COPD | Dr. Advait Mohan

Hinzugefügt: 2026-05-24

[00:00:00]For listeners' doubts on the subject Dr. Advait Mohan answers Consultant Pulmonologist Medina Today is the time to call the hospital Kollam.

[00:00:10]Phone number to call between 3:30 and 4:30 04742931 Ask the doctor in real time by calling.

[00:00:23]Program Hello everyone, dear Listeners can also ask the doctor Welcome to the real-time phoning program.

[00:00:34]Ask the Doctor Today program The topic is COPD in this one.

[00:00:39]Answers to listeners' questions The doctor is with us to give.

[00:00:42]Advait Mohanan is the consultant.

[00:00:44]Pulmonologist Medarina Hospital Kollam The number to call is 04742931.

[00:00:52]We need to call this number.

[00:00:54]It's time until 430, so see the doctor first.

[00:00:56]Welcome, doctor.

[00:00:57]Thank you.

[00:00:58]So COPD is our problem today.

[00:01:01]The topic is, first of all, this COPD.

[00:01:04]Can you tell me what it is?

[00:01:06]This COPD is called chronic Obstetric pulmonary disease This is the abbreviation for the disease.

[00:01:12]What is happening?

[00:01:13]The air inside our lungs There are small ways to go, those ways A permanent shortage may come, that shortage may come Because the patient may have difficulty breathing That's why this is so and so.

[00:01:24]The disease is called COPD.

[00:01:26]There may be many reasons for this. Usually we We are long-term smokers.

[00:01:30]Or constantly dusting People and people who smoke It is common for people like this to Have COPD Okay, this stuff is giving us this asthma.

[00:01:39]Is there any connection with the disease?

[00:01:41]Or is there any difference?

[00:01:42]Is there such a thing?

[00:01:43]Yes, asthma and COPD belong to the same category.

[00:01:45]The main difference is the diseases.

[00:01:47]After putting what Inside the lungs in asthma Let's summarize the ways.

[00:01:53]To be completely controlled through medication It is possible, but what happens in COPD Lung problems It is mostly constant so this is Asthma is a long-term disease that we can completely control.

[00:02:04]Can be controlled as before The patient can be, but in COPD That won't happen.

[00:02:11]Really a respiratory disease This COPD is a disease, isn't it?

[00:02:16]Every time this cough comes, many Doubts will arise just by coughing.

[00:02:21]To understand if we have COPD Is it possible?

[00:02:24]No, not all coughs are COPD.

[00:02:26]There may be many reasons.

[00:02:38]Main symptoms of COPD What is a symptom?

[00:02:41]And this has been going on for a long time In people who smoke or People who constantly throw dust Or blowing dust in factories People or more outside Working people don't have air.

[00:02:52]Dust and smoke from vehicles.

[00:02:53]After hitting and then fixed The most in our country I see a lot of tandoor now.

[00:02:59]There are restaurants.

[00:03:00]Then the smoke from his kitchen The smoke of the pachyderm also blew a lot.

[00:03:04]After that, the breath will be like this There may be difficulties, okay?

[00:03:07]So people like this should cough.

[00:03:09]Or if you have a cough You need to see a doctor immediately.

[00:03:12]Okay, let's move on to more things.

[00:03:14]We have to come first.

[00:03:15]Let's go to the call and see who it is.

[00:03:17]Hello Hello.

[00:03:21]Greetings I'm planning to ask the doctor.

[00:03:26]Mom, talk to me, let's be a doctor.

[00:03:28]Doctor, I have been diabetic for 40 years.

[00:03:31]I have two or three patients.

[00:03:33]I've been wanting B for years.

[00:03:36]Insulator is used for that. However Two or three times now Must use.

[00:03:45]There is also phlegm.

[00:03:48]It stays on for about an hour a day.

[00:03:49]Look. This is how it was done.

[00:03:56]For that Has it only been three years since Mom's Have the difficulties started?

[00:04:00]That's three years.

[00:04:01]Before that, there was a problem.

[00:04:02]Wasn't there? No, it's cheap for me.

[00:04:04]He was allergic to kisses and everything.

[00:04:06]There was Do not take any inhalers during that time.

[00:04:08]There is no need.

[00:04:10]I haven't come, no, no, I have 75.

[00:04:12]As you get older Oh okay So now I have the inhaler on a regular basis.

[00:04:17]Still taking it, my mother I can't find relief, isn't that what you're saying?

[00:04:20]Yeah yeah Okay, when Mom comes like this, this next one Fever or something else Is there anything difficult?

[00:04:25]Has your mother come?

[00:04:26]No no no no so on and so on I don't have a fever.

[00:04:29]Inhaler more than three times a day You have to take it, right?

[00:04:33]Hard work requires more practice.

[00:04:35]Oh, if you really say it like this, Let's elaborate on this.

[00:04:38]We need to examine our other chests.

[00:04:40]Is there any infection in the lungs?

[00:04:41]Don't look for something like that.

[00:04:43]Will come When there is an infection We usually use this inhaler I couldn't breathe by the time I took it.

[00:04:48]Coming So bring one and go wherever you want.

[00:04:51]Wherever your mother's house is, Brought to the nearest hospital After showing, let's go to Mom.

[00:04:55]Something you can check with confidence.

[00:04:56]Let's take an X-ray and then take a look at the phlegm.

[00:04:58]If yes, sputum test We can try that.

[00:05:02]We will then What more needs to be decided?

[00:05:05]Treatment is for the mother.

[00:05:06]That is. If you need to change your inhaler It may need to be changed. Or else Any medicine with it?

[00:05:11]If you want to start, you might have to start.

[00:05:12]Let's.

[00:05:14]Oh, I'm glad I heard that, didn't I call you?

[00:05:17]Didn't the doctor say anything earlier?

[00:05:19]A kitchen smoke detector causes. If this is the case, our Kitchen fumes in our homes Wouldn't that be difficult for those who have Even though it's certain Smoke from the kitchen in cooking The smoke from our early If it were, there would be many in our country.

[00:05:34]People used to collect firewood.

[00:05:36]Most of the people who worked in the woodcutter Now we are COPD patients.

[00:05:39]It's for show.

[00:05:40]We can see you when you come to the hospital.

[00:05:42]What is said most in our country?

[00:05:43]It's terrible for cooking on wood.

[00:05:45]It's a taste, so come to it.

[00:05:46]Many people say that you can do it at home.

[00:05:48]There may be those who try.

[00:05:49]Those who eat will have a taste, but Those who do that will come in the future.

[00:05:52]It is difficult.

[00:05:54]We really need to pay attention.

[00:05:55]After The smoke from the wormwood is ours.

[00:05:57]Coming out smoking a cigarette Smoke and everything is harmful.

[00:06:00]More countries are at risk for lung cancer Even after working out, I still feel like I have COPD.

[00:06:05]Illness will come anyway.

[00:06:06]So it's not just for these smokers Really this kind of smoke This is a problem that even those who beat others face.

[00:06:11]What other reasons are there?

[00:06:12]This disease may bring Now with air pollution Places like Delhi Or work in dusty factories People who do Or what's next? Seconds.

[00:06:23]Hand smoking or passive smoking There is a thing called smoking.

[00:06:27]What happens in it is what we are close to.

[00:06:29]People, we are in our house.

[00:06:30]I may not smoke, but Someone smokes in our house Constantly or we are close Someone else is smoking.

[00:06:36]Or what we work on Someone who works with us on site Do you smoke regularly?

[00:06:40]We are also exposed to the smoke of a smoker.

[00:06:41]Breathing, then that breathing Because we can live like this for a long time.

[00:06:45]If it happens, then the COPT should come because of it.

[00:06:47]So I only smoke.

[00:06:48]A person who says COPD is coming It's a misunderstanding.

[00:06:51]Okay, then whatever.

[00:06:52]To the doctor who is listening It is a real-time calling program to ask questions.

[00:06:56]Father, such doubts are for the listeners.

[00:06:57]If so, call immediately.

[00:06:58]The number to call for the event is 0474.

[00:07:01]2 93 1 This number is being called.

[00:07:05]The event is open until 4:30.

[00:07:07]It's cold now, time to call.

[00:07:09]It's too hot in the morning.

[00:07:11]And then, by nightfall, This is how the weather changes.

[00:07:15]This is a kind of weather.

