( )WITH YOUR BODYrience puberty early on (between ages 8and 10) or late (between ages 20 and 22):“There are some people that mature veryquickly. There are young men that at theage of 15 already have a beard and deepvoice, while others at the age of 22 arejust getting facial hair.” “All of these changes cause the body toproduce and bring on a different smellthat requires these young adults to usedeodorant. The increase in sweat, in addi-tion to constant changes, brings on acne.The excess of sweat produces grease, andmany people do not have the adequatephysiology to eliminate this through theirpores, which then become obstructed,causing acne. This doesn’t happen toeverybody. It depends on the ability of theskin that, for some people, doesn’t alwayswork perfectly,” Alejo Riveros states. 51
WITH YOUR BODY( )your generation The majority of cases of acne that PERSONAL HYGIENE 80%occur during puberty are normal andcome to their end at a maximum of 22 Of the growth changes, “Due to hormonal IS THE PERCENTAGE OF OVER-years of age. Some continue experien- changes, women experience an increase in WEIGHT ADOLESCENTS THATcing this condition, which are cases of vaginal discharge which is the product of ARE MORE LIKELY REMAIN SOsevere acne, making it necessary to see a their internal genital organs developing. Itdoctor as the treatments that are sold on is very common for discharge to increase IN THEIR ADULT LIVES,television only work for mild cases. Our among adolescent women at this age, and ACCORDING TO THEexpert explains that this is a condition due to inadequate hygiene, they may expe-of the skin that needs specific treatment rience infections. Other situations can WHO.and that many times the only thing occur as a product of these hormonal chan-homemade treatments do is leave ges such as changes in mood. It is also wor-behind scars that last a lifetime. thy to note that during adolescence, youth“Sometimes the quality of skin is not tend to be irritable and have a bad attitudevery good, and as a result of this, acne with the people that they have an affectiveand greasy skin occurs, which can be connection to, they have bad moods andinherited.” experience changes in temperament.” Other complications can also occur It is important to remember that thesuch as seborrheic dermatitis, or dandruff developmental changes that occur duringas it is generally known. Excessive sweat in puberty are not a disease, they are part ofthe hair produces itching and if it is not a biological process that affects adoles-washed correctly, dandruff can become a cents between the ages of 12 and 17. Thismore serious problem. •is a transition period that eventually rea- ches an end THIS IS NORMAL A physiological process cannot produce a disease in and of itself. Some people’s bodies, however, are more predisposed to developing certain conditions. This is why that from the beginning of adolescence, it is important for youth to start becoming conscious of healthy habits that help to minimize certain potential ongoing ailments that can appear during this stage of adolescence, such as acne or being overweight. In the end, these habits will allow for an improved quality of life, both long and short-term.52
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WITH YOUR BODY( )set NUTRITIONAL 100% The main form of BENEFITS OF INFANTS’ NUTRITIONAL nourishment in the first Breast milk doesn’t just provide all NEEDS ARE PROVIDED BY thousand days of life is the vitamins and minerals that foster BREAST MILK. babies’ proper physical growth and milk. Breastfeeding is their brain and visual development, it essential to the growth of also supplies them with the energy infants, not just because they need in their first months of life. of the nutrients that it Unlike formula, breast milk has natural biological compounds that aid in pre- provides them, but becau- venting infections, contribute to deve- se of the emotional bond loping the nervous system and that that it offers. help protect the baby’s growing tissues and organs. BREASTFEEDING MEDICAL ADVISOR NATALIA PÉREZ ORTEGAOTHER 6OPTIONS Dietitian-Nutritionist MONTHS IS THE PERIODWhile the best milk for infants to drink DURING WHICH BABIES EMOTIONALis breast milk, if the baby is allergic to BONDthe milk’s protein or if the mom does SHOULD BE EXCLUSI-not or cannot feed the baby, it can be VELY FED WITH MILK The act of breastfeeding is an indestructi-supplemented with other types of milk FROM THE TIME THAT ble bond between the mother and theirthat contain similar nutritional values. child. It is what best allows the baby toAccording to the International Code of THEY ARE BORN. adapt to life outside the womb, serving asMarketing of Breast-milk Substitutes, an extension of the baby’s umbilical cord.these types of milks should be prescri- It is important to understand, however,bed by a healthcare professional who that successful nursing is not necessarilyshould indicate how much, how often just about the baby’s ability to receiveand the duration of how long it should milk through breastfeeding.be consumed. When there are issues with the baby atta- ching, their emotional bond can be pre- served if the infant has contact with the mother’s breast; in which case the mother must pump their milk.54
( )WITH YOUR BODY 55
