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Hypertension
The Silent killer
हाइपरटेंशन या उच्च रक्तचाप, जिसे कभी कभी धमनी
उच्च रक्तचाप भी कहते हैं, एक पुरानी चिककत्सीय
जथिति है जिसमें धमतनयों में रक्ि का दबाव बढ़ िािा
है। दबाव की इस वृद्चध के कारण, रक्ि की धमतनयों
में रक्ि का प्रवाह बनाये रखने के लिये ददि को
सामान्य से अचधक काम करने की आवश्यकिा पड़िी
है।
Increase in no. of cases
in developing (increase of
24%)
third world countries
(increase of 80%)
Scientists are now claiming
that 1 in 3 adults in the
world will have high blood
pressure in 2025.
ज़्यादातर व्यक्क्तयों में उच्च रक्तचाप की
समस्या जन्म लेने का कोई कारण नह ीं होता।
इसे प्राथममक उच्च रक्तचाप कहा जाता है।
जो रक्तचाप ककसी औषधध के सेवन से या
ककसी स्वास््य सम्बन्धी समस्या के फलस्वरूप
बढ़ती है उसे मध्यम स्तर का उच्च रक्तचाप
कहा जाता है।
हाई ब्लड प्रेशर के कारण – मध्यम स्तर के उच्च रक्तचाप के कारण (Secondary
hypertension come to you due to)
1. हाइपर पैरा थाइरॉइडडस्म।
2. द र्घकामलक गुदे की बीमार ।
3. गुदे में रक्त सींचार करने वाल धमननयों में समस्या।
4. अधधवृक्क ग्रींधथयों की समस्या जैसे कफओक्रोमोसीटोमा या कु मशींग मसींरोम।
5. कु छ दवाइयों जैसे बथघ कीं ट्रोल पपल,माइग्रेन की दवाइयााँ,डाइट की गोमलयाीं तथा ठण्ड से
बचने वाल दवाइयााँ।
causes
CAUSES
inactivity
stress
Obesity
•
Tobac
co
• Aging
AGE
SEX
GENETIC HISTORY
FAMILY HISTORY
Cigarette Smoking
Body weight
Sodium chloride intake
Alcohol
Obesity
Sedentary Habits
Stress
RISK FACTORS
ModifiableNon modifiable
उच्ि रक्ििाप के िक्षण
तेज़ मसर ददघ , नाक से खून ननकलना, उलट , चक्कर आना
ज़्यादातर लोगों में इसके कोई लक्षण नह ीं होते और डॉक्टर से सलाह करने एवीं जाींच कराने के
पश्चात ह उन्हें अपनी इस समस्या के बारे में पता चलता है।
िीवन शैिी कै से बदिें
शार ररक व्यायाम धूम्रपान से दूर कम सोडडयम कम शराब
काफी पानी पीना फाइबर,पोटैमशयम वाले भोजन तनाव से परे वज़न कम करें।
What is
Mental Health??
Mental health refers to the maintenance of successful
mental activity.
This includes maintaining productive daily activities and
maintaining fulfilling relationships with others.
It also includes maintaining the abilities to
adapt to change and to cope with stresses.
It is definitely NOT
easy
Sometimes it’s tough to
avoid feeling stressed,
and pressure can build
up in many areas of life
(socially, in school, at
home, and while making
big life decisions)
Worrying about
these pressures is
NORMAL.
But feeling VERY
sad, hopeless or
worthless might be a
sign of a mental
health problem.
Mental illness can occur when the brain
(or part of the brain) is not working
well or is working in the wrong way.
Thinking
When the brain is not working properly,
one or more of its 6 functions will be disrupted
Perception
Emotion Signaling
Behavior
Physical
Symptoms can include
Sleep problemsExtreme emotional
highs and lows
Thinking difficulties
or problems focusing
attention
Five Warning Signs of
Mental Illness!
PPT By - Ajay A. K
Five Warning Signs of Mental Illness!
 Constant Anxiety
 Frequent Emotional Outbursts
 Insomnia
 Acting Aloof and Withdrawn
 Illogical thinking
Constant Anxiety…
 .