[00:07:17]In this situation, those with such a disease What problems will there be or Things they should pay attention to What will happen?

[00:07:22]People with COPD are cold.

[00:07:24]To be more difficult when hitting It is possible.

[00:07:27]More viral even when cold There is a high chance of infection.

[00:07:30]Stay cool like that. Oh, okay.

[00:07:32]This is why she is coughing or having trouble breathing.

[00:07:34]There is a possibility of more. Illness It is also possible to get worse.

[00:07:37]So people like this After considering what to pay attention to From dusty places Change.

[00:07:42]And if it gets cold, No preventive measures Pay attention to it no matter what.

[00:07:47]Do it.

[00:07:48]In addition, inhalers and medications If it's the people who take it, it's exactly Take the medicine yourself. Some medicine If people do, we use inhalers.

[00:07:56]Will be given to the patient. But I gave it.

[00:07:58]When they have breath, They only use Because they have a misunderstanding.

[00:08:02]Once set, the inhaler is permanently Once you get used to it, it will become a habit.

[00:08:05]An addictive drug That's what they call this inhaler, it's medicine.

[00:08:10]It is a very wrong notion.

[00:08:12]Then the patients understood it.

[00:08:14]They give it to you and they are correct.

[00:08:15]Taking medicine Must ensure Likewise, those who use inhalers Things that should have been overturned Maybe because sometimes Maybe take someone else's.

[00:08:23]This is how an inhaler is used.

[00:08:25]It's someone with the same problem as shortness of breath.

[00:08:27]Keep it at home if you want.

[00:08:28]If you use it like that, do it like that too.

[00:08:30]No You shouldn't share an inhaler like that.

[00:08:32]Only one inhaler for the patient Only allowed to use Or sometimes COP powder for someone Some kind of pneumonia or infection It may be that at that time, that infection If you use an inhaler during that time, that inhaler After someone else has used the inhaler He will also be at risk of spreading the disease.

[00:08:47]So one inhaler is enough for one patient.

[00:08:48]Only allowed to use We have a call.

[00:08:51]Let's go to the call, hello.

[00:08:53]Hello Greetings to the doctor.

[00:08:55]Welcome to the program.

[00:08:57]Calling from Kollam.

[00:08:58]Talk to the doctor, okay?

[00:09:00]Doctor, I am a 65-year-old man.

[00:09:03]Tell me.

[00:09:04]I have this allergy-like breath.

[00:09:06]I have knee problems.

[00:09:08]Okay Dad, I am 40 years old at my youngest age.

[00:09:11]I was in Singapore at the age of 35.

[00:09:13]You've done a great job.

[00:09:16]I just came here and said, Spotted when I saw the doctor in Kollam A road also called Voltido The caps had arrived.

[00:09:22]Okay 200 volts or 200, that's me.

[00:09:25]It's a good comfort to use.

[00:09:27]There is nothing wrong with this side effect.

[00:09:29]Is there some medicine, doctor?

[00:09:30]How long have you been using this?

[00:09:32]It's only been two months now.

[00:09:34]Constantly for two months Are you using I have always said to myself Daily one capsule night There's something pulling inside.

[00:09:43]You can lie down and sleep now.

[00:09:44]There is a good reduction in two weeks.

[00:09:46]There is a shortage, isn't there?

[00:09:48]Just like the way it's used now The medicine should be used regularly.

[00:09:51]This will not cause any problems.

[00:09:53]There will be no reason why we should Is this the medicine you are using an inhaler?

[00:09:56]Saying.

[00:09:57]That medicine is right for us.

[00:09:58]Inside the lungs Delivering. O So we usually eat Isn't it all about medicines? That's what you eat.

[00:10:04]While I'm taking the medication, The inhaler has very few side effects.

[00:10:08]What is there?

[00:10:09]And one thing to note is that After putting it in, use the inhaler.

[00:10:12]Always rinse your mouth thoroughly afterwards.

[00:10:15]Then, after rinsing my throat with water, You should spit it out. One one two Do this well for a minute.

[00:10:21]Or is there no powder of this medicine?

[00:10:22]Things are stuck in our throats.

[00:10:24]There is a possibility of mold growth.

[00:10:26]Okay, okay.

[00:10:26]Pay attention to this one thing, then the doctor Not in the same quantity and dose as prescribed Use the medicine for the time being.

[00:10:32]There is no need to be afraid.

[00:10:33]Thank you.

[00:10:34]Okay I'm glad you called.

[00:10:36]To the doctor who is listening Ask is a real-time calling program.

[00:10:38]The number to call is 047n29m1n.

[00:10:43]About using this nebulizer Can you tell me something because it's for clarification?

[00:10:47]The difference between an inhaler and a nebulizer A difference or the need for it When is it coming?

[00:10:53]An inhaler is a very small The tool is what we usually use.

[00:10:57]More when given for the patient This is for future use.

[00:11:01]Inhalers are usually given for If the patient really needs a nebulizer The medicine goes straight to the lungs.

[00:11:07]Delivering But after putting it in the nebulizer It's in a machine, we go to it.

[00:11:10]I'm taking medicine, it's like smoke.

[00:11:12]Making medicine that smoke-like medicine We then put on the mask and Giving the patient a breather The patient was held for a few minutes.

[00:11:19]Breathe, only then can you rest.

[00:11:21]Get When the need to use a nebulizer arises Do not use in an emergency.

[00:11:25]Maybe in hospitals May need to be used Or sudden shortness of breath May need to be used in any situation Nebulizer Okay, this is probably a serious illness.

[00:11:35]At home for those who can.

[00:11:37]Can't we do that too?

[00:11:39]It is the patient and the state of the disease.

[00:11:42]The doctor decides by looking at it.

[00:11:43]We treat all patients the same way.

[00:11:45]This patient needs an inhaler. This patient needs an inhaler.

[00:11:46]The patient also says he needs a nebulizer.

[00:11:48]Look at the condition of the disease We decide by looking.

[00:11:50]Okay, let's do it ourselves.

[00:11:52]That says I buy and use so No, that is not the right course of action.

[00:11:58]The doctor showed it to me and said, "What is the doctor doing?"

[00:12:00]Do as you are told.

[00:12:01]Okay, let's go on a call, hello.

[00:12:03]Hello Hello, I want to sit with the doctor.

[00:12:05]Welcome to the event That prayer Talk to the doctor, okay?

[00:12:10]Tell me.

[00:12:11]Hello doctor, sir.

[00:12:12]Prayers, prayers.

[00:12:14]And I have a little brother 10 I am old now.

[00:12:18]When you are seven years old, Tomato fever has arrived. Until then, baby Sometimes I just get a cold.

[00:12:23]There was no other illness.

[00:12:25]After that tomato fever, Kunjinang Astonishment, suffocation, and astonishment This is also the cough Then they showed them to their hospital.

[00:12:35]At that time, they let me blow puffs. That When you hit a baby, it will make them smile less.

[00:12:39]When this cold hits this baby This is coming, doctor.

[00:12:42]If you are at school, go every day.

[00:12:44]I can't even do that, doctor, what's the point?

[00:12:46]Remedy Puff is a regular thing at home.

[00:12:48]Are you using it or is it in your mouth?

[00:12:49]Is it used only when I use it regularly, sir.

[00:12:53]Change with regular use Coming soon That change is coming, but it's cold.

[00:12:57]It will come back when it hits.

[00:12:59]We use our inhalers even when we have a cold.

[00:13:01]Aren't you using that pufferfish?

[00:13:03]Are you still feeling the cold?

[00:13:05]Puff when hitting, relief when hitting.

[00:13:06]Do you get it?

[00:13:07]No, it doesn't change, like this every day.

[00:13:09]Keep hitting.

[00:13:10]How much is being beaten now?

[00:13:12]The day is getting more difficult like this.

[00:13:13]Is it after the rain starts?

[00:13:14]More difficult No sir, it's the same when this rain starts.

[00:13:18]Even when there is no rain, it is the same.

[00:13:20]The baby will cough, and you will cough.

[00:13:24]If you are short of breath, you will be short of breath.

[00:13:25]We don't just stand there watching.

[00:13:27]Wonderful.

[00:13:28]So much for someone in the Buddha's house Do you have allergies, asthma, or other illnesses?

[00:13:31]To my father and mother Sarah is not here yet.

[00:13:34]Okay, if you don't change like this, Mom.

