Our bodies need to be tuned to function properly. Some chronic diseases, to be precise, are caused by unfitness. Hypertension which leads to stroke and kidney failure can be controlled by working out. You lower or relieve yourself from stress when you work out. Ulcers and hypertension caused by stress can be cured through exercising. Your brain and the entire body’s functionality improves through the same. Excess fat is burnt out. The fat that form clots in arteries and veins causing high blood pressure and stroke. The fat that leads to diabetes type 2. Heart attack occurs mostly due to excess fat in the body that partially or completely form clots in the arteries that carry blood to and from the heart.

You do not need to be a fitness freak, you do not have to spend more hours exercising and exercising is not always boring. When starting out try some easy exercises such as jogging and some few sit-ups. Turn on the music or form a workout group to avoid been bored during workouts. Start out with a 10 minutes workout and progress as your body adapts.

These exercises and fitness aerobics icons by Graphixmania will help you through your fitness routine in the gym or at home.

 

 

Uncategorized

FOOD SPOILAGE AND POISONING 

FOOD SPOILAGE
Creatures such as mice, rats, insects and microorganisms (bacteria, virus, yeast and moulds) cause food spoilage. Enzymes, also, cause food spoilage.
The metabolism of bacteria mostly take place in foods that have organic nitrogen. Examples of these foods include protein foods (Milk, meat, eggs, beans and peas are some of the examples).
Moisture has to be present for the biological mechanism to take place. In cases of frozen, dry, sugary or salty food, metabolism will not take place. Sugar and salt have higher concentration than the bacterial cytoplasm. This may lead to osmosis on the bacterial cytoplasm leading to the bacteria becoming dehydrated.
*freezing, adding salt and sugar and drying are forms of preserving food. The freezing and drying methods are, however, reversible once moisture is available for the bacteria. The reason behind this is the spores of some bacteria remain dormant under conditions of dehydration.
Bacteria do survive under a wide range of temperature. They are divided into three groups depending on their optimum temperature:
• Psychrophilic bacteria: they cause damage to refrigerated food because they survive and grow at a temperature of below 20° C.
• Mesophilic bacteria: they grow at a temperature of 37° C. Affects food such as milk and meat.
• Thermophilic bacteria: they grow in temperature up to 60°C. They cause little spoilage to food.
A temperature below the range of a group will slow down the rate of metabolism of a bacteria but will not destroy it.
A temperature above the range of a group will kill/destroy the bacteria. An example, the vegetative bacteria are killed are killed by temperature above 100° C.
Some bacteria are either:
• Aerobic in that they need oxygen to metabolise.
• Anaerobic in that they do not need oxygen to metabolize.
Enzymes control the metabolic activities of bacteria and they function at a certain pH and food poisoning need a pH of 7.
FOOD POISONING
This includes the presence of poisonous chemicals or bacteria.
Poisonous chemicals include additives in food, weed killers, pesticides and heavy metals such as mercury and lead.
These foods contain natural toxins and can be dangerous if consumed in large amounts:
1. Onions
They contain anaemia producing ingredient which if taken in large amounts sometimes cause ill effects.
2. Potato
Potatoes which have turned green contain solanine which is dangerous if taken in large amounts.
3. Rhubarb
It has oxalic acid throughout the plant. If stems are eaten they have no effect but its leaves are dangerous because they have higher concentrations of the acid.
4. Cassava
It contains concentrations of cyanides and it can be poisonous when eaten raw. It can still be poisonous when processed if it contains II ppm.
5. Cabbage and cauliflower
They contain goitre producing compounds.

Moulds (mycotoxins) and fungi contaminate some foods.
A fungal disease in in rye, Ergot, produce a powerful toxic chemical in grains. Ergotism develops when the toxic is taken frequently.
A group of toxins produced by mould, Aflatoxins, cause illness in animals fed on imported food stuffs.
• Not all bacteria are bad. Bacteria in yoghurt and cheese are useful to the body.
• Bacterial infections can be prevented by good food hygiene.
SALMONELLAE
• It causes food poisoning when ingested in large numbers by a healthy adult and in much lesser number when ingested by infants, children and the sick.
• Symptoms which include nausea and vomiting, abdominal pain, diarrhoea, headaches, faintness and chills appear 12 to 36 hours of eating and may last for 2 to 3 days.
• Main sources are human and animal faeces, duck eggs, poultry and fish.
• Cows and pigs, mainly, carry salmonellae in their intestines and there is cross contamination during slaughter and in the kitchen.
• Cold cooked meats, low temperature cooked food and mayonnaise spread salmonellae when eaten. Also in this list is water and milk contaminated by sewage and frozen chicken.
• Salmonellae causes typhoid and it can be destroyed by heating food.
STAPHYLOCOCCI
• Staphylococcus aureus is the most common
• Symptoms which include salivation, nausea and vomiting, abdominal cramp, diarrhoea, prostration and sweating take half an hour to 3 hours to be manifested
after been eaten.
• Sources are the human throat, nose, mouth and nasal passage, human skin that has open wounds and abrasions, boils, clothing and dust.
• Contamination is caused through cold meat, meat sources, gravies, fish and fish products and dairy products.
• Staphylococcus is heat destroyed. The toxins produced are heat resistant and require more heat to destroy. Also, food should be handled properly and wounds be covered.

