Salud COOMEVA Magazine || June - July 2016

ISSN 1692-5556 June – July, 2016 Edition 129 COOMEVA MEDICINA PREPAGADA DIETA BALANCED www.revistasaludcoomeva.co



COOMEVA MEDICINA PREPAGADAISSN 1692-5556 June – July, 2016 Edition 129AN APP TO BRING US DIETA BALANCED CLOSER TO YOU www.revistasaludcoomeva.co At Coomeva Medicina Prepagada, we want to get closer to you every day, and facilitate yourEdition 129 healthcare services, consultations andJune - July 2016 requests. That is why we’d like to invite you to down-Revista Salud Founder load our mobile app, available both on Android asGilberto Lotero Muñoz (R.I.P) well as IOS.Chairwoman of the Board We continue to innovate in our services, thanks to ourMaría Eugenia Pérez Zea customer service virtualization strategy. Additionally,Executive President Of the as of the month of April, a transactional web platformCooperativo Coomeva Business Group can make your life easier. On it, you can request medi-Alfredo Arana Velasco cal authorizations, MEC services; you can downloadCEO withholding tax certifications for your prepaid heal-Coomeva Sector Salud thcare plan, consult our medical directory, and accessGilberto Quinche Toro our Salud Coomeva online magazine.Prepaid Medicine CEO You will thus be able to enjoy your prepaid healthca-Jorge Alberto Zapata Builes re plan in an easier and more personalized way. YouGeneral Manager will also be able to consult the contents that RevistaXiomara Iveth Campo Salud has developed for each of your family mem-Editorial Committee bers, providing you with knowledge on diseases, howPascual Estrada GarcésNational Director of Prepaid •to prevent them, how to detect alarm signs and treat-HealthcareHernán Darío Rodríguez ment, offered by the best specialistsMEC National DirectorBlanca Inés Vélez Editorial and Graphic Direction, Magazine General Editor Journalists DistributionNational Director of Oral Health prepress and printing Paula Andrea Montoya T. Isabel Vallejo El ColombianoJoas Benítez El Colombiano Magazine Editor Ana María López de Mesa Cali: 310 544 2354Director of Epidemiology Tel.: (4) 331 5252 Natalia Estefania Botero C. Ingrid Cruz [email protected] Patricia Erazo [email protected] Graphic Editor Daniela Granada Bogotá: (1)4156764 ext. 1504Atención Sinergia Salud National Hugo A. Vásquez E. Liliana Klinkert Medellín: 312 202 7269Security Chief Design Photography [email protected] Varela Rojas Carolina Salazar L. ShutterStock 313 570 7356National Medical Auditing Director Complimetary [email protected] Liliana CifuentesNational Coordinator of HealthcareProvider RelationsClaudia Alexandra GarcíaNational Coordinator of Sinergia SaludProvidersJuan Fernando SaavedraNational Director of Marketing andAdvertisingJulián VillegasNational Director of Health RiskManagementEditorPaula Lilián Henao BermúdezEditorial CoordinatorEvelyn Catalina Morales HenaoCollaboratorsMarco Emilio Ocampo OsorioMauricio Castillo PérezThe contents of all Salud Coomeva Medicina Prepagada S.A. magazine articles are illustrative in nature and/or for general knowledge. In no case are they meant to replace the advice or guidance of a physi-cian. Readers shall not use this information in order to self-diagnose and/or perform an analysis, diagnosis or treatment of a disease or health problem without consulting with a certified physician.The product and service offers made in the ads published in the Salud Coomeva Medicina Prepagada S.A. magazine are the sole responsibility of the advertisers. Also, the company is not liable nor obligatedto provide its affiliates the services, procedures or treatments described in the contents of articles that are not included in the coverage offered by Coomeva Medicina Prepagada S.A., nor shall they be obli-gated to include them in their plans and services. All rights reserved. May not be reproduced in any form or system. © 2016 3

