HERBS

Eucalyptus ( Gumtree )

Article by Precious Mwakurudza

This month we will talk about Eucalyptus as this herb is very helpful during this winter season. Eucalyptus is used to treat bronchitis,cough, pneumonia and in general all pulmonary tract infections. •it relieves fever and treats influenza (flu) •it disinfect the urinary tract •it soothes sore throat •it treats respiratory infections • if you inhale it ( kunatira) it calms rhinitis and sinusitis

Preparation

•Take 3 to 4 leaves of eucalyptus infuse for ten minutes in a cup of boiling water and drink 3 cups per day. •Inhale ( kunatira) boil water with eucalyptus leaves,take a blanket and cover yourself inhaling the steam. This helps with respiratory infections and other winter ailments.

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Fibroids

By Dr A Jemedze

Uterine fibroids are non-cancerous growths of the uterus that often appear during child bearing years (reproductive years). Also called leiomyomas or myomas, uterine fibroids aren’t associated with an increased risk of uterine cancer and almost never develop into cancer. Rarely (less than one in 1,000) a cancerous fibroid will occur. What exactly are fibroids? Imagine a brick wall made of bricks joined together to form the wall. If one brick multiplies to form a mass of bricks it becomes a fibroid this is how fibroids form in the uterine when a single cell of the uterine wall multiplies to form ball of cells forming a fibroid. Fibroids range in size from, undetectable by the human eye, to bulky masses that can distort and enlarge the uterus. You can have a single fibroid or multiple ones. In extreme cases, multiple fibroids can expand the uterus so much that it reaches the rib cage and can add weight. Many women have uterine fibroids sometime during their lives. More than 70% of women will have fibroids by the age of 50. But you might not know you have uterine fibroids because they often cause no symptoms. Your doctor may discover fibroids incidentally during a pelvic exam or prenatal ultrasound.

Where are fibroids located?

There are three major types of uterine fi

What are fibroids?

broids. Intramural fibroids grow within the

muscular uterine wall. Submucosal fibroids bulge into the uterine cavity. Subserosal fibroids project to the outside of the uterus. Some submucosal or subserosal fibroids may be pedunculated — hanging from a stalk inside or outside the uterus.

What are the symptoms of fibroids?

Many women who have fibroids don’t have any symptoms. In those that do, symptoms can be influenced by the location, size and number of fibroids. For women who have symptoms, the most common signs and symptoms of uterine fibroids include: •

Heavy menstrual bleeding

Menstrual periods lasting more than a week

Pelvic pressure or pain

Frequent urination

Difficulty emptying the bladder

Constipation

Backache or leg pains Rarely, a fibroid can cause acute pain when it outgrows its blood supply, and begins to die. Also, during pregnancy, the fibroids may become painful. When to see a doctor? See your doctor if you have: •

Pelvic pain that doesn’t go away

Overly heavy, prolonged or painful peri

ods

Spotting or bleeding between periods

Difficulty emptying your bladder

Unexplained low red blood cell count (anaemia) Seek prompt medical care if you have severe vaginal bleeding or sharp pelvic pain that comes on suddenly. Who is at risk of developing fibroids? There are few known risk factors for uterine fibroids, other than being a woman of reproductive age. Factors that can have an impact on fibroid development include: •

Race. Black women are more likely to have fibroids than are women of other racial groups and at younger age, and they’re also likely to have more or larger fibroids, along with more-severe symptoms. •

Heredity. If your mother or sister had fibroids, you’re at increased risk of developing them. •

Other factors. Onset of menstruation at an early age; obesity; a vitamin D deficiency; having a diet higher in red meat and lower in green vegetables, fruit and dairy; and drinking alcohol, including beer, appear to increase your risk of developing fibroids. So, what causes fibroids? Doctors don’t know the cause of uterine fibroids, but research and clinical experience point to these factors: •

Genetic changes. Many fibroids contain changes in genes that differ from those in normal uterine muscle cells.

Hormones. Oestrogen and progesterone, two hormones that stimulate development of the uterine lining during each menstrual cycle in preparation for pregnancy, appear to promote the growth of fibroids. Fibroids contain more oestrogen and progesterone receptors than normal uterine muscle cells do. Fibroids tend to shrink after menopause due to a decrease in hormone production.

Other growth factors. Substances that help the body maintain tissues, such as insulin-like growth factor, may affect fibroid growth.

•

Extracellular matrix (ECM). ECM is the material that makes cells stick together, like mortar between bricks. ECM is increased in fibroids and makes them fibrous. ECM also stores growth factors and causes biologic changes in the cells themselves.

What is the effect of fibroids on pregnancy?

Fibroids usually don’t interfere with getting pregnant. However, it’s possible that fibroids especially submucosal fibroids could cause infertility or pregnancy loss. Fibroids may also raise the risk of certain pregnancy complications, such as placental abruption, fetal growth restriction and preterm delivery.

Is there prevention for fibroids?

Although researchers continue to study the causes of fibroid tumours, little scientific evidence is available on how to prevent them. Preventing uterine fibroids may not be pos

sible, but only a small percentage of these tumours require treatment. But, by making healthy lifestyle choices, such as maintaining a normal weight and eating fruits and vegetables, you may be able to decrease your fibroid risk. Also, some research suggests that using hormonal contraceptives may be associated with a lower risk of fibroids.

