الاثنين، 28 سبتمبر، 2009

A Serious Look into Uterine Artery Embolization

A Serious Look into Uterine Artery Embolization

A uterine artery embolization or UAE is known to be an alternative to surgical procedures that could correct uterine fibroids. There are three main kinds of uterine fibroids and these are the subserosal, intramural, and submucous. If you have any of these three kinds of fibroids, the options for treatment might be limited. However, these are also dependent on whether there are organs affected by the fibroids and the symptoms you are experiencing.

Uterine Artery Embolization is Less Invasive

Although a myomectomy, which is a surgical operation that entails tumor removal from the uterus, could be done to address uterine fibroids, UAE is often considered as an alternative treatment for this. This is because it is a non-surgical operation that only calls for minimal invasiveness as a procedure.

Because uterine fibroids require blood supply in order to develop and flourish, uterine artery embolization is done with a focus on the arterial system. The doctor will determine the uterine arteries before he will proceed with the treatment. This is usually done through an x-ray followed by tiny particles injected into the arteries that supply blood to the fibroids.

The particles injected will impede the blood flow to the fibroids thus stopping excessive bleeding. This will also cause the shrinking of the fibroids over a period of time.

Disadvantages of Uterine Artery Embolization

In studies performed to determine the effects of uterine artery embolization, researchers found that while this procedure might be safe for some patients, it required additional surgery for others. There are also women whose symptoms returned five years after the procedure was done.

Another complication that was noted with having a uterine artery embolization is that it can bring on heavy vaginal bleeding. There was a study that showed women who had abnormal bleeding after going through the operation to have their intramural fibroids treated. When an endometrial biopsy was done, it was discovered that these women had necrotic fibroids, which happens when the tissues died because of a lack of blood supplied to the arteries.

After a while, the women were diagnosed of having a septic uterus, thus requiring hysterectomy. Because of this study, it was concluded by doctors that while uterine artery embolization might be safe, it still carries a high risk for infection, especially when done to correct intramural fibroids that are found near the uterine lining. This is because dead tissue is usually what attracts the development of bacteria.

If you are considering a uterine artery embolization for treating fibroid tumors, it is best to first have consultations with your doctor about other options and the possible complications that might arise from the procedure. It is important that you understand the risks involved, so you are making an informed decision.


8 Ways to Survive (and Maybe Even Enjoy) a Family Holiday with a Child with Autism

Work has become tedious. The walls of your home seem to be closing in. You NEED a vacation. But the thought of traveling with your children, especially your child with autism, is less than enticing.

Families need vacations: time to escape the regular chores, schedules and routines of home and family. Holidays mean a chance to break away from routine, a change of pace, new setting, different food, people and activities; not exactly autism friendly! Traveling with children is always more challenging, but planning a vacation with a child with autism can seem downright daunting.

There are ways to alleviate some of the stress and create an enjoyable getaway for every member of the family. Some simple guidelines and smart planning will make a big difference!

Start small

Children with autism do best with learning in small steps. If your child has never had time away from home it is wise to take a “mini vacation” for a few hours, build up to a whole day and soon after that a night away. The more familiar a child is with a new activity the less anxiety they will experience. A few hours spent in an activity close to home that is similar to what you plan to do on vacation, will be worth the time and energy. You may choose to visit a local museum, a nearby beach, a mall or spend some time on a boat. The closer the “mini holiday” matches the real thing, the better. The more practice a child has with an activity (given the proper strategies) the more they will be able to regulate emotions and enjoy the experience.

Take time to preview

Our anxiety levels typically increase when we have no clue what to expect about an upcoming event. Many people have a difficult time with the “unknown.” This is particularly true of kids with autism! As adults, we may choose to browse a travel guide, read rating scales and look at photo galleries of places where we plan to visit in order to preview where we are going and what we can expect. Our children who live with autism will benefit from these activities as well. Browse the Internet, peruse travel brochures and maybe even visit a bookstore and/or library to allow your child to read about a specific place that you plan to visit. There is an abundance of books about traveling on an airplane, visiting grandparents, ocean life or life in big cities. Whatever you decide to do with your family, reading about it is an awesome way to acquaint your children with the idea.

Don’t leave home without the visuals

Visual supports are an absolute necessity when traveling with children that have autism…even if you are away from home for a day! Pictures, calendars, maps, brochures and photos provide individuals with autism a priceless gift of predictability and order. Holidays can be filled with distractions, changes of plans, new events and unknown people. The potential for meltdowns is high when family members are tired, routines are off, and emotions and expectations are on overload and. Visual supports can act as an anxiety reducer and a welcome relief.

Individuals with autism gain a sense of calm from predictability and familiarity. When planning a trip, highlight the route on a map and if you know where you plan to stop, mark those spots on the map. Maps are often appealing to children with autism and they provide a visual tool that the child can hold and manipulate as they travel. For children that can read you may consider providing a list of some of the towns or cities through which you will travel. Children can check them off as they go or just use them as a reference when they want to know, where they are. Maps and trip itineraries are useful tools to reduce anxiety because they provide a tangible reference point and predictability. Route changes can also be made quickly on the map or just written on a piece of paper.