Uncategorized

CHILD FEEDING FROM 0 TO 12 MONTHS  

 

I am going to be discussing infant and young child feeding and my focus will be on children aged 0 to 12 months.

Child nutrition is important for a proper growth. Undernutrition leads to stunted growth, mortality and eventually morbidity.

There are two phases of breastfeeding involved:

  1. Exclusive breastfeeding which should be carried out at the first 6 months of the infant’s life.
  2. Complementary feeding. This is also known as weaning period. It is when a child is introduced to solid foods. The child is introduced to complementary feeding at the 6th month of life.

 

EXCLUSIVE BREASTFEEDING

An infant should breastfeed within the first 30 minutes to 1 hour of birth to prevent infections and child morbidity. Exclusive breastfeeding should be carried out for the first six months without introducing complementary food. This will minimize cases of food allergy. It will also minimize cases such as asthma and eczema.

HIV infected mothers are also recommended to breastfeed exclusively for the first six months as long as they are on antiretroviral medication. The medication reduces the risk of transmission from mother to child. Mixed feeding before six months can lead to diarrhoea or the child being infected with HIV.

Exclusive breastfeeding benefits both mother and child in such ways:

  1. The breast milk does not have any microorganisms.
  2. There is a strong bonding between the mother and the infant through breastfeeding.
  3. It leads to quick healing of the mother’s birth related wounds.
  4. All the nutrients the infant requires are found in the breast milk.
  5. The milk is of the right temperature.
  6. It is a method of family planning.
  7. It increases the child’s intelligence in later ages.
  8. It reduces the risks of breast cancer for the mother.

 

COMPLEMENTARY FEEDING / WEANING

Complementary food is introduced as a mother continues breastfeeding. It is started at the six months of a child’s age.

At six months, the energy and nutrient needs have already increased hence the need to introduce complementary foods that carter for the extra needed energy and nutrients.

A couple of factors must be considered at this stage:

  • The child’s nutrient needs.
  • Hygiene when handling the food.
  • The food should contain the right texture.
  • Add flavour and colour to the food so that the baby might be interested in feeding (do not add artificial flavour and colouring).
  • The level of the child’s tolerance to the food.

At this stage, poor feeding can lead to malnutrition so the mother should make sure the child gets the required nutrients and the right quantity of food daily.

  • At 6 months the mother should start with pureed food, pureed carrots, potato, pumpkin, fruits such as pawpaw and bananas and as the baby learns how to chew introduce pureed peas, cabbage, spinach or broccoli, mixed starch such as potatoes with vegetables, dairies such as yogurt and bread deepen in soup or milk. Introduce soft porridge.

A mother can also introduce fruits such as oranges and observe the child’s reaction to them.

Kenya Ministry of Health recommends the babies to be fed 2 times at this stage. Feed 2 to 3 spoons at each meal.

  • At 7 to 9 months, introduce mashed and or minced food. Include some lambs so that the child’s GIT system can be used to solid foods. All nutrients should be given.Starch such as rice, potatoes, porridge, Weetabix and oats are given. Boiled water is introduced. Fruit juices made from fruits only with no additives or sugar and it should be diluted (1 part juice to 10 boiled water which is cooled) and fruits such as oranges, bananas and apples are given. A mother can also give meat, dairy products such as yogurt and vegetables such as carrot, spinach and cabbage.      Feed the baby 3 times and give a half of a 250 ml cup per meal.
  • At 10 to 12 months. Introduce minced or chopped food. All the nutrients should be considered when feeding the child.

Feed 3 times a day and introduce a snack. Give ¾ of a 250 ml cup in each meal.

 WHAT NOT TO GIVE

  1. Egg white

It causes allergic reactions to the child.

  1. Large amounts of salt

The baby needs only a pinch of salt since the baby’s kidney is not mature enough to deal with large amounts of sodium.

  1. Nuts and some seeds

They cause choking since the child’s gut is not well developed to handle such rough foods.

  1. Milk

Milk from animals and soy milk contain proteins the child cannot digest. Minerals in these milk can damage the kidney.

  1. Honey

It causes infant botulism. This is because of immature growth of the baby’s intestines.

  1. Vegetables that may be hard to swallow for example traditional vegetables.  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Uncategorized

FRUITS TO AVOID DURING PREGNANCY

Fruits are good sources of vitamins and minerals.

A pregnant woman needs high amounts of vitamins and minerals because of the extra nutrients need.

Not all fruits, however, are recommended for pregnant women.