WITH YOUR BODY LIVING WITH THE SYMPTOMS OF( )for her MENOPAUSE56 MEDICAL ADVISOR LUZ ÁNGELA URIBE. Gynocologist, practitioner at Coomeva Private Healthcare A 52-year-old professional shares that “At night, I get hot flashes and night sweats that are unbearable. I can’t sleep and I wake up tired and in a bad mood. During the day, my sweating, tur- ning red and hot flashes limit the work I can do and affect me when I am in business meetings. I am always thirsty and I have blotchy red skin; and I don’t want anyone to talk to me, not even my boss. I feel over- weight and my body has changed. I feel like my family and work life are at their end.” So she went to the doctor, began hor- mone therapy and, because of this, her life has changed. She was able to keep the job she had and she was even promoted. Hot flashes affect 80% of women who are in menopause and for 38% of them, they last five years or more. They can be described as the sudden onset of an inten- se heat in the chest that radiates to the neck and face. They are accompanied by anxiety, palpitations, excess perspiration and reddening of the skin. Hot flashes are caused by instability in the temperature control center of the hypothalamus due to a reduced amount of estrogen present; it has also been obser- ved that the concentration of adrenaline increases when they occur. In order to deal with hot flashes when you are at home, the gynecologist Luz
( )WITH YOUR BODYIn order to maintain your comfort level, there are severalways to treat the hot flashes and excessive perspirationthat comes with this stage of life. Your attitude with regardto how you address this issue is also important.Ángela Uribe recommends, “You can TIPS FOR pancreatic disease, high blood pressure,drink herbal tea made of ginger mixed DEALING WITH migraines, a history of thromboembolism,with mugwort or astragalus, or you can HOT FLASHES fibrocystic breast disease or for womendrink red clover tea. It is also good to eat who have had recent heart attacks.”yams, fava beans and pomegranates. In ► Take extra care in your hygiene whenaddition, it is important to do at least showering and use special deodorant Another alternative are homeopathictwenty minutes of exercise a day.” made for excessive perspiration methods, whose treatment should also be individualized. Some of these include plant- Sometimes hot flashes, which are a ► Use loose-fitting clothing and wear based treatments such as lachesis, sulfur,result of menopause, are so unbearable natural fibers such as linen and sepia, acnea racemosa and bioflavenoids (soythat women who suffer from them expe- cotton, which allow for more air to derivatives). Phytotherapy is another alterna-rience a significant decrease in their qua- pass through them allowing the body tive, in which case blackcurrant seed oil, sesa-lity of life and can become depressed. In to feel fresh me oil, zhi mu and anise may be used.these cases, a physician should be seen. ► Exercise at least 20 minutes a day In addition, there are also relaxationTREATMENT OPTIONS ► Stay well hydrated and breathing techniques such as yoga,The duration of treatment depends on ► Maintain a healthy weight as excess the use of antidepressants and acupunc-the progress of each patient. Luz Ángela ture. These first two techniques allowUribe focused on hormone replacement weight increases perspiration the body to release serotonin, a substan-treatments, which depending on the case, ► Keep your cholesterol, triglycerides ce that – according to clinical trials –consist of administering estrogen, proges- can decrease the intensity of hot flashesterone, the combination of both or the and thyroid hormone under control by up to 30% or 40%. With acupunctu-hormone, tibolone. ► Be conscious of your diet. Have a re, hot flashes can be reduced by a simi- lar percentage. If hormone therapy has no effect on healthy diet. Spicy foods, caffeine andthe patient, then it is suspended and the alcohol increase your perspiration In any case, the treatment that is selec-next step is to administer medications ► Consume enough calcium and vita- ted should be overseen by a specialist thatthat should be prescribed by a specialist. min D will respect your treatment decision and ► Avoid hot environments and wear who will explain their potential side effects. Uribe emphasized that there are limita- clothes that are too warmtions to applying hormone therapy, “It is ► Do not smoke or expose yourself to Luz Ángela Uribe stresses that,not appropriate for women with undiag- cigarette smoke “During menopause, women can expe-nosed uterine bleeding, recent vascular ► Manage your anxiety rience a beautiful stage in life, duringthrombosis, liver failure, estrogen depen- which it is recommended to maintain adent tumors, hyperlipidemia, fibroids, •healthy lifestyle, to exercise, keep a healthy diet and have zero stress.” 57
( )WITH YOUR BODY Para alcanzar una mejor salud y FRUTAS bienestar para el PARA ORGANISMOS organismo, hay una MÁS SALUDABLES acción que está FRUIT a la mano: consumir FOR HEALTHY BODIES más frutas.58 In order to improve your body’s health and well-being, there is one easily available solution: eat more fruit. El dato de la Organización Mundial de la Salud (OMS) es contundente: un consumo suficiente de frutas y verdu- ras podría salvar hasta 1,7 millones de vidas cada año. Y hay otro que pone a reflexio- nar: la ingesta insuficiente de estos produc- tos es uno de los 10 factores principales de riesgo de mortalidad a escala mundial. No obstante, incluirlas en la dieta dia- ria no debería ser una tarea obligatoria y aburrida. El universo de las frutas es amplio, interesante y, sobre todo, delicio- so y, lo mejor, es que consumirlas aporta- rá grandes beneficios al organismo. La OMS recomienda comer al menos cinco piezas o porciones (o 400 gramos) de frutas y verduras al día para reducir el ries- go de desarrollar enfermedades no transmi- sibles y ayudar a garantizar una ingesta dia- ria suficiente de fibra dietética. ¿Imposible? No, si lo que se quiere lograr es el balance adecuado en la nutrición cotidiana. La nutricionista Martha Lucía Calero Quintero expresa que las frutas, por su alto contenido de fibra, mejoran el tránsi- to intestinal y alivian el estreñimiento. “Ellas se fermentan y al hacerlo forman ácidos grasos, que inhiben el crecimiento y la proliferación de células cancerígenas en el intestino, entonces, previenen, en ese caso, el cáncer de colon”, explicó.