CONTENTSJune - July 2016 7 23 43 59( ) ( )( ) ( )WITH YOUR MIND WITH YOUR BODY WITH YOUR WORLD CORPORATE8 Couples 24 Trends 44 Your Generation 60 Current Living Love between cou- Dizziness is An expert’s perspective: Professionalism ples: a daily decision a symptom let’s talk about in service masturbation12 Before 28 Little Giants How to lose weight in An explanation for 48 Trends 62 Before a healthy way your baby’s poor Vegetarians must Coomeva Medicina sleep balance their diet Prepagada’s fight14 For him against children’s A father’s presence is 30 Armonía en salud cavities. essential Dieta sí, pero con buenos hábito 50 Harmony in Health18 Grandparents Say yes to dieting, The healing power The golden age for but with good habits. of the sun traveling 34 Sets 54 Keep in mind20 Trends Postural Hygiene Beware of cold cuts Form a new habit in just 21 days 36 For her 58 X-Ray On the proper use Donating blood is of pantyliners and an act of generosity intimate washes 38 For your smile What to do when you injure your teeth?4

Hydraskin LA HIDRATACIÓN Y HUMECTACIÓN PARA EL ROSTRO Y EL CUERPO QUE RESTAURA LA BARRERA HIDROLIPÍDICA VIVE UNA EXPERIENCIA en el cuidado de tu piel¿vgeCursotteamrHíoaOtYe? 5



8 )WITH YOUR MINDHOURS A DAY IS THEAVERAGE RECOMMENDEDLEISURE TIME ACCORDINGTO EXPERTS.LEADING A BALANCED LIFE WHERE WORK, FAMILY AND YOURPERSONAL LIFE COMPLEMENT EACH OTHER IS POSSIBLE. MAKETIME TO LEARN SOMETHING NEW.THE IMPORTANCE OF LEISURE BE AWARE TIME TO RELAXMake time to do the things you enjoy Stress, in the appropriate amount can be It is important to find relaxation methods,and have quit doing because of a lack of positive for you. But if it lingers for more such as meditation, taking on a newtime. They will give you the energy to go than the usual, it will end up affecting hobby or starting a dance or baking class,on with your daily life. different areas of our lives. for example.

( )WITH YOUR MINDLAOVDE ABEITLWYEENDCEOCUPILSESI:ON ADVISOR GLORIA HURTADO Clinical psychologist with Coomeva Medicina Prepagada.8

Marriage nowadays is nothing like the ( )WITH YOUR MINDtype of marriage our grandparentsexperienced. We now face multiple 9challenges that can become opportunitiesand help us strengthen a relationship.It’s a never-ending topic. Every now need to have friends of your own, as and then a new expert comes along well as mutual couple friends. “There promoting their secret to a lasting has to be an ‘I’, a ‘you’, and a ‘we’.marriage, or quick easy courses to achieve Those are the three legs holding thethe promised marriage: a love nest close table. Having your own space is veryto paradise. Maybe it is best to say the important. We all need our intimacy,truth from the beginning: marriage isn’t our own world”.easy. No form of coexistence is easy, isn’t And of course, amongst her recommen-this also true of our work life? Success lies dations, there is one critical topic:in using your common sense. money. It is a well-known fact thatFor example, it has been said that con- money is the culprit responsible fortemporary marriages are going through breaking up so many couples. It cana crisis, that most couples are not the break up relationships that have lastedway couples used to be -they don’t have years and years from one day to theto be-, that our grandparents knew how next. Our expert recommendsto endure, tolerate, suffer and live something that is not to be taken ligh-through day-to-day married life. tly: you must have separate accounts.However, times have changed and it is Share nothing. Her sentence almostimportant to conduct an analysis that makes you want to frame it and put itallows us to understand where we stand up on the wall: “I did not get married inas couples. Do you feel like things are order to stop being a person”. Shegoing well with your spouse, partner, explains it by saying that the plural,etc.? Have you thought about jumping “we”, cannot erase the singular, “I”. “Iship before it sinks? Maybe it is time to cannot renounce to my self. A lot oftake a deep breath and study your situa- people want to have shared accounts.tion from a different perspective. But one of the biggest problems thatThis first principle seems like an can put an end to a relationship is thatobvious fact, however most couples each spouse has a different way totend to infringe it: couples need to have manage their own finances; and whentheir own space, intimacy. In the words you decide to share them, one of themof Gloria Hurtado, clinical psychologist is renouncing to their way of doingspecialized in couples, not everything is things. So you should always have sepa-meant to be shared, you don’t always rate accounts. I shouldn’t have tohave to go out for lunch together, or explain to my partner how I manage mydinner together, or drinks together. You own money”.

