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Health of the family depends on the health of the women, however health comes last in the priority list of women in India. Women are at very high risk of developing cancer and almost 1 out of every 4 female can have cancer in their life time. The most common cancers which can affect women are cancer of breast, cervix, ovary and endometrium. BREAST CANCER 1. It is the most common cancer in women and second leading cause of death. The risk factors are obesity, early menarche and late menopause, hormonal therapy and family history, although in 70% of cases there is no risk factor associated. Pregnancy and breast feeding are protective against breast cancer. 2. The early signs and symptoms of cancer breast are PAINLESS lump in the breast or axilla, any abnormal discharge from nipple. In later stages there can be redness of the skin. 3. Regular Screening in breast cancer is recommended by American Cancer Society to detect cancer early. Screening can be done by three methods a) monthly self breast examination- done by the females themselves on the fifth day of menstrual cycle and should start at the age of 20 . b) clinical breast examination—done by the expert annually after the age of 40. c) mammography- is x-ray of the breast which detects changes in the architecture of the breast even before the lump has developed. It should start after the age of 45. Breast cancer treatment in Jalandhar Breast cancer specialist in Jalandhar

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Need for Palliative Care in Advanced Cancer patients Palliative Care is the active total care of patients in advanced and incurable stage of cancer. More than 70% of all cancer patients in India require palliative care for relief of pain and other symptoms. These patients are usually neglected, whereas what they need is maximum medical management in the form of palliative care and psycho- social support. Pain is the most common symptom for which palliative care is needed. It can be bony pain , pain in head and neck region or neuropathic pain. Appropriate pain management requires proper evaluation of pain by different scoring systems followed by treatment according to WHO analgesic step ladder approach. Mild to moderate pain can be treated by routine analgesics but severe pain requires morphine or it’s substitutes. These days transdermal patches are also available which provide optimal pain relief with easy administration. Other symptoms which require palliative care are bed sores, dyspnoea, constipation and poor nutritional intake which can be managed. Best cancer hospital in Jalandhar

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CANCER FACTS WHAT IS CANCER—cancer is uncontrolled and unregulated growth of any cell of our body. The cells accumulate to form cluster which then later forms a lump or tumor. This can happen to anybody, at any time , however the incidence of developing cancer increases with age. In India, approximately 8 lac new cases are diagnosed every year, unfortunately 70-80% are diagnosed in advanced stages. RISK FACTORS– Tobacco, smoking and alcohol are the three major risk factors for many types of cancers. Other risk factors are increasing use of pesticides, fertilizers, some viruses and radiation exposure. WARNING SIGNS OF CANCER—any non healing ulcer or sore, increase in the size of lump which is painless, any unusual bleeding or discharge from any opening of the body, unexplained fever or weight loss. TREATMENT –there are three main modalities of treatment in cancer, namely surgery, chemotherapy and radiotherapy. The choice of treatment depends on the site and stage of cancer, usually a combination of two or more treatments is required to treat. SIDE EFFECTS– the side-effects of any particular treatment can be acute or late, however with the advent of advanced targeted therapy the side-effects are very minimal and manageable. PREVENTION– Prevention can be done by life style changes, routine health checks, regular screening and cancer vaccines. Decreasing stress and keeping a positive attitude are very important for good results during treatment. Cancer hospital in Jalandhar Cancer treatment in Jalandhar

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CANCER ENDOMETRIUM 1. The incidence of cancer endometrium or uterus is increasing with the increasing incidence of obesity, diabetes, hypertension and hypothyroidism. The other risk factors are exposure to endogenous or exogenous estrogens (oral contraceptives and hormone replacement therapy). 2. The most common and early symptom is postmenopausal bleeding. Any bleeding after menopause is a warning signal and should be taken seriously. The other symptoms are vaginal discharge, pelvic pain or any change in bladder and bowel habits. 3. Endometrial cancer can be easily diagnosed by ultrasound and fractional curettage of the uterus. TIPS FOR PREVENTION OF CANCER 1. Keeping a healthy body by taking healthy diet and regular exercises. 2. No to smoking , tobacco or alcohol. 3. Regular health checks and examination by experts. 4. Follow cancer screening guidelines. 5. Cancer vaccines available for some cancers 6. Do not ignore any symptom. 7. Avoid direct sun exposure. Cancer Hospital in Jalandhar Cancer treatment in Jalandhar