These fruits are:

GREEN PAWPAW

The green pawpaw is semi ripe and it contains latex.

This latex causes uterine contraction hence there is miscarriage or early labour for those who are not due to give birth.

Ripe pawpaw has less latex compared to unripe pawpaw, hence, it has no effect on pregnancy. It is actually a good source of vitamin A and C.

PINEAPPLE

Bromelain, an enzyme in pineapples causes spasm of the uterus and softening of the cervix when taken in large amounts. The affected group is the first and second trimester pregnant women.

It leads to early labour and miscarriage .

Taking pineapple is not totally discouraged. Take about 2 to 3 servings of pineapple in a week.

Point to note:

  • There should be total hygiene when taking fruits to avoid toxoplasmosis infections.
Uncategorized

MALNUTRITION IN KENYA

Malnutrition is known as both under nutrition and over nutrition. We are going to discuss under nutrition today.

Malnutrition is a leading primary health care problem which leads to the persistence of health problems such as malaria, HIV/AIDs and tuberculosis.

Groups more vulnerable to malnutrition

 Most of the groups affected by malnutrition are infants and children under the age of 59 months because of their rapid growth and development, pregnant and lactating women, malnourished pregnant women give birth to low birth weight babies risking the baby to malnutrition which may lead to stunted growth, mortality and morbidity and also mental disabilities. also affected are the elderly especially when they receive little or no care at all, those with eating disorders such as anorexia nervosa, the immuno-suppressed patients and the adolescents, especially women because they depend on nutrition to sustain the changes that occur in their bodies.

Causes of malnutrition

  • Poverty and the prices of food.
  • The economic status of the area.
  • Lack of breast feeding. This may cause malnutrition to the infant.
  • Poor mobility. This comes in hand when there is poor transportation of food to the affected areas.
  • Political instability.
  • Poor agricultural production in the area or the country at large.
  • Increased infectious diseases such as diarrhea lead to poor absorption of nutrients.

Prevention of malnutrition

  • Provide the people in the affected areas with fortified foods, especially those with lots of nutrients.
  • Introduce irrigation in the areas to prevent food shortage at all times.
  • Provide a much comfortable life to the people by providing food and shelter to them.
  • Educate the people so that they can get their own incomes to purchase food.
  • Treat primary health diseases that lead to malnutrition.

Parts in Kenya mostly affected by malnutrition

  • Arid and semi arid areas such as North Eastern, northern part of Eastern, some parts of southern Eastern such as Kitui.
  • Emergency areas such as Dadaab.
  • Places affected by floods such as Budalangi.

Malnutrition leads to the persistence of infections such as malaria, HIV/AIDs and tuberculosis. It also increases the risk of HIV/AIDs transmission from mother to child.

In children, it leads to mental disability and there are cases of low blood sugar sugar due to malnutrition which can be detected by convulsion.

Protein – energy malnutrition

Most commonly known type of under nutrition is the protein energy malnutrition. This includes kwashiorkor and marasmus.

Kwashiorkor is caused by protein deficiency and the signs are edema, dry and peeling skin, de-pigmented skin and hair and belly swelling.

Marasmus is caused by protein and energy deficiency. Signs and symptoms include stunted growth and wasting of the muscles and tissues.

 

 

 

 

Uncategorized

FAKE FRIENDS

We all have friends, real and fake ones.

Today we discuss fake ones.

They say a friend in need is a friend indeed and so I get to meet a lady who is in need. She is not a friend yet but because I am in a position to help, we become friends. We get to stay friends for a few weeks then she goes mum, becomes closer to “friends” who did not offer help. Time goes by and after months the “friend” is in need again. Being a child of God I lend a helping hand. This time the “friendship” lasts but all along I know she is a FAKE.

Well, that is just one incident.

Here is another one:

I earn more than this lady, I save as much as I can and she squanders her money such that by mid-month she has little or no money left. She comes to me when she is broke and I support her to my ability. Earlier this month I ask her to take me shopping “it is a thing frienSds do” and she seems hesitant but eventually she agrees to it. My shopping runs smoothly until I go to purchase chicken. She give me a bad eye and insists that she is in a hurry and has to leave immediately.

Here are self-explanatory signs of fake friends that I have observed while making friends:

 1. THEY ARE ALWAYS JEALOUS.

2. THEY AVOID YOU IN YOUR TIME OF NEED.

3. THEY NEVER WANT YOU TO SUCCEED.

4. THEY ARE NOT SUPPORTIVE.

5. THEY ALWAYS GOSSIP ABOUT YOU WITH OTHER PEOPLE.

6. THEY CONTACT YOU WHEN THEY NEED YOUR HELP OR WHEN IT SOOTS THEM.

7. THEY TALK DOWN ON YOU.

8. THEY COUNT LOSS WHEN THEY SPEND ON YOU.

9. THEY DELIGHT IN YOUR PAIN.