( )WITH YOUR BODY all natural ASESORA VITAMINAS Y COLORES MARTHA LUCÍA CALERO QUINTERO. Nutricionista, VITAMINS AND COLORS adscrita a Coomeva Medicina Prepagada. PROVITAMINA A, como el betacaro- citruses. There are also substances that can teno (antioxidante). Se encuentra en be found in fruits, such as flavonoids, which ADVISOR las que tienen color amarillo o naranja. are found in apples and grapes, that boost MARTHA LUCÍA CALERO Actúan en la prevención del cáncer de the action of vitamin C and strengthen your QUINTERO. Dietician, tipo gástrico y de pulmón. En cuanto a immune system. affiliated with Coomeva las frutas que contienen betacaroteno Medicina Prepagada. hay que evitar un alto consumo, por- VITAMINA E. Produce cambios rege- que la persona se puede pigmentar, nerativos en las células de algunosThe World Health Organization’s “no es que intoxiquen, pero sí puede tejidos, como los músculos y el cora- (WHO) data are conclusive: eating ponerse de color amarillo”. zón. También contribuye a eliminar enough fruits and vegetables could sustancias tóxicas y a la salud de lasave up to 1.7 million lives a year. And PROVITAMIN A, such as beta-carotene piel. El aguacate tiene buen contenidothere is another interesting piece of data: (antioxidant). It is found in yellow or orange de esta vitamina.the insufficient consumption of these pro-ducts is one of the top ten mortality risk fruit. They prevent stomach and lung cancer. VITAMIN E. Produces regenerative changesfactors worldwide. in the cells of some tissues, such as the mus- With regard to fruit containing beta-carote- cles and heart. It also helps eliminate toxic However, including them in your daily substances and improves the health of yourdiet should not be an obligatory, boring ne, people should avoid consuming them in skin. Avocado is rich in this vitamin.task. The universe of fruit is vast, interes-ting and above all, delicious. And what’s excess; otherwise they may suffer from caro-best, eating fruit will bring great benefitsto your organism. tenemia, a yellow pigmentation of the skin. The WHO recommends that you eat at “It’s not that they get intoxicated, but theirleast five pieces or portions (400 grams) orfruit and vegetables a day in order to redu- skin can turn a little yellow”.ce the risk of developing non-communica-ble diseases, and help ensure a sufficient VITAMINA C. Una de sus funciones es LICOPENO Y EL ROJO DE LAS FRU-intake of dietary fiber. Impossible? No, if ayudar al incremento del factor inmuno- TAS. El licopeno es una sustancia quí-what you want to achieve is an adequate lógico, es decir, las defensas. Interviene mica que existe de forma natural y es labalance in your daily nutrition. en la absorción del calcio y del hierro. Su responsable del color rojo en frutas y deficiencia produce caída del cabello y verduras. Previene enfermedades car- Nutritionist Martha Lucía Calero falta de apetito, entre otras consecuen- díacas y tiene propiedades anticancerí-Quintero affirms that fruit, due to their cias. Sus fuentes importantes son la gua- genas, en especial en pulmones, siste-high fiber content, can improve your yaba y las frutas cítricas. También hay ma gástrico y próstata. En este grupo sebowel transit and alleviate constipation. sustancias que se encuentran presentes encuentran las cerezas, frambuesas,“They ferment and by doing so they pro- en las frutas, tal es el caso de los flavo- fresas y moras.duce fatty acids that inhibit the growth noides, que potencializan la acción de laand proliferation of carcinogenic cells in vitamina C y que hacen que se aumen- LYCOPENE AND RED FRUIT. Lycopene is athe intestine, thus preventing colon can- ten las defensas, como en el caso de lascer”, she explained. manzanas y las uvas. chemical substance that exists naturally and VITAMIN C. One of its functions is to help is responsible for the red coloring of fruits and increase the immunological factor, i.e. your vegetables. It helps prevent cardiac disease immune system. It helps absorb calcium and and has anti-cancer properties, especially iron. Its deficiency produces hair loss and protecting the lungs, the gastric system and loss of appetite, among other consequen- the prostate. This category of fruits includes ces. Vitamin-C rich fruits include guava and cherries, raspberries, strawberries and blackberries. 59
WITH YOUR BODY( )all natural ALIMENTA EL CUERPO THEY NOURISH THE BODY Como fuente de fibra es ideal consumirlas As a source of fiber, it is best to consume “al natural”. Sin embargo, hoy se vive un them raw, “au naturel”. However, smoo- “boom” de batidos y jugos que, asegura la thies and juices have become increasingly especialista, “son maneras de consumirlas popular. According to our specialist, por sus vitaminas, pero no debemos olvi- “these are ways you can consume them to darnos de la fibra, que además, ayuda a que get their vitamins, but we mustn’t forget la digestión y absorción de grasas y carbohi- the fiber, which helps slow down the dratos sea más lenta, evitando el incremen- digestion and absorption of fats and car- to de glucosa y colesterol en la sangre”. bohydrates, preventing the increase of glu- cose and cholesterol in your blood”. Las frutas, también, son importantes por su contenido de sustancias que actúan Fruit are also important because of como antioxidantes, ayudando a desinto- substances they contain which act as xicar el cuerpo. En ese sentido, contribu- antioxidants, and help detoxify the body. yen a combatir la “inflamación de las célu- Thus, they help us avoid “cell inflamma- las, previniendo, en ese caso, el cáncer, y tion, thereby preventing cancer, and neu- neutralizando la acción de los radicales tralizing the action of free radicals, which libres, que son moléculas que se producen are molecules that are produced as a result como resultado de la oxidación celular”. of cellular oxidation”. Con el fin de mejorar el consumo de In order to improve your fruit con- frutas, la OMS recomienda, incluso en el sumption, the WHO recommends, even caso de las verduras, comerlas crudas in the case of vegetables, to eat them raw como aperitivos, buscar aquellas que and as an appetizer. Find those that are estén frescas y de temporada y tratar de fresh and in season, and try to eat a que haya variedad. variety of them. Y, ¿hay una hora adecuada para consu- Is there an appropriate time to consu- mirlas? La especialista Calero Quintero res- me them? Specialist Calero Quintero says ponde que sobre este tema se han tejido that there are lots of myths regarding this muchos