Doki’s Advice e.V.

🩺 understanding Cholangitis & Cholecystitis Explained 🩺

Cholangitis: Inflammation of the bile duct system in the liver, transporting bile from the liver/gallbladder to the duodenum. Bile aids in digesting fats and cholesterol. Causes include bacterial infections or autoimmune conditions.

Cholecystitis: Inflammation of the gallbladder due to blockage by gallstones or bile sludge. Gallstones, made of cholesterol, affect nearly 1 in 10 adults.

Types of Cholecystitis:

Calculous: Blocked cystic duct by stones/sludge, increasing pressure and causing inflammation.
Acalculous: Inflammation without stones, due to severe illness, surgery, or trauma.
Chronic: Repeated acute attacks treated conservatively, leading to gallbladder scarring.
Risk Factors for Gallstones: Overweight, female, fertile, fair-skinned, age 40+, family history.

Key Terms:
Cholecystolithiasis: Gallstones in the gallbladder.
Choledocholithiasis: Gallstones in the bile duct system.
Factors Increasing Gallstone Formation:
Disruption of enterohepatic circulation (e.g., Crohn’s disease).
Fasting, rapid weight loss, parenteral nutrition, bariatric surgery.
Haemolytic anaemia, increasing bilirubin.
Hyperparathyroidism, increasing calcium levels.
Caroli syndrome, Gilbert syndrome, cystic fibrosis.
Symptoms: Nausea, vomiting, upper right abdominal pain, cramps, pain in right shoulder, fever, jaundice, itchiness.
Diagnosis:
Physical examination & medical history.
Blood tests: Check inflammation & gallbladder, liver, pancreas parameters.
Abdominal ultrasound: Gallbladder structure, gallstones, liver anatomy.
Endoscopic ultrasound: Detect small gallstones.
ERCP/MRCP: Diagnostic & therapeutic (ERCP), diagnostic only (MRCP).
CT-Scan: Operation planning.
Abdominal X-Ray: Suspected gallbladder tear.Treatment:
Pain & cramping medications.
Fasting to relieve gallbladder strain.
IV fluids to prevent dehydration.
Antibiotics for high inflammation.
Surgery to remove gallbladder for acute cholecystitis prevention.
ERCP for therapeutic interventions.
Remember: always seek medical advice. https://dokis-advice.com/cholecystitis-cholangitis-cholecystolithiasis-choledocholithiasis/

Doki’s Advice e.V. Help the needy.provide medical care and knowledge. Non Profit. Non Govt. Our Goal = TEACH TRAIN TREAT

Shoutout an meine neuesten Top-Fans! 💎

Millicent Mbola

🧠 Understanding Meningitis 🩺

Meningitis is an inflammation of the protective membranes covering the brain and spinal cord. It can affect anyone, from infants to the elderly, and can cause severe complications, including brain damage and long-term disabilities.

Causes:

Bacteria: Neisseria meningitidis, pneumococcal bacteria, tuberculosis bacteria.
Viruses: HSV, chickenpox, and other less harmful viruses.
Symptoms:

Headaches
High fever
Nausea and vomiting
Sensitivity to light
Confusion
Seizures
Paralysis
Drowsiness or unresponsiveness
Stiff neck
Rash that doesn’t fade
Transmission: Spread through respiratory secretions (sneezing, coughing, kissing). Some carriers may spread the infection without showing symptoms.

Prevention:

Vaccination: Essential for children from 12 months, especially in high-risk areas like the meningitis belt in Africa.
Hygiene: Avoid close contact with infected individuals.
Diagnosis:

Clinical examination
Skin inspection
Meningitis sign examination
Blood tests
Lumbar puncture for cerebrospinal fluid analysis
CT-Scan (in some cases)
Treatment:

Early antibacterial treatment
Antiviral treatment for viral meningitis
Cortisone for intracranial pressure
Supportive therapy (pain relief, seizure control, blood thinners for septic thrombosis)
Complications if untreated:

Hearing or vision loss
Memory and concentration issues
Recurrent seizures
Coordination and balance problems
Loss of limbs due to amputation
Remember, early detection and treatment are crucial. Always seek medical advice and prioritize vaccination to prevent this life-threatening condition. Stay informed and stay safe! 💉✨

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Don’t miss….