How are fibroids diagnosed?

Uterine fibroids are frequently found incidentally during a routine pelvic exam. Your doctor may feel irregularities in the shape of your uterus, suggesting the presence of fibroids. If you have symptoms of uterine fibroids, your doctor may order these tests:

•

Ultrasound. If confirmation is needed, your doctor may order an ultrasound. It uses sound waves to get a picture of your uterus to confirm the diagnosis and to map and measure fibroids.

Lab tests. If you have abnormal menstrual bleeding, your doctor may order other tests to investigate potential causes. These might include a full blood count (FBC) to determine if you have anaemia because of chronic blood loss and other blood tests to rule out bleeding disorders or thyroid problems.

What are the treatment options?

There’s no one best approach to uterine fibroid treatment — many treatment options exist. If you have symptoms, talk with your doctor about options for symptom relief. Waiting can be an option Many women with uterine fibroids experience no signs or symptoms, or only mildly annoying signs and symptoms that they can live with. If that’s the case for you, watchful waiting could be the best option. Fibroids aren’t cancerous. They rarely interfere with pregnancy. They usually grow slowly — or not at all — and tend to shrink after menopause, when levels of reproductive hormones drop.

Medications

Medications for uterine fibroids target hormones that regulate your menstrual cycle, treating symptoms such as heavy menstrual bleeding and pelvic pressure. They don’t eliminate fibroids, but may shrink them. Medications include:

Gonadotropin-releasing hormone

(GnRH) agonists. Medications called GnRH agonists treat fibroids by blocking the production of oestrogen and progesterone, putting you into a temporary menopause-like state.

Progestin-releasing intrauterine

device (IUD) . A progestin-releasing IUD can relieve heavy bleeding caused by fibroids.

Tranexamic acid (Cyclokapron). This

nonhormonal medication is taken to ease heavy menstrual periods. It’s taken only on heavy bleeding days.

Options for traditional surgical procedures include:

Abdominal myomectomy. If you have multiple fibroids, very large fibroids or very deep fibroids, your doctor may use an open abdominal surgical procedure to remove the fibroids. Many women who are told that hysterectomy is their only option can have an abdominal myomectomy instead. However, scarring after surgery can affect future fertility.

•

Hysterectomy. This surgery — the removal of the uterus — remains the only proven permanent solution for uterine fibroids. But hysterectomy is major surgery.

MEDICATION TO YOUR DOOR

TopCare Pharmacy

‘We care for you’

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Who are we?

We are Top Care Pharmacy, with 2 branches in Harare. The first branch is in Harare CBD at Eastgate Market, Shop number 28, whilst our other branch is at Kuwadzana 1 Shopping Centre.

Services offered.

We offer door to door delivery for your medication.

Question1

Who can make use of medicines delivery service and who can I contact?

Answer

Anyone can make use of the medicines delivery services by contacting the pharmacist on the following numbers.

0773983591 07 86057767 0242720853

email topcare.tppharmacy@gmail.com Where do you deliver and what’s the delivery charge?

Answer

We deliver within a 15km radius from the CBD at a fixed fee of USD3 or equivalent.

Question 3

Can all types of medicines be delivered? Are there medicines that cannot be delivered?

Answer

All medicines can be delivered. Prescription medicines will require you to send the prescription via email or WhatsApp prior to delivery.

Question 4

How long do I have to wait to receive my medicines?

Answer

Deliveries will be done within 48 hours after placing your order.

Question 5

How can I make payment?

Answer

We accept all forms of payments local or international.

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1) My wife continually tells me to go and have an affair to satisfy my desires,while I don’t really want to. Should I go ahead? 2)My wife is extremely frigid in bed, and Iam the opposite. Iam frustrated now please help? 3)My wife doesn’t want to be intimate with me and I get very frustrated , what should I do? 4) My wife and I are happily married, however my sex drive is higher than hers, I don’t want to hurt her feelings but what should I do? 5)Is it wrong to want sex when your wife won’t give you any?

Feedback 1. No it’s not a solution she might be saying it out of anger check where the real problem is. 2. Communication is needed,did you talk to her about it? Every women is romantic in a way but you need to study your spouse and know what makes her tick, she might have gone through abuse during her childhood and might need counseling, or you might not be turning her on, when a women is turned on she responses to your touch and kiss, my advice is find a day, a place to talk to her about it and be gentle when you discuss this with her, find a way to start the conversa

Questions from previous topic :Conjugal Rights.

tion. 3. There are a lot of things which might cause that ,it might not be her fault eg, family planning pills, stress or an underlying health condition,so as I said before communicate and find the source of the problem , if the problem persists consult a marriage counselor, her aunt or her sister.

4. Try and make her want you more, show her

that you love her,women’s feelings are controlled by emotions,start a warm conversation with her over the phone whilst you are still at work, tell her how you want to be home early to be with her, and that you love her so much , ask her what she is wearing underneath etc.. women get turned on with such conversations.When you get home help her with some dishes in the kitchen as you continue the warm conversation, by the time you get to the bedroom , she will be already in the mood

5. It’s not wrong it’s very normal, get her to be in the mood too, probably she will be tired from house chores, work, or is stressed, know your woman and know what turns her own even if she is tired or stressed.

Next Issue topic : SOME OF OUR AFRICAN MEN DONT KNOW HOW TO BE ROMANTIC Whats your reaction

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