Frequent Emotional Outbursts…
Insomnia…
Acting Aloof and Withdrawn…
Illogical Thinking…
 Unusual or exaggerated beliefs about
personal powers or illogical ways of
understanding or influencing events. Also,
illogical fantasies such as seeing ghosts
and aliens or “magical” thinking are
characteristics of a metal disorder.
When these symptoms
significantly disrupt a person’s life,
we say that the person has a
mental disorder
or a mental illness.
Well, the causes of mental illness are
COMPLICATED!!
Genetics Environment
+ →
Brain Disorder
What do we know about the
causes of mental illness?
The symptoms of mental
illness are a result of
abnormal brain functioning.
Mental illness is a brain
disorder.
Mental illness is rarely if
ever caused by stress alone
What do we know about the
causes of mental illness?
It is not the consequence of poor
parenting or bad behavior.
It is not the result of personal weakness
or deficits in personality.
It is not the manifestation of malevolent
spiritual intent.
Only in exceptional cases is it caused
by nutritional factors.
It is not caused by poverty.
Many mental illnesses begin
during childhood and
persist into adolescence.
Some of these include:
• Attention Deficit Hyperactivity
Disorder (ADHD)
• Autism Spectrum Disorders (ASD)
• Generalized Anxiety Disorder (GAD
BUT… some illnesses begin
during adolescence.
The illnesses that most often
begin during adolescence
include:
• Major Depression (MD)
• Schizophrenia
• Bipolar Disorder (BD)
• Panic disorder
• Social Anxiety Disorder
• Eating Disorders
• Obsessive Compulsive Disorder
• Addictions
 Most people with mental disorders live productive and
positive lives while receiving treatments for their mental
illness.
 Some people have severe and persistent mental disorders
which respond poorly to current treatments (as in all
other illnesses)
 Mental illness does not respect any boundaries of race,
class or geography.
 The majority of people have a friend, acquaintance or
family member who has or has had a mental disorder.
What do we know about
people with mental illnesses?
Do you ever…
• Often feel very angry or very worried?
• Do reckless things that could harm you or others?
• Feel grief for a long time after a loss or a death?
• Think your mind is controlled or out of control?
• Use alcohol or drugs?
• Exercise, diet and/or binge-eat obsessively?
• Hurt other people or destroy property?
Do one ever…
• Often feel very angry or very worried?
• Do reckless things that could harm you or
others?
• Feel grief for a long time after a loss or a
death?
• Think your mind is controlled or out of
control?
• Use alcohol or drugs?
• Exercise, diet and/or binge-eat obsessively?
• Hurt other people or destroy property?
If you feel any of these
things, it might help to talk
to a parent, teacher, school
counselor or physician.
Mental health problems can be treated!
By: -
 Behavior therapies
 Group therapies
 Counselling
 Medicines
 ECT – in extreme cases
jksd&Fkke
Keep healthy Look for warning signs Get help when needed Get medical care
CANCER
कैं सर को कोमशका के अननयींत्रित पवकास के रूप में पररभापषत ककया जाता है। कैं सर एक ऐसी ​बीमार है जो 100 से भी
ज्यादा तरह की होती है। कैं सर के कारण शर र की कोमशका तेजी से पवभाक्जत होने लगती है, क्जससे ट्यूमर बन
जाता है। बाद में यह शर र के पवमभन्न अींगों की कायघप्रणाल को प्रभापवत कर शर र की
कायघप्रणाल को अस्त—व्यस्त कर देता है। कैं सर के कई कारण होते हैं। कु छ को आप
ननयींत्रित कर सकते हैं, जबकक कु छ को आप चाह कर भी ननयींत्रित नह ीं कर सकते हैं।
STATISTICS
 >9.7 million cases are detected each year
 6.7 million people will die from cancer
 Cancer causes about 13% of all deaths.
 20.4 million people living with cancer in
the world today
 2020 15 million people will die from
cancer
 Lung, breast, colorectal, stomach and liver cancers
 In high-income countries, the leading causes of cancer
deaths are lung cancer among men and breast cancer
among women.
 In low- and middle-income countries cancer levels vary
according to the prevailing underlying risks.
STATISTICS (cont..)
What causes cancer?
