Health Essentials

Medical challenges that may fall below the radar

Your Health is Your Responsibility – Take Control!

It is important that we do everything possible within our power to ensure that we stay healthy. Having the appropriate knowledge is very important in our quest to remain healthy so that we can do more of the things we enjoy. Some conditions have a way of escaping our memory and we occasionally need a reminder.

Independence Day is just around the corner and over the past few years I get very anxious in March; when countries are so blessed but we do everything possible to mess up then you really wonder what else we expect of the Almighty.

Let us look at some easy to forget medical conditions and hopefully the engagement will ease my March anxiety.

Pregnancy complications of Rhesus Negative mothers
Bell’s Palsy or Facial Palsy
Post Partum Blues or Depression
Underperformance in school children

Pregnancy complications of Rhesus Negative mothers
1. This is a potentially serious condition but easy to correct. Could this be the cause of the poor pregnancy outcomes or multiple abortions you are experiencing?
1. If a woman is Rhesus (Rh) Negative and carrying a baby who is Rh positive, then the mother’s immune system will see the baby’s red blood cells as “foreigners” and will make antibodies to fight and destroy the baby’s red blood cells. This may not be a problem with the first pregnancy but subsequent ones are at risk since the antibodies would have built up significantly.
1. This process of antibody production could occur when an Rh negative mother has a miscarriage, ectopic pregnancy and induced abortion. It is IMPORTANT to know your blood group – O negative, A negative (and all the ones that are followed by a negative), will need to alert your health care giver when pregnant.
1. If you are Rh negative, it is important that to protect your babies, you are given an injection called Rhogam (this is no advertisement), which is a type of vaccine. It should ideally be given when your pregnancy is 28 weeks old and then repeated within 72 hours of delivery if baby is Rhesus positive.
1. There may be some issues with Rhogam but the benefits outweigh the downsides.

Bell’s Palsy or Facial Palsy
- This is not a STROKE but seek immediate medical care since you may not know what it could be heralding. Bell’s palsy is a sudden weakness of the face causing one half to droop. Your smile is one sided and your eye on one side resists closing.
- It may occur at any age. The exact cause is unknown but it affects a nerve controlling muscles of the face. It is sometimes considered to be a reaction that occurs after a viral infection such as a common cold and may occur also in pregnancy.
- Bell’s palsy is often temporary and most people experience total recovery within six (6) months. Rarely it may leave permanent tell-tale signs and may recur in a handful of people also.
- One may experience increased sensitivity to sound on the affected side, headaches, pain around the jaw or behind the ear on the affected side. There may also be abnormal production of tears and saliva. Seek medical care.
Post Partum Blues or Depression
- We all expect a new addition to a family to bring excitement and joy but sometimes it may cause depression. Post partum depression is not a character flaw or a weakness and with the right intervention at the right time and with good family support, you can enjoy your baby.
- Post partum blues is a milder form of post partum depression. In some cases one may even develop post partum psychosis after you have your bundle of joy. This is in no way a thesis to scare you away from childbirth but rather to make you aware so that you can take the appropriate steps quickly once you are confronted with the situation. Always SEEK prompt medical care, there is no point “waiting to see.”
- One may often experience some of the following; loss of appetite, inability to sleep, intense irritability and anger, overwhelming fatigue, lack of joy in life, difficulty bonding with baby, feeling of shame, guilt or inadequacy and even thoughts of harming yourself or your baby. Avoid diagnostic greed, do not wait for many symptoms before seeking help, you are better off seeing a professional and being declared okay than to wait until things become complicated.
Underperformance in school children

Quite often, children may not be performing well in school and we unfortunately resort to the cane, screaming at them and heaping insults on them without finding the root cause. We will be complicating matters and eventually set the stage for rebellion in addition to poor or underperformance in school. We need to consider the following (other reasons or causes exist) before drawing conclusions and as parents or guardians, our input is extremely important.

Poor Nutrition
- Food is fuel for the body and the brain can never perform appropriately without the proper “fuel”. We need to ensure that children eat a balanced meal before going to school. Hunger or poor meals could distract a child at school and prevent him/her from understanding what the teacher may be imparting. Check the meals and you may realise you have a straight As child!
Poor Eyesight/vision
- The child may not be doing well simply because he is unable to read from the board. It may only need a simple test of vision to correct this.
Hearing Challenges
- Certainly if the child has a problem with hearing, he may miss so many things discussed in class or even hear the “wrong” things. Your guess in such a situation is as good as mine.

