Your healthcare news library

Archive for February 5, 2013

複合配方抗過敏性鼻炎‧新藥有效舒緩12小時

甫登陸大馬的Desloratadine及Pseudoephedrine口服複合配方,雙管齊下對抗過敏性鼻炎,並且不會引起嗜睡副作用。(圖:光明日報)

如果一個人在接觸了某樣物質後,反覆打噴嚏、流鼻涕、搓鼻子和揉眼睛,那麼他有可能患上了過敏性鼻炎(Allergic Rhinitis)。別小看過敏性鼻炎,因為它有可能誘發哮喘、中耳炎及急性鼻竇炎。日前,國內引進了一種含有Desloratadine及 Pseudoephedrine複合配方的過敏性鼻炎新藥Aerius D-12,有效舒緩過敏性鼻炎達12個小時,繼而改善生活素質。

大馬耳鼻喉外科學會候任主席畢帕格蘭(Prepageran Narayanan)教授披露,根據一項涉及8個國家和地區(澳洲、中國、韓國、香港、大馬、菲律賓、新加坡、台灣及越南)的亞太區過敏 (Allergies in Asia Pacific,AIAP)調查顯示,在2009年及2010年間,86%的受訪者曾被確診患上過敏性鼻炎,73%人的課業或工作效率因此受影響。

“此外,國內大約有40%人口患上鼻炎,其中過敏性鼻炎佔了兒童和中年患者的80%以及老年患者的50%。"

他說,過敏性鼻炎可分為2大類,即間歇性和持久性,前者每週發生少於4天或連續發生少於4週,後者則是每週發生超過4天或連續4週。

雙親過敏孩子易染疾

“過敏性鼻炎是因接觸到過敏原所引發的鼻部反應。當過敏原(變應原)進入機體後會產生IgE,後者吸附在肥大細胞及嗜鹼性粒細胞表面,造成機體處於致敏狀態。"

他繼說,當同種過敏原再度來襲,並與IgE結合,機體就會發生抗原抗體反應,釋放出活性介質,如組織胺,造成毛細血管擴張、腺體分泌增加及鼻黏膜水腫,引起鼻塞、鼻癢、流清涕及打噴嚏等症狀。

“間歇性過敏炎鼻炎最常見的過敏原來自室外,例如霉菌、樹、草、雜草花粉等,因此又稱為花粉症。持久性過敏性鼻炎的過敏原以室內為主,例如寵物、塵蟎、蟑螂糞便、動物皮屑、室內霉菌等。"

他說,如果雙親一方患有過敏性疾病,那麼孩子過敏的機率也會比常人高,“值得注意的是,若雙親患有過敏性鼻炎,孩子即使過敏,也不一定患上同等疾病,他有可能受哮喘或皮膚過敏所困擾。"

“雖然過敏性鼻炎不會致命,但是它會引發一些健康問題,如疲憊、睡眠受到干擾、生產力及生活指數下降、生理受限、注意力散渙以及影響社交。"

內視鏡有效診斷鼻炎

AIAP調查顯示,國內三分之一的過敏性鼻炎患者向藥劑師而非醫生求助。

耳鼻喉外科醫生畢帕格蘭不反對此求診模式,不過他說如果患者罹患的並非過敏性鼻炎,而是其他問題如鼻內長息肉或腫瘤,那麼患者就無法從藥劑師處獲得診斷,繼而延誤治療。

詢及過敏性鼻炎和鼻咽癌的差別,他解釋前者發病情況一般為雙側,且不會造成出血,後者則在早上刷牙或吐痰時有滲血狀況。

他提醒,如果鼻咽癌患者求診時,頸部已有硬塊,一般已出現癌轉移,病情變得較複雜,因此提高警覺性,是提防癌症惡化的重點之一。

“若要確診過敏性鼻炎,除了詳問病歷,最好能進行內視鏡檢查,因為它的效果會比皮膚點刺測試(skin prick test)及血液檢查好。"

Pseudoephedrine含禁忌症

畢帕格蘭醫生強調,藥物只能讓過敏性鼻炎病情暫時獲得緩解,而非終身痊癒,因此患者除了要遵循醫囑服藥,也要遠離過敏原,而不是“明知山有虎,偏向虎山行"。

他說,新藥中的Desloratadine是一種抗組胺藥物,屬於H1受體拮抗劑,借由阻斷組胺的釋放而避開了過敏。

“Pseudoephedrine是一種解鼻充血劑,能收縮已擴張的毛細血管,有效清除及疏通阻塞處。它可用來舒緩季節性及常年性過敏症狀,當中包括鼻塞、打噴嚏、流鼻涕、鼻子及上顎搔癢、眼睛紅癢及流淚。"