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Role of Nutrition Nutrition plays an important role in the treatment and prevention of cancer. Nutrients provide essential nourishment to the body for maintenance of life whereas the nutritional deficiencies can induce premature ageing and suppress immunity of the body causing cancer. The nutrients can be divided into two groups, which include Energy nutrients and Protector nutrients. The vitamins & minerals (such as B vitamins and magnesium), which help in the process of “conversion of food into energy” by activating enzymes, are known as energy nutrients, while the nutrients (such as beta-carotene, vitamin C, vitamin E, Copper, Manganese, Selenium and Zinc), which protect the body against environmental pollutants, toxins and radiation, etc. are called protector nutrients. Most of the protector nutrients act as antioxidants by eliminating the free radicals (highly reactive, unstable molecules that promote cancer growth) that are produced during the process of conversion of food into energy. Nutrients perform specific functions in the body; for example, vitamin C, vitamin E and Selenium protect the body against environmental pollutants, while B vitamins counteract the emotional & physical stress. Vegetarian diet is rich in fibre, micronutrients and antioxidants. A study conducted on 1200 persons, above the age of 66 years, has shown that the vegetarians have significantly lower incidence of cancer as compared to the non-vegetarians. Another study conducted at the Institute for Experimental Pathology, German Cancer Research Center, Heidelberg, Germany has shown that the blood samples of vegetarians contain higher levels of cancer preventing factors such as Carotene and Glutamine transferase. Moreover, the activity of Natural Killer cells (NK cells) is twofold higher in vegetarians as compared to the non-vegetarians.

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Renal cell carcinoma (RCC, also known as hypernephroma) is a kidney cancer that originates in the lining of the proximal convoluted tubule, the very small tubes in the kidney that filter the blood and remove waste products. RCC is the most common type of kidney cancer in adults. Although RCC usually grows as a single mass (tumor) within a kidney, sometimes there are 2 or more tumors in one kidney or even tumors in both kidneys at the same time. Some of these cancers are noticed only after they have become quite large, but most are found before they metastasize (spread) to distant organs in the body. Often they are found on CT scans or ultrasounds that are being done for concerns other than kidney cancer. Like most cancers, RCC is hard to treat once it has spread. The exact cause of renal cell cancer has not been determined. A number of different factors seem to contribute to renal cell cancer. These factors include the following: Cigarette smoking doubles the risk of renal cell cancer Obesity is a risk factor. As body weight increases, so does the risk of developing renal cell cancer. This is especially true in women. Occupational exposure to petroleum products, heavy metals, solvents, coke-oven emissions, or asbestos Cystic kidney disease associated with chronic (long-term) renal insufficiency Cystic changes in the kidney and renal dialysis Tuberous sclerosis Hereditary renal cancer Kidney cancer treatment in Jalandhar Cancer Hospital in Jalanhdar

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Ultraviolet Radiation Ultraviolet Radiation is harmful for cancer Cancer is a class of disease characterized by out of control cell growth. It is the result of cells that uncontrollably grow and don’t die.The major risk of Skin Cancer is exposure to ultraviolet radiation.Almost all Skin Cancer are caused by the excessive exposure to UV rays. You might think that UV rays make up only small portion of sun rays so how can they be the cause of disease like Cancer, but yes even though forming only a small portion they are the major cause to Skin Cancer. They damage the DNA cells and this is when Cancer starts when this damage the effects the DNA of genes that control skin cell growth. People who live in areas with year around, bright sunlight have higher risk of Skin Cancer, but the pattern of exposure is also important for e.g. frequent sunburns in childhood may increase the risk of some type of Skin Cancer. Skin Cancers are one results of getting too much sun. The amount of UV light reaching the ground in any place depends upon the no of factors including the time of day, time of year, elevation and cloud cover. Cancer Specialist In Jalandhar Best cancer hospital in Jalandhar

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Recurrent Pregnancy Loss -यदि किसी महिला को गर्भ ठहरने के बाद जल्दी गर्भ गिर जाता है तो ये ध्यान देने योग्य बात है , और इसका तुरंत इलाज करवा लेना चाहिए, स्त्री के गर्भ गिरने के पीछे कई कारण हो सकते है, जैसे – :- ✔असंतुलित भोजन , ✔रक्त की कमी ✔गर्भाशय नली में ही अंडे का निषेचन होना , ✔निषेचित अंडे के साथ छेड़ छाड़ होना , या फिर कोई अन्य गड़बड़ी होना , ✔महिला का स्वास्थ्य रूप से कमजोर होना ✔महिला का गिरने या झटका लगने से भी गर्भ पात हो सकता है , ✔महिला द्वारा अत्यधिक फिजिकल वर्क भी इसका कारण हो सकता है , ✔गर्भाशय में किसी प्रकार के इन्फेक्शन या संकर्मण होना. DR RUCHI BHARGAVA M.D (Obstetrics & Gynecology) and DNB (OBG) Bhargava Hospital Advanced Gyne Surgery Cancer Centre GYNECOLOGIST IN JALANDHAR