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YOUR HEALTH
The nuisance
of dry eye disease
THE tear film is an extremely important both patient and practitioner as it often
layer on the eye surface. It maintains the interferes with the overall management and The latest method of
smoothness of the surface for good vision perceived satisfaction of the patient. treating dry eye disease
and comfort. It is made up of three layers: There are significant symptoms, which are features the use of IPL
mucin, water and lipid. A disturbance in the either not treated effectively or ignored by to spark a series of
balance of the three components may lead to eye care practitioners. This usually happens chemical reactions that
symptomatic dry eyes. when there is not much time or it is stimulate the glands
Dry eye disease is a common pathology perceived that the complaint is insignificant responsible for upkeep
affecting more than 20% of the population, or untreatable. of the tear film.
with symptoms increasing in prevalence Although lubricating eyedrops may
with age. Conditions of a modern lifestyle provide some relief, it is often not enough in
(including working on computer screens, more severe conditions. Depending on the
driving cars, exposure to artificial lights and cause of dry eyes, treatment will include
air pollution, and wearing contact lenses) other eye drops such as cyclosporine,
make dry eye syndrome a more frequent steroidal eyedrops and lipid-based drops.
nuisance. Manual expression, Meibomian gland
Generally, it is a result of a tear film issue, probing and a procedure called Blephex may
either caused by insufficient tears or also need to be done.
excessive evaporation. It is recognised that a The latest addition to these
majority of cases are caused by evaporation, armamentarium of treatment modalities is
mainly because of an insufficiency of the intense pulsed light (IPL) therapy. It involves
external lipid layer of the tear film secreted applying perfectly calibrated, homogenously
by glands in the eyelids, which are known as sequenced and sculpted light pulses. The
Meibomian glands. energy, spectrum and time period are
Dry eye disease is an unpleasant sensory precisely set to stimulate the Meibomian
and emotional experience for patients. glands to return them to normal function.
Burdened with discomfort and fear, patients Each treatment session takes only a few
often feel miserable, not knowing how to minutes, during which the patient is seated
precisely describe what they are feeling. comfortably. An ophthalmologist will give chemical reactions take place, stimulating all those miseries of dry eyes. – By Dr
Most feel exasperated because no one the patient protective eyewear to put on to the nerves supplying the glands and the Norazlina Bachik Ng, cataract, refractive
understands their condition. Mild cases can shield his eyes from the light. A hydrogel will secretion and contraction of the glands, and anterior segment surgeon at KPJ
lead to frequent visits to eye care be applied onto the skin beneath the eyes for which improves microcirculation. Pusat Pakar Mata Centre for Sight
practitioners while moderate to severe cases further protection. Then, a series of five The treatment effects are cumulative.
are often associated with significant pain, flashes is applied under the lower eyelid. They generally last one week after the first n For details, visit www.kpjcfs.com or call
limitations in performing daily activities, The same procedure will then be repeated session, two to three weeks after the second KPJ Pusat Pakar Mata Centre for Sight at
reduced vitality, poor general health and, in under the lower eyelid of the other eye. session, and six months to two years after 03-4022 6222 (Kuala Lumpur)/03-7880 8222
some cases, depression. IPL doesn’t directly affect the Meibomian the third or fourth sessions. It is a promising (Petaling Jaya)/03-6093 1051 (Rawang).
The treatment is particularly frustrating to glands. After the procedure, a series of mode of treatment to help alleviate or negate KKLIU No.2720/2018
THE STAR, TUESDAY 26 NOVEMBER 2019 Your Health 5
Protection for
the growing child
TO commemorate the launch of with VitaHealth Kids Multivits
its brand-new range for children, Jellybean. These easy-to-chew,
VitaHealth is offering a three-for- apple-flavoured jellybeans
two promotion with purchase of contain 12 key vitamins and
Kids Probio16 Yogurt Plus 30s minerals, and do not contain
and Kids Multivits Jellybean 90s, any artificial flavouring and
as well as a chance to win grand colouring. These include:
prizes which include a one-day l Vitamin A – Good for
combo ticket to Legoland eyesight
Malaysia Resort for a family of l Niacin and vitamin B6 –
four. Necessary for proper
functioning of the brain
VitaHealth Kids l Vitamin B12 – Needed for
the formation of red blood
Probio16 Yogurt Plus cells, which carry oxygen
throughout the body
Bolster the good bacteria in l Biotin – Helps maintain
your children’s tummy to keep healthy skin, hair and nails
them feeling their best with a l Vitamin C – Maintains
child-friendly yogurt powder healthy gums, bones and blood
featuring two billion colony- vessels
forming units of live probiotic l Vitamin D – Essential for
Bifidobacterium breve M-16V, bone health and helps the body
galacto-oligosaccharides (GOS) utilise calcium and phosphorus
and vitamin D3. l Vitamin E – Strong
GOS are a type of prebiotic antioxidant beneficial for
that feed the good bacteria in combating free radicals in the
the gut. The symbiotic body
combination of M-16V and GOS l Vitamin K1 – Aids in bone
aids in nutrient absorption, metabolism and acts as an
ensuring that your little one is anticoagulant (assists in blood
getting adequate nutrients for clotting)
healthy growth and l Folic acid – Essential for
development. Vitamin D3 helps the growth and division of cells
in the absorption of calcium for l Iodine – Necessary for the
stronger bones and teeth. production of thyroid
Available in single-serve hormones, which help regulate
sachets, Kids Probio16 Yogurt the body’s metabolism and
Plus is perfect for convenient, promote growth and
on-the-go use. It can be development throughout the
consumed as is or mixed with body
beverages. This probiotic is shelf- l Zinc – Plays a vital role in
stable, without needing to be strengthening the immune
refrigerated. It is made without system, supporting healthy
additional flavouring, colouring growth and facilitating wound
and preservatives. healing
Treating neuropathy
before the point of no return
NERVES are essential for bodily functions
and have a range of roles in sensing and
processing stimuli, then signalling other
tissues to respond, such as the involuntary
muscle movement that occurs when you
burn a finger on a hot pan. The peripheral
nervous system refers to nerves other than
the brain and spinal cord, and consists of
billions of nerve cells known as neuron.
