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Showing posts with label Lifestyle. Show all posts
Showing posts with label Lifestyle. Show all posts

Tuesday, September 27, 2022

Bubbles Should Be In Your Drink, Not Your Urine

 

One in every 10 Malaysian adults suffers from kidney disease.

 

In Malaysia, one in 10 adults suffers from chronic kidney disease.

Chronic kidney disease is defined as abnormalities to the kidney structure or function for more than three months.

Dr Go Kuan Weng from KPJ Hospital Ipoh shared that chronic kidney disease is more common than one would think.

However, not many are aware of the risk factors and implications it has on their lives. 


Dealing with the underlying issue

When a patient is diagnosed with chronic kidney disease, the first step in preventing further deterioration of kidney function is to manage the underlying cause.

The top causes of chronic kidney disease in Malaysia are diabetes and hypertension.

According to Dr Loo Chee Yean from Sri Kota Medical Centre in Klang, Selangor, if blood sugar and hypertension are under control in the early stages of chronic kidney disease, kidney failure can be delayed.

Eating your way to healthier kidneys

Other than the use of medication to manage blood pressure and blood sugar levels, chronic kidney disease patients will need lifestyle changes.

One of these changes is the adoption of a low-protein, kidney-friendly diet.

Patients who adopt a low protein diet will need to only consume about 600mg of protein per kg body weight a day.

Dr Loo shares that numerous studies have shown adoption of a low protein diet can delay chronic kidney disease from advancing to kidney failure.

Dr Chiew Yeong Woei from Hospital Lam Wah Ee in Georgetown, Penang, adds that chronic kidney disease patients should consult a dietitian to learn how to identify and calculate the protein they consume.

Delaying progression with keto acid therapy

The main goal of treating chronic kidney disease is to delay its progression and prevent the need for dialysis.

Management typically consists of medication to treat the underlying cause of chronic kidney disease, and lifestyle modifications such as adoption of a low protein diet to reduce the kidney's workload.

Medical experts also recommend the use of keto acid therapy in chronic kidney disease management.

Keto acid therapy is the use of special compounds known as ketoanalogues to help delay the progression of kidney disease.

In the study Do Ketoanalogues Still Have a Role in Delaying Dialysis Initiation in CKD Predialysis Patients? from the Seminars in Dialysis journal, incorporation of keto acid therapy in the management of chronic kidney disease was shown to be able to delay the progression of the disease, and in turn, delay the onset of kidney failure and the need for dialysis.

In addition, this therapy is safe and reliable when used properly.

To understand how keto acid therapy works, one must know what ketoanalogues are.

Ketoanalogues are nitrogen-free versions of essential amino acids.

Incorporation of keto acid therapy reduces the burden on the kidneys as it converts the nitrogenous waste into essential amino acids via the process of transamination.

This in turn provides the body with the nutrients it needs to function well, explains Dr Chew Thian Fook from KPJ Hospital Seremban.

Besides, acidosis in the body will be reduced and can help patients feel better with improved appetite through the reduction of nitrogenous waste.

For more information, call 03-7957 2929. 

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Foamy Urine A Potential Sign Of Kidney Problem | The Star
Foamy Urine A Potential Sign Of Kidney ...
thestar.com.my

 

Wednesday, June 29, 2022

Food for thought on footing the bill

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DEPRESSED wages, and a rising cost of living – these are the biggest tribulations facing the man on the street these days.

Needless to say, the lower income group is the one most affected but things have come to a stage where the Middle 40 (M40) group, especially those with families, is being dragged down and feeling the pinch too.

The biggest problem is that food –an unavoidable spending – is what takes up the bulk of the families’ budgets.

Chicken – a source of protein that cuts across all walks of life, creed and faith – tops the list of food. And keeping chicken prices down has become impossible.

Malaysia recorded a 2.8% year-on-year (y-o-y) increase in the consumer price index, which measures inflation. Food inflation rose by 5.2%, which means food prices are rising faster than anything else.

And experts warned that the food bills will keep going up.

With food insecurity on one side, rising cost on the other, the question is: what can be done to survive this double-edged sword?

True, much of the work of controlling the surging inflation is in the hands of the government and market forces but what can be done at the individual level?

Some may suggest side gigs and part-time jobs to grow wealth but the more immediate and feasible measures will be a relook at personal spending and lifestyle changes, including dietary habits.

Cutting back on non-essential items, budgeting, doing cooking more at home and making diet changes may help.

Bank Islam chief economist Dr Mohd Afzanizam Abdul Rashid suggests a rethink on personal expenditure.