[00:13:36]Something difficult or something There may be some infection.

[00:13:38]There is Now, with the Devi Clinic.

[00:13:41]The child who said when shown Something stuck in my chest.

[00:13:45]Is it possible to get an infection while lying down?

[00:13:46]So now that you said there is Take your medicine.

[00:13:49]Is it because you are taking medicine?

[00:13:51]Is there any relief then?

[00:13:52]There is that relief.

[00:13:54]Okay But I had been here for a week.

[00:13:57]At that time, he came and stayed in Ernakulam.

[00:13:59]When I came here, I was very surprised.

[00:14:02]Started Okay, more when the dust settles.

[00:14:04]Is it difficult?

[00:14:05]There is that.

[00:14:06]They don't have the medicine they have now.

[00:14:08]Take the medicine that is given to you.

[00:14:10]If you don't feel relief after eating, You can bring it anywhere and show it.

[00:14:13]The reason for the mother was more X-ray that day.

[00:14:14]Didn't you take a look at it?

[00:14:16]Take that X-ray and take an ECG now.

[00:14:19]There's nothing for the baby to take, this strange thing.

[00:14:21]He was a child who never had a fever.

[00:14:24]Mom, this shortness of breath is like asthma.

[00:14:26]Are you sick or have a small illness?

[00:14:28]Once the infection has occurred, our Pneumonia or something like that It's scary once the infection sets in.

[00:14:33]Will cause trouble So, after taking the current medicine, If it doesn't change, bring another one.

[00:14:37]Whatever needs to be shown Which hospital is the doctor in Medina?

[00:14:42]Yes, yes, it is Mediterranean.

[00:14:44]Doctor name Did you hear that the doctor is called Advait Mohan?

[00:14:48]Name Let me tell you, let me call you.

[00:14:50]Okay, let's bring it.

[00:14:52]Happy to hear Calling the doctor right away to see him/her The program is a short break.

[00:16:09]Okay, to the doctor who is listening.

[00:16:10]I can ask, what is the real-time calling program?

[00:16:12]About the topic of COPD For listeners' doubts You can call. Number to call 0474293 Doctor, we have 1 with us.

[00:16:23]This is Advait Mohan. Doctor, this kiss is now That said, at the same time, this Hypocrisy is also often seen.

[00:16:29]The children now have this baby The matter has been mentioned again. Yeah yeah When does this signal danger?

[00:16:35]How can we do that through phlegm?

[00:16:36]It is possible to understand In patients with typical COPD, either The phlegm will be a white color.

[00:16:42]Or light-colored phlegm Will be This phlegm will quickly turn yellow.

[00:16:46]Or turn green or Sometimes blood may be seen in the sputum.

[00:16:50]In such a situation, infection is inevitable.

[00:16:52]It's up to us whether we have it or not.

[00:16:53]Will have to look.

[00:16:54]So, if that's the case, see a doctor immediately.

[00:16:56]Let's show it. Check it out.

[00:16:57]Sputum testing may be required.

[00:16:59]You may need to have an X-ray done.

[00:17:01]I looked and saw something like pneumonia.

[00:17:02]If so, we can do it accordingly.

[00:17:04]Treatment or cure Will have to take it. Okay Besides that, for those who are in Siopa Less phlegm, less breath model Maybe.

[00:17:11]As a baseline, but this suddenly The amount of phlegm increases or Ordinary inhalers are now common among people Didn't call the inhaler earlier It was taken but now I can't get any relief, so early.

[00:17:21]Take the same dose of inhaler as you took.

[00:17:22]I can't breathe, I'm short of breath.

[00:17:25]Something else in such situations The question of whether there is difficulty Let's do some tests to see.

[00:17:28]It may be necessary.

[00:17:30]What are the tests for this disease?

[00:17:32]What we have in connection is disease.

[00:17:33]To be determined We use the main one to diagnose COPD.

[00:17:35]It's called a test that's been going on for a while.

[00:17:38]Then there is a breath test.

[00:17:40]We PFT Pulmonary Function Test Or spirometry Dad says it's a very simple thing.

[00:17:45]The test is a small test that we give to the patient.

[00:17:48]The machine gives a small machine.

[00:17:49]Giving it to it strongly It says to blow, so accordingly.

[00:17:52]The efficiency of our lungs Let us measure what is The patient is given medicine accordingly.

[00:17:57]Whether or not it is necessary How to dose the medicine Let us decide the matter.

[00:18:02]In addition, we may need to take X-rays for some patients.

[00:18:04]Need to take a chest X-ray Maybe a chest CT scan.

[00:18:06]You may need to take a Suddenly, the patient's blood Blood oxygen level If it decreases, the oxygen in the blood If you look at the quantity, tests like ABG It may be necessary, but it's not for everyone.

[00:18:16]Depending on the patient's condition Deciding Okay, let's be honest about this.

[00:18:22]Even if the disease is completely cured, it can be cured.

[00:18:25]Isn't that why we always do this?

[00:18:27]A medicine to be used This will be the case in the situation.

[00:18:30]Moving forward What is COPD really like?

[00:18:34]What kind of smoke is the expression in the smoke?

[00:18:36]Whatever the reason Permanent abbreviation In the passages inside the lungs Occurs. Well, completely.

[00:18:41]Whatever the treatment for change is now No.

[00:18:44]And this inhaler is perfect for us to use.

[00:18:45]We give medicines After all, what is the lung?

[00:18:48]Good There are many other things to do. Patient's brief Do exercises. As if walking As easy as walking 30 to 45 minutes a day Exercises. Then breathing exercises Then to boost immunity Let's adopt a proper diet.

[00:19:09]In addition, vaccinations are also available. This We have to do everything and get sick.

[00:19:13]It can be controlled. Now Anyway, about smoking.

[00:19:16]This is said by It's good to control now.

[00:19:18]If smokers quit now How to be in a situation where This is all for them anyway.

[00:19:23]Smoking increases the risk of future Do we have it or not?

[00:19:26]To stay healthy Is it possible if you stop?

[00:19:30]There are many people near me now.

[00:19:31]We have arrived, we are 30 years old.

[00:19:32]I've been smoking for years, now I'm smoking.

[00:19:34]Stop and see what's the matter.

[00:19:36]But that's not because of smoking.

[00:19:37]Very few things come into the lungs.

[00:19:39]It will always be there, lungs.

[00:19:42]It doesn't have to be the same as before, but What happens after you quit smoking?

[00:19:46]After putting what This disease is progressing.

[00:19:50]We can slow it down.

[00:19:51]Moreover, even though the cough is severe, there is shortness of breath.

[00:19:54]Even if it is more, after you stop smoking There will be more difference than that.

[00:19:57]So a person who smokes has COPD.

[00:19:59]You should stop smoking if you become ill.

[00:20:01]Let's first talk about the issue.

[00:20:03]Okay, now this Covid thing is like this Illnesses like these never go away There were people standing. Oh, okay.

[00:20:09]Especially for them that day.

[00:20:10]There are many more people with this disease.

[00:20:13]It may have been affected. What do they have?

[00:20:14]Maybe again in the future.

[00:20:16]Difficulties again What is happening.

[00:20:18]Everyone who has COVID has COPD-like symptoms.

[00:20:21]Diseases or respiratory problems It is not necessary to have illnesses.

[00:20:24]Pneumonia due to severe COVID.

[00:20:26]Some of those people have long-term Difficulty breathing.

[00:20:31]What does it affect the most?

[00:20:33]After being put in, the lungs will already be People with TB have been sick for a long time.

[00:20:37]For those who were or People who have had asthma before Or have pre-existing COPD People like that have COVID.

[00:20:43]After arriving, I got pneumonia due to Covid.

[00:20:45]After that, it will be more concentrated in the lungs.

[00:20:47]It will be possible to assign So suddenly for such people Increased shortness of breath or increased phlegm Or coughing up blood, etc. If there are any symptoms, immediately You should come and check yourself.

[00:20:58]Let's call this a first phase.

[00:21:01]As of now, maybe a No problem, healthy.

[00:21:04]It's one person, but one person at a time.

[00:21:07]Wait a while, maybe.

[00:21:09]Drink hot water when it's done.

[00:21:11]Okay again but this is this Is it normal or not due to an illness?

[00:21:16]Someone might say that it is a problem that has been How can you understand normal He came and walked one by one.

[00:21:21]This is a wheezing sound, maybe a lung A related illness is deep.