 Heredity
 Immunity
 Chemical
 Physical
 Viral
 Bacterial
 Lifestyle
Heredity
• Colorectal carcinoma
North America,
Australia, New
Zealand
• Stomach cancer
Korea, Japan, and
China
• Liver cancer
West and Central
Africa
• Prostate cancer
Europe, North America,
and Oceania
Immunity
 HIV / AIDS
 Immunosuppression
Virus’s
 Hepatitis B
 Human T-cell
Leukaemia virus
 Epstein Barr Virus
 Human Papilloma Virus
(HPV)
Bacterial
 H. pylori
 Other Parasites:
 Schistosoma spp
 Clonorchis sinensis
Chemical
 Alcohol
 Asbestos
 Wood dust
 Rubber, plastics, dyes
 Tar / bitumen
 Aflatoxin
 Alkylating agents
 Tobacco
Life style
Smoking
 Single biggest cause
of cancer
 25-40% smokers die
in middle age
 9 in 10 lung cancers
 Know to cause cancer
in 1950
Life style (cont..)
Obesity
- Highly caloric diet, rich in fat,
refined carbohydrates and animal
protein
- Low physical activity
Consequences:
- Cancer
- Diabetes
- Cardiovascular disease
- Hypertension
Age
Occupation
 कैं सर के आठ लक्षण
 पेशाब में आनेवाले खून
 खून की कमी की त्रबमार अनीममया
 पखाने में आनेवाला खून
 खाींसी के दौरान खून का आना
 स्तन में गााँठ
 कु छ ननगलने में ददक़्कत होना
 मीनोपॉस के बाद खून आना
 प्रोस्टेट के पर क्षण के असामान्य पररणाम
 dSalj ds y{k.kdSaljds y{k.kvcqZn dsçdkjvkSjLFkkuijfuHkZjgksrsgSaA
gksldrkgSfd dqN dSaljksaesarc rddksbZy{k.kugksa]tcrd fd V~;wej
cM+kugkstk,Avkey{k.kksaesa fuEufyf[kry{k.klfEefyr gSa%
•vR;f/kdFkdkuvuqHkodjuk
•vKkr dkj.klsot+uesa deh gksuk
• cq[kkj]d¡id¡ih ;k jkres ilhukvkuk
•Hkw[kesadeh
• 'kkjhfjdd"V;knnZ
•[kkalh]lk¡lQwyuk;klhusesa nnZ
• gSt+k]dCt+;key esajDr
 dSalj ds çdkjdSalj ds dbZ çdkjg Sa
•dkflZuksekdSalj dk lcls vkeçdkjgSA QsQM+s] vkar] Lru vkSjfMac
xzafFk;ksads dSalj vkerkSjijbl çdkjds dSaljgksrs gSaA
• lkjdksekvfLFk] mikfLFk]olk vkSjekalis'khesa ik;ktkrk gSA
•fyEQksek'kjhjdh çfrj{kkç.kkyhds fyEQ uksMksa esa vkjEHkgksrk
gSA buesa gkWtfdUlvkSjxSj&gkWtfdUlfyEQkseklfEefyrgksrs gSaA
•Y;wdsfe;k mu jDr dksf'kdkvksaesa vkjEHkgksrk gS ftudk vfLFkeTtk
esa fodkl gksrk gS vkSj tksjDrçokg esa cM+hla[;kesa ikbZtkrh gSaA
 dSalj ds lcls vke mipkjfuEufyf[krgSa %
• V~;wejvkSj blds iklds Ård dks gVkusds fy, 'kY;fpfdRlk¼ltZjh½
• V~;wejvkSj dSalj dh dksf'kdkvksadks fldksM+us ;k u"Vdjus ds fy,
fu;af=rek=kvks a esa fofdj.k ¼jsfM,'ku½
• dSalj dhdksf'kdkvksa dh o`f) dks /khekdjus;ku"V djusds fy,
jlk;ufpfdRlk¼dheksFksjsih½nok
jksd&Fkke
fuEufyf[kr}kjk dSalj dk tksf[ke de dj ldrs g Sa %
/kwezikuu djuk Ropk dh j{kk vydksgy dh de ek=k
de olk okys Hkkstu ek al dk de lsou Qy] lfCt;k¡vf/kd] lfØ; jgukA

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Non communicable diseases

  • 2. हाइपरटेंशन या उच्च रक्तचाप, जिसे कभी कभी धमनी उच्च रक्तचाप भी कहते हैं, एक पुरानी चिककत्सीय जथिति है जिसमें धमतनयों में रक्ि का दबाव बढ़ िािा है। दबाव की इस वृद्चध के कारण, रक्ि की धमतनयों में रक्ि का प्रवाह बनाये रखने के लिये ददि को सामान्य से अचधक काम करने की आवश्यकिा पड़िी है।
  • 3. Increase in no. of cases in developing (increase of 24%) third world countries (increase of 80%) Scientists are now claiming that 1 in 3 adults in the world will have high blood pressure in 2025.