🔬 Understanding Cervical Cancer 🩺

Cervical cancer occurs when normal cells in the cervix, the lower part of the uterus, undergo abnormal changes and begin to grow uncontrollably. Early detection and treatment significantly improve outcomes.

Risk Factors:

Human Papillomavirus (HPV): Most cervical cancers are caused by HPV, a virus transmitted through s*xual contact.
Smoking: To***co use increases the risk of cervical cancer.
S*xual Activity: Early s*xual activity and having multiple s*xual partners elevate the risk of HPV infection.
Weakened Immune System: Conditions like HIV/AIDS weaken the immune system, making individuals more susceptible to HPV infection and cervical cancer.
Exposure to DES: Prenatal exposure to diethylstilbestrol (DES), a miscarriage prevention drug, increases the risk of cervical cancer.
Symptoms:

Cervical cancer often develops slowly without symptoms.
Abnormal vaginal bleeding or discharge, such as bleeding between periods, after s*x, or after menopause, may occur.
Other symptoms may include heavy or prolonged menstrual bleeding, foul-smelling vaginal discharge, pelvic pain, or pain during in*******se.
Diagnosis:

Pap testing and HPV testing are common screening methods.
Abnormal results may necessitate further testing, such as colposcopy and biopsy, to confirm the presence of cancerous cells.
Cervical conization or cone biopsy may be performed to obtain additional tissue for analysis.
Treatment:

Surgery: Removal of cancerous tissue, including radical hysterectomy or cervical excision, is a common treatment approach.
Radiation Therapy: Kills cancer cells using high-energy beams.
Chemotherapy: Medications that kill cancer cells or inhibit their growth, often used in conjunction with radiation therapy.
Prevention:

HPV Vaccination: Protects against HPV infection and reduces the risk of cervical cancer.
Routine Pap Tests: Screen for abnormal cervical cells, allowing for early detection and treatment.
Safe S*x Practices: Minimize the risk of HPV transmission.
Smoking Cessation: Reduce the risk of cervical cancer by quitting smoking.
Early detection, vaccination, and healthy lifestyle choices are key to preventing and managing cervical cancer. Stay informed and prioritize your health! 💪 🎗
For more Info:
https://dokis-advice.com/cervical-cancer/

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The silent Killers ☠️

TikTok · Medizin für Afrika 🩺 Check out Medizin für Afrika 🩺’s video.

🫁 Understanding Pneumonia 🤒

Pneumonia is a lung inflammation often caused by bacterial or viral infections, claiming many lives annually, especially among children and older adults. In Kenya, it’s a leading cause of child mortality, responsible for thousands of deaths yearly.

Factors affecting healing time include age and underlying health conditions, with children and the elderly requiring more extended recovery periods.

Causes of pneumonia vary and include bacteria, viruses, and fungi. Risk factors encompass age, seasonal changes, and pre-existing conditions like asthma or COPD.

Types of pneumonia:
🏠 Community-acquired pneumonia: Common bacteria include pneumococcal and Haemophilus influenza, along with viruses like Influenza and RSV.
🏥 Hospital-acquired pneumonia: Often caused by bacteria like Pseudomonas aeruginosa and Staphylococcal.
🛌 Pneumonia in immunocompromised patients: Typically due to minor bacteria and fungi.
👶 Neonatal pneumonia.

Recognizable signs and symptoms:
🤒 Fever
🗣️ Cough with yellow or green mucus
💔 Chest pain and difficulty breathing
🕊️ Wheezing
😴 Fatigue and loss of appetite
🤯 Confusion, especially in older patients or with certain viral infections like influenza.

Diagnostic steps include medical history assessment, physical examination, blood tests, and chest X-rays to determine the extent of lung involvement.