“The other is to look for additional income via part-time jobs. The third is to save and invest so the money will grow and hopefully, outperform the inflation,” he said.Sunway University Economics Prof Dr Yeah Kim Leng said that on the consumers part, they could explore cheaper substitutes, cut back on discretionary spending or reduce consumption.

They could also look for alternative sources of nutrients.

Singletons living with friends or housemates could pool groceries and cook meals together.

When it comes to takeouts, cutting down on using food delivery apps may help, as delivery charges make meals costlier. It’s cheaper to go out and buy them directly from the outlets.

Aside from that, buying groceries at a wholesale market instead of wet markets or grocery stories may also be a cheaper alternative.

Deputy dean of Universiti Putra Malaysia’s Faculty of Medicine and Health Sciences Assoc Prof Dr Barakatun Nisak Mohd Yusof noted that nutritious food will cost slightly more and a good meal must comprise food from all groups of the food pyramid

Citing a study, she said the food group that is likely to be affected is protein, as animal based protein such as meat and fish are the ones getting expensive.

She fears people may turn to starch which is relatively cheaper. There is also a fear that more people may turn to fast food or cheap but unhealthy alternatives like instant noodles.

Dr Barakatun said plant based protein such as dhall, beans, tauhu, tofu and tempeh are good alternatives.

“These are good sources of protein and are not only cheaper, but also contain fibre,” she said.

She said habitual meat eaters not accustomed to plant-based diets could incorporate such food slowly into their diet.

“It is not like you have to eat them daily. You can have them on alternate days or as part of a weekly meal plan,” she said.

As for vegetables, she also suggested consumption of “ulam”, a fairly affordable dish that could be easily grown in homes.

She said vegetables such as carrot, lady’s finger, cabbage and long beans could be bought in bulk as they can last longer.

While processed frozen food like sausages should be avoided, frozen chicken meat and fish can be consumed.

She also suggested freshwater fish such as catfish or keli, which remain affordable.

“We can also focus on local fruits,” she said.

She also suggested meal planning, such as pre-planing the simple dishes that can be cooked throughout the week. Groceries for the week can then be bought based on the plan.

Another interesting tip which Dr Barakatun shared was to segregate and pack ingredients according to the menu planned.

She felt meal prepping could then be turned into a fun family activity with kids.

These lifestyle changes will definitely not be easy but they could help stretch the ringgit and leave some extra cash in the wallet in these tough times. 

  Source link

http://mystar.newspaperdirect.com/epaper/viewer.aspx

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Monday, July 12, 2021

Second chance at life after stroke

https://youtu.be/-Gv278vvA-A 
 

Stroke survivor Betty Ng (centre) being her usual active self at the Walk for Health event before the pandemic. Photo: Nasam

 Retiree Betty Ng, who turned 70 in June, has been a stroke survivor for seven years. On her birthday, she started a campaign to raise funds for the National Stroke Association of Malaysia (Nasam).


“It was at Nasam that I recovered from my stroke as I went through physiotherapy and rehabilitation. It was also here that I got my second chance in life and met new friends which made me happy just to be alive,” says Ng

But, for the past one year, the pandemic has somewhat impacted activities at the centre. Although Nasam is still open for one-on-one therapy, there are no in-person group therapy activities and social events which are a major part of a stroke survivor's recovery process, she says.

“Stroke rehabilitation can take a heavy toll physically and emotional on a stroke survivor and their family members. But Nasam has always been a safe space where they can go to for recovery, meet other survivors and be motivated to embrace life after stroke,” she says.

This is why Ng wants to help raise funds for Nasam, an NGO that relies largely on donations from the public to stay afloat during the difficult pandemic time.
Betty Ng excitedly checking up on her SimplyGiving fundraising site. Photo: NASAM
Betty Ng excitedly checking up on her SimplyGiving fundraising site. Photo: NASAM
 
“As an NGO, Nasam relies largely on public donations from members of the public – both corporations and individuals - in order to survive. So I hope that my initiative will help Nasam stay afloat during this time so that they can continue to serve the stroke community, ” says Ng.

The determined Ng, who suffered from a stroke in 2014 during surgery to remove a benign brain tumour, adds that she wants to be a motivator for all who have been stricken with stroke, because as a survivor herself, she understands what they’re going through.

After she had her stroke seven years ago, she could not stand, nor use her left hand or leg.

“I had problems eating, suffered from a slight speech impairment, couldn’t recall words and had difficulty completing sentences. I had to be bathed, dressed, and fed, and even to wear diapers,” she recounts.

“I felt really miserable because I couldn’t help myself. I wasn’t used to being dependent on anyone,” she says.