mitos. “La fruta se puede consu- topic. “Fruit can be eaten at any time mir a cualquier hora del día. Lógicamente, during the day. Obviously, if you are a si es un paciente que tiene una acidez o patient who suffers from heartburn or hiperacidez no conviene que consuma fru- hyperacidity, you should avoid eating tas cítricas en las horas de la noche. Se trata citruses at night. It’s about finding balan- de buscar el equilibrio, un desayuno que ce, always including fruit in your brea- siempre tenga una fruta o un almuerzo kfast, or making sure you include fruits acompañado de frutas o verduras”. and vegetables in your lunch”. Eso sí, cuando hay unas condiciones Obviously, under specific medical cir- médicas específicas, lo aconsejable es con- cumstances, it is advisable that you con- sultar con los expertos. Desde el punto de sult with an expert. From the cardiac pers- vista cardíaco, comenta la nutricionista, pective, the nutritionist claims that coco- el coco tiene un alto contenido de grasas nut has a high saturated fat content. With saturadas, y con la diabetes, hay unas fru- regard to diabetes, there are fruits that tas que tienen mayor contenido de car- have a higher carbohydrate content than bohidratos que otras, pero lo importante others. But what’s important is that you no es eximirlas a todas de la dieta, insiste, don’t exclude them completely from your •sino encontrar el balance, de acuerdo con •diet, but rather that you find a proper el organismo balance for your body60
( )WITH YOUR BODY FRUTAS PODEROSAS / POWERFUL FRUITS BANANO. Una de sus fortalezas es contribuir al equilibrio de los líquidos y electroli- tos. Por tanto, tiene un alto impacto energético y contribuye a que haya un mejor desempeño en la actividad física. Se recomienda cuando la persona experimenta calambres, porque el potasio ayuda a la contracción muscular y al impulso nervioso. BANANA. One of its strengths is that it contributes to the balance of fluids and electrolytes. Therefore, it can have a high impact on our energy levels and contribute to improve our physi- cal performance. It is highly recommended for people who experience cramps, as potassium aids muscle contraction and nerve impulses. UVAS. Por su alto contenido de resveratrol, cuenta con poder en el sistema inmunológico y en las defensas. Protege los vasos sanguíneos previniendo la aterosclerosis y los eventos coronarios. GRAPES. Due to their high resveratrol content, they can boost the immune system. They protect blood vessels by preventing atherosclerosis and coronary events.GUAYABA. Posee un alto contenido de vitamina C y poderes cicatrizantes e inmunológicos, que intervienen favorablemente en la prevención del cáncer. Por su contenido de pectina, tiene efecto beneficioso sobre los niveles de colesterol en la sangre, disminuyendo su absorción y generando un factor cardioprotector.GUAVA. It has a high vitamin C content and both immune and healing powers that can help pre- vent cancer. Due to its high pectin content, it can have a beneficial effect on blood cholesterol levels, decreasing its absorption and generating a cardio-protective factor. FRUTAS CÍTRICAS. Para subir las defensas son ideales los cítricos con alto contenido de vitamina C. El limón es cicatrizante y se considera la estrella de los antioxidantes. CITRIC FRUITS. To boost your natural defenses, eat citrus fruits, which are high in vitamin C. Lemon has an effective healing power and is considered the star of antioxidants. MANZANA. Al igual que la guayaba, contiene sustancias que potencializan la vitamina C, activando el efecto anticancerígeno y cardioprotector. APPLE. Much like guava, it contains substances that can potentiate vitamin C, acti- vating its anticancer and cardioprotective effects. PAPAYA. Tiene alto contenido de fibra. Por ser provitamina A, ayuda a contra- rrestar la inflamación intracelular y la acción de los radicales libres. PAPAYA. It’s high in fiber. As it contains provitamin A, it helps counteract intracellular inflammation and the actions of free radicals. SANDÍA Y MELÓN. De buen contenido de agua y de vitamina A. El melón también tiene contenido de betacaroteno. WATERMELON AND CANTALOUPE. High water and vitamin A content. Cantaloupe melon also contains beta-carotene. AGUACATE. Rico en vitaminas E. Por sus componentes, ayuda a controlar de forma adecuada los niveles de colesterol. AVOCADO. Rich in vitamin E. Due to its components, it can help adequa- tely control cholesterol levels. MANGO. Alto contenido de betacaroteno. MANGO. Rich in beta-carotene. 61
( )WITH YOUR BODY HOW TO HANDLE SUPPLEMENTS If you keep In today’s society, where everyone is in With this last point, she emphasizes that it a balanced diet and a rush and there does not seem to be is not about consuming what you “think”there are no counter enough time to eat, and where people is appropriate or a product that someoneeffects to not taking want to get extraordinary results from recommended. Each person, the nutritio- them, supplements exercising for just a short amount of time, nist clarifies, has their own need. This is the use of dietary supplements needs to why, when you have a health concern, the are not necessary. be handled very carefully, especially with first step to take is to discuss it with your Take caution in con- those who believe that these can replace a physician so that, with the help of lab balanced diet. exams, you can see if deficiencies are pre- suming too much. sent, you can determine the cause of them According to the nutritionist, María and if there is a need for a dietary supple- MEDICAL ADVISOR Elena Giraldo Marín, if an individual is ment. “If I find that the patient is not MARÍA ELENA GIRALDO MARÍN healthy, in good condition and eats well, getting enough of something, either becau- Dietitian-Nutritionist, practitioner of these supplements are not necessary. “It is se of lactose intolerance, due to a liver con- important to emphasize this because dition or to an allergy to a certain food, Coomeva Private Healthcare nowadays, people tend to take everything that is when we begin to seek out alterna- and do not pay attention to the dosage tives,” she states. nor the suggested amounts.” PROPER NUTRITION Dietary supplements are substances The first alternative to treating nutritional that come in different shapes and forms deficiencies is to examine your diet and all such as pills, capsules and powders. They the aspects that affect it, from the state of serve the purpose of providing or several health the patient is in, to their social, emo- nutrients that, for different reasons, tional and work envirionments. It is also someone may not be getting enough of. important to consider the stages of one’s “They are substances that help to make life such as pregnancy or breastfeeding. your diet complete, depending upon each case. It is different for everyone,” she adds.62
