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http://www.NoseSinus.com/ https://www.google.com.sg/maps/place/Dr+Kevin+Soh,+Ear+Nose+Throat+Sinus+Head+%26+Neck+Clinic/@1.3049229,103.8331258,17z/data=!4m5!1m2!2m1!1skevin+soh+review!3m1!1s0x31da1992e3f9ff57:0x61af1e7fa8129600 3 Mount Elizabeth, #07-02, Mount Elizabeth Medical Centre, Singapore 228510 Dr Kevin Soh describes how a neck mass or lymph node excision is performed. He uses interesting graphics, animation and video to demonstrate the operation. If you have any comments, PLEASE do not be afraid to ask. Please SUBSCRIBE, SHARE, and COMMENT on this video. If you prefer to read, rather than watch the video, here’s the transcript. 0:09 – Case Presentation: A 40 year old lady has a mass on the left side of her neck, measuring 3 cm in size. The mass lies close to the external jugular vein. I can hide her scar by making my incision on the lower skin crease. 0:35 –Surgery video demo: I inject lignocaine (to reduce post-operative pain) and adrenaline (to induce vasoconstriction and reduce bleeding during surgery). I stretch the skin tight in order to facilitate neat skin incision. Because of the adrenaline, the incision is dry and bloodless. 1:11 – I have just cut through the epidermis and dermis. Next, I have to go through the platysma muscle, and search for the mass in the subcutaneous fat. The mass lies in the subcutaneous fat. 1:34 – Surgery is like painting. I use fine gentle strokes. Now I am identifying the platysma muscle. I cut through the platysma muscle. 2:18 – There are important structures in the neck that I need to look out for. Spinal accessory nerve supply motor fibers to the sternomastoid and trapezius muscles. Greater auricular nerve receives sensation from the skin below the ears. 2:44 – I dissect the subcutaneous fat to remove the mass. The mass has to be separated from all its attachments before it can be delivered. 4:41 – I close the wound in layers. I start by suturing the platysma muscle. I suture the platysma muscle in such a way that the knot is buried deep in the wound. 5:33 – Next, I suture the dermis. The needle must bite just the right amount of dermis in order to obtain perfect skin apposition. It is very important to bury the knot. The sutures used for platysma and dermis closure are absorbable sutures. They do not need to be removed. They are absorbed through the process of inflammation. 6:17 – Finally I close the epidermis. Instead of interrupted sutures, I use a continuous subcuticular suturing technique. The epidermis closes when I pull both ends of the suture. For the epidermis, I use non-absorbable sutures that need to be removed 7 days later. Non-absorbable sutures cause less inflammation and scarring. The end result is a very nice cosmetic aesthetic concealed invisible scar. 7:17 – All suture knots (especially absorbable sutures) have to be buried. Unburied absorbable suture knots will result in suture abscess, pain and redness. I also avoid interrupted sutures for the epidermis, because they cause ugly rail-road track or caterpillar marks. Steristrips are applied to provide strength to the wound. They also cover the wound and prevent contamination.
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Wenn es um Gewichtsverlust geht, ist es oft hilfreich, kleinere Ziele zu setzen, um langfristig erfolgreich zu sein. Manchmal reichen bereits kleine Veränderungen aus, um Gewicht zu verlieren und sich insgesamt besser zu fühlen. Ein beliebtes Ziel für viele Menschen ist es, 2 kg abzunehmen. Auch wenn es sich nur um eine kleine Menge handelt, kann es dennoch eine positive Wirkung auf die Gesundheit haben. In diesem Artikel werden schnelle Tipps für kleine Gewichtsziele vorgestellt, die helfen können, 2 kg abzunehmen.
1. Gesunde Ernährung
Eine gesunde Ernährung ist entscheidend, wenn es darum geht, Gewicht zu verlieren. Stellen Sie sicher, dass Sie ausgewogen und abwechslungsreich essen. Reduzieren Sie den Konsum von Zucker, Fett und verarbeiteten Lebensmitteln. Stattdessen sollten Sie auf Obst, Gemüse, Vollkornprodukte und mageres Protein setzen. Achten Sie auch auf die Portionsgrößen und hören Sie auf Ihren Körper, um nicht übermäßig zu essen.
