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HEART DISEASE
HEART disease is the No. 1 killer of American women, with 1 out of 2
women losing their lives as a direct result of heart
complications--complications that sometimes aren't identified and
treated in women as quickly as they are in men. According to the
American Heart Association, every year about half a million women die of
heart disease. And it has claimed the lives of more women than men each
year since 1984. African-American women are at special risk; they are 60
percent more likely than White women to die of coronary heart disease.
Some new, experimental treatments that are being explored include
inserting healthy muscle cells into the failing heart and using stem
cells to grow new heart cells. There may soon be drugs available with
multiple functions to improve the pumping ability of the heart, open
clogged arteries, or prevent tissue damage from free radicals. Free
radicals are often oxygen molecules that have lost or gained an electron.
These molecules tend to become involved in chain reactions with other,
less reactive molecules and can cause cellular damage. Other avenues of
research include transplants from animals, and the development of an
improved left ventricular assist device, which can help the functioning
of the damaged heart.
Different surgical techniques are also getting attention. Advances are
being made in less-invasive bypass surgery, which does not require the
use of a heart/lung bypass machine. One technique, which may, for
certain people, be an alternative to standard coronary artery bypass
surgery, involves making a small incision on the left-hand side of the
chest, and can be used to bypass one or two vessel. The procedure may be
combined with balloon angioplasty.
There are also special techniques designed to
immobilize the part of the heart that needs the surgery, making it
easier to see and access the coronary artery to be bypassed. This type
of surgery is performed through an incision that runs the length of the
breastbone.
While these procedures are a long way from being commonplace, findings
so far suggest that patients make a speedier recovery with fewer
complications such as bleeding, pain and breathing problems. These
techniques may offer an earlier return to work and other activities than
conventional surgery.
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STRESS
ARE you suffering from late-night insomnia? Constant back pains or a
stiff neck? Have you lost or gained weight and are you experiencing
problems in your relationship?
These may seem like simple, everyday problems that the average American
ignores, but doctors say there's a very good possibility that they are
signs of stress.
Stress, which is defined as a state of bodily or mental tension
resulting from factors that tend to alter an existent equilibrium, can
attack the immune system, bloodstream, nervous and limbic system as well
as the heart.
With an unstable economy and the necessity of dealing with new forms of
racism, stress, sometimes debilitating, has become a major issue in the
African-American community, where it is a leading contributor to
irritability, nagging pain and some major medical problems.
According to experts, there are three types of stress--acute, episodic
acute and chronic--which affect the body physically, emotionally and
psychologically.
Acute stress can cause the entire body to have an immediate reaction and
is often linked to a variety of life of situations--an argument, a minor
traffic accident or an approaching deadline.
Episodic stress is an extreme form of acute stress related to time
management and anxiety.
Chronic stress, aka "long term" stress, affects the entire health system
and can lead to degenerative and inflammatory conditions like heart
attacks, arteriosclerosis, strokes and cancer, the No. 1 killer in Black
America.
Now that it's clear how stress can cause an enormous amount of harm to
the human body, what avenues should be chosen to prevent a lengthy
pattern of stress?
The American Academy of Family Physicians (AAFP) recommends meditation,
daily exercises, well-balanced meals, plenty of rest, exercise, and a
more relaxed and conflict-free life.
DIABETES
ABOUT 18 million Americans have diabetes, and another 41 million people
between the age of 40 and 74 (40 percent of U.S. adult population)
currently have pre-diabetes, a condition that increases a person's risk
of developing diabetes. The new pre-diabetes estimate is more than
double the old estimate, and is based on a revised, more accurate
definition of a person's normal blood glucose levels.
While diabetes affects African-Americans at twice the rate of Whites,
new research points to ways to slow down the progression of diabetes,
and to prevent it from occurring altogether. According to medical
experts, losing 5 percent of a person's body weight through healthy
eating and increased physical activity (as little as 30 minutes a day)
can help to prevent the disease, which is linked with heart disease.
Doctors say deaths from heart disease in women with diabetes have
increased 23 percent over the past 30 years, compared to a 27 percent
decrease in women without diabetes.
Understanding how the insulin gene is regulated and how
insulin-producing cells are generated is a promising area of research
that could lead to a cure for diabetes, a disease that has tripled among
Blacks during the past 30 years. The replacement of beta cells--cells
within the islet cells in the pancreas that produce insulin--in an
effort to produce sufficient quantities of insulin has shown tremendous
progress during the past few years.
"Diabetes is a growing epidemic in our communities, especially for these
high risk groups," says Dr. James chair of the National
Diabetes Education Program and president of Morehouse School of Medicine.
"If we are going to make a difference, we need to reach people where
they live, work, and play."
According to the National Diabetes Education Program, everyone over age
45 should consult with his or her health care provider about testing for
pre-diabetes or diabetes.
STRETCH MARKS
STRETCH marks--aka "badges of honor" for new and expectant
mothers--occur in both men and women and can appear on various areas of
the body, including the abdominal area, breasts, thighs, lower back and
hips.
Perhaps the greatest news about stretch marks is that African-American
women are the least likely group to get them.
Stretch marks (proper term, striae) occur when the elastic middle layer
of skin (the dermis) is constantly stretched until it breaks. Stretch
marks are rarely painful, although they may cause increased dryness or
itching in the affected area, which is why for so many years, mothers,
aunts and grandmothers have instructed their kin to slather on olive oil,
cocoa butter, petroleum jelly and even cooled cooking grease to prevent
the condition.
Were they right?
Keeping your skin properly moisturized is always a good thing, according
to experts, but the verdict is still out on whether or not these oily
rituals will prevent the familiar pattern from appearing. At least one
expert says attacking stretch marks should begin from within.
