All You Need to Know About Lymphoma
Whenever you get sick, whats the first thing that you do? Know what you have. Either its a simple fever or a complicated illness, the very first thing that you do is to gather information to find out your current condition. The same thing with lymphoma, whether you research things on your own or go to a doctor (although this should always be the case since self diagnosis can bring you only so far) for advice, your target is to get all you need know about the disease.
Lymphoma is basically a cancer of the lymphatic system. The system is composed of various nodes or glands situated in different places of our body. These glands are connected by vessels that carry the lymph fluid or the white blood cells which help fight diseases. As you might have remembered in your high school biology class, the white blood cells help fight the bacteria and diseases that enter our body. And because these glands are connected to each other, once lymphoma hits a gland, theres a good chance that the cancer cells spread throughout the body via the lymph vessels. You should know this fact out front: no cure has been discovered yet that would eliminate the disease. Nonetheless, there are new techniques, medicines and medical procedures that have brought more positive treatments for people with lymphoma.
There are two kinds of lymphoma, namely Hodgkin’s lymphoma and Non Hodgkin’s lymphoma (NHL). The first one, the Hodgkins disease owes its name to Thomas Hodgkin (1798-1866). He was the first one who published a paper about the disease. This kind of lymphoma is capable of spreading from one lymph node to another. It is also observed that people diagnosed with Hodgkins lymphoma has the presence of Reed-Sternberg cells which can only be detected by the aid of a microscope.
The other kind of lymphoma is the non-Hodgkin kind. This kind is described as having larger than normal lymph nodes and is accompanied by fever and weight loss. There are about 16 sub-types which do not fall under the conditions described by Hodgkins lymphoma. These sub-types are grouped according to aggressiveness which basically means the cancer cells are fast-growing. NHL lymphomas include chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL), Burkitt lymphoma, mantle cell lymphoma, follicular lymphoma, diffuse large B-cell lymphoma and immunoblastic large cell lymphoma.
Treatment is either radiation therapy or chemotherapy. The age, sex and stage of the cancers development plays a role in determining the kind of treatment patients will undergo. Early detection is crucial. Most of the patients do survive the treatment especially if they have been diagnosed during the early stages of the lymphoma.
Some of the more common symptoms of lymphomas include painless swelling in the lymph nodes of the neck, underarm, or groin. People with lymphomas also might experience fever, tiredness, weight loss, itchiness, red patches on the skin, nausea, vomiting and sometimes abdominal pain.
Those with low-grade lymphomas will encounter a very slow growth of the cancer cells and will experience very few of the symptoms. The problem with low-grade lymphomas is that even though they respond well to chemotherapy, they oftentimes return and is considered incurable unlike high-grade lymphomas. With the latter, treatment involves chemotherapy, with or without radiation therapy.
Admittedly, the information above is not all that you need to know about lymphoma. There are more facts that you need to find out for yourself especially if you have been diagnosed with having lymphoma.
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Gastric Bypass And Other Treatments For Obesity
Gastric bypass surgery is the most common method used to lose weight brought by morbid obesity. Experts would estimate an average of 140,000 surgeries being performed annually. With this kind of procedure, a small pouch is made in the stomach by stapling it. The middle portion of the small intestine is connected to the rest of the stomach. Food will bypass the small pouch and the upper part of the intestine. The size of the stomach is reduced, thus also reducing the food that it could take.
Although it is the most popular procedure, there are other bariatric surgeries or weight loss surgeries.
Lap-Band adjustable gastric binding is another type of weight loss surgery. In this procedure, an inflatable band is tightened like a belt and will divide the stomach in to two pouches. However, weight loss results are slower than gastric bypass surgery. Also the pounds shed could be less than the amount of lost weight with gastric bypass.
A part of the stomach is also stapled with vertical banded gastroplasty. The stomach is divided into two parts, but there is not intestinal bypass. This would just make the patient eat less since the stomach has limited space for the food. Losing weight using this procedure is not as tremendous as gastric bypass results, nor could it sustain weight loss for longer period of time.
The biliopancreatic diversion with duodenal switch removes 80 percent of the stomach. In this procedure, much of the small intestine is bypassed. Losing weight could be sustained over a long period of time. However, there are also increased risks with this kind of medical procedure. Patients tend to develop malnutrition and vitamin and mineral deficiencies.
These are just the basic medical procedures and weight-loss surgeries that can be performed to obese individuals and patients. Nonetheless, a person who would like to undergo bariatric surgery would have to undergo different medical and psychological examinations. Those who are qualified for gastric bypass should have at least tried an organized weight-loss program for the last six months monitored by a doctor, but acquired no significant results with their body weight.
Overall, if you are obese, there are steps that you could start doing before considering gastric bypass surgery. Before you start any diet or exercise program, it is recommended to consult a doctor first to guide you on how you could shed the pounds and keep them off. You could start by changing the variety of food you eat, the nutritional content and the amounts and frequency of meals. In short, you would have to improve your eating habits.
Start incorporating activity to your daily activities. Fat in the body is actually energy not used of consumed by the body. So you would have to start losing those excess weight by having an exercise plan. You could start by giving at least 30 minutes a day for daily activity. It does not have to be done continuously, you could break it into different stages suited for your time.
To get better results, it is also important to get all the necessary support tat you could get. There are still tendencies that a person who have undergone gastric bypass surgery to regain their weight. They could still turn to overeating which could result to serious problems like expansion of the pouch or even rupture of the stomach. Counselling and support groups play a major role in helping obese patients deal with weight loss, confidence or self-esteem and other major changes.