( )WITH YOUR BODY beforeTHINGS TO CONSIDER FOR SPECIAL POPULATIONSCHILDREN THE ELDERLY “The following situation happens fre-With children, the pediatrician and nutri- Due to difficulties with chewing (someti- quently: if a woman is going to turn 40,tionist are to work hand in hand to deci- mes because of missing teeth), digestive the first thing she does is buys calcium.de whether there is a health condition problems or due to surgeries or other No. You have to see to it that a little ofthat may lead them to lose their appeti- diseases, supplements may become neces- everything is in your diet: dairy pro-te. “There are products in the market sary. “In these situations, supplements are ducts, meats, carbohydrates, fruits,that are rich in zinc and in other substan- recommended because we have to be vegetables, grains and fats. More fiberces that stimulate the appetite, but if the careful to make sure they don’t become should be consumed, as well as driedchild eats fruits, vegetables and dairy malnourished.” fruits and seeds.products, they will get what they need. Ifthe child does not consume these items WOMEN IN MENOPAUSE PREGNANT WOMENbecause by no means do they want to Together with the physician, it is impor- Iron and folic acid, among other nutrients,eat, the pediatrician is to provide indica- tant to assess if there is a need to make are important for these women because,tions on how to give them the supple- adjustments and a referral to a nutritio- as the specialist explains, “We know thatment,” states the nutritionist, María Elena nist so that the supplement that is nee- they are substances that play a role in theGiraldo Marín. ded can be provided through the diet. development of the baby.” As individuals, we need to be aware of take a bottle of pills. What do people who 3our bodies; we must notice if we are always are wealthy, have a good job and poor healthtired or if we are losing weight or muscle win if they don’t take just ten minutes to eat MONTHS IS THE AUTHORIZEDmass. “What we eat is analyzed because properly? The element of the pleasure of AMOUNT OF TIME THAT INVIMAthere is a tendency now to eliminate star- eating gets lost. It is better to leave thoseches and fats and increase our protein inta- milkshakes for very special occasions. (THE COLOMBIAN FOOD ANDke. When we say balance and proper DRUG ADMINISTRATION AGENCY)eating, we refer to all nutrients, each in The excess consumption of supple- HAS TO ISSUE THE REGISTRY OF Atheir proper amount, taking one’s age, gen- ments can be toxic. Taking them in highder and physical activity, among others, doses can cause fatigue, sleepiness, DIETARY SUPPLEMENT WHENinto consideration,” the specialist explains. exhaustion and nausea. This is why, “You IT MEETS THE HEALTH have to learn to read the labels very well REQUIREMENTS. The nutritionist warns that car- and understand that they should be takenbohydrates are a must to include in your according to the advice of a physician.”diet, “They are the main source of energyand today, everyone has decided to elimi- With some vitamins, excess consump-nate them. I have been planning diets for tion is not an issue because they are elimi-thirty years now and I am convinced more nated in urine, “What are just throwingevery day that a diet without them is not a away money. If all I need is half a pill of vita-proper one. If you eat a lot of protein and min B complex, why take three?” In somedo not include carbohydrates, you will cases, however, this intoxication can affectlose out on the protein you eat. the kidneys, the thyroid, the skin or cause vision problems. “A healthy and balanced She also warns against a situation that has diet that includes all the nutrients, is a pro-become generalized. “We often go for what per diet. It’s true that not everyone has a yis easy. It is easier for me to drink a milksha- diet, but it is better to be careful, take thingske than to grill meat, make a salad and bakepotatoes. It tastes better to drink that than to •with moderation and not waste your health or your money,” she concludes 63
WITH YOUR BODY( )x-ray HEPATITIS, INFLAMMATION OF THE LIVER 5 Liver diseases can be caused by viruses, bacteria, liver damage DIFFERENT HEPATITIS VIRUSES -A, B, C, D Y E- and disorders. It is in your hands HAVE BEEN IDENTIFIED to stop its progress. BY SCIENTISTS. ALL OF THEM CAUSE DISEASES PREVENT IT ON WITH UNIQUE A DAILY BASIS CHARACTERISTICS. Methods for preventing hepa- titis include practicing proper hygiene, making sure your water is purified, avoiding overcrowded areas, avoiding esthetic procedures (piercings, tattoos, minor surgeries) in businesses that are not certi- fied and practicing safe sex. PAY ATTENTION 1,5 TO THE SYMPTOMS MILLION PEOPLE DIE A Some of the symptoms that can YEAR IN THE WORLD warn you if you have this disease AS A RESULT OF include pain or strain in the abdo- VIRAL HEPATITIS. men, cloudy urine and clay or pale- colored stools, fatigue, fever, MEDICAL ADVISOR JORGE ENRIQUE VIVAS GÓMEZ itching, yellowing of the skin or Doctor of Internal Medicine eyes, a poor appetite, nausea and vomiting, and weight loss. The condition may enter into spon- (KEEP IN MIND) The liver decomposes the waste pro- taneous remission or turn into ducts in the blood. When it becomes fibrosis (scarring), cirrhosis or After being diagnosed with hepati- inflamed, waste begins to accumulate in liver cancer. tis, tests can be taken to determi- ne the degree to which the disease the blood and tissues. has progressed.64
HOBBIES ARE NOT CORPORATE JUST A GOOD WAY TO KEEP US ( ))CORPORATE SOCIALLY AND INTELLECTUALLY 65 ACTIVE, THEY ALSO PREVENT OUR MINDS FROM DETERIORATING. CHALLENGE THE BRAIN Learning something new and acqui- ring skills that truly make our brains work helps to slow the onset of degenerative conditions. FOR MENTAL ALERTNESS Hobbies that require a greater level of concentration such as crosswords, Sudoku, and question and answer quizzes are key to keeping our neu- rons active. CHANGE YOUR ROUTINE Traveling, gaining as much knowledge as possible, learning a new language, practicing handicrafts or art are some other alternatives.6OF EVERY 10 MILLIONPEOPLE OVER THE AGEOF 80 SUFFER FROMALZHEIMER’S.