( )WITH YOUR MINDHave you ever heard the expression your own parents can also affect your The important question is, what makes us“mother before wife”, or “father before relationship. So make smart choices. happy? Who makes us happy? Our psy-wife”? No one can deny that when your And then there’s dialogue. Talking is chologist´s answer is always the same: nopartner’s family comes into the scene, what couples do most. Sure, they talk one is responsible for our happiness, noteverything becomes more complicated. about debt, food, sex, but at the heart of even if they are our partner. “The lessThere is not one single mother who will it all is dialogue. The conversation can expectations I have, the better the outco-look at her son or her daughter and sometimes be friendly, or it can be me. That doesn’t make me a bitter person.believe that they are guilty of anything. about your day’s routine, but on other It simply means that my happiness is myNever. Their boy or girl is the poor vic- occasions, it is also the common ground responsibility. I build my own happiness”.tim of whatever is happening in their for us to solve our differences. And this issue is connected to anotherhome. And yet if things are going well, Conversation should be anything except everyday issue, but can also become thehe or she is clearly responsible for it. for a boxing ring where there is a winner source of many problems: spouses who“In-laws can end any relationship, des- and loser. “When we talk to each other, like to think that they are their partners’troy any couple. Your mom and dad it shouldn’t be about convincing the savior, or who try to become their spouse’sshould always go second, your partner other person, it should be about telling parent. A spouse’s mission is not to raiseshould always come first”, says Hurtado, them how we feel. It’s not a political or educate their partner.in what turned out to be a secular ver- campaign. We talk to each other in We need to give up on the romanticsion of the text in the Genesis: “A man order to listen to each other, not to con- idea of love, one based on feelings andshall leave his father and mother and vince each other. It’s not about impo- emotions, which are so transitory. Lovehold fast to his wife”. sing; It’s not about making the other is a decision we make every day, the deci-Think about this: it’s not just your person do what we want them to do.mother in law who can be the problem; In any case, the point is to be happy, right? •sion to understand the other, Instead of trying to change them.10

CHANGE ( )WITH YOUR MINDMost couples who attend counseling 11complain that their spouse is no longerwho they used to be, that they have losttheir essence. But they must unders-tand that everything changes. No onecan love the same way all the time, soour emotional rear view mirror must eli-minate all prior relationships and moveforward, focusing on the present.10 HABITS OFHAPPY COUPLES1 You can’t keep fighting in your dreams. Make up before you go to sleep.2 One call a day to say “I love you” will keep your connection alive.3 Whatever you’re thinking or feeling needs to come out. Don’t bottle up your feelings.4 Promote dialogue without imposing your ideas.5 Go back to basics. Little details never lose their charm.6 Seek happiness within yourself, not within your couple.7 Solve your problems without involving your family.8 Share common hobbies, without aban- doning your own private interests.9 Always remind yourself of what made you fall in love with your spouse. Don’t try to change them.10 Keep the physical contact and sexuality alive.

( )WITH YOUR MIND HEALTHY WAYHOW TO LOSE WEIGHT IN A ADVISOR MARCELA RAMOS. Nutritionist with Coomeva Medicina Prepagada. Losing weight and dropping sizes is possible if you set yourself goals and transform your lifestyle based on a healthy nutrition and physical activity. Extreme treatments guaranteeing Another common problem that occurs weight loss are of no use. Stopping with dieting, is that people want quick eating, failing to include all neces- results, within a given timeframe, instead sary nutrients in a diet and becoming of engaging in healthy lifestyle routines obsessed with the idea of being thin are the based on a proper nutrition. Losing great enemies of health and well-being. weight and controlling your weight are tasks that must be sustained over time. Quick weight loss or radical diets can You should think about staying active and be dangerous mechanisms for the human following a food regime to achieve well- body. A lack of essential foods can being, strength and energy. It is also about unchain several health problems. If a food incorporating physical activities and heal- plan advises a severe cutback in your calo- thy eating habits during your mealtime. rie intake or suggests resorting to vomi- ting or laxatives, it is not good for your During this process, it’s important to body. The desire to look good can lead to keep in mind that pant sizes and the dangerous complications. numbers on the scale don’t have the final say. It is also important to look at “Extreme behaviors are a sign that other indicators, such as the body mass something is not right. Losing weight can percentage and people’s ability to feel become an obsession that can take a human being’s life”, pointed out nutritio- •comfortable and happy with the way nist Marcela Ramos. their body has changed12