Not knowing how days will be filled and what will happen next is unnerving for individuals who live with autism (and for many non autistic people)! Many of us rely on electronic gadgets or day planners to keep us feeling directed, calm and in control. When planning your family trip, bring along a calendar or a day planner of some sort. Attach a strip of Velcro on each day of the trip and bring along pictures of activities or places that are associated with each day. Photographs, brochure cut outs, or homemade pictures will work. If the child is able to read, then writing on the calendar gives our children the opportunity to see what is coming and to organize the time in their minds. The Velcro offers us the flexibility of changing plans if necessary. It also demonstrates to our kids that events are not always fixed; plans change. The key is to teach the child to refer to the calendar when they are feeling uneasy. Reward them when they do so. The alternative is to listen to a constant barrage of questions.

Plan time fairly

Choose a few favorite activities rather than trying to cram everything into the day. A trip to Disneyland can be a sensory nightmare for a child with autism. Limiting the amount of activity done in a day will go a long way to making the trip more pleasant for the whole family. Do you really have to visit all of the theme parks? Is it necessary to shop in every mall? Must you participate in all of the resort activities? Your child with autism may not be capable of managing the sensory, emotional and social stimulation that more typical children are able to cope with.

Holidays by nature, tend to be very social, unpredictable and novel. Children with autism need “downtime” from the hustle uncertainty of holidays. This may mean allowing him to participate in a favorite activity for a portion of time; whatever activity he truly enjoys doing that helps him to unwind. It may mean that the child spins, jumps, twirls a sensory toy or just sits in a chair. Watching the history channel while the family is down at the beach may be just what the teen with autism needs. The activity is child driven and NOT the parent driven. Using a timer or visual clock helps to set parameters around the activity. Using cell phones or Walkie Talkies allow parents and kids to communicate when they are not in direct contact.

Plan for unstructured time

Children with autism may not be able to generate ideas to amuse themselves and parents shouldn’t have to be entertainment directors. Some simple tools will make unstructured times like travel time and waiting for flights much more bearable. Start with a written or picture menu of all of the available items to play with. Be sure to show only the choices that ARE available! Fidget toys, digital toys, magnetic travel games, ipods, handheld games, a whiteboard with markers and magnetic puzzles are invaluable when down time is non negotiable. “Wait cards” and “Unavailable cards” are invaluable when we need to let a child know that an activity or item is either delayed or not available. These cards must be part of the child’s daily life before the vacation so that they are tolerable for the child during the holiday. Pack a bag that contains all of the activities and be sure to have it handy when the waiting begins. Using a timer or a schedule helps the child know how long the activity will last.

Practice Social skills and expectations

As adults we may find ourselves assuming that a child knows how to act in various situations. Children with autism may have no idea what is expected in a certain setting and there is a good chance that they may not be concerned about what is expected! Different settings have unspoken conventions that maintain a sense of order. When visiting museums, churches, art galleries, public parks, zoos and amusement parks, think about the hidden rules that typical people just instinctively “know.” Avoid embarrassment and frustration by reviewing the “social rules” ahead of time; keep them short and sweet. Ask the child to repeat them back to you and be clear about a reward or reinforcement for abiding by the conventions.

A social script can be quickly written on paper or a whiteboard before the child is expected to participate in an unfamiliar social situation.

For example, the rules of hanging out on the beach could be written as a social script and reviewed each time a child goes to the beach:

People like to play on the beach and some people like to lie down on the beach.

We are careful not to kick sand on people when we walk in the sand.

We can lay our towels next to each other in the family.

We can lay our towels 1 or 2 big steps away from someone that we do not know.

When we lift our towels we are careful not to shake sand on other people.

The beach is fun.

Choose to have fun

The most important item to make sure you bring along on a vacation is the expectation to enjoy it. Our thoughts control much of what we experience so it is worthwhile to affirm in your own mind that this time away will be fun. Remind yourself to really watch your children as they experience new things; smile, breathe deeply and laugh often. When plans don’t quite work remind yourself that “it is what it is” and your reaction to a situation is really what determines the outcome. Choose to be cheerful and positive and your mood will likely rub off on the rest of your family.

Plopping your children in a car, driving for six hours and telling them to stop whining will not likely result in a great vacation! Planning ahead will play a huge role in creating a holiday that is fun filled. There are little things that we take for granted about traveling that we must be aware of so that we can create a great vacation. You need it. Your family needs it. Go ahead and have fun!

Headlights Are The Smart Choice

Every time before you make a purchase there is a phase when the world is yours. For example if you are planning to buy a car and have not yet finalized your car then you can regard all car models and think I can own this one tomorrow. If your budget is limited then perhaps you may not be able to regard all car models as being potentially owned by you but still there will be a considerable range of cars for each of which you can think that you can have it if you really want it.

That is a fun phase in the buying process but it doesn't last long. Once you finalize the car and pay for it then the phase is over and the fun part now depends on how well you chose the car that you bought. Though it is possible that just one feature of your car will make it a good buy, chances are the more positive attributes that your car has the more likely you are to like it very much.

The same applies to buying car aftermarket products. Before you have spent your money you will be able to choose from a vast range of options. And you will feel the excitement because there will be great options. But once you have made the choice your joy will depend on how wise your choice was.

If you are looking for a smart choice consider car headlights. A car headlight will give you a triple benefit. A bright new headlight will make it easier for you to drive at night thereby improving the performance of your car. Headlights will also make it safer because better lighting will give you more time to react if a demanding situation occurs. The third benefit is that headlights are a very visible component and new ones will augment the looks of your car. They will give your car a high tech classy look.

Therefore if you want to feel good once you have bought a car aftermarket product a headlight is a great option for you. You can find the latest headlights at www.ilovebodykits.com