不過,如果患者有高血壓、糖尿病、青光眼及其他疾病,務必獲得醫生指示,才能服用此藥或任何含有Pseudoephedrine成份的藥物。

他提及,逾20%的哮喘患者同時患有過敏性鼻炎,因為這同屬呼吸道疾病,兩者相互影響。有專家認為,過敏性鼻炎和哮喘是“一個氣道、一種疾病",應同時治療。如果只注意治療下氣道(肺),而忽略上氣道(鼻),就很容易導致哮喘反覆發作。(光明日報/良醫‧報導:唐秀麗)

联手姑苏行推介新春饮食指南 卫生部推荐12健康年菜

廖中莱推介《舌尖上的健康》指南, 为民众饮食健康过年提供指引。

(吉隆坡4日讯)卫生部与雪隆姑苏慎忠行餐饮业公会今日推介《舌尖上的健康》新春饮食指南,并首次推荐12道健康年菜食谱。

卫生部长拿督斯里廖中莱指出,为鼓励与帮助全民迈向更健康的新年,该部与姑苏行首次合作打造12道健康年菜,让大众在新年期间,更有效实践健康与均衡饮食习惯。

他说,这些食谱是由姑苏行的师傅与卫生部营养师们精心打造,采用天然食材,烹煮过程达到少油、少盐、少糖,却不失其原味。

他今日出席《舌尖上的健康》新春饮食指南的推介仪式时,这么说。

在该本指南中,除列出12道健康年菜的食谱,也有准备健康年菜的8方法、农历新年常见食物卡路里,以及最新推广的“菜米油盐,天天3665”的新概念。

可上网下载指南

指南共有华巫英三语版本,民众已经可以从卫生部的官方网站(http://www.moh.gov.my)或营养组网站(nutrition.moh.gov.my)下载。

出席推介仪式的嘉宾包括卫生部副秘书长(财政)陈碧容、副总监拿督罗曼哈金、拿督麦姆娜及姑苏行副会长罗秋雄。

去年51.4%受访者 新春增肥0.7公斤

廖中莱指出,2012年针对181名成年人调查显示,有51.4%受访者体重在新春佳节15天内,增加0.7公斤。

大马东南亚第一胖

廖中莱说,15天内体重增加0.7公斤,是非常惊人及严重的迹象。

“我国已经晋升为东南亚第一、亚洲第六胖国,大家有必要更注重本身的饮食健康,避免继续胖下去。”

他指出,配合即临的农历新年,卫生部推动“3665”的健康饮食法,确保国民在佳节期间维持良好的饮食习惯。

他说,上述讯息旨在提醒国内的华裔社群在过年期间多吃蔬菜及谷粮,以及减少摄取高盐高脂食品。

“3665饮食法是指在一天内食用3份蔬菜、6份谷粮,限制摄取60克的脂肪及5克的盐分。”

“3665”是卫生部继去年农历新年推动的“88888”饮食法后的一项延续。

他重申,“88888”法包括吃八分饱、喝八杯水、在晚上八点前用餐、睡足八小时,以及每天步行至少八千步。

卫生部与姑苏行推出健康年菜

1.养生捞生———玉米片蔬果捞生,2汤匙(40g),60卡路里
2.竹报平安———腐皮杂菇包,1份(100g),45卡路里
3.万事如意———肉松紫菜春卷,1片(25g),35卡路里
4.霞光万道———果香炸明虾,1只(30g),70卡路里
5.扭转乾坤———酸梅酱蒸牛排,1块(30g),60卡路里
6.吉星高照———姜茸云耳鸡,2汤匙(40g),40卡路里
7.恭喜发财———鸡肉团焖发菜,1粒(40g),60卡路里
8.年年有余———清蒸鳕鱼,1块(140g),80卡路里
9.黄金万两———蟹肉蒟蒻丝,1小碗(130g),65卡路里
10.花开富贵———节瓜配杏鲍菇,1块(80g),30卡路里
11.大吉大利———番薯雪梨盅,1碗(250g),90卡路里
12.金玉满堂———金瓜沙谷豆浆,1小碗(130g),100卡路里
总共:735卡路里(等于成人每日所需2000卡路里的37%)

南洋商报

Most singles want to get married, have two or more children: study

Most singles want to get married, have two or more children: study

SINGAPORE: Most singles desire to get married and most wish to have two or more children, according to key findings of a Marriage and Parenthood study commissioned by the National Population and Talent Division.

The study involved more than 4,600 people, aged between 21 and 45 years old.