HOW TO MANAGE ( )WITH YOUR MINDYOUR EXPECTATIONS? 131 Weight loss treatments are more efficient and safe when they are supervised by professionals who guide and support people based on their experience in the fields of nutrition, sports or psychology.2 Using stairs instead of elevators, choosing to walk instead of driving, and sharing a healthy routine with a friend or your partner are some healthy behaviors that will allow your body to obtain more benefits and increase the effectiveness of a food plan.3 One of the main motivations to tackle this new health challenge is to think about how you are investing in your personal well-being, staying active, taking care of your health.4 A diet, for example, should never be perceived as an obligation. Instead, it should be visualized as a path to achieve greater vitality. It is vital that you understand during this5 process that every effort you make is meant to improve your quality of life and that will affect all other facets.

WITH YOUR MIND( )for himAISFAETSHESRE’SNPRTEISAENLCEThe authoritative figure of the father is asymbol of the past. Today’s fathers knowtheir children so well they’re even willing tolearn from them.ADVISORS TERESA ÁNGEL andLUZ AMPARO SALAZAR, Psychologists.There’s an old saying that goes “love paring baby bottles, cooking, sweeping, your mother, cause you will never mopping, while women would go off to get another”. But what about the work, to put food on the family table.father? What is his role in a child’supbringing? His absence can be determi- According to psychologist Teresa Angel,ning and can significantly scar a child’s new family structures where there can belife, and yet this is a topic that is rarely two women and a child, or two men and atalked about. child have considerably transformed the father’s role as a protagonist figure of autho- We should begin by saying that the rity: “historically fathers were considered torole of the father has changed over the be the main providers in a patriarchal andpast couple of decades. The figure of the sexist culture. They were in charge; they setgrumpy father, who was nothing other the rules, even for women. But now womenthan the breadwinner, a distant and cold can occupy professional positions wherefigure that saw kisses or hugs as a sign of they take on managerial roles, where theyweakness or lack of masculinity is now a have authority and are more propositive”.figure of the past. We now have fathers who are emotiona- After the Women’s Liberation lly committed to their children, who raiseMovement, which is still an ongoing pro- their children from an affectionate position,cess in our country, the patriarchal and who want to be close with their children, assexist society, in which the father went to opposed to fathers in the past who believedwork to ensure his family’s sustenance and that distance had to be kept so as to ensurethe mother stayed at home taking care of the respect of their children, a respect thatthe children and doing all the housework, resembled fear more than anything else. Thewas ruptured. Men started progressively par- modern father talks to his children, unders-taking in some of those responsibilities, tands them, does not impose rules, butwhich had been historically considered to rather converses with his children in order tobe the role of the female. It became elucidate issues and find different paths tocommon to see men changing diapers, pre- solve, for example, problems in adolescence.14

