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Why thyroidectomy is done? A thyroidectomy may be recommended for conditions such as: Thyroid cancer. Cancer is the most common reason for thyroidectomy. If you have thyroid cancer, removing most, if not all, of your thyroid will likely be a treatment option. Thyroid treatment in Jalandhar Goitre (Noncancerous enlargement of the thyroid Removing all or part of your thyroid gland is an option if you have a large goitre that is uncomfortable or causes difficulty breathing or swallowing or, in some cases, if the goitre is causing hyperthyroidism. Overactive thyroid (hyperthyroidism).Hyperthyroidism is a condition in which your thyroid gland produces too much of the hormone thyroxine. If you have problems with anti-thyroid drugs and don't want radioactive iodine therapy, thyroidectomy may be an option. Thyroidectomy specialist in Jalandhar Risks Thyroidectomy is generally a safe procedure. But as with any surgery, thyroidectomy carries a risk of complications. Potential complications include: Bleeding Infection Airway obstruction caused by bleeding Permanent hoarse or weak voice due to nerve damage Damage to the four small glands located behind your thyroid (parathyroid glands), which can lead to hypoparathyroidism, resulting in abnormally low calcium levels and an increased amount of phosphorus in your blood. What you can expect Before the procedure Surgeons perform thyroidectomy during general anaesthesia. You may have a drain under the incision in your neck. This drain is usually removed the morning after surgery. After a thyroidectomy, you may experience neck pain and temporarily hoarse or weak voice. You'll be able to eat and drink as usual after surgery. Depending on the type of surgery you had, you may be able to go home the day of your procedure or your doctor may recommend you stay overnight in the hospital which provides you best medical services in the hospital for patients in Jalandhar . When you go home, you can usually return to your regular activities. Wait at least 10 days to two weeks before doing anything vigorous. Results The long-term effects of thyroidectomy depend on how much of the thyroid is removed. Partial thyroidectomy If only part of your thyroid is removed, the remaining portion typically takes over the function of the entire thyroid gland, and you might not need thyroid hormone therapy. Total thyroidectomy If your entire thyroid is removed, you'll need to take a pill every day that contains the synthetic thyroid hormone levothyroxine (Levoxyl, Synthroid, Unithroid). This hormone replacement is identical to the hormone normally made by your thyroid gland and performs all of the same functions. Dr Rupinder Bhargava Surgical Oncologist BHARGAVA ADVANCED GYNE SURGERY CANCER CENTRE In Jalandhar
What is the pancreas? The pancreas is a 6-inch long organ located behind the stomach in the back of the abdomen. It is spongy and shaped somewhat like a fish, extended horizontally across the abdomen. The head of the pancreas is on the right side of the abdomen where the stomach is attached to the first part of the small intestine (the duodenum). The tail of the pancreas - its narrowest part - extends to the left side of the abdomen next to the spleen. The pancreas contains exocrine and endocrine glands that create pancreatic juices, hormones, and insulin. Pancreatic juices, or enzymes, made by the exocrine glands are released into the intestines by way of a series of ducts in order to help digest fat, proteins, and carbohydrates. Over 95% of the pancreas is made up of exocrine glands and ducts. The endocrine cells are arranged in small clusters called islets of Langerhans, which release insulin and glucagon into the bloodstream. These two hormones manage levels of sugar in the blood. When they are not working properly, the result is often diabetes. Pancreas Treatment In Jalandhar ________________________________________ Classification of pancreatic cancer Pancreatic cancer is categorized depending on whether it affects the exocrine or endocrine functions of the pancreas. There is an important distinction between the two broad types of pancreatic cancer because they have different risk factors, causes, symptoms, diagnostic tests, treatments, and prognoses. A CT scan of the pancreas. Tumors that affect the exocrine functions are the most common type of pancreatic cancer. Sometimes these tumors or cysts are benign, called cystadenomas. However, it is more likely to find malignant tumors called adenocarcinomas, which account for 95% of exocrine pancreatic cancers. Adenocarcinomas typically start in gland cells in the ducts of the pancreas, but they can also arise from pancreatic enzyme cells (acinar cell carcinoma). Other types of pancreatic cancers that are associated with exocrine functions include adenosquamous carcinomas, squamous cell carcinomas, and giant cell carcinomas, named for their appearances underneath a microscope. There is also a disease called ampullary cancer (carcinoma of the ampulla of Vater) that starts where the bile duct and pancreatic duct meet the duodenum of the small intestine. Tumors that affect the endocrine functions of the pancreas are called neuroendocrine or islet cell tumors, but these are fairly uncommon. These tumors are named for the type of hormone-producing cell that is initially affected. For example: insulinomas (insulin), glucagonomas (glucagon), gastrinomas (gastrin), somatostatinomas (somatostatin), and VIPomas (vasoactive intestinal peptide or VIP). Functioning islet cell tumors still make hormones, while non-functioning ones do not. Most of these tumors are benign, but non-functioning tumors are more likely to be malignant, islet cell carcinomas. Cancer treatment Hospital in Jalandhar