[00:21:26]So a doubt There are many things that make noise when walking.

[00:21:29]Diseases may be caused by COPD or Not only due to respiratory diseases Heart disease is also caused by the same thing.

[00:21:35]There will be difficulties and there may be upheaval.

[00:21:37]Diseases such as thyroid People will have this difficulty too.

[00:21:40]So it is a symptom of many diseases now.

[00:21:42]Said So it doesn't come to a conclusion on its own.

[00:21:45]Difficulties like this are constant.

[00:21:47]If we are coming, we will anyway.

[00:21:48]At the nearest health center Bring it and show it to us.

[00:21:50]The necessary tests will be carried out and then the inspection will be carried out.

[00:21:52]The patient will also be examined and the necessary What are we Investigations?

[00:21:56]Is there any blood test to be done?

[00:21:58]Should I come or take an X-ray?

[00:21:59]Should we take it after we see the patient?

[00:22:01]It is up to you to decide.

[00:22:02]The doctor who came to the conclusion Perform the necessary tests by showing Okay, but let's talk about these kids now.

[00:22:09]I asked how long this illness lasted.

[00:22:11]It comes to children the same way.

[00:22:12]This is true even for those who are older.

[00:22:14]Is it more likely to be seen?

[00:22:18]Yes, this disease is now at this age.

[00:22:20]How many children have the same This is more likely to occur in people over 60 years of age.

[00:22:25]How much more likely is it?

[00:22:27]It probably depends on their circumstances.

[00:22:29]COPD in children may have been caused by I don't see it.

[00:22:32]Or what is genetic?

[00:22:34]If there is any difficulty Only then will COPD in children I see you. In children we usually Asthma is seen. It is theirs.

[00:22:40]Does anyone in the family have allergies?

[00:22:41]Or to your mother, father, or siblings Grandpa or mom or someone else If you have allergies or asthma Children are more likely to develop asthma It's too much.

[00:22:50]And 60-year-olds really If we say, ours is like Delhi now.

[00:22:54]Cities If the father is there, the air is too much.

[00:22:58]There are more people in their 40s.

[00:23:00]COPD can occur up to.

[00:23:01]But here we usually have a 25-30 That's what people who smoke in Kollam are like.

[00:23:06]People here usually see it.

[00:23:08]Assamese with COPD but smoke for 25-30 years People who smoke but don't get COPD Yes. Not everyone will come.

[00:23:13]Saying.

[00:23:14]Even after smoking for a very short time COPD may occur.

[00:23:17]So, a correct relationship like this It is not possible to establish that.

[00:23:20]Let's.

[00:23:21]Okay, so this is air pollution.

[00:23:23]It is a big factor.

[00:23:24]If so, then we have a There are more things to do on the go.

[00:23:28]Pay attention.

[00:23:29]So what would it take?

[00:23:30]It is said to be a precaution.

[00:23:32]When COPD patients travel If they pay attention, they Inhalers and medications used It will always be there, you should always carry it with you.

[00:23:39]In addition, dusty areas In colder places Be careful to stay away from it.

[00:23:45]Use a mask whenever possible.

[00:23:47]Not our usual surgical mask, N95 There is a mask, so use it.

[00:23:50]There will be some protection in it.

[00:23:52]It is also possible to get Do they have any breathing exercises?

[00:23:56]Is there anything like that?

[00:23:58]There are breathing exercises that are very simple.

[00:24:00]There are breathing exercises I thought it would help.

[00:24:03]To reduce shortness of breath after Will help A breathing technique called parsley breathing There is exercise in it, after doing it Breathe in with our noses.

[00:24:11]Then curl your lips and walk out.

[00:24:13]Leave slowly.

[00:24:14]In addition, there is diaphragmatic breathing.

[00:24:16]Breathing through the stomach Leaving This is also helpful.

[00:24:21]Apart from that, I mentioned light exercises.

[00:24:22]Already Light exercises like walking are also okay.

[00:24:25]Will help Okay, how many days will it last?

[00:24:29]Now they say that coughing is a danger.

[00:24:31]We know that when someone coughs, we Sometimes I wonder if it's TB.

[00:24:35]We may feel it, but how many days?

[00:24:37]It's like that when it lasts.

[00:24:38]We can go into doubt that It could be TB, that's a possibility.

[00:24:42]Lasting at least a fortnight If we cough, do we have TB or not?

[00:24:46]We will have to check that.

[00:24:47]And cough is not the only symptom of TB.

[00:24:50]It may be accompanied by phlegm, blood in the phlegm.

[00:24:52]Maybe.

[00:24:53]Then there may be a persistent fever at night.

[00:24:56]Excessive sweating may occur suddenly.

[00:24:57]Lose weight or Loss of appetite, fatigue, all of that.

[00:25:02]TB is a symptom of diseases.

[00:25:04]So, any symptoms like this?

[00:25:06]If so, get medical attention immediately.

[00:25:09]Conduct and conduct the necessary investigation and seek treatment To do Now in our house, there is only one person.

[00:25:15]If there is a problem with TB It's something that others should also pay attention to.

[00:25:19]There is a need.

[00:25:20]Even though it's certain What are they, Dad?

[00:25:22]Come to attention.

[00:25:24]What to pay attention to first TB is transmitted after exposure TB is also spread through the mouth.

[00:25:30]When a patient coughs and sneezes, Always cover your mouth and nose. This is the first thing.

[00:25:34]What needs to be done is ventilation.

[00:25:36]Must ensure The third thing is that a person with TB Taking medication correctly The matter must be made sure.

[00:25:41]Father, these three things are the main ones.

[00:25:43]What to do is take medicine for TB because we After eating properly, one To be delivered within two weeks The probability will be much lower.

[00:25:50]So take your medicine properly.

[00:25:52]I told the patient about it.

[00:25:54]Understand and then the rest How to do things?

[00:25:56]Stick Okay, I'm listening.

[00:25:58]Ask the doctor in real time by calling.

[00:26:00]The program is on the topic of COPD.

[00:26:03]Today we can ask the doctor Talking darling For listeners' doubts You can call, the number to call is 0474.

[00:26:10]2931O This number needs to be called for a short time.

[00:26:15]Interval You can ask the doctor in real time by phone.

[00:27:13]The listeners are the program.

[00:27:14]What is being heard is the upper respiratory tract.

[00:27:15]Those with related problems Or you have something like that Difficulty breathing All about the topic of COPD You can ask, call.

[00:27:23]No. 0429MAO This number should be called at 4:30.

[00:27:29]The doctor is with us until the time comes.

[00:27:31]Advait Mohan is the doctor for this TB.

[00:27:34]If we are talking about Does it only affect the lungs?

[00:27:39]It can affect other organs.

[00:27:41]Surely there is no other situation?

[00:27:43]Lungs can also affect organs TB that affects other organs We are extrapulmonary TB.

[00:27:49]It says extrapulmonary TB.

[00:27:51]What affects us the most is Lymph glands in the body Or the kidneys in our body Or in our body The remaining walnut bones The covering of the brain is located here.

[00:28:04]Usually extrapulmonary TB Affect extrapulmonary We have already said this in TB.

[00:28:09]Previously mentioned symptoms of TB So, all those who come in for pulmonary TB Symptoms and signs of extrapulmonary TB You don't have to come.

[00:28:16]This is because pulmonary TB may cause phlegm.

[00:28:19]There may be a cough and blood in the sputum.

[00:28:21]Come on. Chest pain may occur, such as: Anything can happen. But extra Which organ is affected in pulmonary TB?

[00:28:27]Symptoms according to what is affected We can change. But besides that Chronic fever and sudden Weight loss or loss of appetite What about chronic fatigue?

[00:28:39]It affects the organ, that organ.

[00:28:41]There may be swelling and it may also occur suddenly.

[00:28:44]Same I received a call and picked it up.

[00:28:48]Let's get to it, hello hello.

[00:28:52]Hello, good madam.

[00:28:53]Welcome to the program, doctor.

[00:28:55]I'm here to ask, so please speak up.

[00:28:56]To the doctor That Tell me.

[00:29:00]Hello sir.

[00:29:01]Greetings.

[00:29:02]Sir, I am 68 years old.

[00:29:06]Sir.

[00:29:08]Tell me, I'm listening.

[00:29:10]Today, when I was 25 years old, I learned yoga poses like this.