Trinken Sie ausreichend Wasser, um Ihren Stoffwechsel zu unterstützen und Ihren Körper zu entgiften. Vermeiden Sie zuckerhaltige Getränke und Alkohol, da sie viele leere Kalorien enthalten. Planen Sie Ihre Mahlzeiten im Voraus, um Versuchungen zu vermeiden und sicherzustellen, dass Sie gesunde Optionen zur Hand haben. Wenn Sie zwischendurch hungrig werden, greifen Sie zu gesunden Snacks wie Nüssen, Obst oder Gemüsesticks.
Achten Sie auch auf Ihre Essgewohnheiten und versuchen Sie, bewusst zu essen. Nehmen Sie sich Zeit für jede Mahlzeit und genießen Sie jeden Bissen. Vermeiden Sie es, vor dem Fernseher oder am Schreibtisch zu essen, da Sie so leicht das Gefühl für die Portionen verlieren können. Essen Sie langsam und hören Sie auf zu essen, wenn Sie sich satt fühlen, auch wenn noch etwas auf dem Teller übrig ist.
2. Regelmäßige Bewegung
Neben einer gesunden Ernährung ist regelmäßige Bewegung ein wichtiger Bestandteil eines gesunden Gewichtsverlusts. Versuchen Sie, jeden Tag mindestens 30 Minuten körperlich aktiv zu sein. Dies kann in Form von Spaziergängen, Joggen, Radfahren, Schwimmen oder anderen Aktivitäten erfolgen, die Ihnen Spaß machen. Wählen Sie eine Aktivität, die Sie gerne machen, damit Sie motiviert bleiben und kontinuierlich trainieren.
Integrieren Sie auch Krafttraining in Ihr Workout, um Muskeln aufzubauen und Ihren Stoffwechsel zu steigern. Muskeln verbrennen mehr Kalorien als Fett, daher kann Krafttraining Ihnen dabei helfen, schneller abzunehmen. Kombinieren Sie Cardio- und Krafttraining, um maximale Ergebnisse zu erzielen. Planen Sie Ihre Workouts im Voraus und machen Sie sie zu einer Priorität in Ihrem Tagesablauf.
Bleiben Sie aktiv, auch wenn Sie keine Zeit für ein komplettes Workout haben. Nutzen Sie jede Gelegenheit, um sich zu bewegen, sei es durch Treppensteigen, Gehen anstelle des Fahrens oder kurze Fitnessübungen in Ihrer Pause. Je aktiver Sie sind, desto mehr Kalorien verbrennen Sie und desto schneller werden Sie Ihr Ziel von 2 kg Gewichtsverlust erreichen.
3. Stressmanagement
Stress kann sich negativ auf den Gewichtsverlust auswirken, da er dazu führen kann, dass Sie mehr essen und weniger aktiv sind. Daher ist es wichtig, stressige Situationen zu erkennen und effektive Bewältigungsstrategien zu entwickeln. Finden Sie heraus, was Ihnen hilft, Stress abzubauen, sei es durch Meditation, Yoga, Spaziergänge in der Natur oder das Lesen eines Buches.
Sorgen Sie für ausreichend Schlaf, da Schlafmangel zu hormonellen Veränderungen führen kann, die den Appetit und das Gewicht beeinflussen. Schlafen Sie mindestens 7-8 Stunden pro Nacht, um sich ausreichend zu erholen und Ihren Körper gesund zu halten. Vermeiden Sie auch übermäßigen Koffeinkonsum und setzen Sie Grenzen, um den Stress in Ihrem Leben zu reduzieren.