( )CORPORATE FOCUS DENTAL( )EMERGENCIES These are cases of trauma or conditions when a scheduled appointment cannot wait. MEDICAL ADVISOR ANDREA XIMENA DÍAZ. Coomeva Private HealthcareProvided that in the majority of cases its users with in-home emergency dental Healthcare Oral Health programs cover this comes with pain or is a situation services through Coomeva Emergency emergency visits. This coverage starts that cannot wait for a scheduled visit, Medicine (CEM). This can help to manage immediately and is for dental accidentsa dental emergency is the sudden onset of and stabilize the situation before the with a coverage limit of a maximum ofa condition that requires immediate atten- patient can get to their appointment. In ten times the monthly Colombian mini-tion. It can be caused by trauma, a patho- some cases, x-rays are needed to confirm a mum wage. There is no limit to thelogy (disease) or by a condition of the teeth diagnosis or to be able to establish the number of accidents that can be atten-or oral structures such as the libs or soft complexity of a procedure, in which case ded to throughout the life of the con-tissues. Self-medication or home remedies the patient must visit the dentist’s office in tract and it includes an extensive natio-are not recommended in these situations order for the emergency to be attended to. nal network of providers. Some com-as they can complicate the symptoms. A leading line of service in Colombia •prehensive healthcare programs also Coomeva Private Healthcare provides for dental insurance, Coomeva Private provide emergency coverage66
TAKE PREVENTATIVE ( )CORPORATE MEASURES 6.270 users Dental emergencies cannot be prevented, but the risk of expe- OF OUR ORAL HEALTHCARE AND riencing them can be reduced if COMPREHENSIVE HEALTHCARE PROGRAMS an oral healthcare professional is WERE TREATED BY COOMEVA PRIVATE HEALTHCARE ORAL HEALTHCARE PROFES- visited regularly. SIONALS AND BY CEM IN-HOME EMERGENCY DENTAL CARE IN 2015. FRACTURED TOOTH This is most common reason behind a dental THE MOST emergency among children and is what most COMMON impact parents emotionally. In these types of The most frequent situations, if you have the tooth, it is very impor- causes of dental tant to visit the dentist as soon as possible and emergencies aretake the tooth with you. The tooth should not be fractured teeth, pulpitis, scrubbed or cleaned off and it is preferable to abscesses and conserve it in saliva, milk or in a saline solution pericoronitis. so that the dentist can reattach it. Between the ages of 16 and 21, SEEK HELP IN THE FOLLOWING SITUATIONS: IT IS COMMON FOR WISDOM TEETH OR THIRD MOLARS TO COME IN. WHEN THEY DO, THEY • Sharp, sudden, CAN CAUSE DISCOMFORT SUCH AS SWOLLEN •persistent pain GUMS, SHARP PAINS, AND A LIMITED OPENING OF THE MOUTH, AMONG OTHERS. THIS IS WHY Pain and inflammation in IT IS VERY IMPORTANT TO BE SEEN BY AN ORAL the gums surrounding the wis- HEALTHCARE PROFESSIONAL IN ORDER TO ESTABLISH PROPER TREATMENT, AS IT IS •dom teeth when they come in NOT ALWAYS NECESSARY FOR THESE Hemorrhaging or compli- TEETH TO BE PULLED. cations after a surgical •procedure Swollen gums, lips or faceAt medicinaprepagada.coomeva.com.co you can get more information on different types of emergencies.MOST COMMON EMERGENCIES► Tooth pulpitis or inflamma- ► Tooth abscesses: Associated ► Pericoronitis: ► Fractured tooth: This can tion of the nerve: with the degeneration of Inflammation and infec- manifest as pain ranging Characterized by the the nerve due to dental tion of the gums that from sensibility to sharp sudden appearance of sharp pulp or to an alteration to surround impacted teeth, pain and can partially or pain, often associated with the ligaments and tissues mostly when the wisdom completely damage the cavities or deep fillings. that surround the tooth. teeth come in. crown of the tooth. 67
( )CORPORATE especial STORY OF SATISFIED CUSTOMERS Percy Hummans Citizens of the Dutch island, JOINT EFFORT offers his thanks to Bonaire, are all that Percy Hummans and his son Keenan Together with the specialized medical Coomeva’s have (both enrollees) for the international attention provided by Coomeva Private international medical coverage provided by Coomeva Healthcare plans and to the medical team medical coverage Private Healthcare is thanks and gratitude. at this hospital, the Hummans family was given hope. “I give thanks to God for the due to the Keenan was diagnosed four years ago attention we received. I always trusted the attention his son with leukemia, which was why they moved medical team that we have in Colombia. to Medellín, Colombia to be able to make It is a country that is recognized for received in appointments and follow the treatment having a very good healthcare system, andMedellín and in Cali requirements assigned to the littlest one I knew that in Bonaire, specialized treat- of the family. ment wouldn’t be available,” Percy from the moment explains, who works in security on the that he was Throughout the duration of one year, island’s boarding docks. the minor child was treated at Pablo diagnosed with Tobón Hospital, where he received all the After a successful transplant, Keenan leukemia. treatment they needed. Thanks to the recovered quickly and continued receiving father’s donation of spinal fluid and to medical checkups in Colombia with the the bone marrow transplant from a four- professionals at Coomeva Private year-old sent from the United States, they Healthcare. After this transplant, he recei- were able to win this hard battle. ved treatment in Cali at the Imbanaco68