( )WITH YOUR MIND 15

WITH YOUR MIND( )for him 8 DAYS OF PAID LEAVE IS WHAT LAW 755 OF 2002, ALSO KNOWN AS LEY MARÍA GIVES FATHERS TO SPEND WITH THEIR NEWBORN CHILD. “Fathers are currently closer to their workaholic fathers who go from one mee- the opposite, the other side of the coin.children, they’re more committed. In a ting to the next, who never look up from “Some families are damaged by violence andway they end up being chastised –when it their cell phone because everything is so aggression. In those situations, women arecomes to the good ones- when couples important, sends a horrible message to chil- also abused and their rights violated, leavingseparate, because most of the time women dren. They are left with an emotional void them with a psychological trauma that theyare given the priority; restrictions are impo- that will probably never be filled”, said psy- will pass on their children. The result will besed on fathers, and even on occasion chil- chologist Luz Amparo Salazar. insecure children who are afraid of life, ordren are used as a means to intimidate who are susceptible of repeating the examp-them”, says Angel. In the case of divorce or separation, le of what their fathers did at home. There parents should try to make it as least trau- are still a lot of fathers who are not meeting With these new fathers, those who con- matic as possible, they should avoid projec- their financial obligations, let alone theirtinue to behave according to the old model ting a bad image for their children, given emotional obligations, who are not interes-are in the eye of the storm. When a child that later that image will be projected onto ted in participating in their children’s lives”.sees another family with a committed, one of the parents. “Parents must unders-loving father, a father who is willing to talk tand that in the end children are stuck in Fathers who are committed to theand comprehend, they don’t understand the middle. Parents must do everything upbringing of their children, who arewhy at home their father is abusive, neglec- they can to make things easier for their chil- willing to change diapers, prepare babyting, or why he just forgets to spend time dren, to keep things cordial, to set aside the bottles, who aren’t afraid of cuddling orwith his children simply because he is difficult emotions that are being processed hugging or kissing, should be celebrated.immersed in his work. by the adults, for the sake of the child”, Having said that, when problems arise in a declared Salazar. couple the best thing to do is to find a solu- “Fathers nowadays have the duty of affir- tion to make the relationship work, whate-ming children, of supporting them through Although there are a lot of these newlove and understanding. Any form of aban- fathers, who are so committed that the •ver that solution may be, since the childdonment, for example in the case of mothers pale in comparison, there is also will be stuck in between16

( )WITH YOUR MIND 17

WWIITTHHYYOOUURRMMININDD( ))grandparents THE GOLDEN AGEFOR TRAVELING Age will never be an The ‘third age’ can be a wonderful time to travel, relax, obstacle to travel and experience unique moments, free from any worries or complications. It is important to follow a and enjoy an unfor- series of recommendations so as not to overlook any detailsgettable tourist expe- during your travels. rience. The key is to Start by carefully planning your trip. Schedule it withleave your prejudices enough time in advance, taking into account the specific cha- racteristics of your destination, for example the time it will and fears behind. take you to arrive there, the means of transportation available, the language, the weather, the ease of access to medical servi- ADVISOR ces. Check whether local traditional cuisine may cause you ROSA ISABEL CORREA any health issues, and whether local interests are compatible with your own. psychologist with Coomeva Medicina Prepagada “Becoming a senior citizen is not synonymous with having to stay at home. It is an opportunity to go out and experien-18 ce, without the stress of our daily routines, a different way of living life”, stated psychologist Rosa Isabel Correa Alvarez. When planning for your trip, make sure you include a visit to your personal physician beforehand to assess whether it is appropriate for you to travel and the suitability of your chosen destination. With the help of your physician, you will be able to clarify doubts, create plans to follow in situations where your health may be affected, and establish which medications you should include in your first-aid kit when you travel. In order to select the best option for your travels, based on your needs and limitations, it is vital that you obtain proper advice, instead of relying solely on reviews available online, or the personal experiences of friends or acquaintances. Your analysis must include information from several sources that allow you to visualize what the experience would be like. “Seniors must be very aware of what they can do and the restrictions they should adhere to in order to preserve their health and well-being. It’s not about limiting themsel- •ves, but rather a matter of enjoying their travels responsi- bly”, affirmed Alvarez

PREVENTION IS KEY ( )WITH YOUR MIND1 TAKE CARE OF YOUR JOINTS AND MUSCLES 19 If you are going on a long trip, whether it is by car or plane, it is important to take a break every once in a while, to get up and move your legs and arms. This way you will avoid possi- ble clotting or muscle spasms.2 TAKE TIME INTO ACCOUNT As the saying goes, “haste makes waste”. Therefore, make sure you calculate how much time in advance you will need to get to the airport or bus terminal, the duration of the trip, the time lapses between your meals, among others.3 WATCH YOUR DIET Trying new flavors is a delightful experience for any traveler. However, seniors must be more moderate, as they usually enjoy a well-balanced diet, and a sudden change in their dietary habits may result in complex health issues.4 MAKE SURE YOU HAVE ALL NECESSARY VACCINES Travelers must inquire about the vaccines needed to enter certain places, whether it is due to sanitary norms, or because it is recommended that they get those shots in order to prevent diseases.5 BRING A PRINTED MEDICAL CERTIFICATE WITH YOU Older adults do not need to travel with their full medical records translated, but they should carry with them a translated medical certificate stating any diseases, allergies, medications and or special care they may require.6 EXPLORE TRAVEL AGENCIES’ OPTIONS FOR SENIORS There are a lot of options for senior tourists available on the market. Cruises, visits to thermal waters, and wellness centers are some of the most popular options available in tra- vel agency portfolios. Using a travel agency may facilitate planning for your trip, as they can provide specialized advice so your experience will be satisfactory.

