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Pneumonia is fourth leading cause of death globally

Beware of Pneumonia?

Pneumonia is a leading cause of hospitalization in both children and adults in the United Arab Emirates. It is a major cause of death among all age groups and is the 4th leading cause of death in the world.

1) What is pneumonia?
Pneumonia is a common lung infection caused by bacteria, a virus or fungi.
The infection causes inflammation of the lungs' air sacs, leading to collection of
fluid or pus there.
2) What are the symptoms?
The symptoms of pneumonia can range from mild to severe, and include cough with phlegm, fever, chills, breathing difficulty and chest pain. With pneumonia, you may cough up phlegm that is yellow, green, or sometimes bloody.

3)  What are the risk factors?
The people most at risk to develop pneumonia are:

  • Infants and young children
  • Adults 65 or older
  • Pregnant women
  • People taking medications that suppress the immune system
  • People with diseases that weaken the immune system, such as cancer, HIV, and AIDS
  • People with lung and respiratory conditions, such as asthma.

4) How is pneumonia transferred from person to person?
Pneumonia can be spread by way of someone sneezing or coughing. When a person sneezes or coughs, little droplets spread throughout the air. These droplets contain the infectious organism. They are then inhaled and may, in some instances, cause pneumonia.

5) How Is Pneumonia Diagnosed?
Pneumonia is diagnosed based on your medical history, a physical exam done by doctor, and some tests. Investigations include blood tests- to confirm the infection and to try to identify the germ that is causing your illness. Chest X-ray to look for the location and extent of inflammation in your lungs. Sputum tests are done on a sample of phlegm taken after a deep cough; to look for the type of the infection. In some special circumstances additional tests may also be performed. This includes, CT scan of the chest to get a better view of the lungs and look for complications. Arterial blood gas test, to measure the amount of oxygen in a blood sample also performed. Bronchoscopy is a procedure used to look into the lungs' airways to see whether something else is affecting your airways, such as a blockage. They may also take fluid samples or a biopsy of lung tissue via bronchoscope.

6) How Is Pneumonia Treated?
Because pneumonia comes in different forms, treatment plans vary widely. Some people may only need bed rest, while others may require hospitalization. If your pneumonia is so severe that you are treated in the hospital, you may be given intravenous fluids and antibiotics, as well as oxygen therapy, and possibly other supportive treatments.

7) What are the Complications of pneumonia?
Severe pneumonia may cause, spread of infection to other parts of the body, collection of fluid around the lungs, respiratory failure and death.

8) How to Prevent Pneumonia?
You can reduce your risk of getting pneumonia by vaccination, following good hygiene practices, quitting smoking and staying away from sick people, if possible.

Dr. Muhammed Aslam
Specialist Pulmonologist
International modern hospital Dubai

How to help my toddler (between 1-2 years of age)?

What does the toddler understand?

  • Her his receptive vocabulary is increasing day by day
  • The child points to pictures in a book when you name them, and also (s)he points to a few body parts when asked(nose, eyes, tummy, head).
  • She or He follows simple commands like push the chair, don’t touch, it’s hot, wash hands and understand simple questions (where is daddy, what is your frock, who is bunny).
  • Their interest shift from singing songs or say rhymes to simple story telling.
  • Your toddler now likes to listen to simple stories over songs.
  • This is the stage where you become exhausted with repeating the same story, game, rhymes many many times. But (s)he wants to listen the same again & again.

What does the toddler speak?

  • His/her expressive vocabulary keep increasing.,(s)he accumulating more and more words as each month passes.

  • (S)he can even combine 2 words and questions like mama ball, what is that, give me chocos, more chips, all gone, doggie ,daddy poo(car).

How to help my toddler?

Talk to the child while doing household things, going out or performing any activity. For an example Baby is going to bathe, run the tap. Water is coming ( put toys in the tub)Duckie is swimming, push push dickiee. Second example. I see a doggie, Doggie is running. It’s a big dog, Doggie says bow wow .Keep your language grammatically correct and easy to imitate. Talk about present activities what the child What does the toddler understand?sees around him/her. Use rhymes such as jonny jonny yes papa. Encourage the child to say hahahahaa/aaaaaa with you. Associate the object with sound e,g introduce the clock to the child, t-t-t-t-t clock, ding- dong- ding-dong .pi pi pi pi daddy car. Make him listen to the sounds of objects and create a sound associated with the object. mow mow mow mow cow. Use the sound like p-p-p-p-, m-m-m-m-, b-b-b-b-b, brooo-brooo, grrrr- ggrr while bathing, playing with toys, pampering him/her. These sounds will help him to learn better in preschool and kindergarten. Expand on words what the child says, for an example, if (s)he says car or sound likes car. Expand on words saying oh! yes it is a CAR, Biiig CAR, Big red CAR! Show the child big colorful picture book with large pictures. Name them, read aloud and talk about the picture. Wait your child to explore the picture, Ask him/her what is this and you answer. Make him/her point to picture Repeat the same several days. You would be surprised one day hearing(s)he names the picture.

Language Problem or Late Talking?

 Our parents are smart. They are really concern about their child talk and how he / she communicate. They also listen to his or her peers who are at same age and may compare what older brothers and sisters did at the same age. This is how our parents mentally compare their child’s performance with other children. They immediately create an impression of whether the child is developing speech & language at normal rate or not.

st3If parents feel that development is slow, they check their impression with the other parents, relatives, and their pediatrician. You probably get an answer such as Oh!! Don’t worry, he / she will outgrow it. Look at my child she was so quiet and now she is a chatter box, give him/her time.

But…… suppose he / she doesn’t? Even after giving adequate time. 

st2You would feel guilty waiting and then finding out that I should have acted earlier. Waiting is so hard, why we have to be frustrated at last . We want the best for our child. What’s a parent to do?

But……. You’re not sure of what to do.

st1It’s hard to say the exact age when they hit speech and language milestones. It varies a lot on factors such as the child’s inborn ability to learn language, other skills the child is learning, the amount speech and language input he/she gets. and how others respond to his/her communication attempts .

Do you praise him/her? Listen to him/her carefully?

These factors can slow down or accelerate the speed of speech and language development of our children. Be aware of the certain factors that may increase the risk of late-talking child in the 18 to 30 month old age range even with normal intelligence.

The sooner The Better

If you are concerned about your child’s speech and language development, you should see a speech-language pathologist. The speech-language pathologist may suggest on early intervention program with follow up sessions. It’s important to have formal therapy sessions in case of severe problems.

Do you really want to wait for him/her to outgrow???Don’t leave a chance which leads you to feel guilty that I would have done with everything I could

 
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