Treatment varies:
🦠 Antibiotics for bacterial infections.
💊 Anti-inflammatory medications like ibuprofen and paracetamol for viral infections.
👨‍⚕️ Differentiation between bacterial and viral infections is crucial to avoid unnecessary antibiotic use and antibiotic resistance.

Prevention:
💉 Vaccination against common pneumonia-causing bacteria like pneumococcal and Haemophilus influenza, especially for children and older adults.

Stay informed, stay healthy! 💙 🫁

Blog – Doki`s Advice Doki01/Jul/2022AudioVideo0Schenke jemandem ein LÄCHELN mit wenig Einsatz!Credibly reintermediate backend ideas for cross-platform models. Continually reintermediate integrated processes through technically sound intellectual capital.CONTINUE READING

TikTok · Medizin für Afrika 🩺 102 likes, 13 comments. “So sieht ein Tag bei mir aus 😇”

🔬 Colore**al Cancer Awareness 🔍

Colore**al cancer affects the lining of the large intestines up to the re**um, playing a significant role in our digestive system. While it often occurs at older ages, certain genetic mutations can lead to early-onset cases.

Did you know?
🌍 It’s the third most common cancer worldwide and the second leading cause of global cancer deaths.
🇰🇪 In Kenya, there were estimated 1,354 new cases and 937 deaths from colore**al cancer in 2018, with rising cases noted in rural areas.

Risk factors include genetic predisposition, lifestyle habits like smoking and alcohol consumption, obesity, and diet high in red or processed meats.

Protective measures:
🏋️‍♂️ Regular exercise
🥦 Balanced diet rich in fiber and vegetables
⚖️ Maintaining healthy weight

Symptoms may include changes in bowel habits, re**al bleeding, abdominal discomfort, unexplained weight loss, and fatigue.

Diagnosis involves various tests like digital re**al examination, colonoscopy with biopsy, CT scans, and tumor marker tests like CEA.

Treatment options:
🔪 Surgery for localized tumors
💊 Chemotherapy to shrink tumors
📡 Radiotherapy, primarily for re**al cancer

Therapy plans are tailored based on factors like tumor size, location, and patient’s overall health. Discussions with oncologists and surgeons are essential to determine the best course of action.

Stay informed, stay healthy! 💙 **alCancerAwareness 🦠🧬 For a detailed article head to our website on https://dokis-advice.com/colore**al-cancer/

Doki’s Advice e.V. Help the needy.provide medical care and knowledge. Non Profit. Non Govt. Our Goal = TEACH TRAIN TREAT

Opening doors for the young future

Ongoing…

Vertigo, known as “Kizunguzungu” in Swahili, is more than just dizziness. It’s characterized by a spinning sensation, often accompanied by nausea and vomiting. While it can be a standalone condition, it can also signal an underlying health issue.

Balancing involves a complex interplay between the brain, inner ears, eyes, spine, and muscles. Any disruptions or injuries to these systems can lead to vertigo or dizziness.

Common causes include medication side effects, migraines, motion sickness, and peripheral vertigo affecting the inner ear.

Peripheral vertigo encompasses several conditions:

Benign paroxysmal positional vertigo (BPPV): Characterized by brief vertigo triggered by changes in body position. Diagnosis is clinical, and treatment involves special vertigo training.
Vestibular neuritis: Presents with severe vertigo, nausea, and vomiting, likely due to inner ear inflammation. Treatment includes steroids and symptomatic medications.
Meniere’s disease: Features tinnitus, hearing loss, and severe vertigo. Treatment focuses on symptom management.
In acute vertigo cases, it’s crucial to rule out serious conditions like stroke or tumors. Red flags include sudden onset and accompanying symptoms like vision changes or difficulty speaking.

Patients should consider factors like hydration and blood sugar levels before attributing symptoms to vertigo. However, consulting a medical professional for proper diagnosis and management is essential.

https://dokis-advice.com/vertigo/

🔍 Understanding Prostate Cancer 🩺🦠

This February, let’s shine a light on prostate cancer—the second most common cancer in men worldwide. Here’s what you need to know:

What is Prostate Cancer?
It originates in the prostate gland, responsible for seminal fluid production. While some types grow slowly and remain confined, others spread rapidly.

