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Bone and soft tissue sarcomas Bone and soft tissue sarcomas are the main types of sarcoma. Soft tissue sarcomas can develop from soft tissues like fat, muscle, nerves, fibrous tissues, blood vessels, or deep skin tissues. When the term sarcoma is part of the name of a disease, it means the tumor is malignant (cancer).Bone is living tissue that makes up the body’s skeleton.There are three types of bone tissue, including the following: Compact tissue—the harder, outer tissue of bones. Cancellous tissue—the sponge-like tissue inside bones. Subchondral tissue—the smooth tissue at the ends of bones, which is covered with another type of tissue called cartilage. Cartilage is the specialized, gristly connective tissue that is present in adults, and the tissue from which most bones develop in children. Bone and soft tissue sarcomas treatment in jalandhar Bone and soft tissue sarcomas doctor in jalandhar Bone and soft tissue sarcomas hospital in jalandhar
Chest Surgery Chest surgery is a gender-affirming, masculinizing, top surgery that removes breast tissue and forms remaining tissue into a shape that is typically considered to be more masculine. What are the different techniques used for chest surgery? There are many different techniques that can be used for chest surgery. The technique used depends on factors like cup size and skin elasticity, as well as the size and position of your nipples. The three most common techniques are described below. Your surgeon will recommend a technique suited to your body shape and goals. Keyhole This technique is recommended for people with an A cup-size and lots of chest skin elasticity. A small incision is made along the bottom of the areola. Breast tissue is removed via a liposuction needle through the incision. The incision is closed. The nipple is usually not resized or repositioned. Results in: A small scar on the lower part of the areola. Nipples with sensations Best chest surgery doctor in jalandhar Best chest surgery treatment in jalandhar
Breast Cancer Early detection of breast cancer is the key to successful treatment of this deadly disease. The following may be warning signs of cancer but they do not always mean rhat cancere is present. If you notice any of the following , call your doctor but preferably a cancer specialist right away; > A firm lump that feels different from the tissue around it. >A change in skin texture or color. >A dimple (skin depression) on breast >A nipple that becomes pulled in (retracted) >Bloody discharge from a nipple. >A change in the size or shape of just one of your breasts. Best breast cancer treatment in jalandhar Best breast cancer doctor in jalandhar Best breast cancer hospital in jalandhar
BREAST CANCER Dr RUPINDER BHARGAVA Surgical Oncologist BHARGAVA ADVANCED GYNE SURGERY CANCER CENTRE Hospital near Guru Gobind Singh Stadium Jalandhar dealing with breast diseases and specialist in all types of operation of cancer and non cancerous diseases. Performed more than 3000 breast operations. Operations done for breast cancer can be removal of tumour only (BREAST CONSERVATION) or removal of whole breast (MASTECTOMY) and RECONSTRUCTION. Dr Rupinder Bhargava is fellow of American Society of Breast Surgeons and is the only Oncosurgeon and Breast Specialist in this region. Hospital Near Bus Stand Jalandhar Early detection of breast cancer is key to successful treatment of this deadly disease. The following may be warning signs of cancer - but they do not always mean that cancer is present. If you notice any of the following, call your doctor but preferably Cancer Specialist right away: A firm lump that feels different from the tissue around it. A change in skin texture or color. A dimple ( skin depression ) on breast. A nipple that becomes pulled in ( retracted ). Bloody discharge from a nipple. A change in the size or shape of just one of your breasts.
