₦airaland Forum

HEART FAILURE
Heart failure is a chronic disease needing lifelong management. However, with treatment, signs and symptoms of heart failure can improve and the heart sometimes becomes stronger. Treatment can help you live longer and reduce your chance of dying suddenly. Doctors sometimes can correct heart failure by treating the underlying cause. For example, repairing a heart valve or controlling a fast heart rhythm may reverse heart failure. But for most people, the treatment of heart failure involves a balance of the right medications, and in some cases, devices that help the heart beat and contract properly.

MEDICATIONS
Doctors usually treat heart failure with a combination of medications. Depending on your symptoms, you might take one or more of these drugs. They include:

Angiotensin-converting enzyme (ACE) inhibitors. These drugs help people with heart failure live longer and feel better. ACE inhibitors are a type of vasodilator, a drug that widens blood vessels to lower blood pressure, improve blood flow and decrease the workload on the heart. Examples include enalapril (Vasotec), lisinopril (Prinivil, Zestril) and captopril (Capoten).

Angiotensin II receptor blockers. These drugs, which include losartan (Cozaar) and valsartan (Diovan), have many of the same benefits as ACE inhibitors. They may be an alternative for people who can't tolerate ACE inhibitors.

Digoxin (Lanoxin). This drug, also referred to as digitalis, increases the strength of your heart muscle contractions. It also tends to slow the heartbeat. Digoxin reduces heart failure symptoms.

Beta blockers. This class of drugs not only slows your heart rate and reduces blood pressure but also limits or reverses some of the damage to your heart. Examples include carvedilol (Coreg), metoprolol (Lopressor) and bisoprolol (Zebeta). These medicines reduce the risk of some abnormal heart rhythms and lessen your chance of dying unexpectedly. Beta blockers may reduce signs and symptoms of heart failure, improve heart function, and help you live longer.

Diuretics. Often called water pills, diuretics make you urinate more frequently and keep fluid from collecting in your body. Commonly prescribed diuretics for heart failure include bumetanide (Bumex) and furosemide (Lasix). The drugs also decrease fluid in your lungs, so you can breathe more easily. Because diuretics make your body lose potassium and magnesium, your doctor may also prescribe supplements of these minerals. If you're taking a diuretic, your doctor will likely monitor levels of potassium and magnesium in your blood through regular blood tests.

Aldosterone antagonists. These drugs include spironolactone (Aldactone) and eplerenone (Inspra). They are potassium-sparing diuretics but also have additional properties that may reverse scarring of the heart and help people with severe heart failure live longer. Unlike some other diuretics, spironolactone can raise the level of potassium in your blood to dangerous levels, so talk to your doctor if increased potassium is a concern, and learn if you need to modify your intake of food that's high in potassium.

You'll probably need to take two or more medications to treat heart failure. Your doctor may prescribe other heart medications as well — such as nitrates for chest pain, a statin to lower cholesterol or blood-thinning medications to help prevent blood clots — along with heart failure medications.

You may be hospitalized if you have a flare-up of heart failure symptoms. While in the hospital, you may receive additional medications to help your heart pump better and relieve your symptoms. You may also receive supplemental oxygen through a mask or small tubes placed in your nose. If you have severe heart failure, you may need to use supplemental oxygen long term.

Surgery and medical devices
In some cases, doctors recommend surgery to treat the underlying problem that led to heart failure. Some treatments being studied and used in certain people include:

Coronary bypass surgery. If severely blocked arteries are contributing to your heart failure, your doctor may recommend coronary artery bypass surgery. In this procedure, blood vessels from your leg, arm or chest bypass a blocked artery in your heart to allow blood to flow through your heart more freely.

Heart valve repair or replacement. If a faulty heart valve causes your heart failure, your doctor may recommend repairing or replacing the valve. The surgeon can modify the original valve (valvuloplasty) to eliminate backward blood flow. Surgeons also can repair the valve by reconnecting valve leaflets or by removing excess valve tissue so that the leaflets can close tightly. Sometimes repairing the valve includes tightening or replacing the ring around the valve (annuloplasty). Valve replacement is done when valve repair isn't possible. In valve replacement surgery, the damaged valve is replaced by an artificial (prosthetic) valve.