  • 4. ज़्यादातर व्यक्क्तयों में उच्च रक्तचाप की समस्या जन्म लेने का कोई कारण नह ीं होता। इसे प्राथममक उच्च रक्तचाप कहा जाता है। जो रक्तचाप ककसी औषधध के सेवन से या ककसी स्वास््य सम्बन्धी समस्या के फलस्वरूप बढ़ती है उसे मध्यम स्तर का उच्च रक्तचाप कहा जाता है।
  • 5. हाई ब्लड प्रेशर के कारण – मध्यम स्तर के उच्च रक्तचाप के कारण (Secondary hypertension come to you due to) 1. हाइपर पैरा थाइरॉइडडस्म। 2. द र्घकामलक गुदे की बीमार । 3. गुदे में रक्त सींचार करने वाल धमननयों में समस्या। 4. अधधवृक्क ग्रींधथयों की समस्या जैसे कफओक्रोमोसीटोमा या कु मशींग मसींरोम। 5. कु छ दवाइयों जैसे बथघ कीं ट्रोल पपल,माइग्रेन की दवाइयााँ,डाइट की गोमलयाीं तथा ठण्ड से बचने वाल दवाइयााँ।
  • 7. AGE SEX GENETIC HISTORY FAMILY HISTORY Cigarette Smoking Body weight Sodium chloride intake Alcohol Obesity Sedentary Habits Stress RISK FACTORS ModifiableNon modifiable
  • 8.
  • 9. उच्ि रक्ििाप के िक्षण तेज़ मसर ददघ , नाक से खून ननकलना, उलट , चक्कर आना ज़्यादातर लोगों में इसके कोई लक्षण नह ीं होते और डॉक्टर से सलाह करने एवीं जाींच कराने के पश्चात ह उन्हें अपनी इस समस्या के बारे में पता चलता है।
  • 10.
  • 11. िीवन शैिी कै से बदिें शार ररक व्यायाम धूम्रपान से दूर कम सोडडयम कम शराब
  • 12. काफी पानी पीना फाइबर,पोटैमशयम वाले भोजन तनाव से परे वज़न कम करें।
  • 13.
  • 14. What is Mental Health?? Mental health refers to the maintenance of successful mental activity. This includes maintaining productive daily activities and maintaining fulfilling relationships with others. It also includes maintaining the abilities to adapt to change and to cope with stresses.
  • 15. It is definitely NOT easy Sometimes it’s tough to avoid feeling stressed, and pressure can build up in many areas of life (socially, in school, at home, and while making big life decisions)
  • 16. Worrying about these pressures is NORMAL. But feeling VERY sad, hopeless or worthless might be a sign of a mental health problem.
  • 17. Mental illness can occur when the brain (or part of the brain) is not working well or is working in the wrong way.
  • 18. Thinking When the brain is not working properly, one or more of its 6 functions will be disrupted Perception Emotion Signaling Behavior Physical
  • 19. Symptoms can include Sleep problemsExtreme emotional highs and lows Thinking difficulties or problems focusing attention
  • 20. Five Warning Signs of Mental Illness! PPT By - Ajay A. K
  • 21. Five Warning Signs of Mental Illness!  Constant Anxiety  Frequent Emotional Outbursts  Insomnia  Acting Aloof and Withdrawn  Illogical thinking
  • 25. Acting Aloof and Withdrawn…
  • 26. Illogical Thinking…  Unusual or exaggerated beliefs about personal powers or illogical ways of understanding or influencing events. Also, illogical fantasies such as seeing ghosts and aliens or “magical” thinking are characteristics of a metal disorder.