[00:29:17]Then breathe in for a longer time.

[00:29:20]It was placed. Then the body got cold.

[00:29:23]It's gone.

[00:29:26]Okay Hello How long ago was this?

[00:29:30]Is it something that happened 25 years ago?

[00:29:31]Are you talking about something that happened before?

[00:29:33]25th At what age?

[00:29:37]Okay, okay, say it, I'm listening.

[00:29:39]That's good sir, the whole body is like that.

[00:29:43]It's getting cold.

[00:29:46]Okay, is your body cold now?

[00:29:47]Gone It's still the same, sir.

[00:29:52]Okay, when does this difficulty come?

[00:29:53]Do you have difficulty doing yoga?

[00:29:55]What am I doing now that I have that meeting?

[00:29:58]Even if you do, it won't work.

[00:30:00]Okay, any shortness of breath or cough?

[00:30:02]Any difficulties as well?

[00:30:03]Is there Nothing, sir.

[00:30:06]Nothing, just do this yoga.

[00:30:08]My body feels like it's suddenly getting cold.

[00:30:09]Is that what you say?

[00:30:11]Something I breathed in earlier.

[00:30:14]Should have left it in the onion for too long That's when this happened a little bit.

[00:30:19]It felt like I was getting involved.

[00:30:21]Okay, patience, things like that.

[00:30:23]Did something happen?

[00:30:25]No sir, nothing else happened.

[00:30:28]This is a joke, the one who says this.

[00:30:30]There is a thing called syncope.

[00:30:32]So that's why we breathe more.

[00:30:33]Only when we hold it inside can we Sudden dizziness and sweating There may be difficulties like that, but Is this some other medicine?

[00:30:41]Something permanent.

[00:30:42]Is it for heart disease or eating?

[00:30:43]For blood pressure?

[00:30:45]I have sugar at this point.

[00:30:48]This is where all this medicine is.

[00:30:49]What is being eaten?

[00:30:50]Okay, sugar has gone down at some point.

[00:30:52]Any difficulty?

[00:30:52]Has there been Something Sugar levels are low, or something like that.

[00:30:56]Have you had any difficulty?

[00:30:57]Have you ever suddenly had low blood sugar?

[00:30:59]Go like that.

[00:31:01]Sometimes my sugar level drops, so it drops.

[00:31:03]Will Les be something else?

[00:31:05]If you eat something sweet It will be fine.

[00:31:08]Okay, I understand, so this is a problem.

[00:31:10]Is your sugar level low when you arrive?

[00:31:12]Or is the BP a little low?

[00:31:13]Coming like this or something Something like heart disease Is it because of difficulty?

[00:31:17]We will have to check further.

[00:31:20]So wherever we are, we are close.

[00:31:21]Brought to a health center After showing, we need After doing all the tests and stuff What is difficult for us?

[00:31:27]It can be found.

[00:31:29]Okay, okay, okay.

[00:31:30]Then just do that. So this It's okay, don't be afraid.

[00:31:33]No need. Whatever it is It is a treatable illness.

[00:31:35]But what is the proper definition of illness?

[00:31:38]Let's understand a little more.

[00:31:39]Tests will have to be done.

[00:31:41]Okay Oh, happiness didn't call.

[00:31:45]What I'm hearing is from the doctor.

[00:31:47]Ask is a real-time calling program.

[00:31:49]The number to call is 047429.

[00:31:52]One one one one one okay then Let's get back to what we were talking about.

[00:31:56]All other parts, organs It means it can be affected.

[00:31:58]What was said.

[00:31:59]Yes, I said extra.

[00:32:00]Pulmonary TB affects the rest of the body Symptoms of those organs when affected Let's show it off, then don't leave.

[00:32:06]Fever or swelling of those organs Is there any difficulty like that?

[00:32:09]If so, see a doctor immediately.

[00:32:10]Bring it and show it to me.

[00:32:12]We have tests now.

[00:32:14]If you get TB in your lungs If the patient has phlegm, we Sputum test can be done by X-ray.

[00:32:20]Let's do our CT scan of the chest.

[00:32:22]Can be done. And for some patients we Bronchoscopy, such as biopsy Tests are needed. Likewise What other organs are affected?

[00:32:30]Accordingly, we are responsible for that organ.

[00:32:32]What can be tested?

[00:32:34]So, do you want to scan something?

[00:32:35]Or a biopsy from that organ Do you want to take a look? From that biopsy Should I get a culture of the biopsy?

[00:32:40]We decide all this.

[00:32:41]The organ is affected.

[00:32:42]We decide accordingly.

[00:32:44]So we confirm that it is TB.

[00:32:47]We treat the patient after doing Starting to give Okay, let's go to the next call.

[00:32:52]Let's go, hello.

[00:32:55]Hello, I want to sit with the doctor.

[00:32:56]Welcome to the event That prayer Speak up, doctor.

[00:33:01]Tell me.

[00:33:02]Hello sir Prayers, prayers.

[00:33:04]Sir, my name is Sujit.

[00:33:06]Okay Sir, I am calling from Alappuzha.

[00:33:10]Tell me.

[00:33:11]Sir, that's becoming a constant for me now.

[00:33:13]I've had a cough for a while now, sir.

[00:33:15]That's me, two weeks ago.

[00:33:18]Sir, I came down with a fever. Fever I had a cough and yellow sputum.

[00:33:22]Sir.

[00:33:22]Okay.

[00:33:23]After it changed, I took it to the hospital.

[00:33:26]After taking the indicated antibiotic I still haven't gotten over my cough.

[00:33:29]Sir. I have a continuous cough.

[00:33:31]Okay, at what time did the cough get worse?

[00:33:33]Coming?

[00:33:35]Hello sir When is the cough most common? Day Is it time or night?

[00:33:40]Sir, the cough is worse during the day.

[00:33:42]During Do you cough more when you wake up in the morning?

[00:33:44]Coming I have a cough when I wake up in the morning.

[00:33:46]I have a cough, but I have a good cough.

[00:33:48]I have a good cough when I blow on the dust.

[00:33:51]Okay, is this someone with allergies or asthma?

[00:33:54]No asthma, sir, please reduce the allergy powder.

[00:33:56]Like sneezing after beating Things happen.

[00:33:59]Okay, any breath other than this cough Knee or chest pain, etc. Have you encountered any difficulties?

[00:34:04]Ever I can't see you out of breath.

[00:34:06]Let's take a little bit of a break.

[00:34:08]Continuously for a while This is what happens when you cough, sir.

[00:34:13]Okay, no asthma when I was young.

[00:34:15]There wasn't, was there? No sir.

[00:34:16]No sir.

[00:34:17]Does anyone in the house have allergies?

[00:34:19]What is Can you say it again? Can you say it again?

[00:34:24]Sir, do you have any items like inhalers?

[00:34:27]I have to take it.

[00:34:27]Inhaler We go straight to the inhaler.

[00:34:30]Not passing after checking it You really have to look at it, why did you put it there?

[00:34:33]Then there is someone with allergies, then there is asthma.

[00:34:36]Let's find out whether there is or not.

[00:34:37]There is a test called PFT.

[00:34:39]Spirometry should be done and checked.

[00:34:40]Maybe it's an infection.

[00:34:42]Didn't you say two weeks ago?

[00:34:44]Has that infection completely gone away?

[00:34:46]Or will we have to take an X-ray?

[00:34:48]You might have to take a look, Blood.

[00:34:49]You might have to take a test.

[00:34:50]You should try this too, then the chest.

[00:34:53]You should check inside your chest.

[00:34:54]Something phlegmy or something The question of whether there is a tie-up I have to look.

[00:34:57]I need a chest, I should also do PSC.

[00:34:59]No sir Yes, you need to check first.

[00:35:01]We have just checked.

[00:35:03]Deciding which tests are needed And then there's the allergy sufferers.

[00:35:07]There is always a chance of developing asthma.

[00:35:08]For people who have had allergies since childhood Asthma can happen at any time, Dad.

[00:35:12]We diagnose ourselves with asthma.

[00:35:14]Once done, up accordingly.

[00:35:15]Need to take inhalers or something?

[00:35:17]Maybe. Then two weeks ago the fever Didn't you say there was? Infection Didn't you say there was?

[00:35:22]Yes sir, yes.

[00:35:22]So, in some patients, really speaking, Post after the infection has cleared.