( )WITH YOUR MIND FORM A NEW HABIT IN JUST 21 DAYS Living a life of well-being, achieving your dreams, and having successful social relationships are up to each one of us. The key is to prioritize what you would like to change and recognize the benefits that these changes will bring to your everyday life. ADVISOR It takes 21 days to eliminate or incorpo- You must thus identify what you would like JAVIER CHÁVEZ rate a new habit into your life. It is pos- to change or incorporate into your life. Coomeva Health sible -and easy- as long as you’re motiva- ted, have the will, discipline, and commit- “The first thing you need to do is Coach ment to do it, as well as a clear objective recognize the habit that is harming you that you would like to achieve. You must and you would like to change, or the decide how you want to live. habit you would like to incorporate to increase your well-being. Visualize that Coach Javier Chavez recommends that new habit as your North, the goal to be you first identify the routine you would like attained. This will give more clarity to to change or add to your daily life, and that your aspirations”, declared Chavez, who you visualize the well-being that this deci- affirms that creating an action plan, sion will bring to your life. For example, by choosing a reminder of the benefits, mea- exercising every day you will be able to tone suring progress and celebrating the chan- your body; exercise will give you more physi- ges that these new practices bring to your cal stamina, and will protect your heart. life well help you motivate yourself, conti- Learning a new language will provide you nue the process and give yourself new with professional opportunities and stimu- challenges to tackle. Another key lies in late the left hemisphere of your brain. constantly repeating to yourself what it is Smoking, on the contrary, will bring a lot of that you want to achieve. health problems and disease to your lungs. Our habits match the way we think, and20

(( ))WWITIHTHYYOOUURRMMININDD trends(Beware of your thoughts: the mind is a faithful interpreter of what it perceives. Repeating certain actions on a daily basis will result in forming a new habit. Choose what behavior you would like to incorporate and practice it. IDEALLY, KEEP IN MINDyou should work on changing that the brain is a malleable organ and each new skill, or one habit at a time. language that you learn, much like every new experience you live, will reconfigure the map of your brain.if we change our mindset, we can change fathers of modern psychology, who con- START TODAYour habits. cluded that our way of thinking can be transformed in just 21 days. 1 Believe in yourself. ImproveSINCE TIME IMMEMORIAL your self-perception.William James, the founder of functio- The method, however, is only effective Visualize the person younal psychology, stated in an article called when an individual is constant, when his wish to become. Get rid ofHabit that the mind can indeed be re- efforts are not intermittent during the pro- any thoughts of self-defeat,educated. “In very little time those new cess, according to Chavez. “Success is more and tell yourself that changeactions will become habits that hold an difficult when there is no willpower, when is possible.indisputable place in our lives, as they individuals don’t incorporate 100% whatplay a key role in an individual’s day they wish to achieve into their lives”. Think positive and be realis-today life: they simplify the necessarysteps for us to achieve a determined So if you’re looking to change your 2 tic, so your mind will giveresult, they make those steps more adap- mindset, start by prioritizing your needs. you the drive and motiva-tive and exact, and they reduce fatigue. Cultivate your patience, connect with and tion to move forward.Similarly, they require less of our cons- motivate yourself. This will all positivelycious attention to be devoted to the exe- influence your way of thinking, and thus 21cution of these actions, by rendering the your actions and way of seeing things.behavior automatic and making it more Choose on which side you’d rather befluent”, said James, one of the fore- living: would you rather live in peace, •happiness and fluidity? Or chaos sadness and anguish?