  • 27. When these symptoms significantly disrupt a person’s life, we say that the person has a mental disorder or a mental illness.
  • 28. Well, the causes of mental illness are COMPLICATED!! Genetics Environment + → Brain Disorder
  • 29. What do we know about the causes of mental illness? The symptoms of mental illness are a result of abnormal brain functioning. Mental illness is a brain disorder. Mental illness is rarely if ever caused by stress alone
  • 30. What do we know about the causes of mental illness? It is not the consequence of poor parenting or bad behavior. It is not the result of personal weakness or deficits in personality. It is not the manifestation of malevolent spiritual intent. Only in exceptional cases is it caused by nutritional factors. It is not caused by poverty.
  • 31. Many mental illnesses begin during childhood and persist into adolescence. Some of these include: • Attention Deficit Hyperactivity Disorder (ADHD) • Autism Spectrum Disorders (ASD) • Generalized Anxiety Disorder (GAD
  • 32. BUT… some illnesses begin during adolescence. The illnesses that most often begin during adolescence include: • Major Depression (MD) • Schizophrenia • Bipolar Disorder (BD) • Panic disorder • Social Anxiety Disorder • Eating Disorders • Obsessive Compulsive Disorder • Addictions
  • 33.  Most people with mental disorders live productive and positive lives while receiving treatments for their mental illness.  Some people have severe and persistent mental disorders which respond poorly to current treatments (as in all other illnesses)  Mental illness does not respect any boundaries of race, class or geography.  The majority of people have a friend, acquaintance or family member who has or has had a mental disorder. What do we know about people with mental illnesses?
  • 34. Do you ever… • Often feel very angry or very worried? • Do reckless things that could harm you or others? • Feel grief for a long time after a loss or a death? • Think your mind is controlled or out of control? • Use alcohol or drugs? • Exercise, diet and/or binge-eat obsessively? • Hurt other people or destroy property?
  • 35. Do one ever… • Often feel very angry or very worried? • Do reckless things that could harm you or others? • Feel grief for a long time after a loss or a death? • Think your mind is controlled or out of control? • Use alcohol or drugs? • Exercise, diet and/or binge-eat obsessively? • Hurt other people or destroy property? If you feel any of these things, it might help to talk to a parent, teacher, school counselor or physician.
  • 36. Mental health problems can be treated! By: -  Behavior therapies  Group therapies  Counselling  Medicines  ECT – in extreme cases
  • 37. jksd&Fkke Keep healthy Look for warning signs Get help when needed Get medical care
  • 39. कैं सर को कोमशका के अननयींत्रित पवकास के रूप में पररभापषत ककया जाता है। कैं सर एक ऐसी ​बीमार है जो 100 से भी ज्यादा तरह की होती है। कैं सर के कारण शर र की कोमशका तेजी से पवभाक्जत होने लगती है, क्जससे ट्यूमर बन जाता है। बाद में यह शर र के पवमभन्न अींगों की कायघप्रणाल को प्रभापवत कर शर र की कायघप्रणाल को अस्त—व्यस्त कर देता है। कैं सर के कई कारण होते हैं। कु छ को आप ननयींत्रित कर सकते हैं, जबकक कु छ को आप चाह कर भी ननयींत्रित नह ीं कर सकते हैं।
  • 40. STATISTICS  >9.7 million cases are detected each year  6.7 million people will die from cancer  Cancer causes about 13% of all deaths.  20.4 million people living with cancer in the world today  2020 15 million people will die from cancer
  • 41.  Lung, breast, colorectal, stomach and liver cancers  In high-income countries, the leading causes of cancer deaths are lung cancer among men and breast cancer among women.  In low- and middle-income countries cancer levels vary according to the prevailing underlying risks. STATISTICS (cont..)