Ng was in hospital for six weeks and after she was discharged, she could walk with the aid of a quadripod walking stick, and was cared for by her daughter.

Determined to get back to normalcy quickly, Ng started exercising to strengthen her left arm and leg, and improve her speech.

“I pushed myself to the maximum as I was impatient to get back to as normal a life as possible,” she says.

Ng’s daughter would prepare her food and then go to work, but be back to help with Ng’s exercises in the evening.

“I was on my own the whole day, and would spend the time exercising, doing puzzles such as crosswords, and colouring to stimulate my brain.

“In the evenings, I would do my exercises – under the supervision of my daughter - which included walking up and down the stairs and to-and-fro without the walking stick,” says Ng.

Ng started rehabilitation daily at Nasam in Dec 2014, in addition to her rehabilitation at the hospital.


Fourteen months after her stroke (in Aug 2015), she was certified fit to drive.

“I was thrilled because it gave me so much more independence. The following year, my daughter bought me a car and nothing stops me now ... except the MCO,” she says.

But, since the pandemic, Ng’s group rehabilitation sessions at the centre have come to a halt.

“The MCO has made things difficult because I’m not able to move around freely and frequently," she says.



Before the first MCO last year, Ng used to spend a lot of time at Nasam and says it was “like a second home” for her and other stroke survivors.
Betty Ng (in orange) at The Stroke Games before the pandemic. Photo: NASAM
Betty Ng (in orange) at The Stroke Games before the pandemic. Photo: NASAM
 
“I would bring my 90-year-old mother and also sisters along for the social gatherings and outings organised by Nasam. It gave us the opportunity to bond and have fun together as a family,” she says.

Ng says that Nasam has helped her grow her confidence and self-esteem.

“I’ve been given the opportunity to reach out to other stroke survivors and their families and I’m grateful for the chance to help others,” says Ng who now is a Nasam ambassador and also on its mentor-mentee programme.

As an ambassador, she helps create awareness through speaking at public forums about stroke and the challenges to recovery. For the mentor-mentee programme, she counsels and motivates stroke survivors who are going through difficulties.

Betty is now a Nasam ambassador and also on its mentor-mentee programme. Photo: NASAM
Betty is now a Nasam ambassador and also on its mentor-mentee programme. Photo: NASAM
 
“I do this alongside Nasam’s founder and chairman Janet Yeo, who created and manages the platform,” she adds.

“Nasam has shown us that there is life after stroke by challenging stroke survivors to achieve a greater recovery by giving us so many wonderful experiences and opportunities like The Stroke Games, as well as social integration and empowerment to return to the community or back to work,” says Ng.



“I started the fundraising campaign, which will run until Jul 17, because Nasam is like family to me. I want to help stroke survivors and see them able to lead a better life,” she concludes.

For more info, visit: SimplyGiving: There is life after stroke

 Support for stroke survivors during the pandemic


 Nasam organises activities for stroke survivors such as The Stroke Games, before the pandemic. Photo: Nasam


Throughout the pandemic, the National Stroke Association of Malaysia (Nasam) remains open to serve stroke survivors and their families, who may need help with rehabilitation and support.

“Although we can’t conduct group therapy sessions nor have social activities – which are a very effective means of rehabilitation and psycho-social support for stroke survivors – during this time, one-on-one therapy sessions are still ongoing, ” says Nasam communications coordinator Vanaja Dhanan.

“Our group therapy sessions are now available on Zoom, ” she adds.

Creating public awareness
To motivate stroke survivors, Nasam also organises an annual Walk For Health event. Photo: Nasam
To motivate stroke survivors, Nasam also organises an annual Walk For Health event. Photo: Nasam
 
Nasam’s public awareness activities such as forums on stroke prevention and awareness, educational talks, and other such events, have also been shifted online during the pandemic.

“But even though we can do this through Zoom and other online platforms, there are certain segments of the community who have no access to online facilities, ” says Vanaja.

She adds that there has also been a decrease in participation in group therapy sessions as many stroke survivors can’t access the Internet because they don’t have device nor the support to do so.

“They may not have family members who are able to support them to get online at home. Some are also unable to follow these online sessions as they’re unable to process the information after their stroke, ” she explains.

And, although Nasam is open for face-to-face support during the various MCOs, following strict Health Ministry guidelines, there is still a lot of fear among the people to come out and seek support, she says.

“This too has impacted the recovery of stroke survivors, especially those with visual, spatial and cognitive issues, ” says Vanaja.

The rehabilitation of the stroke victims also centres around social outings and gatherings at Nasam, and these are also affected by the pandemic.