Breast Cancer The normal breast consists of milk-producing glands that are connected to the surface of the skin at the nipple by narrow ducts. The glands and ducts are supported by connective tissue made up of fat and fibrous material. Blood vessels, nerves, and lymphatic channels to the lymph nodes make up most of the rest of the breast tissue. Breast cancer is an uncontrolled growth of breast cells. It develops in the breast tissue, primarily in the milk ducts (ductal carcinoma) or glands (lobular carcinoma). The tumor may grow and invade tissue around the breast, such as the skin or chest wall. Those cells may also travel to locations in the body where they are not normally found. When that happens, the cancer is called metastatic. 1 in 22 women develop Breast cancer in India. It is the most common cancer in urban areas of India. What Changes I Should Look For ? Changes in the breast size or shape Painless lump in the breast Skin dimpling or puckering Nipple that turn inwards Nipple discharge Swelling in the armpit Breast Cancer Treatment in Jalandhar
Breast cancer Breast cancer is cancer that forms in cells of the breast. The breast consists of lobules (glands that make breast milk), ducts (small tubes that carry milk from the lobules to the nipple), fatty and connective tissue, blood vessels and lymph vessels. The milk-producing ducts and glands are the two most likely areas to develop cancerous cells. In rarer cases, breast cancer begins in fatty tissues, also known as stromal tissues. Breast cancer may also occur in surrounding lymph nodes, especially those of the underarm. The early stages of breast cancer may not have any symptoms. As the tumor grows in size, it can cause symptoms. Symptoms may include lump or thickening in the breast or underarm, change in the size or shape of the breast, nipple discharge or nipple turning inward, redness or scaling of the skin or nipple, ridges or pitting of the breast etc. Breast cancer doctor in Jalandhar Breast Cancer Treatment In Jalandhar
Laparoscopic Hysterectomy What is a laparoscopic hysterectomy? A laparoscopic hysterectomy is a minimally invasive surgical procedure to remove the uterus. A small incision is made in the belly button and a tiny camera is inserted. The surgeon watches the image from this camera on a TV screen and performs the operative procedure. Two or three other tiny incisions are made in the lower abdomen. Specialized instruments are inserted and used for the removal process. What are the advantages of a laparoscopic hysterectomy surgery? A laparoscopic hysterectomy requires only a few small incisions, compared to a traditional abdominal hysterectomy which is done through a 3-6 inch incision. As a result, there is less blood loss, less scarring and less post-operative pain. The recovery period for this laparoscopic procedure is 1-2 weeks, compared to 4-6 weeks after an abdominal hysterectomy. The risks of blood loss and infection are lower with laparoscopic hysterectomy than with an abdominal hysterectomy. In experienced hands, laparoscopic hysterectomy takes about the same length of time as an abdominal hysterectomy and involves no greater risk. Who should have laparoscopic hysterectomy surgery? Most patients who are having a hysterectomy to treat abnormal uterine bleeding or fibroids can have a laparoscopic hysterectomy. It may not be possible in some cases. For example, if the uterus is bigger than a 4 month pregnancy, if she’s had multiple previous operations in her lower abdomen. What preparations will be needed prior to surgery? There will be a pre-operative appointment prior to the day of surgery which will include a history and physical examination, blood samples, and a visit with a member of the anesthesia department. Patients should not eat or drink anything after midnight on the night before surgery. What type of anesthesia will be required? Patients are put to sleep under general anesthesia Is there a hospital stay after surgery? The majority of our patients go home the same day or the next day of their surgery. What kind of recovery can be expected? Patients should expect to take pain pills for a few days post-operatively. We encourage patients NOT to stay in bed. They should move around the house and resume normal activities as soon as they feel up to it. Some women are well enough to return to work one week after surgery. Women who have more physically demanding work should stay home for 2-3 weeks. Women can resume exercise and sex within a few weeks of the surgery. Laparoscopic patients can expect to suffer less post-operative pain than traditional hysterectomy or cesarean section patients. Dr Ruche Bhargava Gynecologist and Obstetrician BHARGAVA ADVANCED GYNE SURGERY CANCER CENTRE LAPAROSCOPIC HYSTERECTOMY in Jalandhar Laparoscopic Hysterectomy in Punjab
"A mother's joy begins when new life is stirring inside..... When a tiny heartbeat is heard for the very first time, And a playful kick reminds her....that she is never alone!!! 'A Good Doctor's comforting and reassuring words are sometimes more powerful than medicines'..... We at our Birthing Center realize this and believe in a true Connect to care in times of need... Dr Ruche Bhargava Gynecologist and Obstetrician BHARGAVA ADVANCED GYNE SURGERY CANCER CENTRE Gyne Doctor in Jalandhar Best Gynecologist in Jalandhar
Head And Neck Oncology Commando's operation Hemiglossectomy Laryngectomy Total Thyroidectomy / Parathyroid Surgery Neck Dissections Reconstruction / Rotation, Free Flaps Superficial & Total Parotidectomy Head and neck cancer is a group of cancers that starts within the mouth, nose, throat, larynx, sinuses, or salivary glands. Symptoms may include a lump or sore that does not heal, a sore throat that does not go away, trouble swallowing, or a change in the voice. There may also be unusual bleeding, facial swelling, or trouble breathing.
