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Bedwetting is a widespread and distressing condition that can have a deep impact on behaviour, emotional wellbeing and social life, as well as being very stressful for the parents or carers. Amblyopia, nocturnal: Amblyopia refers to blindness so nocturnal amblyopia is, literally, night blindness. It is an acquired genetic blood disorder which is caused by certain genetic mutation and may turn life threatening if left untreated. This is a very rare genetic disorder, occurring in only 1 to 2 out of one million individuals. Classic Paroxysmal Nocturnal Hemoglobinuria: Evidence of this condition in absence of some other bone marrow disorder. Subclinical Paroxysmal Nocturnal Hemoglobinuria: PNH abnormalities present on a flow cytometry report without any sign of hemolysis. The main reason behind the occurrence of PNH is the mutation in the single stem cell gene named PIG-A.
The PIG-A gene is responsible for handling the codes for a protein named glycosyl-phosphatidylinositol (GPI) which helps around 30 important proteins in attaching to the cell surface. Hemoglobinuria or dark colored urine, due to the presence of hemoglobin in urine, is the main symptom. A deficiency in RBC causes anemia while low amounts of WBC makes the patient susceptible to infections. Imaging tests like abdominal ultrasound and MRI may be required to detect blood clots in the abdomen and any kidney or renal abnormality. In majority of the cases, Hemolysis leads to anemia and causes several serious health problems. This condition can cause iron deficiency in the patient which can be managed by taking iron supplements. Doctors may suggest surgical intervention if all the above-mentioned treatment options fail to stop the progression of hemolysis, blood clotting and bone marrow weakness.
The outcome of this disorder is usually positive with early diagnosis and proper treatment. There are no known ways to prevent PNH because it is not possible to gain advance knowledge of who will develop the disease.
Congestive heart failure (CHF) is the term used to describe the physiological state in which cardiac output is insufficient. Congestive heart failure sits at the top of a list of chronic, progressive diseases that produce significant burdens on patients, families, and the health care system.
Congestive heart failure is a progressive heart disease caused by myriad factors, including coronary artery disease, hypertension, congenital heart disease, chronic arrhythmias, and chronic obstructive lung disease.
The disorder is most often medically managed with myriad drug therapies aimed at improving cardiac performance, slowing progression, and reducing symptoms. Cheyne-Stokes respiration (CSR) is an abnormal respiratory pattern associated with CHF, and, while many clinicians are familiar with CSR, particularly in end-stage cardiopulmonary disease, mild CSR may be present in many stable, early-stage asymptomatic patients.
Cheyne-Stokes respiration is characterized by a crescendo-decrescendo alteration in tidal volume that is separated by periods of apnea or hypopnea.
Hypoxia clearly plays a central role in the initiation of CSR, as evidenced by the attenuation of periodic breathing following administration of supplemental oxygen.
Patient complaints that may be suggestive of nocturnal hypoxemia may be easily confused with other comorbid symptoms, and, therefore, a typical outpatient exam is not adequate to detect sleep-related symptoms. Diagnosing nocturnal hypoxemia is relatively simple and inexpensive, and it can be easily performed in the patient’s home.
Oxygen therapy and continuous positive airway pressure (CPAP) are the common treatment options for stable CHF patients with documented sleep disturbances, CSR, and hypoxemia. Javaheri and colleagues9 studied a group of stable CHF patients with polysomnographic evidence of periodic breathing and hypoxemia to determine the clinical effects of nasal NOT and concluded that in patients with stable heart failure, nasal NOT significantly improves periodic breathing and virtually eliminates clinically significant desaturation. In a similar study, Staniforth and colleagues10 reported similar outcomes for breathing and arterial saturation, in addition to a reduction in urinary catecholamine levels. In a prospective, randomized controlled trial, Krachman and associates11 compared NOT with CPAP in patients with CHF and CSR and concluded NOT and nCPAP are equally effective in decreasing the AHI in CHF patients with CSR. PAP therapies, in the forms of CPAP, bi-level, and, most recently, adaptive servo-ventilation (ASV), have been used to treat mild to severe CSR. In a controlled trial, Bradley and colleagues12 randomized 258 CHF patients with central apnea to receive CPAP or no CPAP and followed them for 2 years. Buckle et al13 and Davies et al14 compared CPAP to room air and sham CPAP (respectively) in controlled randomized trials. Krachman and colleagues11 compared the effect of oxygen therapy with nasal CPAP on CSR in patients with CHF.