Implantable cardioverter-defibrillators (ICDs). An ICD is a device similar to a pacemaker. It's implanted under the skin in your chest with wires leading through your veins and into your heart. The ICD monitors the heart rhythm. If the heart starts beating at a dangerous rhythm, or if your heart stops, the ICD tries to pace your heart or shock it back into normal rhythm. An ICD can also function as a pacemaker and speed your heart up if it is going too slow.

Cardiac resynchronization therapy (CRT) or biventricular pacing. A biventricular pacemaker sends timed electrical impulses to both of the heart's lower chambers (the left and right ventricles), so that they pump in a more efficient, coordinated manner. Many people with heart failure have problems with their heart's electrical system that cause their already-weak heart muscle to beat in an uncoordinated fashion. This inefficient muscle contraction may cause heart failure to worsen. Often a biventricular pacemaker is combined with an ICD for people with heart failure.

Heart pumps (left ventricular assist devices, or LVADs). These mechanical devices are implanted into the abdomen or chest and attached to a weakened heart to help it pump. Doctors first used heart pumps to help keep heart transplant candidates alive while they waited for a donor heart.

LVADs are now sometimes used as an alternative to transplantation. Implanted heart pumps can significantly extend and improve the lives of some people with severe heart failure who aren't eligible for or able to undergo heart transplantation or are waiting for a new heart.

Heart transplant.
Some people have such severe heart failure that surgery or medications don't help. They may need to have their diseased heart replaced with a healthy donor heart. Heart transplants can dramatically improve the survival and quality of life of some people with severe heart failure. However, candidates for transplantation often have to wait months or years before a suitable donor heart is found. Some transplant candidates improve during this waiting period through drug treatment or device therapy and can be removed from the transplant waiting list.

End-of-life care and heart failure
Even with the number of treatments available for heart failure, it's possible that your heart failure may worsen to the point a heart transplant isn't an option, and you may need to enter hospice care. Hospice care provides a special course of treatment to terminally ill people.

Hospice care allows family and friends — with the aid of nurses, social workers and trained volunteers — to care for and comfort a loved one at home or in hospice residences. It also provides emotional, social and spiritual support for people who are ill and those closest to them. Although most people under hospice care remain in their own homes, the program is available anywhere — including nursing homes and assisted living centers. For people who stay in a hospital, specialists in end-of-life care can provide comfort, compassionate care and dignity.

Although it can be extremely difficult, discuss end-of-life issues with your family and medical team. Part of this discussion will likely involve advance directives - a general term for oral and written instructions you give concerning your medical care should you become unable to speak for yourself. If you have an implantable cardioverter-defibrillator (ICD), one important consideration to discuss with your family and doctors is turning off the defibrillator so it can't deliver shocks to make your heart continue beating.

You have a disease you are fighting with and want to know how to cure it then you have just come to the right place. Or you have someone you are nursing because of one disease or the other.
YOU'RE WELCOME HERE_Anytime

A little boy wakes up three nights in a row when he hears a thumping sound coming from his parents bedroom.

Finally one morning he goes to his mom and says, "Mommy, every night I hear you and daddy making noise and when I look in you're bouncing up and down on him."

His mom is taken by surprise and says "Oh well I'm bouncing on his stomach because he's fat and that makes him thin again."

The little boy says, "that won't work"

His Mom says, "WHY?"

The little boy replies "because the lady next door comes over, after you leave, and blows him back up!"

Some updates fit kill person:

"To hair is human to forgive is design"
"I hate guys with low selves of steam"
"You are a blessing to your generator"
"I am a soccer for guys with six park".
"My BB charger is no longer walking"
"Anybody who supports this killings is a carnival"

Akpos nd Isabella were the latest couple in town. One day, while strolling down the street, they came to a boutique and Isabella saw a beautiful dress.

"Akpos, can you please give me about N10,000 to buy this dress, I left my purse at home."

Akpos brings out his wallet and gives Isabella money, "Take N140 naira for transport. Go back house go bring your purse!"

The government announced that if you have 5 children your salary will be increased by 50 percent.

A man heard the news and said to his wife, "Darling, I have a kid with my girlfriend. I'm going to bring him so we can add him to our 4 kids."

When he came back, he saw only one of his children remaining. He asked, "where are the others?"

His wife replied, you are not the only one who heard the news, "THEIR FATHERS HAVE COME FOR THEM!"

A guy was chilling with his girlfriend when she excused herself to attend to something else but left her phone behind.

A while later her phone rang and the guy looked at the caller ID...it read Maga 32, he laughed so hard then he thought about calling her phone just for kicks.