[00:35:26]Infectious cough or post-viral Post-viral if cough is a viral infection There is a disease called phlegm.

[00:35:33]Then it became completely sick.

[00:35:35]Even after that, that cough will last for a while.

[00:35:37]Will survive. So, to reduce coughing It's all about the care and everything else.

[00:35:41]It may be necessary. But that's all.

[00:35:43]We can't even check the rest.

[00:35:44]To confirm without conducting tests Not possible.

[00:35:46]Okay, sir, okay.

[00:35:48]Yes Okay, sir, father.

[00:35:51]Sir, you will be at the hospital every day.

[00:35:53]Sir I am from the fool to the king.

[00:35:56]Monday to Saturday Okay sir, okay.

[00:35:58]Then I called happiness.

[00:35:59]What I'm hearing is from the doctor.

[00:36:00]It is a real-time calling program to ask questions.

[00:36:02]The number to call is 0474.

[00:36:05]291one On the topic of COPD What is being talked about is accompanied This is Dr. Advait Mohan. Let's There is another call. Let's see who it is.

[00:36:15]Hello Hello.

[00:36:18]Welcome to the Doctor Vaidika program.

[00:36:20]Welcome.

[00:36:20]Hello doctor, I am 46 years old.

[00:36:24]Bread I am the most now tablet It takes two hours. This bread It's been cold in the morning for the last time.

[00:36:32]It seems like it's time to go.

[00:36:34]Breathe deeply and again Coming. This shepherd is blessed.

[00:36:38]It came but I can't eat it.

[00:36:40]It's not possible. It's like something is growing.

[00:36:43]It seems Is the content different in both or not?

[00:36:46]Is it the same? I'll ask the doctor now.

[00:36:48]Is it necessary to consult for this?

[00:36:51]Smoked a couple of weeks ago After beating him, he took a deep breath.

[00:36:57]When we went to see the doctor, many I only remember what I felt.

[00:37:03]What is a tablet?

[00:37:04]I don't know, I have an induction.

[00:37:06]There is a memory, as I said, that I took.

[00:37:08]So when I started this cold Traveling is so difficult.

[00:37:13]What's the problem now?

[00:37:14]Is it really shortness of breath?

[00:37:15]Is it a cough or what is difficult?

[00:37:17]Yes, yes, the shepherd is short of breath.

[00:37:19]When I stand like that, I get a cough.

[00:37:21]I am a patient who eats Cloquet.

[00:37:23]is Okay, is he a heart patient?

[00:37:26]Yes, yes, there is.

[00:37:28]Okay, some angioplasty.

[00:37:29]Have you done anything like that?

[00:37:30]Ever You haven't done anything like that, have you?

[00:37:32]Only Clop should be taken 75 times a day, and Laptel should be taken.

[00:37:35]I have been told to eat.

[00:37:37]I usually always There is also something to talk about.

[00:37:40]It's always there, sometimes now and then.

[00:37:42]It gets clearer as it gets colder.

[00:37:44]Coming as I called the doctor.

[00:37:49]Do you want to go and see it as a special event?

[00:37:51]To ask.

[00:37:52]Shortness of breath and nausea since childhood Is there someone who There is an allergy to that, there is a cold allergy.

[00:37:59]It is there.

[00:38:00]Dust and smoke are difficult.

[00:38:01]It's difficult, isn't it?

[00:38:02]Yeah yeah Ever had an inhaler?

[00:38:05]Have you ever needed to use it?

[00:38:06]No, I haven't used the inhaler yet.

[00:38:08]That's what actually called Inhela to me.

[00:38:10]Not given this way.

[00:38:11]Okay, TB or pneumonia at some point.

[00:38:13]Likewise, any illnesses Have you ever come?

[00:38:15]Pneumonia has come, baby.

[00:38:17]I came here when I was young.

[00:38:19]I had pneumonia at such a young age.

[00:38:21]What do people do when they grow up?

[00:38:23]Asthma or similar COPD More likely to get diseases So all these things You may need an inhaler after hearing this.

[00:38:32]But we don't start using the inhaler right away.

[00:38:34]As if we could come and show you Chest should be examined.

[00:38:37]It should be checked, so it was checked.

[00:38:40]I'm taking it, sir, for the shepherd.

[00:38:41]I have chest pain, did you hear that?

[00:38:43]Chest pain like this from time to time When we come, when we go to the cash register Taking an ECG and its variations But I don't know what to do.

[00:38:51]I didn't know when I asked to show it.

[00:38:52]The other one is the most prepared.

[00:38:55]I'm eating it twice.

[00:38:57]Must eat Okay, I understand, eat it.

[00:38:59]This cardiology doctor is okay.

[00:39:01]Have you ever shown I have a review for that mantili I ate.

[00:39:05]It's showing, so it's okay.

[00:39:06]Chest pain and cardiology issues Even if you see a doctor, the current situation Isn't this coughing and sneezing a problem?

[00:39:11]Is this asthma that is about to change?

[00:39:13]Diseases such as COPD Maybe it's part of it, whatever it is.

[00:39:17]Is it okay or not?

[00:39:19]No, if you eat it like that We will not stand for more tests.

[00:39:23]An X-ray will have to be done anyway.

[00:39:24]And what else is called PFT?

[00:39:25]There is a test, blow into a machine.

[00:39:27]There are tests that are done, so that's it.

[00:39:29]I'll have to try it and then my chest will be sore.

[00:39:31]I'll have to check one thing and another.

[00:39:33]Two blood tests and stuff.

[00:39:34]Will have to do It's something with three balls.

[00:39:38]What is called incentive spirometry?

[00:39:40]It is a machine that works on the lungs.

[00:39:41]Exercise is That was a few days after the surgery.

[00:39:45]I gave it to you, so it's in my hands.

[00:39:46]Dad, let's sit down and leave it.

[00:39:47]Is there a problem with doing it?

[00:39:48]That's what it's for, what's it for exercise?

[00:39:50]This is just for the sake of saying No difficulties will change.

[00:39:54]Therefore This is like a mikvarium inhaler.

[00:39:57]The drugs will be needed anyway.

[00:39:58]But that's what we need for these tests.

[00:40:00]After we've done everything, let's Can't decide which inhaler to use?

[00:40:03]How many doses are needed?

[00:40:05]Look at everything that way.

[00:40:06]It will have to be decided anyway.

[00:40:08]Did you have to show pulmonology anyway?

[00:40:09]Will come Okay, thank you.

[00:40:11]Yes Thank you, thank you.

[00:40:13]Then I called happiness.

[00:40:14]To the doctor who is listening It is a real-time calling program to ask questions.

[00:40:17]The number to call is 047.

[00:40:20]29th May We've already talked about this TB.

[00:40:25]Talking advanced tests Something about TB.

[00:40:30]Can TB be cured today by just testing?

[00:40:32]We can recognize about Or are there other tests?

[00:40:36]There are other modern tests that we usually When pulmonary TB occurs, the patient has phlegm.

[00:40:42]If so, we are examining the sputum.

[00:40:43]The first thing to do is to do it without it.

[00:40:45]There are many modern tests now.

[00:40:47]A gene expert named There is a test, so what is it?

[00:40:51]Once we put it down, we very quickly It doesn't matter whether you have TB or not.

[00:40:54]We can find out.

[00:40:55]Besides, we are usually infected with TB.

[00:40:58]There are medicines that are given.

[00:41:00]Will it work against TB or not?

[00:41:02]Let us understand what It is possible.

[00:41:03]Okay, there's a gene expert.

[00:41:06]We're getting another call, aren't we?

[00:41:08]The call has been cut off.

[00:41:10]We have a break in our program.

[00:41:12]Let's come back.

[00:42:24]To ask Listeners are on a real-time phone call program.

[00:42:49]What is being heard? Now let's There is very little time today.

[00:42:52]I'm in the program to sit with the doctor.

[00:42:54]Very important, especially this one The most difficult thing about the weather It is a problem that is experienced. Oh, okay.

[00:42:59]What is the remedy for this or What should we do?

[00:43:03]Something that needs to be known or can be known Time is up, only 15 minutes left.

[00:43:06]Please call me quickly.

[00:43:07]Number 047429MAO We need to call this number.

[00:43:12]To what was said earlier I'll come, right?

[00:43:15]Yes, modern testing for TB We were talking about Gene.