"The most important thing I have found for the prevention of stretch
marks is a good diet," explains Dr. Cathy an instructor of
obstetrics and pediatrics at the Boucher Institute in Vancouver. "The
skin needs key nutrients for its health, including zinc, beta carotene
and essential fatty acids, so that the skin is supple."
Foods that are main sources of beta-carotene include yellow and green (leafy)
vegetables, red peppers, spinach and carrots. Foods that are a good
source of zinc include shellfish, meat, cereal products and dairy
products.
On the opposite end of the spectrum, caffeine can increase your
likelihood of getting stretch marks, so it's a good idea to balance your
coffee and tea intake with equal parts water. (See your doctor or
nutritionist before making any changes to your diet, especially if
you're pregnant.)
Dr. Carlson-Rink also urges expectant mothers to monitor their weight
gain--to put on the pounds at a safe pace, and to moisturize the abdomen
as much as you like.
"It's vital to have a normal weight gain if you want to [deter the onset
of stretch marks] as rapid weight gain does not give your skin any
chance to slowly expand," Dr. advises. "I have not found
creams to make much difference, but the ritual of rubbing your belly is
always a great one."
Doctors at the Cleveland Clinic's Department of
Plastic Surgery suggest dermabrasion or chemical peel to address
unwanted stretch marks. A popular nonsurgical option is cool-beam laser
therapy. In this procedure, the skin's surface is cooled and a laser
beam is repeatedly directed to the affected area until the stretch mark
is "vaporized." Such a procedure can cost anywhere between $400 and
$1,000, and the end result varies, depending on your age, skin tone and
diet.
HAIR LOSS
FOR many Sisters, the price of looking cute has become too high to pay.
For there is increasing evidence that too-tight braids, ponytails or
extensions, bonding glue, chemical relaxers and layering of multiple
hair treatments are among the most common reasons for hair loss in
African-American women.
The problem affects an estimated 22 million women in the United States,
often creating self-esteem issues and causing severe depression.
Three types of hair loss are common in women: androgenetic alopecia (female
pattern baldness), alopecia areata and central centrifugal scarring
alopecia, sometimes called follicular degeneration syndrome, experts say.
Aside from the hair loss that can be associated with hair-care practices,
other causes include genetic predisposition, aging, medications, stress,
diet and hormones, according to the U.S. National Library of Medicine
and the National Institutes of Health.
Unlike hair loss or baldness in men, expressed in a bald spot or a
receding hairline, women often experience thinning hair all over the
head or patches of bald spots. As soon as you or your hairstylist
notices thinning hair, you should make an appointment with a
dermatologist, who can examine the scalp or perform a skin biopsy to
find out what type of hair loss you're experiencing. The dermatologist
may also be able to inform you if your hair loss is temporary or
permanent.
Treatment depends on the type and the volume of hair loss, doctors say.
If your hair loss is based on your hair-care practices, doctors advise
that you immediately change those practices, particularly if the hair
has been thinning for a long period of time. That may mean adopting a
natural hairstyle rather than using chemical relaxers or hot combs.
Doctors can inject topical corticosteroids to treat hair-follicle
inflammation. Other treatments include medications such as Minoxidil,
estrogen or hormone replacement therapy for hormonal fluctuations, iron,
B vitamins and drugs that are classified as anti-androgens.
There are more expensive options, which include wigs, hairpieces ($1,000
to $3,500), even hair transplants, which can cost $3,500 to $75,000 and
can sometimes cause scarring. Consult your doctor before choosing a
hair-loss treatment.
MIGRAINES
MIGRAINE treatment for episodic and chronic migraines has advanced
recently, shifting the focus from acute or abortive treatment (taking
medicine when the migraine starts) to preventative therapy (taking
medication daily to prevent migraine occurrences). Although acute
treatment may relieve pain and prevent progression, preventative therapy
may reduce the frequency, severity and duration of an at tack. Patients
who undergo preventative therapy may also use acute medication in the
course of a migraine attack.
For the nearly 30 million Americans who experience migraine headaches,
the daily practice of treating a migraine may improve life while
preventing medication overuse and reducing health care costs. In the U.S.,
health care and lost labor costs related to migraines cost Americans $7
billion annually.
"Migraine treatment has come a long way in the past five years," says Dr.
Stephen director of the Jefferson Headache Center at
Thomas University Hospital and professor of neurology at Medical College of Thomas University in Philadelphia.
"Topiramate at 100 mg to 200 mg a day produced a significant decrease in
the frequency of migraine attacks and the number of days people
experienced migraines," he says. In a recent study, 50 percent of the
patients treated with topiramate--a drug previously used for seizures in
patients with epilepsy--had a 50 percent reduction in the frequency of
migraines.
Some side effects of topiramate therapy for migraines include nausea,
depression, fatigue, and nervousness and weight loss. "The problem with
treating migraines," Silberstein said in an American Medical Association
report, "is we don't know who will respond to what treatment, and a
given treatment can take four to six weeks to take effect."
An additional option on the horizon for migraine sufferers is a series
of injections with botulinum toxin type A, currently used for dystonia (involuntary
movements) and spasticity. Many over-the-counter drugs are useful in
alleviating migraine pain including acetaminophen, ibuprofen, naproxen,
ketoprofen, or an acetaminophen-aspirin-caffeine combination. But for
more severe migraine sufferers, prescription medicines such as
ergotamine, dihydroergotamine, sumatriptan, zolmitriptan, naratriptan,
rizatriptan, almotriptan and fravatriptan may prove more effective.
Consult your doctor before trying new drugs. |