Achten Sie auf Ihr mentales Wohlbefinden und gönnen Sie sich Pausen, um sich zu entspannen und neue Energie zu tanken. Suchen Sie bei Bedarf professionelle Hilfe, um stressige Situationen besser zu bewältigen und gesunde Strategien für den Umgang mit Stress zu erlernen. Indem Sie Stress reduzieren, können Sie mehr Erfolg beim Abnehmen haben und Ihr Ziel von 2 kg Gewichtsverlust schneller erreichen.
4. Hydratation
Die richtige Hydratation spielt eine wichtige Rolle beim Gewichtsverlust. Trinken Sie ausreichend Wasser, um Ihren Stoffwechsel anzukurbeln und Ihren Körper zu entgiften. Wasser kann auch dazu beitragen, das Verlangen nach Snacks und ungesunden Getränken zu reduzieren. Trinken Sie vor den Mahlzeiten ein Glas Wasser, um Ihr Sättigungsgefühl zu unterstützen und weniger zu essen.
Vermeiden Sie zuckerhaltige Getränke wie Limonaden, Fruchtsäfte und Energydrinks, da sie viele leere Kalorien enthalten. Auch Alkohol sollte in Maßen konsumiert werden, da er den Stoffwechsel verlangsamen und den Gewichtsverlust behindern kann. Setzen Sie Wasser, ungesüßten Tee und andere kalorienarme Getränke als Hauptgetränke ein, um Ihre Hydratation zu unterstützen.
Tragen Sie immer eine Wasserflasche bei sich, um sicherzustellen, dass Sie den ganzen Tag über ausreichend Flüssigkeit zu sich nehmen. Achten Sie darauf, auch bei Aktivitäten oder in warmen Umgebungen genügend zu trinken, um Ihren Körper zu hydrieren und den Stoffwechsel zu unterstützen. Durch die richtige Hydratation können Sie Ihren Gewichtsverlust beschleunigen und Ihr Ziel von 2 kg Gewichtsverlust schneller erreichen.
5. Geduld und Durchhaltevermögen
Das wichtigste beim Gewichtsverlust ist Geduld und Durchhaltevermögen. Es kann einige Zeit dauern, bis Sie die gewünschten Ergebnisse sehen, daher ist es wichtig, nicht aufzugeben und kontinuierlich an Ihrem Ziel zu arbeiten. Seien Sie geduldig mit sich selbst und feiern Sie auch kleine Fortschritte auf dem Weg zu Ihrem Ziel von 2 kg Gewichtsverlust.
Vermeiden Sie extreme Diäten oder überschüssige Bewegung, da dies zu einem Jo-Jo-Effekt führen kann und langfristig nicht nachhaltig ist. Setzen Sie auf langsame, aber stetige Fortschritte, um gesunde Gewohnheiten zu etablieren, die Ihnen helfen, Ihr Gewicht langfristig zu halten. Bleiben Sie motiviert, indem Sie sich Ziele setzen und sich belohnen, wenn Sie diese erreichen.
Suchen Sie Unterstützung bei Freunden, Familie oder einem professionellen Coach, um Sie auf Ihrem Weg zum Gewichtsverlust zu unterstützen. Gemeinsam macht es mehr Spaß und Sie können sich gegenseitig motivieren, an Ihren Zielen festzuhalten. Denken Sie daran, dass Gewichtsverlust ein Prozess ist und es normal ist, Höhen und Tiefen zu haben. Mit Geduld und Durchhaltevermögen können Sie Ihr Ziel von 2 kg Gewichtsverlust erreichen und ein gesünderes Leben führen.
Insgesamt sind kleine Gewichtsziele wie der Verlust von 2 kg ein guter Startpunkt, um gesünder zu leben und sich besser zu fühlen. Mit den richtigen Tipps und Strategien können Sie Ihr Ziel erreichen und langfristigen Erfolg beim Gewichtsverlust haben. Beginnen Sie noch heute damit, kleine Veränderungen vorzunehmen und nehmen Sie Ihr Wohlbefinden in die Hand.
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