It aims to understand the attitudes and motivations behind Singapore residents’ marriage and parenthood trends.

83 per cent of single respondents indicated that they desired to get married, little changed from the 85 per cent in the last study done in 2007.

Respondents said they were not married because they had not met a suitable partner, they wanted to concentrate on their careers or studies, and they did not have enough money.

For those in serious relationships, they said they were not marrying yet because they wanted to save money for housing and the wedding, and that they were too young to get married.

The study found that parenthood aspirations remained strong.

80 per cent of singles who indicated a desired number of children wanted to have two or more children. This is comparable to 84 per cent in 2007.

Among married respondents, 84 per cent intend to have two or more children, unchanged from the 84 per cent in 2007.

Both male and female respondents intend to have an average of 2.2 children.

Those who are unlikely to have any more children cited practical concerns like financial cost and good child care arrangements.

The Marriage & Parenthood Package was last enhanced in 2008 to strengthen the pro—family environment and support Singaporeans’ aspirations to get married and have children.

Married respondents indicated that maternity leave and the Baby Bonus cash gift were the top two policies that would most likely persuade them to have children or to have more children.

On work—life balance, 79 per cent of singles in the study felt that they had good work—life balance but said some areas could be improved.

However, 65 per cent were exhausted when they came home from work, 42 per cent had insufficient time to date, and 50 per cent had insufficient time to meet new people.

Among married respondents, 82 per cent reported good work—life balance.

However, 62 per cent of them were exhausted when they came home from work, and 54 per cent felt their job prevented them from spending as much time with their families as they would like.

These findings suggested that while Singaporeans generally perceive themselves as having good work—life balance, they may have accepted that achieving work—life balance requires trade—offs in other aspects of their lives.

In other findings of the survey, most respondents viewed having children as taking place within the institution of marriage.

80 per cent of single and 85 per cent of married respondents agreed or strongly agreed that only legally married parents should have children.

Many felt that more could be done to improve awareness and address misconceptions regarding fertility issues.

About 70 per cent of singles and 77 per cent of married respondents assumed that couples would have little problem having children, even when they were over 35 years old.

This indicated that many were unaware that male and female fertility declines with age, and assisted reproduction technology cannot compensate for the age—related decline in fertility.

The study also found that women desired family and employment at the same time.

80 per cent of single female respondents indicated their preference to be working mothers, comparable to 81 per cent in 2007 and 79 per cent in 2004.

Respondents were quite equally split between part—time and full—time employment options, although the percentage preferring part—time employment has increased to 40 per cent in 2012, compared to 19 per cent in 2007 and 21 per cent in 2004.

This suggested that part—time opportunities and more workplace flexibility could encourage women to remain in or return to the workforce.

Sociologist Associate Professor Paulin Straughan, from the National Universtiy of Singapore (NUS), said: “The challenge then for paid work in the next five years would be to mainstream flexibility. And, flexibility does not necessarily means part time work only, though that is important. Flexibility means being able to reorganise work structures and schedules so that we allow employees to work when they can and attend to their family when they can.

“It’s about moving forward to a new paradigm to measure work output, so in many of the jobs that we have in Singapore, you don’t have to be desk bound 9 to 5.

“You can be just as effective if not more effective if you are allowed that flexibility to come in earlier, go back earlier, come in later and go back later or maybe level up on technology, and where possible, allow work from home.”

Those surveyed also voiced strong support for shared parental responsibility.

Given this feedback, the National Family Council said the government should be more aggressive in its measures like legislating paternity leave of one week for fathers or by making the fourth month of maternity leave gender—neutral.

Chairman of the National Family Council, Mr Lim Soon Hock, said: “Given the financial constraints often cited by couples, any enhancements to the Marriage & Parenthood (M&P) Package would be welcome.

“Today, both men and women in Singapore want to work to fulfil their career aspirations. It is therefore important to create an environment that supports shared parenting so that fathers can play their role in raising the family alongside their working wives.”

Associate Professor Straughan said: “Given that in the midst of all these challenges and constraints, Singaporeans are still holding fast to the importance of getting married, growing families, then I think there is a certain sense of urgency that we step up and build an environment, a conducive environment, to help them realise these aspirations. If we don’t, then over time…they give up and look for other alternatives.”

The government is expected to unveil an enhanced Marriage and Parenthood Package soon.

—CNA/ac/ir / xin.msn

Watch the weight

.

Watching your weight is important during pregnancy.

Weight gain during pregnancy is expected, but piling on too much is risky for mother and baby, writes Meena Sreenivasan

GAINING weight is a natural part of pregnancy. It not only helps your baby grow and develop, but also prepares you for breastfeeding. But how much weight should a pregnant mum gain?