Risk Factors:

Race: Black individuals have a higher risk.
Obesity: Linked to aggressive cancer.
Age: Most common after 50.
Family History: Genetic predisposition plays a role.
Symptoms:

Trouble urinating
Blood in urine or semen
Bone pain
Erectile dysfunction
Complications:

Metastasis to nearby organs
Urinary incontinence
Erectile dysfunction
Diagnosis:

PSA Testing: Detects elevated prostate-specific antigen levels.
Digital Re**al Examination (DRE): Assesses prostate enlargement.
Transurethral Ultrasound: Evaluates abnormalities.
Prostate Biopsy: Confirms diagnosis through tissue sampling.
Treatment:

Active Surveillance
Surgery
Radiation Therapy
Hormone Therapy
Chemotherapy
Early detection is key! Stay informed and prioritize regular screenings. 🩺💪💙

🙌🚹💙

🔍 Unlocking Lung Cancer Mysteries 🫁✨

Did you know? In Kenya, cancer is the third leading cause of death, claiming about 7% of lives annually. Yet, accurate data is elusive due to low collection accuracy and underdiagnosis. Awareness is key! 🌍💙

Leading Cancers in Kenya:

Breast Cancer: 34 cases/100,000 🎀
Cervical Cancer: 25 cases/100,000 🚺
Prostate Cancer: 17 cases/100,000 🚹
Oesophageal Cancer: 9 cases/100,000 🍽️
Now, let’s spotlight Lung Cancer! 🫁🔬

No initial symptoms make early detection tricky.
Watch for signs like persistent cough, weight loss, breathlessness, and more. 🤔💔
Two Main Types:

Non-Small-Cell (85% cases): Slow growth, often asymptomatic.
Small-Cell (15% cases): Rapid growth, early metastasis. 📉⚡
Causes Beyond Smoking:

Asbestos exposure, industrial gases, and more.
Diagnosis involves X-rays, CT-scans, and blood tests. Early detection is a game-changer! 🕵️‍♂️🩸
Tailored Therapies:

Operative resection, chemotherapy, and radiation.
Seek professional advice—each case is unique! 🩺💡
Prevention is Power:

Quit smoking or seek cessation help.
Stay informed, prioritize regular check-ups!
Remember, awareness saves lives. Stay informed for more medical insights! 💪🏥📚

’sAdvice😷🚭💙

Doki’s Advice e.V. Help the needy.provide medical care and knowledge. Non Profit. Non Govt. Our Goal = TEACH TRAIN TREAT

Happy new year

Tears of an 11 year old“ 😢

Today was my first day on leave so I thought, I should work a bit on our Website. The whole family was at home relaxing and reflecting on how tough this year was, especially for families. 👨‍👩‍👧‍👦 After a while my eldest son came sat next to me curiously observing what I was upto. 💻For some reason he got so upset when he saw this page on our donation site ,,Dokis-advice.com/support-us“ . He asked me with so much Compassion : Dad, you only have Zero Donations raised? But Why? That’s all I heard before he rushed upstairs with his wet eyes. A few minutes later he comes down shedding tears 😭 with his hands open and 40 Euros folded from his own savings. Which is a lot of money. 💶He murmured ,, here is my donation,, now you have 40 / 100000 Euros 😳 for building your new hospital in Kenya. 🙆🏾‍♂️I was so touched that I didn’t know what to say or how to react. I tried explaining to him that we have had several well wishers, but he insisted I take his donation. If this would be the positive reaction from everyone who visits my page, the project would have been finished by this year. What my 11 year old son didn’t know is he just placed the first stone on that future hospital building. And for those who read the bible, 📚I don’t think it was a coincidental figure of 40😇 So Dear God, thank you for making it your cause. 🙂

Diese junge Dame ist Stacy. Sie ist elf Jahre alt und hatte kürzlich eine Hirn-Op wegen eines Tumors.