Unfortunately the caller ID read Maga 98...the guy broke down in tears!

On a bus going from Ibadan to Lagos, the phone of a girl sitting close to me rang she picks it and said "Honey, I'm in a bus going to Abuja for the burial, I'll call you when I get there".

Another girl's phone rang, she said "Sweetheart I'm on my way to Port-Harcourt for the Masters Degree Form, pls send me Credit for the trip."

Another one's phone rang, she said..."Alhaji, sorry I'm on my way to Owerri for the interview, I'll call you later."

A man who was sitting at the back of the bus suddenly raises his voice in anger "Driver stop please park! Park this bus! Where exactly is this bus going to!!!?"

A prostitute sued a man to court for rape.

Judge to prostitute: So when did you realize you were raped?
Prostitute [wiping away tears]: When the cheque bounced!

AKPOS: I'm coming to see you honey.

GIRL: Alright baby.

AKPOS: I love you, I can't wait to see you...I'm getting ready to leave now.

GIRL: Okay but honey, I'm on my period, just letting you know incase.

AKPOS: My car just broke down, I can't come and see you.

GIRL: Get your friend to bring you, like he always does.

AKPOS: He got shot by armed robbers so I can't come, I'm sorry.

GIRL: Oh never mind, I'm not on my period.

AKPOS: My friend has just been discharged from hospital and he has said he's okay, he's fine and he will take me now. I'm coming sweetheart.

GIRL: sh*t! I'm really on my period, just did not notice.

AKPOS: Damn! He has been shot again. I can't come!

A newly wed couple moves into their house. One day the husband comes home from work and his wife says!

WIFE: Honey, you know in the upstairs bathroom one of the pipes is leaking, could you fix it?
HUSBAND: What do I look like Mr. Plumber?

A few days go by and he comes home from work!

WIFE: Honey, the car won't start. I think it needs a new battery. Could you change it for me?
HUSBAND: What do I look like Mr. Goodwrench?

The next day the husband comes back home from work! The plumbing is fixed, so is the roof and so is the car! He asked his wife what happened.

WIFE: Oh, I had a handyman come fix them.
HUSBAND: How much did it cost?
WIFE: Nothing, he said he'd do it for free if I either baked him a cake or slept with him!
HUSBAND: Which cake did you bake?
WIFE: Do I look like Cakes n Cream?

Girlfriend giving house directions to her Boyfriend:

"come to the front gate of my apartment where you dropped me,

look for flat 9A,

you'll find a lift on your right.

Then, hit 9 with ur ELBOW...

And get out of the lift you'll find my flat on left.

hit the doorbell with your ELBOW & I'll get to open the door for you"

Boy Friend: dear that seems easy but why am I hitting buttons with my ELBOWS only?

Girl Friend: "OMG!! Are you coming empty handed " O_O

Boy Friend: (speechless)

Akpos was trying to avoid paying doctor's fee after an eyes operation, so he says, "doctor, I still can't see"

The doctor then asks a sexy young and beautiful nurse to UnCloth in front of him. Akpos then says "I can't see!"

Doctor tells nurse to open her legs again. Akpos says "doctor I can't see still."

The doctor answered "You are stupid, if you can't see, HOW COME YOU ARE HAVING AN ERECTION? Nurse, prepare his bill please!"

I was in the public toilets and had just sat down, a voice from the next cubicle said:

VOICE: Hi, how are you?
ME: Embarrassed I'm doing fine?
VOICE: So what are you up to?
ME: Just doing the same as you , sitting here!
VOICE: Can I come over?
ME: [Annoyed] Rather busy right now!

The voice then said "Listen , I will have to call you back, there's an idiot next door answering all my questions."

ME: Oops!

Caro was walking down the road when Akpos passed by holding a Pig.

CARO: What are you doing with this goat walking on the street.
AKPOS: [Laughing] Silly you its not a goat its a Pig.
CARO: Sorry, I was talking to the Pig!
Akpos:

A young man came into a bar and ordered a drink, after ordering it he didn't drink it immediately. Then a fat, thirsty trouble-making truck driver came and drank it.

MAN: Why did you do that? You've just helped in ruining d rest of my day!

TRUCK DRIVER: Don't worry man but I couldn't just stand there and watch you stare at your drink like that while I was thirsty...but if you want I can buy you 2 bottles.