( )CORPORATE Estar afiliado a los programas de Coomeva Medicina Prepagada te ofrece beneficios adicionales01 TELESALUD • Nutrición: Asesoría nutricional, consumo de alimentos.02 asesoría telefónica con • Psicología: Acompañamiento, consejería y asesoría psicológica. nutricionista y psicólogo* 018000918082 1Opción Atención de • Sin costo adicional, ni límite de uso, 24 horas, los 365 días del Urgencias año, con equipos y materiales odontológicos de alta calidad. Odontológicas Domiciliarias • Línea Directa Nacional • Línea Directa Celulares 018000931555 #586 Claro, Movistar y Tigo. Disponible en Cali, Bogotá, Medellín, Pereira**, Cartagena y Barranquilla.03 Asistencia en viajes • Nuestros Programas Oro, Oro Plus, Plata Joven y Asociado te por medio de: brindan asistencia en urgencias en el exterior a través de Assist Card. No es necesario activarlo al momento de tu viaje. Para más información visita nuestra página web: www.medicinaprepagada.coomeva.com.coCoomeva nos facilita la vida Medicina PrepagadaCondiciones:*La asesoría con psicología y nutrición estará disponible de lunes a viernes de 7:00 a.m. a 8:00 p.m. y sábados de 8:00 a.m. a 2:00 p.m. · Si la atención con elprofesional no puede prestarse de manera inmediata por disponibilidad, se programará una cita. Los profesionales de la Salud no podrán recetar 6m:0e0dicpa.mm.eSnátboasd.·oEsl69servicio es operado por Coomeva Emergencia Médica – CEM. **En Pereira disponible de lunes a viernes de 8:00 a.m. a 12:00 m. y de 2:00 p.m. ade 8:00 a.m. a 12:00 m.
( )CORPORATE special (“I give thanks to God Medical Center where he currently receives for the attention we received. The medical attention. The good news is that warmth of the people and the support his checkups were performed on a quarter- of the Coomeva employees are worth ly basis throughout the first three years and recognizing.” – Percy Hummans today, thanks to his good progress and to having beat this cancer, as of May 2016, * The people in this story and photograph gave their permission for publication with Coomeva. “His checkups have been extended from three to six months. He is doing very well now,” his father assures. A STORY TO SHARE This is the story that these international enrollees tell with great joy and confidence in the excellent experience they had at these two Colombian cities. They emphasize how warm the people are and all the support they were given from Coomeva employees at each visit to our country. They also stress the importance of making appointments and of taking the indicated medications. “We choose Coomeva because our insu- rance is a partner of this private insurance. I have no suggestions to improve upon, in Bonaire we were also asked about the servi- ce we received in Colombia and we explai- ned how satisfied we were,” he adds. Today, Keenan is a healthy and happy kid. He goes to school in Bonaire and tra- vels frequently to the capital city of the Department of el Valle del Cauca; he loves the potato chips there. “In Cali, we recei- ved personal and quality attention. Our neighbors of the apartment where we stay know about our situation and take care of •us and ask about us. Sometimes I don’t want to go back home,” Percy70
( )CORPORATE 71
( )CORPORATE LEARN ABOUT institutional “+ ACTIVO” LEALTAD 1. Go to our webpage:+ACTIVOLOYAL USER PLAN https://masactivo.pinoscoomeva.com or call 018000189992, option 3With the well-being and health ofour enrolled members in mind, our 2. Complete the required informationloyal user plan has changed its name. 3. Begin to participate in the different campaignsYour loyal user plan - a plan that their medical checkups, that go to our rewards consistency, length of awareness and prevention activities HOW TO REDEEM enrollment and healthy practi- and attend other events that benefit “PINOS”ces - has changed its name to provide their health. You can do this by acti-you with a greater incentive to help vely participating in our health lifesty- At Coomeva Private Healthcare, we rewardyou take care of you and your le campaigns that that “+Activo” offers you for taking care of your health. Participatefamily’s health. (or “Be More Active” in English). in our loyal user program and redeem the “pinos,” or points, you collect at your With your vitality, well-being, futu- We strongly invite you to activate checkups and medical appointments.re, happiness, health and care in your loyal user plan which rewards youmind, this new name is the result of a for participating in the health cam- LEARN HOW TO REDEEM POINTS:collaborative effort of Coomeva paigns we offer. You will continue to 1. Go to the webpage and enter your user-Private Healthcare. With this change collect PINOS which you can laterwe seek to highlight