Arzt and Bradley15 evaluated studies that reviewed either oxygen therapy or CPAP treatment or compared both and concluded that reduction in AHI was similar in the two therapies, but greater improvement in oxygenation was achieved when low flow oxygen was the primary treatment. Stable, normoxic CHF patients may have undiagnosed CSR with associated nocturnal hypoxemia.
Joseph Lewarski, BS, RRT, FAARC, is vice president of clinical affairs, Invacare Corp, Elyria, Ohio. Traditional Chinese Medicine Cures All Diseases-Massage Treatment on Fever and Nocturnal Enuresis in Children - Buy DVDs Online: Kung Fu, Fun ways to learn Chinese, Medical Massage, movies and more.


You must have JavaScript enabled in your browser to utilize the functionality of this website. Traditional Chinese medicine is a traditional Chinese way of curing diseases with unbelievable and unique effects. The term 'bedwetting' describes the symptom of involuntary wetting during sleep without any pathophysiology, and means is involuntary urination while asleep after the age at which bladder control usually occurs.Most girls can stay dry by age six and most boys stay dry by age seven. Listed in medical dictionaries under "Nyctalopia" from the Greek nyct (night) + aloas (obscure or blind) + opsis (vision), the condition involves impaired vision in dim light and in the dark due to impaired function of specific vision cells (namely, the rods) in the retina. Night blindness, a classic finding in vitamin A deficiency, was discovered by the English physician William Heberden (1710-1801). Read on to find out about the causes, symptoms and treatment options of this blood disorder. It affects the red blood cells or erythrocytes, white blood cells or leukocytes and platelets or thrombocytes. It is not an inherited condition and is not passed down to the next generation by affected individuals. Patients may also develop hemolytic anemia which can lead to symptoms like shortness of breath, tiredness and palpitations.
A patient may suffer from jaundice, Hepatomegaly (enlarged liver) and renal failure if the blood clot occurs in a liver vein. An individual is likely to experience abnormal and excessive bleeding from wounds if there is a lack of platelets. The first test is comprised of a flow cytometry analysis, which helps to determine if any blood cell lacks the GPI-anchored proteins. The treatment mainly focuses on relieving the symptoms of hemolysis, anemia and bone marrow problems.
It involves transferring blood from a donor directly into the blood streams of the patient.
Folate (a B-vitamin) assists the bone marrow to produce normal blood cells, thus helping to control anemia.
In extremely severe cases, a bone marrow transplantation surgery may be necessary for fighting complete bone marrow failure. Yearly screening tests are performed in people with a history of aplastic anemia and any other bone marrow weakening condition for any early sign of this blood disorder. Early diagnosis is very crucial to avoid the life-threatening consequences of the condition. In addition to the obvious financial burdens, there are significant quality-of-life issues faced by patients with CHF, along with their families and caregivers. Like other chronic, progressive disorders, once diagnosed, CHF is classified by the level of cardiac impairment. Common drug therapies include, but are not limited to, beta blockers, angiotensin converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARB), various diuretics, selective vasodilators, calcium channel blockers, and anticoagulants. The crescendo-decrescendo breathing alterations in CSR compensate for the changing serum partial pressures of oxygen and carbon dioxide that result from sluggish circulation with timing delays between the pulmonary artery and central and peripheral chemoreceptors.
There are numerous studies demonstrating the efficacy of low flow nasal oxygen therapy as a treatment for CSR in patients with stable CHF, including studies that compare nocturnal oxygen therapy (NOT) to CPAP.
Studies focused on the effectiveness of these therapies have met with mixed results, although in advanced CSR, there is a clear benefit, particularly for treatment with ASV. They concluded that CPAP therapy improved central apnea, nocturnal desaturation, and left ventricular ejection fraction. Both studies found no difference in AHI, and Buckle et al found no improvement in nocturnal saturation or sleep efficiency. Successful, effective treatment of CSR is an issue of practical comfort and convenience for the patient.
Diagnosis and treatment are relatively simply and can be employed in the outpatient setting and in the patient’s home via overnight pulse oximetry. Hypoxia, not the frequency of sleep apnea, induces hemodynamic stress in patients with heart failure.
Effects of nocturnal oxygen therapy on outcomes measures in patients with chronic heart failure and Cheyne-Stokes respiration. Nocturnal oxygen therapy prevents progress of congestive heart failure with central sleep apnea. Effects of nasal O2 on sleep-related disordered breathing in ambulatory patients with stable heart failure. Effect of oxygen on sleep quality, cognitive function and sympathetic activity in patients with chronic heart failure and Cheyne-Stokes respiration. Comparison of oxygen therapy with nasal continuous positive airway pressure on Cheyne-Stokes respiration during sleep in congestive heart failure. The effect of short-term nasal CPAP on Cheyne-Stokes respiration in congestive heart failure.