The peripheral nervous system has two
parts – the somatic and autonomic systems.
The somatic nervous system consists of
nerves that connect the brain and spinal
cord to sensory neurons, which detect
sensory inputs such as temperature and
MAL19910915XZ
pain, and to motor neurons in skeletal
muscles, which control body movement.
The autonomic system connects the brain
and spinal cord to internal organs and
regulates bodily processes that require no
conscious effort, such as your heartbeat and
blood pressure.
Symptoms of peripheral
neuropathy
Peripheral neuropathy describes a group Neurobion has been the market leader of vitamin B complex/vitamin B combination products for the last two-year period on a combined
of conditions in which the peripheral market of 74 countries worldwide, according to internal calculations based on IMS Health Midas sales for MAT 09/2015 through MAT
nervous system is impaired or damaged. It 09/2016.
is associated with a broad range of
symptoms that vary according to the sensations that include increased sensitivity The timing and clinical presentation of impact of peripheral neuropathy increases
severity of disease and the specific nerves to touch, sharp pain, extreme sensitivity to the development of neuropathy in with age and therefore is likely to increase
involved – motor, sensory or autonomic. pain, pain to non-painful stimuli, “pins and sufferers or at-risk patients vary widely, as the population ages.
Symptoms of neuropathy can be divided needles” and burning pain. therefore preventative and treatment
into two categories:
l Positive symptoms typically reflect
l Negative symptoms are those associated
with a loss of sensation, including reduced
measures should be started early. When
approximately 50% or more of nerve
Benefits of vitamin B in nerve
inappropriate spontaneous nerve activity. sensitivity to pain, loss of sensation, fibres are damaged, the point of no return care
Causes uncomfortable and painful numbness and reduced perception of touch. occurs, where regeneration is no longer
possible. Neurotropic vitamins B1, B6 and B12
Therefore, it is important to recognise contribute to nerve care via different
nerve damage and avoid that point of no biochemical mechanisms. They nourish and
return with early treatment and help regenerate nerves. Each of these B
preventative measures. When nerves are vitamins has been found to have unique
damaged extensively, the symptoms and essential roles, which contribute to nerve
reduced functioning can seriously impact function.
quality of life. Vitamin B1 is involved in energy
For example, the painful sensations metabolism, maintaining the myelin sheath
associated with nerve damage, which (which covers the axon of nerves), and the
usually get worse at night, can cause sleep synthesis of key signalling molecules in the
disturbances and increased symptoms of nervous system, which are known as
anxiety and depression. There are also neurotransmitters. Vitamin B6 is involved in
autonomic symptoms that should be the synthesis of neurotransmitters. Vitamin
monitored, such as abnormal sweating B12 is involved in nerve cell maturation and
and impotence. regeneration, nerve cell metabolism and
formation of nerve myelin sheaths.
Populations at risk of peripheral Neurobion is a health supplement that
contains neurotropic vitamins B1, B6 and
neuropathy B12. They work synergistically and are vital
for keeping nerves healthy. If you are at risk
There are many potential causes of of becoming deficient in vitamins B1, B6 and
peripheral neuropathy, including chronic B12, you may need to supplement your diet
disease, environmental toxins, alcoholism, with Neurobion. It has been clinically tested
nutritional deficiencies, genetics or the to nourish nerve cells, improve nerve
side effects of some medications. In more function and relieve nerve pain. Take
than 20% of peripheral neuropathy cases, Neurobion today to help your nerves stay
the cause of neuropathy may remain healthy and keeping the tingling and
unknown. numbness at bay.
Among chronic disease cases, diabetes is As part as its continuous initiative to raise
the most frequent cause. Peripheral awareness on the importance of healthy
neuropathy caused by diabetes is known nerves, Procter & Gamble is providing nerve
as diabetic peripheral neuropathy. tests using biothesiometers at selected
Although diabetic peripheral neuropathy pharmacies nationwide. It hopes to
is the most common complication of encourage consumers to take the first step
diabetes and despite causing significant in identifying possible nerve damage and
morbidities, including foot ulcers and seek further medical consultation or
amputations, it is not well recognised. treatment if needed. For more information
Nutritional deficiencies in the on the event, visit www.neurobion.com.my
neurotropic vitamins – vitamin B1, or email chmymmal.im@pg.com.
vitamin B6 and vitamin B12, can also lead The information contained in this article
to peripheral neuropathy. Populations who is not intended or designed to diagnose,
are at risk of neuropathy caused by prevent, treat or provide a cure for any
nutritional deficiencies include those with condition or disease, ascertain the state of
malnutrition, malabsorption, increased your health or be substituted for medical
requirements and increased loss, such as care. Procter & Gamble encourages you to
people with gastrointestinal diseases, seek the advice of your doctor or healthcare
advanced age and more. professional if you have any questions or
Patients who have had bariatric surgery concerns arising from the information in
can also develop vitamin B deficiency this article.
states and subsequent neurological
symptoms if not monitored and This is a medicine product advertisement.
supplemented with neurotropic B
vitamins. The overall prevalence and KKLIU No.1943/2017. MYS-NEU-1708-0123(1)