Sie lag nach der OP eine Woche auf der Intensivstation. Sie hatte Krampfanfälle und konnte nicht sprechen.
Das ganze Team von Doki's Advice hat sich große Sorgen um sie gemacht.
Aber jetzt kann sie wieder laufen und sprechen, hat wieder die Kontrolle über ihre Mimik.

Das war ein wirklich großartiger Tag für Stacy und ihre Familie - und für unser Team 🍀 - wir feiern ihn!

👩‍⚕️👨‍⚕️

Danke für deinen Support! Du gehörst zu den Top-Mitwirkenden der Woche und hast es auf meine Liste der aktivsten Follower geschafft! 🎉 Livingstone Maranga Otundo, Erika Pössinger, Georg Schellhaas

Attention!

We have had 2 camps running at the same time, the surgical and the internal Medicine one.
The internal Medicine Camp closed on the 24th.Nov
The Surgical one closes on the 28th.Nov.The Theater Plan is therefore already finalized and due to Limited Time, no further Patienr reviews take place.

We know the Flyer states that the Camps run until 30.11. One of our Surgeons who was to carry on till 30th could not make it due to unavoidable circumtances.

We apologize for the inconvinience, since most patients cover quite a distance to Kisumu.

Next Neurosurgical camp takes place in Feb 2024.

Kenia von seiner schönsten Seite 💗

Jetzt ist die Zeit gekommen für Doki's "Workation", das ist Doki's work-and-vacation-Programm. Zuerst wird gearbeitet, dann Urlaub gemacht.
Nach zwei Wochen harter Arbeit, geht jetzt der entspannte Teil der Reise los. Dieses Jahr gab es das erste Mal keine Todesfälle bei der Arbeit im Krankenhaus. Das Team hat aus den Fehlern gelernt, Prozesse wurden verändert und durch mehr Personal konnte ein gewisser Standard angeboten werden. Insgesamt 21 Menschen aus dem medizinischen Bereich sind aus Deutschland angereist und haben gemeinsam mit den Ärzten und Krankenschwestern in Kenia gearbeitet.
Jetzt genießt das Team miteinander die letzten beiden Tage und freut sich aufs nächste Jahr. Gemeinsam überlegen und planen sie schon, wie sie es noch besser machen können.

Dies hier ist auch ein Aufruf an alle Krankenschwestern, Ärzte, Notfallsanitäter, Physiotherapeuten und Anästhesisten... Wenn du dich gerne ehrenamtlich engagieren möchtest in einem Krankenhaus in Kenia und dies mit einem Urlaub verknüpfen, dann melde dich bei uns. Im Anschluss an das Camp wirst du für deine Mühen mit einem einzigartigen Kulturangebot belohnt und einem super Urlaub in toller Gemeinschaft, organisiert von uns.

Das Team von Doki's Advice war auf einem Tagesausflug im Nationalpark unterwegs. Schwerer Regenfällen haben die Straßen in eine matschige, rutschige Landschaft verwandelt.
So war der Tagesausflug eigentlich nicht geplant gewesen, aber bei dieser Aktion konnten sich alle noch mal ein bisschen besser kennen lernen. Sie mussten als Team miteinander anpacken und sich gegenseitig helfen.
Es war ein richtiges Abenteuer.
Das Team genießt die letzten Tage hier am Viktoriasee und hofft, dass im nächsten Jahr noch mehr Helfer dabei sind.

Hier auf dem Foto seht ihr Dr. Gerald Otieno mit der Ehefrau eines Patienten.
Das Team von Doki's Advice war auf dem Markt einkaufen, als diese Frau ihnen Bananen und Orangen anbot. Plötzlich erkannte sie Daniel Ogutu "Oh, you are Dr. Dan". Das besondere an dieser Geschichte ist, dass der Markt, auf dem sie sich getroffen haben, über eine Stunde vom Krankenhaus in Lwak entfernt ist. Ihr Mann war so schwer erkrankt, dass er drei Tage am Stück von den Ärzten unseres Teams behandelt werden musste. Und er hat einen so weiten Weg auf sich genommen um Hilfe zu bekommen.
Die Frau ist einfach überglücklich den Helfern noch einmal begegnet zu sein 💗