BREAST CANCER Dr RUPINDER BHARGAVA Surgical Oncologist BHARGAVA ADVANCED GYNE SURGERY CANCER CENTRE Hospital near Guru Gobind Singh Stadium Jalandhar dealing with breast diseases and specialist in all types of operation of cancer and non cancerous diseases. Performed more than 3000 breast operations. Operations done for breast cancer can be removal of tumour only (BREAST CONSERVATION) or removal of whole breast (MASTECTOMY) and RECONSTRUCTION. Dr Rupinder Bhargava is fellow of American Society of Breast Surgeons and is the only Oncosurgeon and Breast Specialist in Jalandhar . Hospital Near Bus Stand Jalandhar Early detection of breast cancer is key to successful treatment of this deadly disease. The following may be warning signs of cancer - but they do not always mean that cancer is present. If you notice any of the following, call your doctor but preferably Cancer Specialist right away: A firm lump that feels different from the tissue around it. A change in skin texture or color. A dimple ( skin depression ) on breast. A nipple that becomes pulled in ( retracted ). Bloody discharge from a nipple. All Types of Breast cancer Treatment in Jalandhar
Breast Cancer If you or a loved one has been diagnosed with breast cancer, it's important to understand some basics: What is breast cancer and how does it happen? Usually breast cancer either begins in the cells of the lobules, which are the milk-producing glands, or the ducts, the passages that drain milk from the lobules to the nipple. Less commonly, breast cancer can begin in the stromal tissues, which include the fatty and fibrous connective tissues of the breast. Over time, cancer cells can invade nearby healthy breast tissue and make their way into the underarm lymph nodes, small organs that filter out foreign substances in the body. If cancer cells get into the lymph nodes, they then have a pathway into other parts of the body. The breast cancer’s stage refers to how far the cancer cells have spread beyond the original tumor. Breast cancer is always caused by a genetic abnormality (a “mistake” in the genetic material). However, only 5-10% of cancers are due to an abnormality inherited from your mother or father. Instead, 85-90% of breast cancers are due to genetic abnormalities that happen as a result of the aging process and the “wear and tear” of life in general. There are steps every person can take to help the body stay as healthy as possible, such as eating a balanced diet, maintaining a healthy weight, not smoking, limiting alcohol, and exercising regularly. While these may have some impact on your risk of getting breast cancer, they cannot eliminate the risk. Developing breast cancer is not your or anyone's fault. Feeling guilty, or telling yourself that breast cancer happened because of something you or anyone else did, is not productive. Symptoms of Breast Cancer Initially, breast cancer may not cause any symptoms. A lump may be too small for you to feel or to cause any unusual changes you can notice on your own. Often, an abnormal area turns up on a screening mammogram (X-ray of the breast), which leads to further testing. In some cases, however, the first sign of breast cancer is a new lump or mass in the breast that you or your doctor can feel. A lump that is painless, hard, and has uneven edges is more likely to be cancer. But sometimes cancers can be tender, soft, and rounded. So it's important to have anything unusual checked by your doctor. According to the American Cancer Society, any of the following unusual changes in the breast can be a symptom of breast cancer: • swelling of all or part of the breast • skin irritation or dimpling • breast pain • nipple pain or the nipple turning inward • redness, scaliness, or thickening of the nipple or breast skin • a nipple discharge other than breast milk • a lump in the underarm area These changes also can be signs of less serious conditions that are not cancerous, such as an infection or a cyst. It’s important to get any breast changes checked out promptly by a doctor. Breast cancer treatment in Jalndhar
Maintaining Cosmesis in Cancer in Jalandhar Once diagnosed with cancer , patients suffer at multiple levels and one of them is cosmesis, that is maintaining his or her own body shape and structure as before. The common cancers which can affect cosmesis are cancer of breast , head and neck cancer and skin cancers. Psychologically , women are affected more than men. The main reason behind the distortion of body image is surgery of the affected area and chemotherapy. Surgery can lead to inequality in the shape and size of the organ affected and can be very traumatic especially in cancer breast when the affected breast is completely removed. Second concern is the sudden and complete loss of hair from scalp and eyebrows due to chemotherapy. Nowadays , with the advancement in technology, optimal cosmetical outcome is equally important as the outcome of the whole treatment. The surgical field has narrowed down from complete excision of the breast to only removal of the lump so that the shape of the breast is preserved. This requires a complete team work between the surgeon and the oncologist. Even for patients in whom complete surgery has to be done, breast reconstruction can be done with various techniques. These days, saline and silicone implants are most commonly used as they are safe and give good cosmesis. Plastic surgeons are also more frequently involved during cancer surgeries so that a good facial and body reconstruction is done in the same go. Chemotherapy induced hair loss is reversible and normal hair grow once the treatment is over. Hair loss can be prevented by scalp cooling during chemotherapy infusion. Also regular oil massage and good diet can help hair grow faster. Thus , patients of cancer breast can maintain good cosmesis with proper treatment guidelines and adoption of newer techniques. CANCER SPECIALIST DOCTOR IN JALANDHAR