the importance of redeem for prizes such as experiences name and password. After logging in youbeing more proactive when it comes to or products. will be able to see the number of pointstaking care of your health: more you have at the top of the page.action, more care, more prevention. If you were not signed up for 2. In the menu, click on “Catálogo de “Salud+” you can do so now with Premios” (Reward catalogue) and you will Our plan continues to recognize find the different prize categories to choo-those users that are diligent about •“+Activo.” If you were already registered, se from. 3. Review all of the product’s details and there is no need for you to re-register add it to your cart. At the top of the page, click on “Confirmar Pedido” (Confirm Order) 4. After verifiying that the product can be redeemed with the number of points avai- lable, click on “Pagar con mis puntos” (Pay with my points). Then enter the shipping information. 5. Once you are sure that the shipping infor- mation you entered is correct, you can finalize the order you made with your points and receive your reward for taking care of yourself with “+Activo.” IMPORTANT: 1. Upon redeeming your points, it takes 15 working days for your prize to arrive. 2. Review the status of your prize once you receive it. 3. You have 24 hours to recall your order. 4. Inquiries can be made by calling 018000182080 or 6045969.72
Elige ( )CORPORATECoomevaContar con un convenioque te ofrezca apoyopara cumplir con tu tratamientoes la diferencia entre vivir la vida y disfrutarla Coomeva Medicina Prepagada, en alianza con Gestión Médica en Salud, ahora te ofrece un servicio integral de seguimiento y apoyo terapéutico en tutratamiento farmacológico, que va desde la compra de tus medicamentos hasta el control de la correcta administración en el momento en que debes tomarlos. Principales beneficios: • Servicio a domicilio gratis. • Línea telefónica 24 horas. • Programa terapéutico de seguimiento • Medios de pago: datáfono y control de medicamentos (crédito y débito) y efectivo. • Descuento del 12% para usuarios del Plan Asociado y del 10% para usuarios de otros planes. Solicita este servicio En Bogotá al (1) 215 17 72 - Resto del País 310 573 9703.Coomeva nos facilita la vida Medicina Prepagada 73
( )CORPORATE directory CARIBBEAN Orthopedics and Traumatology - CÚCUTA Knee and Arthroscopic Surgery Ear, Nose and Throat Doctor BARRANQUILLA Gustavo Adolfo Pineda Acero Iván Enrique Castiblanco Gómez General Dentistry Cra. 16 82-95 Cons. 604 Av. 1 17-93 Cons. 212 C.M. Norte Carlos Barbosa Correa Unidad Médica del Country Telephone: 5712367, 5713690 Cra. 51B 76 -71 Local 102 Telephone: 7968605, Telephone: 3601437, 3605351 3142834892, 3178799227 BARRANCABERMEJA Psychiatry SANTA MARTA Orthopedics and Traumatology - Abelardo Muñoz González Orthopedics and Traumatology Knee and Arthroscopic Surgery Cra 22 47-60 Cruz Roja Alejandro Habeych González Gustavo Adolfo Pineda Acero Telephone: 6212882 Calle 22 14 - 70 Ed la Perla del Cra. 16 82-95 Cons. 604 Caribe Cons. 12 Unidad Médica del Country SOUTHWEST Telephone: 4230699 Telephone: 7968605, 3142834892, 3178799227 CALI MID-EAST Gynecology and Obstetrics COFFEE REGION Eduardo Romero Vélez IBAGUÉ Cra. 38 A 5 A-109 Cons. 807 B Gynecology and Obstetrics ARMENIA Centro Médico Imbanaco Aldemar Uribe Orozco Neurosurgery Telephone: 5581180, 5583874, Calle 9 3 - 65 Cons. 101 Jhon Jairo Abello Muñoz 6821000 Ext: 12807 Telephone: 2613049, 2611820 (Neurosalud) Cra. 13 1 N - 35 Cons. 407 Gynecology and Obstetrics NEIVA Clínica Central del Quindío Laparoscopic Surgery Urology Telephone:: 7464900 Óscar Alfredo Mejía Álvarez Oscar Fernando Cortes Otero Av. 4 N 7 N - 53 Cons. 602 Calle 11 6 - 47 Cons. 503 Urology Clínica Sebastían de Belalcázar Telephone:: 8720507 Néstor Ricardo Botía Silva Telephone: 6606808, 6670082 (Centro de Urología IBAGUÉ Especializada) Calle 1 A Physical and Respiratory Therapy Gynecology and Obstetrics Norte 12 - 36 Cons 201 Dilian Liney Alegría De Hurtado Fernando Rengifo Agudelo Telephone: 7467420 Fax: 7460999 Calle 27 28 – 14 Cra. 4 12 - 25 Cons. 102 Telephone: 3340726, 3154788740 Telephone: 2631004 NORTHWEST PALMIRA BOGOTÁ MEDELLÍN General Dentistry Gastroenterology and Endodontics Luis Eduardo Manotas P. Specialty Endoscopy Martha Beatriz Castro Gómez Cra. 28 31 - 77 Piso 2 Fabián A. Emura Perlaza Cra 48-12 Sur 70 Cons 301 Telephone: 271574, 2758591, Calle 134 7 - 83 Cons. 341 Centro Profesional El Crucero 3017310730 Ed. Altos del Bosque. Torre 3 Telephone: 4480665 Piso 4. Telephone: 6271493, TULUÁ 6334711 Internal Medicine Physical and Respiratory Therapy Álvaro Echavarría Escobar Martha Lucía Botero Gómez Orthopedics and Traumatology Calle 4 SUR 43A-26 Cons 212 Cra 35 24 -56 Lelio Augusto Pardo Pardo Ed Formacol Unidad Telephone: 2262000, 2258476 Av 19 102 - 31 Cons 105 Médica Torre Plaza. Medical Laboratory Telephone: 6221120 Ext. 139, Telephone: 2681199 Gloria Isabel Botero Gómez 7953111 Cra 35 24-56 Telephone: 2262000, 2258476 Get to know our extensive network of healthcare professionals. Visit www.medicinaprepagada.coomeva.com.co74
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