Nasal continuous positive airway pressure in chronic heart failure with sleep disordered breathing. This film will detailedly introduce how massage can be applied to treat fever and nocturnal enuresis in children. Twenty-five percent of the PNH cases in females are diagnosed during pregnancy which increases the death risk of both the mother and child significantly.


Mutations in the PIG-A gene hamper the production of GPI which makes it impossible for the proteins to connect to the surface of the cells in order to protect them.
The symptoms occur depending on whether the patient is suffering from hemolysis, thrombosis or deficient hematopoiesis. The second test is carried out to analyze markers in blood for establishing the presence of hemolysis. There are many support groups and foundations that provide proper guideline regarding the treatment options of PNH to help the patient survive. Like many other chronic and progressive diseases, in CHF it is essential that individuals at risk be diagnosed and treated early. As the disease progresses, chronic treatments can become more comprehensive and include more drug combinations, supplemental oxygen therapy, and both noninvasive and invasive ventilation support. Up-regulation in peripheral chemoreceptor sensitivity results in rapid compensatory changes in respiratory drive in response to small changes in serum oxygen and carbon dioxide. These mixed outcomes may, at least in part, be attributed to the targeting of therapy to treat symptoms (irregular breathing) rather than the cause (poor oxygenation) of those symptoms.
Patients identified as having CSR were randomized to a night of oxygen therapy and another night on nasal CPAP therapy. Patients with stable CHF demonstrating nocturnal desaturation may be ideal candidates for early treatment with low flow nasal oxygen therapy.
Simultaneously, it also relates the way of spotting acuppoints and the importance of prudence in massage. Sufferers pass blood with urine, mainly at night (Nocturnal Hemoglobinuria), due to the breaking down of the blood cells during an episode of the disease. According to some doctors, some people have weaker-than-normal bone marrow which leads to this genetic mutation. This leads to premature break down of the red blood cells, leaking hemoglobin into blood which passes with the urine. Once these two tests have been completed, the diagnostician performs bone marrow analysis for detecting signs of another blood disorder such as aplastic anemia, myelodysplastic syndrome and myelofibrosis. In some less common cases, serious complications like complete bone marrow failure and thrombosis may result in the death of a sufferer. Right-sided heart failure (cor pulmonale) results in ineffective blood flow into the pulmonary vasculature, and left-sided heart failure results in ineffective blood flow to the body.
Because most of the severe cardiopulmonary symptoms do not present until the later stages, early assessment and treatment is often overlooked.
Although the carbon dioxide levels rise and fall in relation to changes in minute volume, the mean CO2 level remains below normal. When compared with baseline data, both oxygen and nasal CPAP significantly decreased the AHI with no significant difference between the two modalities. CPAP compliance has long been a concern, with data suggesting about 50% of CPAP users are noncompliant. As the disease progresses, additional and more comprehensive therapies, such as ASV, may be integrated into the treatment plan. Supplemented by on-the-spot lecture and demonstration on the part of famous experts, it's easier for people to understand, follow and acquire in securing and relieving themselves from diseases as well as keeping health.
Doctors describe a downward cycle where a child punished for bedwetting feels shame and a loss of self-confidence. The risk factors for weakened bone marrow include aplastic anemia and some other bone marrow failure disorders. It can occur any time in a day, but occurs more commonly during night or early in the morning.
If the clots occur in skin, it can lead to painful and raised red lumps or swelling over large skin areas. The mean oxygen saturation increased significantly and to a similar extent with both oxygen and CPAP therapies. Although these studies are primarily directed at the treatment of obstructive sleep apnea, they highlight issues such as air leaks, nasal and sinus discomfort, pressure sores, and others that drive patients away from adhering to therapy.
Sometimes, a mild but undiagnosed and untreated bone marrow disease can lead to bone marrow weakness.
Low flow oxygen therapy is much more familiar and less intrusive than PAP, particularly when it is administered as a nocturnal-only therapy. It is relatively easy for the patient to use and is not associated with the numerous side effects and patient complaints recognized in PAP therapies. Acupuncture , heat , electrical stimulation channels of energy , body's internal organs, correct imbalances digestion, absorption, and energy production activities, circulation of their energy .
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