How to Gain Weight After Radiation Therapy Cancer therapy can be an extremely physical and emotional time for the patient. In patients with cancer of the head and neck for instance, the immune system is often not functioning properly. The immune system does not destroy cancer cells. Causes of the failure of the immune system include severe malnutrition. To exacerbate the problem, radiation can severely effect the taste buds and saliva glands. The loss of appetite, difficulties in swallowing, no taste buds and the inability to dissolve food will result in a tremendous amount of weight loss. To gain weight after radiation therapy it takes patience and focus. Some cancer patients have gone days without a meal because they simply did not think to eat. No hunger pains or cravings for food means the brain doesn’t doesn’t let us know to do so. It has to be a conscious thought to sit down and eat a meal. There are a number of things to do and eat that can help the patient to gain weight. Some are obvious but need to be mentioned none the less. 1. It is important to eat and maintain good nutrition despite changes in taste. Prepare foods that appeal to you. Try and focus on foods from the food pyramid to help with a well balance diet. 2. Use a powdered or liquid diet supplement. Available on the market also include weight gain supplements in a gel tab form, with all the nutrition needed, enhance appetite and slow down metabolism to better absorb nutrition and calories. Even if you’re not very hungry, it’s important to keep your protein and calorie intake high. A weight gain supplement in gel tab form might be the answer. Doctors have found that patients who eat well can better deal with having cancer and with the side effects of treatment. 3. Eat five or six small meals during the day rather than three large ones. Eat when you are hungry, even if it is not mealtime. Moisten food with gravies and sauces to make eating easier. Try changing the consistency of foods by adding fluids and using sauces and gravies to make them softer. 4. Change your diet and try new recipes. If you enjoy people around while eating, try to have meals with family or friends. It may be helpful to have the radio or television on while you eat. Use low lighting, soft music, brightly colored table settings, or whatever helps you feel good while eating. 5. Keep easy meals in the freezer to use when you feel hungry. If other people offer to cook for you, let them. Don’t be afraid about telling them what you can eat. Keep healthy snacks for nibbling if you get the urge. 6. If you live alone, you might want to look into “Meals on Wheels” to bring food to you. Ask your doctor or local social service agencies about “Meals on Wheels.” This service is available in most cities and towns. 7. Add butter or margarine to your meals. Mix canned cream soups with milk or half-and-half instead of water. Drinking milkshakes between meals may help keep caloric intake high. Add cream sauce or melted cheese to your vegetables. Some people find they can drink large amounts of liquids even when they don’t feel like eating solid foods. If this is the case, take advantage of each glassful by making drinks enriched with powdered milk, yogurt or honey. A weight gain supplement in gel tab form may be a lot easier to manage. It can also help in making you hungry so you want to eat. 8. If the foods you like no longer taste good, try new foods and use different methods of food preparation. 9. Avoid spices and coarse foods such as raw vegetables, dry crackers or nuts. Remember that acidic foods and liquids can cause mouth and throat irritation. As you start to heal from the radiation you may be able to slowly add these types of foods to your diet. In conclusion, be patient and focused on the task at hand. It is a task. Weigh yourself often to keep track of your progress. If you are doing what is suggested and you still are not gaining weight, ask your physician or dietitian for help. Dr Rupinder Bhargava Oncology doctor 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
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