EligeCoomeva cUonnatliígneoa que se mueveCartagena Barranquilla Medellín Bogotá CaliPensando en tu tranquilidad y salud, Coomeva Emergencia Médicaha implementado la nueva Línea Directa Nacional 01 8000 931 555,que puedes usar para solicitar nuestro servicio sin importar en quéciudad te encuentres*. También puedes solicitar el servicio desde laAPP Móvil Coomeva Medicina Prepagada.Medicina Prepagada Coomeva nos facilita la vidaNúmero válido en las ciudades donde CEM está disponible: Cali, Bogotá, Medellín, Barranquilla y Cartagena.

)WITH YOUR BODY 15 THOUSAND LITERS OF AIR PER DAY ON AVERAGE IS WHAT AN ADULT CAN BREATHE UP TO.CIGARETTES ARE NOT THE ONLY THING AFFECTING OUR RESPI-RATORY SYSTEM. THERE ARE ACTUALLY SEVERAL THINGS WECAN DO TO ACHIEVE HEALTHY BREATHING.EXERCISE IN CLEAN ENVIRONMENTS AIR-PURIFYING PLANTS CITRUSES, LEAFY VEGETABLESWalking or jogging along the internal Some houseplants can help us keep clean AND GREEN TEAstreets of our neighborhoods is a good the spaces where we spend most of our Our diet can also impact the health ofoption for us to avoid the pollution of time, such as our offices or homes. Among our lungs. A diet low in saturated fatslarge cities or high-traffic avenues. the most effective plants are golden and high in antioxidants can protect us pothos, snake plants, and bamboo palms. against toxic environmental pollutants.

( )WITH YOUR BODY DIZZINESS IS A SYMPTOM ADVSOR SAMUEL MUÑOZ - Ear, throat and nose doctor with Coomeva Medicina Prepagada.24

This malaise can be ( )WCIOTHN YTOUUCRUBEORPDOYlinked to metabolic, tendenciasneurologic, or ear 25pathologies. Sometimesit can be treated athome, and other timesyou must see aphysician.That feeling that everything is spin- ning, or you are spinning, spinning backwards, forwards, left or right,or that the floor is moving, or sinking, orthat your head feels heavy, is what iscommonly known as dizziness. Some people confuse dizziness withvertigo. What you must understand isthat the latter is a pathology linked to abalance disorder linked to neurological orear problems, and the former is one of thesymptoms of vertigo. Dizziness can also be the manifestationof metabolic alterations or systemic disea-ses (a spike or drop in blood sugar levels,high or low blood pressure, vascular pro-blems, dyslipidemia – an alteration inyour cholesterol levels), and yet thepatient will not be considered to have ver-tigo. Also, it is part of a series of symptoms,for example when it is linked to ear patho-logies, it will usually be accompanied bysweating, nausea, vomiting, cold sweats,and overall discomfort. Due to repetitiveand persistent movement or displace-ment, the peripheral mechanisms of theear and brain cannot adapt properly, andthus dizziness occurs.

( )WITH YOUR BODY TYPES OF DIZZINESS If you experience any of these symp- toms, please visit your physician for an accurate diagnosis. 1 VERTIGO: a feeling of lack of sta- bility upon walking, where a per- son will feel like the objects around them are spinning. It is usually accompanied by nausea and vomiting. There are two types of vertigo, peripheral and central. In order to avoid dizziness when you down to standing up. A person who 2 FAINTING OR LIPOTHYMIA:travel, try to sit in the middle or central suffers from this condition is prone to an episode of momentary loss ofarea of the vehicle or means of transporta- dizziness when they’re going to lie down, consciousness, which is generallytion, because that’s where the least oscilla- get up, or change positions while lying preceded by a feeling of dizzinesstions occur. Try to sit down, look outside, down. They should avoid sudden changes and weakness of the knees, blurryand move as little as possible. Try not to in posture, get up slowly if they were lying vision or pallor.engage in any other activities. If you are in down, and remain seated for a fewthe car, increase the ventilation, take moments before they get up. Additionally, 3 INSTABILITY: a type of dizzy spellbreaks, and avoid rough driving. Eat small they should hold onto something while where there is no feeling of fain-portions and light foods. Take medication getting up. ting. The symptoms are a lack ofto prevent dizziness half an hour before security upon walking; a feelingyour trip, and bring plastic bags in case Samuel Muñoz stated that when dizzi- that objects around you are spin-you feel like vomiting. ness is strong and intense, when a person ning; difficulty maintaining balance, can either sit up nor standup, when they blurry vision, among others. On the other hand, when transitioning have a lot of nausea and vomiting, as wellfrom cold temperatures to warm tempera- as intermittent, short, and momentary 4 OTHER PROBLEMS: eartures, from light to dark, from lying down dizzy spells, they should at all costs go for alterations, blood pressureto sitting up, your body needs to adapt in an emergency consultation, so that verti- variations, cervical problems,order to maintain its inner balance. This go medication can be prescribed to them. eyeglass prescription errors, excessadaptation process is performed by the If it is a recurrent (chronic) condition, you oxygenation, the use of certainautonomic nervous system. When it is should ideally consult with a physician. medications and multiple sclerosisunable to adapt, this can result in dysauto- can also cause dizzy spells.nomia. Dizziness is a symptom of dysauto- Older adults are more prone to dizzynomia, which can occur when there is a spells due to aging-associated diseases,sudden drop in your blood pressure when such as cardiovascular disease, presbyacu-you get up or switch positions, from lying •sis (aging-related loss of hearing) and pres- byvertigo (vertigo linked to old age)26