Being too heavy or obese isn’t just unhealthy for an expectant mother, it also puts her baby at risk for future health problems.

“Women who are overweight need to reduce their weight before they become pregnant. They will have a much healthier baby as well as reduce problems associated with maternal obesity,” advises Pantai Hospital Kuala Lumpur  obstetrician and gynaecologist Dr M. Narayanan.

He says that the management of weight in pregnancy must ideally start before pregnancy.

“If you are overweight and lose some weight before conceiving, it will not only help your pregnancy, but also fertility.

He said most patients tend to lose some weight during the first trimester because of morning sickness, nausea and vomiting.

ALLOWABLE RANGE
“If you are of normal weight, you are allowed to put on about 11 to 15kg during the course of your pregnancy. But if you are overweight, you must not put on more than 11kg.

“If you are underweight, then you are allowed put on up to 18kg. In conditions like twin pregnancy, you will be expected to put on more weight — about 22 to 25kg,” he explains.

When a mother delivers her baby, the excess weight she puts on doesn’t disappear straightaway. After giving birth, she immediately loses about 6kg.

This includes the weight of the baby, the amniotic fluid, the placenta, the weight due to the increase in blood volume and the increase of uterine mass.

“If you have put on 15kg during pregnancy, you will have to work at losing the rest of the weight. And the more weight you gain, the more difficult it is to lose.

“People who are obese in pregnancy may face problems such as gestational diabetes and high blood pressure. They may end up with operative or instrumental delivery. Given that post-delivery obese people tend to move less, this in turn disposes them to deep vein thrombosis.

“Gaining too much weight also raises your baby’s risk of health problems and childhood obesity. It is suggested that expectant mothers exercise during pregnancy.

“You can enrol in an ante-natal exercise class or exercise on your own by going for walks with your husband in the evenings.

“If you have the facilities, swimming is recommended. But make sure that you do not overdo it. Do only what your body can take. If you experience pain or undue tiredness, you are overdoing it,” adds Dr Narayanan.

OFF WITH THE BABY WEIGHT
How long a mother takes to shed the extra weight depends on how much weight she puts on during her pregnancy.

“It should not take too long, but one should aim to attain the original weight within three to six months. That’s a reasonable amount of time and it also depends on whether you gave birth normally or by surgery.

“Start exercising as soon as you can. Focus on abdominal exercises to tighten muscles. While most people think it’s enough to just control their diet, it’s a wrong notion. Combine it with a proper regime of diet and exercising which will show results,” says Dr Narayanan.

He adds that if mothers gain excessive weight during pregnancy and if they keep gaining extra kilos with every pregnancy, this can lead to long-term obesity and medical problems.

Shobie Malani, for instance, had problems getting pregnant. After two miscarriages due to polycystic ovary syndrome, she was advised to lose her weight a little to conceive. Soon after, she got pregnant.

By the time she found out that she had conceived, Shobie had already dropped a few kilos due to her healthier lifestyle.

“I was extra careful after my second miscarriage and was eating right. As such, I did not put on much weight and fortunately, did not suffer from morning sickness.

“Overall, I had a good pregnancy and stayed fit with yoga. But I was monitored for gestational diabetes. Generally, when you are much older — I was 35 years old when I got pregnant — I knew that I needed to take extra precautions.

“Luckily, I had no other medical problems because I stayed active and fit.”

PUTTING ON WEIGHT
But Shobie started putting on weight during her third trimester, just after seventh month of pregnancy.

“I was not overly worried about my weight because my doctor said it was normal. The only setback I had was the back pain I experienced due to the extra weight. I was blessed because I could eat anything. I had no cravings or dislike for any food. My doctor advised me to eat a proper diet, and eat enough by having smaller meals throughout the day,” says Shobie.

When she gave birth to her daughter Dheeiya, she fully breastfed her. Then seven months later, when she started to wean Dheeiya off and start her on semi-solids, Shobie realised that she had put on weight.

“Being a vegetarian, I tend to eat more. I was shocked when I found that within 1½ months, I had put on almost 5kg! I hired someone to look after me for a month during confinement, but since I had a Caesarean section, she could only do my bengkung (body wrap) in the third week. My wound had to heal first.

“By that time, I admit I had already gotten a bit lazy. Initially, she did the bengkung for me, but instead of wearing it the whole day, I took it off by lunchtime. I only wore it for three to four hours although it is recommended for seven to eight hours.