[00:43:19]The test called Expert is very Is there TB suddenly or not?

[00:43:22]We can understand.

[00:43:23]Apart from that, we usually get TB The drugs used are Let's work together.

[00:43:28]Can you understand and then some We can do chest X-rays for patients.

[00:43:32]You may need to take a CT scan.

[00:43:33]You may need to take it later.

[00:43:35]Bronchoscopy Endoscopy You've heard it's like an endoscopy.

[00:43:38]There is a bronchoscopy, so we have a The endoscope is the endoscope itself in this What do we use?

[00:43:44]He put it in his lungs and We should take tests for certain health conditions.

[00:43:48]A biopsy may be needed.

[00:43:49]Some call it Bronco Aluva Lavaj There is a test that says Dad might have to take it then.

[00:43:54]After that, we will take the test.

[00:43:56]Is it okay to leave for TB?

[00:43:57]No, let's understand the matter.

[00:43:59]It is possible. Okay. Let's call.

[00:44:00]It has arrived. Let's see who it is. Hello Hello Hello, welcome to the Namaskar program.

[00:44:05]This is Madam Shibin.

[00:44:06]Did Shibin talk to the doctor?

[00:44:08]Okay, hello, doctor.

[00:44:10]Please say hello.

[00:44:11]I am a 14 year old working in the hotel field.

[00:44:14]Doing.

[00:44:14]Okay So it's been about 10 years since I The work is done in the kitchen.

[00:44:18]Okay.

[00:44:19]Now there's a gas crisis.

[00:44:20]So now we are also gathering firewood.

[00:44:22]It has started.

[00:44:23]Got it.

[00:44:24]So I have an allergy now.

[00:44:26]I don't feel anything at all.

[00:44:28]But what diseases can I get?

[00:44:31]How can I know that?

[00:44:33]What precautions should be taken?

[00:44:36]When I breathe the smoke in this kitchen Any difficulty or anything?

[00:44:39]Do you feel a cough or shortness of breath?

[00:44:41]Something like a limp or something like that Have you ever felt Okay, no, not yet, nothing like that.

[00:44:47]I don't feel anything.

[00:44:48]It hasn't started yet, other than this.

[00:44:49]Smoking or something like that Is there No no no Nothing at all No Okay, now let's really talk about it.

[00:44:58]To the people working in the firewood shed It is common to say that you should not work on firewood.

[00:45:01]I used to say, but now this is my job.

[00:45:03]Work with someone who does it right away.

[00:45:04]Saying you can move and work somewhere else That's not practical.

[00:45:08]If you can do it, then this is it.

[00:45:09]This smoke is directly emitted while working.

[00:45:12]Avoid the face-smashing area.

[00:45:13]Maximum care must be taken to stand.

[00:45:15]What can I use a mask for?

[00:45:18]Can I use a towel?

[00:45:19]You should pay attention to these things.

[00:45:22]What else can be done?

[00:45:24]Our balanced diet Seriously, we should follow.

[00:45:28]Protein in the food you eat Can you put more?

[00:45:32]If you add more protein Eggs, milk, fish, legumes, etc. More fruits and vegetables Eat enough and drink water.

[00:45:40]Then sleep enough and sleep Anyway, it will be necessary, besides that.

[00:45:45]If there are vaccinations, then we Like getting vaccines for children Adults are grown ups, grown ups.

[00:45:51]People also have vaccinations.

[00:45:52]Where is the vaccination, sir?

[00:45:54]Found everywhere.

[00:45:55]Yes, everything is in the vaccination hospital.

[00:45:57]Available everywhere and everywhere We will get it, then our most common The most common Viruses are also the most common Bacteria So I got vaccinated against it.

[00:46:08]After this smoke and dust clears, Because of lung damage Suddenly into pneumonia The possibility of going or not going It will decrease.

[00:46:16]Okay, okay.

[00:46:16]Apart from that, you can also do light exercises.

[00:46:18]Every day now inside it He may be working, but Other than that, about 30 to 45 minutes.

[00:46:24]Go for a light walk, as well.

[00:46:27]This is how you should do things.

[00:46:28]Our Okay, so what about our body?

[00:46:32]To maintain an immunity Try then these remaining Things Making things a little more difficult Will decrease What is the possible disease I will get?

[00:46:40]I came here because it's a hotel.

[00:46:43]What is the probable illness?

[00:46:44]That's what I've been talking about for so long.

[00:46:45]Is this kitchen smoke or I inhaled more smoke from the firewood tomorrow.

[00:46:49]After that, in our lungs There are small ways to breathe air.

[00:46:54]It will start to shrink and it will shrink.

[00:46:55]Once you start, then suddenly You may have shortness of breath, cough, or You may get phlegm, then something like this If any difficulties arise If it doesn't change, immediately Come to the hospital and see the doctor.

[00:47:06]Show us, then we will do it accordingly.

[00:47:08]Necessary tests will be carried out.

[00:47:10]If you need any medicine We will give medicine accordingly.

[00:47:13]That's how you do it, when you call happiness.

[00:47:16]To the doctor who is listening Real-time phone call program to ask questions We have another call.

[00:47:20]Let's go to the call and see who it is. Hello.

[00:47:23]Hello Welcome to the Namazkaram program My name is Maya.

[00:47:28]I have a doubt about the doctor.

[00:47:30]I wanted to ask.

[00:47:30]Please speak, okay?

[00:47:31]Speak up.

[00:47:32]Doctor, I have an allergy problem.

[00:47:35]Then, in the meantime, I got a fever.

[00:47:37]I was out of breath when I arrived.

[00:47:38]After coming and having difficulty breathing Nebulization started that day.

[00:47:41]I took all the antibiotics.

[00:47:44]And then after that When I was shown to the pulmonologist, The inhaler started but I After that, I always stabbed my throat like this.

[00:47:52]When the cough and the sneeze come together, then You will be short of breath. So I am.

[00:47:57]For a short time, about five or six months.

[00:47:58]I saw the doctor before. After this Use your inhaler when you are short of breath.

[00:48:03]Do it. Will use once or twice.

[00:48:05]Then it will decrease like this.

[00:48:08]Rising. And I A person singing in the morning Get up and practice singing.

[00:48:12]When we do this breathing, This throat hurts when you pull like this I coughed and then my husband The shortness of breath will still come. So this This is what happens only when you hit the inhaler If it decreases, then we will have to do something else.

[00:48:23]Should I get treatment for this?

[00:48:25]Runny nose without difficulty Stuffy nose or something like that Are there any difficulties?

[00:48:29]When allergies occur, there is nasal congestion.

[00:48:32]Fry was using it now.

[00:48:34]Not doing anything and then an allergy Tablets will be taken occasionally. Test Also called Luke Okay Or Montauk LC like that.

[00:48:40]Any allergy tablet Will eat Allergy tests when Have you tried it?

[00:48:44]No, allergy tested.

[00:48:46]Apart from that, as mentioned earlier, PFT Spirometry and other tests Have you done anything?

[00:48:51]No, that didn't do anything for me.

[00:48:52]Direct inhaler was the usual treatment.

[00:48:55]Before we give you the inhaler What is the patient's PFT test?

[00:48:59]After doing this, we start the inhaler.

[00:49:01]Because this PFT test was done We will understand when we can.

[00:49:04]Is it possible to have asthma?

[00:49:06]What is the efficiency then?

[00:49:08]Now, when you can use your inhaler PFT with BDR bronchodilator There is a test called reversibility.

[00:49:14]This is the first thing we do in it.

[00:49:16]A test called spirometry After that, the patient is given a Nebulization will be given.

[00:49:22]This nebulization was given for 15 to 20 minutes.

[00:49:25]Then we repeat the patient's PFT.

[00:49:27]I will test it. So that's it.

[00:49:28]Only after you've done it can you really say it.

[00:49:30]What a difference it makes.

[00:49:31]Whether there is a difference or not, we all know all this.

[00:49:33]Only then can you understand.

[00:49:35]Then we will The patient decides which inhaler to use.

[00:49:37]Is there a need for an inhaler?

[00:49:39]How many doses should be taken?

[00:49:41]The matter will be decided later.

[00:49:43]Inhaler usually we spirometry They don't give it to patients without doing it.

[00:49:47]And isn't Dad the one who said he had allergies?

[00:49:50]Allergy tests if you have allergies Yes, we can do it, then we have allergies.