Gastric bypass surgery is not the only option. There are other options that can be followed to get the desired health condition. Whatever treatment or surgery that we follow, in the end, what would matter is our will and determination to undergo the change.
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Gastric Bypass And Diabetes
Gastric bypass and other bariatric medical procedures are primarily performed to resolve issues of morbid obesity. Not only does gastric bypass help in weight-loss, but studies show that it has dramatic effects on diseases associated with obesity like heart diseases, hypertension, cancer and diabetes. There are significant studies showing that gastric bypass surgery was able to reduce or force the remission of Type 2 diabetes.
With gastric bypass surgery, the stomach is reduced in size. A small pouch is created on the top of the stomach and the middle section of the small intestine is connected to the remaining part of the stomach. Because of the stomach is smaller in size, it could accommodate smaller amount of food and would limit the calories that it would absorb.
After the surgery, the weight loss could be dramatic. Surveys say that patients would lose 5% of their weight immediately after their weight-loss operation. In a year after the surgery, patients could lose 50 to 60 percent of their original weight. Patients would be able to lose their lowest body weight two years from the time of surgery. That is, if the patients would stick with the dietary restrictions and follow the exercise program.
There are studies showing that diabetes was forced to remission after the surgery. This is not just about hormonal factors, the amount of weight lost by the patient has significant effects on diabetes. In a study conducted at the Duke University Medical Center in Durham, North Carolina, they were able to identify that weight is a factor in decreasing diabetes. Hormones also have a factor, since the studies also showed an effect on the gut hormones. They have a stronger insulin resistance.
In the study conducted, obese patients who have Type 2 diabetes, showed that their diabetes control improved after undergoing the surgery. They had lower blood-sugar levels and take lower amounts of medication. About 48 percent of the respondents were able to achieve complete remission.
It is not just the weight loss and the hormones that keep diabetes at bay. Type 2 diabetes is often caused by diet. A person who have undergone gastric bypass surgery, is required to follow strict diet. Too much sugar at fat is best avoided after the surgery, since it could result into the Dumping syndrome which has vomiting, nausea, dizziness, sweating and diarrhea as symptoms. Because of the change in diet, the individual gets to eat less food and less carbohydrates.
The results are not only significant among adult patients. There are also studies showing that it would take a year before teen patients would be able to be off from the medication and for diabetes to go into remission. Teen who are suffering from diseases used to be only associated with adults, like high blood pressure, cholesterol and triglyceride levels, would get lower counts or get significant improvements after surgery.
Experts agree that diabetes can surely be reduced by undergoing gastric bypass surgery. However, it is not the best option nor the only option. The gastric bypass surgery effects could fail especially if the same lifestyle before the surgery is still followed. It is still about eating healthy and getting regular activity into your schedule.
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How Gastric Bypass Works
Gastric bypass surgeries and other weight loss medical procedures being performed in the United States are increasing for the last few years. This may be in response for the increase in the number of people suffering from obesity. According to the American Society of Bariatric Surgery, there are about 140,000 gastric bypass being performed every year.
Those who have undergone weight loss surgeries, lose about 50 to 60% of their body weight, a year after the surgery. Along with the weight loss, they would also be losing ailments associated with obesity like high blood pressure, diabetes, stroke, heart diseases and even cancer.
The Procedure
The most common gastric bypass performed is called the Roux-en Y gastric bypass. In this procedure, a small pouch is created on the top of the stomach. It is stapled, to seal it off from the rest of the stomach. This small pouch will no longer digest any food. The upper part of the small intestine, the duodenum, is attached to this small pouch.
When eating, the food would bypass the small pouch in the stomach and the upper portion of the small intestine. The food would go directly to the middle section of the intestine called the jejunum. Since it is the small intestine that does the absorption of minerals, vitamins and calories, the body will absorb limited calories only. A Y formation is formed just below the stomach.
Incisions are made in the abdomen to perform the procedure. Surgeons will be using the laparoscope or a small, tubular instrument with a camera. This will enable the surgeon to see the abdomen and perform the surgery. The laparoscopic gastric bypass actually makes the stay in the hospital and the recovery period shorter and quicker.
There are still open gastric bypass performed, however, there could be wound-related problems with this kind of procedure. The laparoscopic gastric bypass surgery is performed under general anaesthesia. The procedure lasts for about four hours. Patients who have undergone the procedure stay in the hospital for about two to six days to be monitored for any complications.
After the Surgery
Having a smaller stomach has effects on how much food the patient can eat. There are special diets that a patient recovering from gastric bypass surgery follows. Every food that the patient would eat will be important for his nutrition. There are times that they are also recommended nutritional supplements to avoid deficiencies like anemia or vitamin deficiency.
There are patients reporting weight loss of as much as 50 to 60 percent a year after the surgery. There are even some who would report an astounding 80% weight loss. However, it is still possible for patients to stretch their stomachs and have that large size again. There is still a possibility of getting back those lost pounds. That is why doctors would recommend dietary restrictions and exercise plant that would keep the pounds away.
There are also tendencies that gastric bypass patients would develop gallstones, stomach ulcers, hernia or nutritional deficiencies. The part of the stomach which was bypassed can get enlarged, it could cause bloating and hiccups. There is also the Dumping syndrome which happens when the food moves quickly to the small intestine. This can happen after eating foods high in sugar or fat.
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