So the next time your child finds himself/herself at the bottom of the class check the above and get medical assistance, you may be hosting a genius. I believe you are aware that some children will bloom late and at that point there is just no way to stop them, even the sky limit cannot limit them.

The drill remains the same, you will cope better with all the above if you stay healthy – exercise often, eat right, drink adequate amounts of water and get enough sleep hours.

AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)

Dr. Kojo Cobba Essel

Health Essentials Ltd/ Mobissel

(dressel@healthessentialsgh.com)

Dr. Essel is a medical doctor, holds an MBA and is ISSA certified in exercise therapy, fitness nutrition and corrective exercise.

Thought for the week – “Lack of sleep may predispose you to many diseases including a STROKE. Jump into bed an hour earlier and sleep a stroke away. You cannot be healthy during WAR or VIOLENCE, let’s all pray and work towards PEACE in our WORLD”

References:

www.mayoclinic.com
www.healthessentialsgh.com

By Dr. Kojo Cobba Essel

Health Essentials

At Easter should Spiritual Wellness be the only form of Wellness?

Every single repetitionof squat is worth the effort

Many of us have already packed our Easter season with so much work and back-to-back programmes we hardly have time to breathe.

The little time we can squeeze out is used to stuff ourselves with food and drinks, but for this season and beyond we may be able to spend five minutes even on extremely busy days to make a difference in our lives so that we can have time to sing, dance and worship God as we remember his unparalleled sacrifice to us.

My-in-laws who reside on the mountain are busy trekking up and dragging their friends and colleagues with them. Any idea why the Kwahus revel in Easter? Has it always been that way or is it a conscious effort to show Ghana and the world what they have?

We all wish our favourite exercises will give us the same benefits as all other exercises but the truth is that some exercises are “more equal than others” just as happens in every aspect of life.

This does not mean if you are unable to perform the most effective exercises, you should exert yourself and cause injury to your body. Remember, Cobba’s First Law of Exercising is “DO NO HARM”.

These exercises may just help you stay afloat this Easter:

• Squats

• Plank

• Push-Ups

• Walking & Dancing

Squats

Every single rep (repetition) in this exercise is worth the effort.

Squats target the quadriceps, hamstrings and gluteals, which in simple language refers to the thigh muscles and buttocks.

It is important to learn the right technique and since it exercises large muscle groups, you are able to burn a lot of calories with squats.

In every exercise session, it is important to work large muscles before the smaller ones.

Steps

1. Keep feet shoulder width apart

2. Back should be straight (standing posture)

3. Bend knees and lower your rear till your thighs are horizontal.

4. Return to the standing position

5. Repeat steps 1-4

6. Remember to stretch the muscles used after the exercise.

If you have difficulty following the steps above, place a chair behind you and with your back straight try to sit on it. Do not let your buttocks touch the seat, then return to the standing position and repeat. As your technique improves, you may remove the chair.

As one gets stronger you may even carry some weights while doing squats but as always start with caution. You may do only 3 reps at a time (properly). Gradually, add some more.

When to avoid squats

• Severe knee pain irrespective of cause

• Knee injury even if no longer painful (you will need professional supervision)

• Acute back pain (you will later do back slides which is similar to squats and helps strengthen back muscles)

This exercise benefits almost everyone with a lifestyle disease. Hypertensives (those with high blood pressure) even get a bonus since it causes peripheral pooling of blood and helps to lower the blood pressure over time.

Plank

Arguably, the safest exercise for strengthening abdominal muscles and also has the added benefit of strengthening lower back muscles. Especially for people who sit for long hours (you shouldn’t anyway) this is great news for helping your back.

1. Start by getting into a push-up position

2. Bend your elbows and rest your weight on your forearms and not on your hands

3. Support your lower body on your toes

4. Your body should form a straight line from shoulders to ankles just like a plank of wood

5. Engage your core (midsection) by sucking your belly button into your spine

6. Hold this position for the prescribed time. This may vary from 5 seconds to 1 minute. Repeat.

Push-ups (press-ups)

This is probably the first exercise most people try out; well apart from laughter and walking I presume, and everyone is familiar with it.

Go ahead and squeeze a minute a day in there.

Walking & dancing

Before you set out to exercise your muscles remember to walk at least a minute before you start and a minute after you are done.

You may even walk while in one place, what matters is moving your legs and arms and getting your heart to pump.

Use every opportunity during the day to:

• use the stairs instead of the elevator

• walk while you talk on your cell phone

• Walk to a colleague’s desk at the office instead of using the phone or sending someone else.