Nasam’s annual events such as The Stroke Games, Walk For Health and Food & Fun Fair, have all come to a halt during the pandemic.

Embracing the new normal

Nasam founder and chairperson Janet Yeo started Nasam in 1996 while she was recovering from a stroke. Photo: NasamNasam founder and chairperson Janet Yeo started Nasam in 1996 while she was recovering from a stroke. PhotoNasam>>:

During the various MCOs and lockdown, Nasam offers Telerehab via Zoom and WhatsApp both for group and one-on-one sessions, to support stroke patients going through rehabilitation. They also offer fun, recreational activities online such as cooking, crafting, karaoke and others.

There is also a Stroke Mentoring Facebook group, which is managed by Nasam founder and chairperson Janet Yeo who formed the association in 1996, when she herself was recovering from a stroke.

The mentoring group is supported by both Yeo and other stroke survivors who are able to counsel and help survivors going through difficulties because they themselves have gone through it before and understand what it involves.

Prevention is better than cure

Yeo highlights that that it’s very important for individuals in the high-risk group – smokers and those with conditions such as high blood pressure, cholesterol and diabetes – to lead a healthy lifestyle.

“There needs to be a balance between work and leisure. For those who are working from home, be sure to set clear boundaries – a time when you’re available for work and a time when it’s your free time,” she says.

“It’s also important to stay physically active and exercise regularly. Take your medications and go for your medical check-up as scheduled,” she adds.

“Stay physically and mentally active. And, most of all - seek help if you need it. Don’t go through it alone,” says Yeo.


Caregiving for a stroke survivor is no easy task and caregivers may often feel discouraged and alone. To help them, Nasam also has a Caregiver Support Group.

“Carers who are going through difficulties can be connected to a fellow caregiver or even a stroke survivor who is recovering well and able to help the family move ahead,” she says.

As an essential service, Nasam centres continue to operate throughout the pandemic, offering rehabilitation and therapy from Monday to Friday, 9am to 5pm. Stroke survivors or their family members can also call the Nasam Helpline at 018-222 1878 for support or help.

For more info, visit:nasam.org/ 

NASAM

 
 
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Wednesday, April 28, 2021

Digital way to declare and pay income tax

e-Filing counter facilities are no longer available since last year following the new norm SOP.


 LET’S Click HASiL is a convenient programme for taxpayers to declare their income and pay taxes to the the Inland Revenue Board (IRB).

What is Let’s Click HASiL

Let’s Click HASiL enables taxpayers to submit their income tax return or make payment through the convenience of the easy, accurate and secure MyTax app.

MyTax is the primary access to ezHASiL services such as e-Filing, e-Register, ByrHASiL and other services accessible to all taxpayers with a single sign-on.

Taxpayers can file their return form electronically while ensuring the details are accurate.

Additionally, the programme also provides advice to taxpayers through virtual briefings held in accordance with new norm SOP set by the government.

Submission deadline

The Let’s Click HASiL programme runs from March 1 to June 30,2021.

For individuals without business income, they have until April 30 to submit their BE Form.

People who receive income from business have until June 30 to submit their B Form.

However, e-BE submission via e-Filing allows taxpayers to submit the form by May 15 – an extended period compared to paper submission by April 30, while the deadline for e-B is July 15.

 

Tax refund

For individuals without business income, their employer would have made monthly tax deduction off the monthly salary, reducing the burden of employees as they don’t have to pay a lump sum for their annual income tax.

You are eligible to receive a tax refund if you have paid excess monthly tax deduction than the actual tax levied. The income tax imposed can be reduced through tax reliefs and tax rebates.

The e-Filing service gives taxpayers the advantage of receiving their tax refunds within 30 working days as opposed to 90 days for form submissions by post or hand delivery.

ezHASiL simplified taxation

ezHASiL enables taxpayers to manage their taxation online through e-Filing, e-Register, e-Update, e-Ledger and ByrHASiL without having to visit IRB branches physically.

e-Filing counter facilities are no longer available since last year following the new norm SOP.

The e-Filing system can be accessed via the IRB’s official website at www.hasil.gov.my > MyTax > ezHasil Services > e-Filing.

First-time users are required to obtain the PIN number by filling in the feedback form on the website.

Once you have the PIN number, you can start your e-Filing, make payments using ByrHASiL, access payment review through e-Ledger or update personal details via e-Update.

Declare and pay your income tax at mytax.hasil.gov.my. Let us all do our part to ensure prosperity for the country.

Inquiries can be made through the Customer Feedback Form or call the HASiL Care Line (03-8911 1000). Visit www.hasil.gov.my for further information.

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