MAN: That's not it, today is the worst day of my life first I woke up late for work then I didn't take my bath took my car which eventually broke down on the road and by the time I got to my office my secretary told me my boss wanted to see me and as I entered his office he gave me a letter and told me to get the hell out his office.

Took a cab back home and saw my wife in bed with another man, I tried to confront the man but got beat up and then I taught of the easiest way of ending my life so I poisoned my drink and you spoilt it by gulping it.

TRUCK DRIVER:

Dear Sir,

APPLICATION FOR EMPLOYMENT
I refer to the recent death of the accountant at your office and hereby apply for the job as a replacement of the dead accountant.

Each time I apply for employment, I get a reply that there is no vacancy but in this case, I have caught you red handed and you have no excuse because while I was in my hometown for holidays I heard the good news about his death so i quickly rushed back to attend the funeral to be sure that he was truly dead before applying.

Attached to my letter is a copy of my CV and his obituary as proof of vacancy.

You can't swerve me this time. Give me the job.

Thank you,
Yours Truly,
Ayo Powell.

HUSBAND: My wife where are you?
WIFE: At home love.
HUSBAND: Are you sure?
WIFE: Yes.
HUSBAND: Turn on the blender.
WIFE: (turns blender on) reeereeeereeee
HUSBAND: Ok my love goodbye.

Another day

HUSBAND: My wife where are you?
WIFE: At home love
HUSBAND: Are you sure?
WIFE: Yes
HUSBAND: Turn on the blender
WIFE: (turns blender on) reeereeeereeee
HUSBAND: Ok my love goodbye

The next day, the husband decides to go home without notice, and finds his son alone and he asked him son where is your mother?

SON: I don't know, she went out with the blender.

Make Me Laugh.
LOL
ROTFL
What?.............
You making ♍ε̲̣̣̣̥ laugh.
Add your jokes here now!!!

WIFE: I wrote your name on sand
it got washed.
I wrote your name in air, it was blown away.
Then I wrote your name on my
heart & I got Heart Attack.

AKPOS: God saw me hungry, he created pizza.
He saw me thirsty, He created Pepsi.
He saw me in darkness, He created light.
He saw me without problems, He created YOU.

WIFE:.. Twinkle twinkle little star
You should know what you are ..
And once you know what you are
Mental hospital is not so far.

AKPOS: The rain makes all things beautiful.
The grass and flowers too.
If rain makes all things beautiful
Why doesn't it rain on you..?

WIFE: ...Roses are red; Violets are blue.
Monkeys like u should be kept in ZOO.
Don't feel so angry you will find me there too...
Not in cage but laughing at YOU

WHO KILLED IT? The wife or the husband?

GIRL: I hate my boyfriend!
BOY: Why?
GIRL: He is so cheap he cant even buy me a simple dinner, are all boys like that?
BOY: Of course not, I'm not like that.
GIRL: I'm going to break up with him.
BOY: Ok but know I'm available.
[Girl stands to leave]
BOY: Wait, where are you going?
GIRL: To break up with my boyfriend of course.
BOY: You can't leave.
GIRL: Why?
BOY: Who is going to pay for the lunch we just had?

Drop ya Jokes and stop Complaining.
Make ♍ε̲̣̣̣̥ laugh it off if you think you Ǎ̜̣̍я̥ε̲̣̣̣ the best.

Akpos: How much are your eggs?
Egg seller: BIG ones go for N30, SMALL ones N25 and CRACKED ones N5.
Akpos hands her N30 and says, "crack me 6 BIG ones"

There's 3 sons of a priest. They did some bad crimes. One day all of them have to drink holy water in their father's church.

The first man walks up and the priest says "What crime did you do? drink the holy water now" he says he killed his mother. He drinks the water.

The second comes up, the priest says the same thing. He says he killed his son. He drinks the water.

The third comes up laughing, the priest says "what crime did you do?" he simply says "I peed in the holy water."

Drop yours and let see @babarazy

You have a Blackberry drop your PIN.
You have a Facebook Account drop your Username.
You also have a Twitter Account drop your Username.
Follow and Follow Back on Twitter.
And you will find your match.

Mine are as follows:
BB PIN: 29D959CC
Facebook Username: Alexander Powell Ayodele Victor
Twitter Username: @ayoalexpowell

Add me first on this and you get to know more about ♍ε̲̣̣̣̥ and other social networking I joined.
Join me now!!!!