• Pick your own stuff for cooking instead of sitting and getting people to assist with even the trivial errands

• Dance with your heart whenever you have a chance; during your Christmas programmes, while watching TV and even while you take a shower.

A minute each for Squats, Planks and Push-ups and two minutes of walking every morning, afternoon or evening may just be enough to get you through the season and certainly it will not tamper much with your tight holiday schedule. Do not forget to smile often, breathe deeply to relax, enjoy some sunshine, pray, praise and worship God and you will be on the right path especially if you keep an eye on your finances and learn to unplug several hours each day.

In my opinion, every aspect of Wellness is important at all times and we should try to keep a balance. Neglecting all other aspects (Physical, Social, Mental, Digital, Financial & Spiritual) and focusing only on Spiritual Wellness will mean we will not be able to perform at our very best and certainly our Maker needs the best version of us.

AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)

Dr Kojo Cobba Essel

Health Essentials Ltd/ Medics Clinic

(dressel@healthessentialsgh. com)

*Dr Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist in Exercise Therapy, Fitness Nutrition and Corrective Exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’

Thought for the week – “For heart health you need to relax and have fun as well; schedule time for leisure, sing praises to God, laugh often, learn to breathe deeply and maybe get a pet.”

References:

• The Gym Bible

• www.webmd.com

• 30dayfitnesschallenges.com

By Dr Kojo Cobba Essel

Health Essentials

Hijab (Islamic Veil) as an Act of Worship

Alhamdulillah (all praise is due to Allah), the Creator of the heavens and the earth, the One who guides us to the straight path.

We bear witness that there is no deity worthy of worship except Allah alone, and we testify that Muhammad (peace and blessings be upon him) is His servant and Messenger.

May Allah’s peace and blessings be upon him, his family, and all who follow him in righteousness until the Last Day.

Introduction

Dear respected brothers and sisters in Islam, today’s khutbah addresses an essential act of worship that embodies submission, modesty, and obedience to Allah: the “Hijab”.

While the Hijab is an explicit command from Allah, it is also a human right protected under local and international laws.

It is imperative that Muslim women are allowed to observe Hijab freely, especially in public institutions such as universities, banks, ministries, public health institutions, and government agencies.

Definition and Meaning of Hijab

In Islam, Hijab refers to modesty in appearance and behaviour. For women, this includes covering the body, except for the face and hands, in non-revealing clothing (not skin-tight), while for men, it includes covering from the navel to the knees and dressing modestly.

The Hijab extends to lowering the gaze, avoiding indecent speech, and conducting oneself with dignity.

Allah commands:

“And tell the believing women to lower their gaze and guard their private parts and not to display their adornment except that which [ordinarily] appears thereof and to wrap [a portion of] their headcovers over their chests.”

(Quran 24:31).

Essence of Hijab as an Act of Worship and Modesty

The Hijab is an act of worship rooted in obedience to Allah. It is not a cultural practice but a divine command. Allah says:

“O Prophet, tell your wives and your daughters and the women of the believers to bring down over themselves [part] of their outer garments. That is more suitable that they will be known and not be abused. And ever is Allah Forgiving and Merciful.”

(Quran 33:59).

The Hijab is a reflection of one’s faith, modesty, and inner character. It shields the individual from immorality and contributes to the moral fabric of society.

Lowering the Garments and the Gaze

The Hijab also encompasses lowering the gaze and maintaining purity in interactions between genders. Allah says:

“Tell the believing men to lower their gaze and guard their private parts. That is purer for them. Indeed, Allah is Acquainted with what they do.” (Quran 24:30).

By lowering the gaze, both men and women protect themselves from sin and maintain mutual respect.

Social Menace and Immoralities Due to Lack of Hijab

The absence of Hijab in society has led to numerous social issues, including:

Zina (Adultery and Fornication): Unrestricted interactions and immodesty increase the likelihood of adultery and fornication, which Allah explicitly prohibits:

“And do not approach unlawful sexual intercourse. Indeed, it is ever an immorality and is evil as a way.”

(Quran 17:32).

Exploitation and Objectification:

When modesty is neglected, individuals, especially women, are objectified and exploited, resulting in an increase in harassment and sexual abuse, a phenomenon that has plagued many organissations such as Universities, Banks and other public institutions. The introduction of Sexual Harassment Policies with its attendant harsh punishments has done very little in resolving this menace.

By Imam Alhaji Saeed Abdulai