[00:49:54]Allergy test, is it too much or not?

[00:49:56]There are blood tests that will be needed.

[00:49:58]That's all it takes.

[00:49:59]There are tests, so they are regular.

[00:50:01]If you have a problem with that allergy You should also do the tests and see.

[00:50:05]Another thing to note is that Once placed, more people will use the inhaler.

[00:50:09]After all, what is being done?

[00:50:09]Will be used regularly at first Then it stops.

[00:50:13]Only when it's difficult.

[00:50:14]Used but for everything There is a way to do that, we first Inhaler for people with common asthma One, two, three, to start.

[00:50:22]Same dose for a month Give it to us, then we will give it to the people.

[00:50:25]Called again and did the PFT test.

[00:50:27]The rest is for the patient.

[00:50:28]Whether the symptoms have also decreased After looking into everything, Should I reduce the dose or continue with the same dose?

[00:50:35]Do it or when it's difficult Is it enough to just use an inhaler?

[00:50:39]Everything is decided by the All these things come to a conclusion in themselves.

[00:50:43]Take me to the doctor without coming.

[00:50:45]After completing the necessary tests Do you need an inhaler or something else?

[00:50:48]The question of whether or not to take medications Let's decide.

[00:50:51]Tablet inhaler called Forth 200 The doctor prescribed pulmonology that day.

[00:50:56]The doctor gave me that tablet that day.

[00:50:58]It's not the Rotacap caps, it's the inhaler.

[00:51:00]Isn't it Rota Haler?

[00:51:02]Put that Rotohaler in another machine.

[00:51:04]Put it in the machine.

[00:51:05]Breaking and pulling.

[00:51:07]Oh yes yes Okay, that's what Rota Heller is for.

[00:51:09]It is said or said loopy heller Saying. So that's amazing.

[00:51:13]Giving. For asthma and COPD It's the same medicine that is given.

[00:51:16]But after more tests Only we can decide this.

[00:51:20]Should I continue with the same dose or take a different one?

[00:51:22]Should I switch to some medication or something?

[00:51:24]Should I start any other medications?

[00:51:25]The question is whether or not Okay Yes Very happy in the light then To the doctor who is listening Ask is a real-time calling program.

[00:51:34]Now I think we We don't have time to go to Covid.

[00:51:37]We now have two or three important Especially when asked questions.

[00:51:40]Let's get back to the children.

[00:51:42]By the way, I took this BCG vaccine.

[00:51:44]The risk of this disease also occurring in children It's about whether there is.

[00:51:49]TB usually occurs suddenly in children.

[00:51:51]It's hard to find.

[00:51:52]Because all the normal adult occurrences Symptoms also do not occur in children.

[00:51:57]But if you have a chronic fever or Do not gain weight or gain it suddenly Lose weight Or chronic cough Even if it comes like this, we Are there really TBs? Is there TB?

[00:52:07]It is also doubtful that BCG vaccination BCG vaccination There are serious TBs that are serious.

[00:52:14]From the tbl to a certain extent BCG may be helpful in preventing Once you get the vaccine, you will never get TB.

[00:52:20]Let's say it's not coming.

[00:52:22]Can't Okay, so does ECPD, let's do this.

[00:52:26]The TV will also say that it will come at the same time.

[00:52:28]Is there a situation where a person COPD and TB can occur at the same time.

[00:52:32]Not the situation Sometimes a person has COPD from an early age.

[00:52:35]Maybe there was, but is there COPD?

[00:52:37]He doesn't know what no means.

[00:52:38]Such a person got TB.

[00:52:39]After It will be difficult now, COPT.

[00:52:42]For one person There will be a cough and shortness of breath, TB.

[00:52:45]After coming, that cough and shortness of breath I can add it very quickly.

[00:52:48]Didn't I say earlier, either it's light or it's dark?

[00:52:50]In color or white Phlegm that suddenly turns yellow There may be blood in the sputum.

[00:52:56]It may come and go, but it doesn't go away.

[00:52:58]Weight loss Chronic fatigue Non-toxic is all that matters.

[00:53:03]Difficulty in patients with COPD If you see these symptoms, do It's more about whether you have a TV or not.

[00:53:08]We need to examine and understand.

[00:53:10]What is the treatment method called DOTS?

[00:53:11]Can you tell me something about it?

[00:53:13]After putting dots, it becomes Diracli.

[00:53:15]Observe Treatment Short Cause DOTS is an abbreviation for it.

[00:53:18]What Dots really says The reason the government started is more People are exactly like us.

[00:53:24]We told patients that it is important.

[00:53:26]After all, it's a matter of giving.

[00:53:27]It's about taking the medicine correctly.

[00:53:28]But what is the problem?

[00:53:30]Afterwards, I started taking TB medication.

[00:53:32]One thing after starting TB medication These symptoms within two weeks It will be much less. So, so.

[00:53:36]Symptoms have greatly decreased People will think as long as they can.

[00:53:39]TB cured, no more medicine needed TB, thinking it unnecessary The medication is being discontinued.

[00:53:45]Until then, this TB The virus will come back stronger.

[00:53:50]We've been using this for so long.

[00:53:51]There are a few main drugs for TB.

[00:53:53]All those important drugs Another more powerful one in terms of functionality The need to use medications Maybe.

[00:53:59]So exactly those patients Whether or not you are taking medication Just to look at.

[00:54:04]What is a government system in this?

[00:54:06]Right in front of us, doing Guli is giving medicine to the patient.

[00:54:09]The patient is right in front of us.

[00:54:10]Taking medicine, Appa Direct We are observing the patient.

[00:54:13]Whether or not you are taking medication The thing is, the medicine is exactly that.

[00:54:16]To see if you are eating or not This is a system for Existence Okay, but our program is winding down.

[00:54:20]It's a time to make up, Dad.

[00:54:22]Even though it's important to us now Our listening A government that listeners understand This is happening in hospitals and government hospitals.

[00:54:29]What are the freebies for both diseases?

[00:54:32]Treatments are available today Can you clarify something?

[00:54:36]All TB cases in government hospitals Didn't you mention the tests earlier?

[00:54:39]Up to modern tests such as Gene Expert Besides, it is available for free.

[00:54:44]TB medicines are also free.

[00:54:46]In addition to this, patients get For some patients, it is called MDR TB.

[00:54:50]Multi-drugs due to illness Apart from tuberculosis, HIV For those who come with a TV For such people, nutritious food is Government provides free assistance programs It has been arranged. And COPD Some things that patients need Hospital admission required Oxygen nebulization for patients Injectable drugs or Nebulized medications and inhalers All this in a government hospital Available Available okay anyway the current one Especially in the case of weather We now know that lifestyle diseases People with this disease are at risk of developing Or that there are difficulties I hear that they all have this one.

[00:55:26]When it comes to weather A good thing they can give too What advice should be paid attention to?

[00:55:32]Things are winding up for us in this program.

[00:55:34]What to say to make up Nowadays, lifestyle diseases are the most What we see here is important.

[00:55:39]Diabetes Diabetic patients are at risk of developing TB More Not only that, diabetic patients got TB There is a possibility that it will become serious later.

[00:55:47]More And similarly kidney disease, liver disease Heart disease, high blood pressure, all of these things.

[00:55:53]Patients with COPD or TB When illnesses come, her illness is very severe.

[00:55:57]To get worse quickly It is possible that something like this What can people do?

[00:56:01]After placing it, it is given exactly Take all the medicines and that too See your doctor regularly and regularly Run tests on a patient now.

[00:56:11]Nearby says that this is the medicine for so many days.

[00:56:13]Come back and show me after eating.

[00:56:14]But some people take medicine for so many days.

[00:56:16]After eating, they took the medicine in the same way.

[00:56:17]You can continue eating.

[00:56:18]Otherwise, you can stop taking the medicine.

[00:56:20]Don't do that, take the medicine exactly.

[00:56:22]Eat well and stay healthy.

[00:56:25]If so, perform the tests.

[00:56:27]When such diseases occur Let's quickly understand Okay, okay, then, to the doctor today.

[00:56:31]The program is ending here.

[00:56:33]Listeners on this topic of COPD The doctor answered the questions Advait Mohan is the founder of Mediterranea Hospital.

[00:56:39]In the name of Kollam Doctor Kaman Radiance Thank you.

[00:56:43]Program to ask the doctor today This concludes, thank you and greetings.