You are good in MAKING,WRITING,SAYING,or do I say CREATING Jokes. You have just come to the right place. Drop you Jokes and make thousand of people laugh it off.
Any Jokes:
Educational Jokes
Financial Jokes
Technology Jokes
Family Jokes
Student Jokes
Food Jokes
Animal Jokes and lot more...............
JUST BRING IT ON.
AND LET THE GAME BEGIN...............

Tip of an Ice Berg...
1.Little Johnny jokes
A teacher was teaching her second grade class
about the government, so for homework that one
day, she told her her students to ask their
parents what the government is. When Little
Johnny got home that day, he went up to his dad
and ask his what the government was. His dad
thought for a while and answered, "Look at it
this way: I'm the president, your mom is
Congress, your maid is the work force, you are
the people and your baby brother is the future."
"I still don't get it" responded the Little Johnny.
"Why don't you sleep on it then? Maybe you'll
understand it better," said the dad. "Okay
then...good night" said Little Jonny went off to
bed. In the middleof the night, Little Johnny was
awakened by his baby brother's crying. He went
to his baby brother's crib and found that his
baby brother had taken a crap in his diaper. So
Little Johnny went to his parent's room to get
help. When he got to his parent's bedroom, he
looked through the keyhole to check if his
parents were asleep. Through the keyhole he
saw his mom loudly snoring, buthis dad wasn't
there. So he went to the maid's room. When he
looked through the maid's room keyhole, he saw
his dad having sex with his maid. Little Johnny
was surprised, but then he just realized
somethingand thinks aloud, "OH!! Now I
understand the government! The President is
screwing the work force, Congress is fast asleep,
nobody cares about the people, andthe future is
full of shit!"

2.Alcohol jokes
A man walks into a bar and asks the bartender,
"If I show you a really good trick, will you give
me a free drink?" The bartender considers it,
then agrees. The man reaches into his pocket
and pulls out a tiny rat. He reaches into his
other pocket and pulls out a tiny piano. The rat
stretches, cracks his knuckles, and proceeds to
play the blues. After the man finished his drink,
he asked the bartender, "If I show you an even
better trick, will you give me free drinks for the
rest of the evening?" The bartender agrees,
thinking that no trick could possibly be better
than the first. The man reaches into his pocket
and pulls out a tiny rat. He reaches into his
other pocket and pulls out a tiny piano. The rat
stretches, cracks his knuckles, and proceeds to
play the blues. The man reaches into another
pocket and pulls out a small bullfrog, who begins
to sing along with the rat's music. While the man
is enjoying his beverages, a stranger confronts
him and offers him $100,000.00 for the bullfrog.
"Sorry," the man replies, "he's not for sale." The
stranger increases the offer to $250,000.00 cash
up front. "No," he insists, "he's not for sale." The
stranger again increases the offer, this time to $
500,000.00 cash. The man finally agrees, and
turns the frog over to the stranger in exchange
for the money. "Are you insane?" the bartender
demanded. "That frog could have been worth
millions to you, and you let him go for a mere $
500,000!" "Don't worry about it." the man
answered. "The frog was really nothing special.
You see, the rat's a ventriloquist."

LOL.
That's what money can do.
Make people look good, embarrass, bad and lot more.
She was trying to be fashionable that was why she got herself in that trouble.

Why did I get Married_Is it a Korean Movie? And you sure it is interesting and has lots of action.

You must watch this Movies:
1.Boys Over Flower aka Boys Before Flower: It is a Korean Movie very interesting.
2. Faith also a Korean Movie
3. A Man Called God also a known Movie
4. After Earth
5. A Good Day to Die Hard and lot more.

Do you have any latest, lots of action Movie, then write yours and let see.

You must watch this Movies:
1.Boys Over Flower aka Boys Before Flower: It is a Korean Movie very interesting.
2. Faith also a Korean Movie
3. A Man Called God also a known Movie
4. After Earth
5. A Good Day to Die Hard and lot more.

Do you have any latest, lots of action Movie, then write yours and let see.

July 8th, 2013 – Juliet Ibrahim Stopped By
Airport Security Officers For Wearing Spiked
Shoes
Ghanaian actress Juliet Ibrahim in a bid to wear
the latest trend got in trouble with Airport
security officials today.
She was delayed for several hours after airport
security officers found her to have violated
security rule for wearing spiked shoes.
She was asked to take off the shoes in order to
board the airplane.
The actress allegedly refused at first but she
later agreed.