Just after your Cancer surgery You are likely to be sleepy. Exactly how sleepy you are and how quickly you recover depends on the type of operation, and the type and length of your anesthetic. People vary in how they feel straight after a general anesthetic. Some people feel fine but others feel • groggy • cold • sick • a bit confused • sad • anxious • tearful When you first go back to the ward the nurses carry on checking you – at first this is every 15 minutes. They gradually check you less often as you recover, so that within a few hours it is every 4 hours. The checks include your blood pressure, pulse, temperature and your wound. You have a dressing over your wound. You might have some tubes near it to drain any fluid that builds up. You have a drip giving you fluids into a vein until you can eat and drink again. You might also have a tube in your bladder called a catheter. This stays in until you can get up to pass urine normally. Pain control Pain can usually be very well controlled after surgery. Your doctors and nurses give you painkillers by drip or as tablets or liquids if you need them. For some operations you might have an injection of anesthetic into nearby nerves (a nerve block). This can work very well to control pain. You might also have a small pump attached to a drip so that you can give your own pain medicine as you need it. It is important that pain is well controlled, so do tell your nurse if you don’t think it is working well enough. As well as making you more comfortable, the painkillers also help you to move around and breathe properly, which helps with your recovery. Any pain gradually gets better as your wound heals. Possible problems after surgery There are some possible problems after any surgery. These include • wound infection • chest infection • blood clots • fluid collection around the wound Your doctors and nurses do their best to prevent you getting these complications. They ask you to help yourself too. Getting up and moving around as soon as possible after your operation helps to prevent chest infections and blood clots. A physiotherapist might also teach you breathing exercises to help prevent chest infections. To help prevent blood clots they teach you leg exercises and give you elastic stockings to wear while you are in bed. Your nurses might give you an injection just under the skin to minimise the risk of blood clots. After some types of operation, you might carry on having these injections for 4 weeks. Before you go home, your nurse might teach you to do these injections yourself. Or a district nurse might come to your house to do them. You might have antibiotics to help prevent infection. You may have them through your drip at first. But once you are eating and drinking, you can take them as tablets. You might also have drainage tubes close to the wound to stop fluid collecting around the operation site. This is important because, as well as being uncomfortable or painful, fluid that doesn't drain away can become infected. Below is a short video showing breathing and circulation exercises after surgery. Click on the arrow to watch it. Eating and drinking again When you can eat and drink again depends on the type of operation you had. Most people can drink and then eat on the day of their operation. After some operations, such as bowel surgery, you might not be able to eat until the next day. This is because your bowel takes time to start working again. When you do begin eating and drinking you might need to start slowly. Your nurses may suggest that you start with sips of water as soon as you are fully awake and then build up gradually. They will tell you when and what you can eat and drink. They might give you a carbohydrate rich drink to give you energy and help your recovery. Getting up and about How quickly you can get out of bed and move around depends on the type of operation you had. For most operations you get up the same day or the next day. Your nurses and the physiotherapist tell you when you can get up. They help you if you can't move around easily by yourself. It is good to get moving as soon as possible. This helps you recover and reduces the chances of other problems, such as a chest infection and blood clots. Seeing people Seeing people after an operation can be tiring. But as soon as you feel up to it, you can have visitors. It might help to tell people beforehand whether you are likely to have a drip or any other tubes so that they know what to expect. This is especially important for children. cancer specialist doctor in Punjab
What Are the Symptoms of Prostate Cancer? There are no warning signs of early prostate cancer. Once a tumor causes the prostate gland to swell, or once cancer spreads beyond the prostate, the following symptoms may happen: A frequent need to urinate, especially at night Difficulty starting or stopping a stream of urine A weak or interrupted urinary stream Leaking of urine when laughing or coughing Inability to urinate standing up A painful or burning sensation during urination or ejaculation Blood in urine or semen These are not symptoms of the cancer itself; instead, they are caused by the blockage from the cancer growth in the prostate. They can also be caused by an enlarged, noncancerous prostate or by a urinary tract infection. Prostate Cancer doctor in Jalandhar Symptoms of advanced prostate cancer include: Dull, deep pain or stiffness in the pelvis, lower back, ribs, or upper thighs; pain in the bones of those areas Loss of weight and appetite, fatigue, nausea, or vomiting Swelling of the lower extremities Weakness or paralysis in the lower limbs, often with constipation Call Your Doctor About Prostate Cancer If: You have trouble urinating or find that urination is painful or different from normal; your doctor should examine your prostate gland to determine whether it is enlarged, inflamed with an infection, or cancerous. You have chronic pain in your lower back, pelvis, upper thighbones, or other bones. Pain in these areas can be caused by different things, including the spread of prostate cancer. You have unexplained weight loss. You have swelling in your legs. You have weakness in your legs or difficulty walking, especially if you also have constipation. Prostate Cancer Treatment in Jalandhar
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