  • 42. What causes cancer?  Heredity  Immunity  Chemical  Physical  Viral  Bacterial  Lifestyle
  • 43. Heredity • Colorectal carcinoma North America, Australia, New Zealand • Stomach cancer Korea, Japan, and China • Liver cancer West and Central Africa • Prostate cancer Europe, North America, and Oceania
  • 44. Immunity  HIV / AIDS  Immunosuppression
  • 45. Virus’s  Hepatitis B  Human T-cell Leukaemia virus  Epstein Barr Virus  Human Papilloma Virus (HPV)
  • 46. Bacterial  H. pylori  Other Parasites:  Schistosoma spp  Clonorchis sinensis
  • 47. Chemical  Alcohol  Asbestos  Wood dust  Rubber, plastics, dyes  Tar / bitumen  Aflatoxin  Alkylating agents  Tobacco
  • 48. Life style Smoking  Single biggest cause of cancer  25-40% smokers die in middle age  9 in 10 lung cancers  Know to cause cancer in 1950
  • 49. Life style (cont..) Obesity - Highly caloric diet, rich in fat, refined carbohydrates and animal protein - Low physical activity Consequences: - Cancer - Diabetes - Cardiovascular disease - Hypertension Age Occupation
  • 50.  कैं सर के आठ लक्षण  पेशाब में आनेवाले खून  खून की कमी की त्रबमार अनीममया  पखाने में आनेवाला खून  खाींसी के दौरान खून का आना  स्तन में गााँठ  कु छ ननगलने में ददक़्कत होना  मीनोपॉस के बाद खून आना  प्रोस्टेट के पर क्षण के असामान्य पररणाम
  • 51.  dSalj ds y{k.kdSaljds y{k.kvcqZn dsçdkjvkSjLFkkuijfuHkZjgksrsgSaA gksldrkgSfd dqN dSaljksaesarc rddksbZy{k.kugksa]tcrd fd V~;wej cM+kugkstk,Avkey{k.kksaesa fuEufyf[kry{k.klfEefyr gSa% •vR;f/kdFkdkuvuqHkodjuk •vKkr dkj.klsot+uesa deh gksuk • cq[kkj]d¡id¡ih ;k jkres ilhukvkuk •Hkw[kesadeh • 'kkjhfjdd"V;knnZ •[kkalh]lk¡lQwyuk;klhusesa nnZ • gSt+k]dCt+;key esajDr
  • 52.  dSalj ds çdkjdSalj ds dbZ çdkjg Sa •dkflZuksekdSalj dk lcls vkeçdkjgSA QsQM+s] vkar] Lru vkSjfMac xzafFk;ksads dSalj vkerkSjijbl çdkjds dSaljgksrs gSaA • lkjdksekvfLFk] mikfLFk]olk vkSjekalis'khesa ik;ktkrk gSA •fyEQksek'kjhjdh çfrj{kkç.kkyhds fyEQ uksMksa esa vkjEHkgksrk gSA buesa gkWtfdUlvkSjxSj&gkWtfdUlfyEQkseklfEefyrgksrs gSaA •Y;wdsfe;k mu jDr dksf'kdkvksaesa vkjEHkgksrk gS ftudk vfLFkeTtk esa fodkl gksrk gS vkSj tksjDrçokg esa cM+hla[;kesa ikbZtkrh gSaA
  • 53.  dSalj ds lcls vke mipkjfuEufyf[krgSa % • V~;wejvkSj blds iklds Ård dks gVkusds fy, 'kY;fpfdRlk¼ltZjh½ • V~;wejvkSj dSalj dh dksf'kdkvksadks fldksM+us ;k u"Vdjus ds fy, fu;af=rek=kvks a esa fofdj.k ¼jsfM,'ku½ • dSalj dhdksf'kdkvksa dh o`f) dks /khekdjus;ku"V djusds fy, jlk;ufpfdRlk¼dheksFksjsih½nok
  • 54. jksd&Fkke fuEufyf[kr}kjk dSalj dk tksf[ke de dj ldrs g Sa % /kwezikuu djuk Ropk dh j{kk vydksgy dh de ek=k
  • 55. de olk okys Hkkstu ek al dk de lsou Qy] lfCt;k¡vf/kd] lfØ; jgukA