“My stomach muscles started to slacken and became wobbly. Then I decided to do something about it, and started on pilates and swimming four times a week to tone and strengthen my body. It also helped my back.”

Now, Shobie can feel her core muscles and abs getting stronger. She also makes sure that she eats more vegetables and fibre, with carbs in smaller portions.

“I am happy that I am getting back into shape and I give myself three months to get back to my ideal weight. The challenge I face is finding time to exercise, especially when I have to care for my toddler.”

Eat right
• It is a fallacy that you must eat for two.
• Eat adequate amounts and eat healthy food.
• Don’t binge on chocolates, ice cream and foods rich in calories.
• Eat plenty of fibre, a good serving of vegetables, fish and chicken.
• Try to reduce sugar and carbohydrates.
• Stay away from fried foods.
• If you are breastfeeding, your extra food intake should not exceed 200 to 250 calories a day.
• Engage in regular physical activity.

Problems associated with maternal obesity
•    Body mass index increases and this will lead to problems related to obesity.
•    The heart is doing extra work.
•    Maternal obesity also increases the risk of diabetes and blood pressure.
•    Overweight and obese pregnant women may also experience joint problems because of the excessive weight.

Liow: 3-6-6-5 diet for healthy living

Trying a new recipe: Liow cutting sweet potato spring rolls with chicken floss. Looking on are Malaysia Selangor and Federal Territory Ku Su Shin Choong Hung Restaurant Association vice-president Loh Chiew Hoon (right) and other members.
Trying a new recipe: Liow cutting sweet potato spring rolls with chicken floss. Looking on are Malaysia Selangor and Federal Territory Ku Su Shin Choong Hung Restaurant Association vice-president Loh Chiew Hoon (right) and other members.

KUALA LUMPUR: It’s the 3-6-6-5 diet which will be the key to “prosperous” health for Malaysians this Chinese New Year.

The diet, said Health Minister Datuk Seri Liow Tiong Lai, was about eating healthily and in moderation, while reducing salt and oil intake.

“To be healthy, we have to be smart in our food choices. I advise all Malaysians to eat in moderation as it is the key to good health,” he said after launching the Healthy Eating, Recipes for Healthy Living booklet here yesterday.

The numbers, he added, denoted the three servings of vegetables, six servings of cereal, a 60g limit on fat and 5g or less of salt daily.

One serving of vegetables is equivalent to half a cup or four dessert spoons of cooked dark leafy vegetables while one serving of cereal is equivalent to two scoops of rice or two slices of bread.

Liow said the 3665 rule should be practised everyday on top of the “88888” rule introduced by the ministry last year.

Under the 88888 rule, a person should stop eating when he is 80% full, have dinner before 8pm, drink eight glasses of water per day, sleep at least eight hours and walk at least 80,000 steps daily.

The booklet, done in collaboration between the ministry and the Malaysia Selangor and Federal Territory Ku Su Shin Choong Hung Restaurant Association, contains healthy eating tips and 12 healthy Chinese New Year recipes.

The recipes include yee sang, sweet potato spring rolls with chicken floss, chicken with white and black fungus, steam fish with yuk chuk, crab meat broth and snow pear with white fungus.

“Most of the recipes have been tweaked using natural ingredients and contain less salt, sugar and fat. As a result, the food is healthier without compromising on taste,” said Liow.

The booklet can be downloaded from www.moh.gov.my.

On another matter, Liow, who is also MCA deputy president, said Barisan Nasional would continue to serve the people of Penang.

“When I went to Penang recently, I promised the people that if Barisan is given the mandate to rule the state, we will bring new development,” he said when asked about K-pop sensation Psy who is set to perform in the state Barisan open house this Chinese New Year.

The Star

KKH baby mix-up the only reported incident in last 10 years: health minister

KK Women's and Children's Hospital

SINGAPORE: Health Minister Gan Kim Yong told Parliament the recent baby mix-up at KK Women’s and Children’s Hospital (KKH) is the only reported incident in the last ten years.

Giving a detailed account of how the mix-up occurred in 2012, Mr Gan said the error came about when two babies were removed from their cots at the same time and were returned without counter-checking their identity tags.

In addition to recommendations by a review committee, Mr Gan said regular and ad-hoc audits will be carried out.

Mr Gan said: “KKH’s Patient Safety Committee will step up its oversight of patient safety and ensure supervision and compliance of protocols by staff. KKH will also undertake a comprehensive review of its quality assurance framework to further enhance patient safety. We will learn from this incident.

“It should be a reminder to all healthcare institutions in Singapore, both public and private, to strengthen their quality assurance programmes to improve patient safety and outcomes.”

CNA/ac

Tag Cloud