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WITH YYOOUURRBBOODDYY( )little giantsYOUR BABY’SAN EXPLANATION FOR It is normal for children to make small repetitivePOOR SLEEP movements while they sleep, as they grow older this phenomenon gradually goes away.28

( )WITH YOUR BODYADVISOR LUIS GUILLERMO DUQUE RAMÍREZ. Neurologist.The word myoclonus is a little extra- that they have very poor sleep. Decades SLEEP vagant and difficult to unders- ago, especially in rural areas, it was DISORDERS tand, but its meaning becomes thought that when this happened, itmore clear if we describe it with everyday meant that a witch was flying above the The most recent classification oflanguage, “My child just doesn’t sleep house. None of this is true. sleep medicine identifies overwell.” What we all understand by poor 100 sleep disorders. Amongsleep is that the child either moves a lot “It is common for children to experien- children, these disorders includewhile they sleep, they sleepwalk through ce these types of abnormalities in their night terrors, which occur at thetheir home still entrapped in their sleep, as they are more hypertonic than beginning of the night and aredreams, or they sit up and talk as if it adults. In other words, they are less rela- associated with the child’s lastwere three in the afternoon and not xed when falling asleep; as adults, we tend activity of the day; nightmares,three in the morning. In sum, myoclonus to let ourselves go when we sleep. which take place during deepis more common than its name implies; Sometimes when a baby is moved from sleep and are due more toit is a sleep disorder. the position in which they are sleeping, everyday habits or thoughts; they may begin to make involuntary and sleepwalking; teeth grinding; Luis Guillermo Duque Ramírez, a pro- repetitive movements. This is due to their nocturnal enuresis, which is whenfessor at the Department of Medicine at the hypertonic state.” the child wets their bed evenUniversity of Antioquia and doctor of neu- after having learned to controlroscience, explains that while myoclonus is Myoclonus becomes less frequent as their bladder; somniloquy, whichcommon among young children, it is also the child reaches adulthood. Every once is sleep-talking and notexperienced by adults, “This can be explai- in a while, it is normal for an adolescent remembering; sleep paralysis,ned easily. Have you ever been startled to to get out of their bed while they are which is when the individual iswake up because of a twitch in your body? asleep and walk through their home as if dreaming and believes that theyOf course you have, this happens to all of us they were very awake, or they may sit up are awake and cannot move;and is called a myoclonic jerk.” from their sleep and talk out of the blue periodic movements of the and may even answer questions. This is extremities or restless legs Briefly, this is defined as the loss of myoclonus and it is more present in chil- syndrome; snoring and apneas.control of muscle groups and occurs when dren because, as Duque Ramírez says withone goes from a superficial stage of sleep the clarity of a professor, “You tend to 29to a deeper one. While these episodes are observe them more when they sleepnormal, they can turn into sleep disor- because you fear that something couldders. “Myoclonic jerking that occurs while happen to them, but these are normalfalling asleep is normal as long as it does processes of falling asleep.”not increase in frequency. It is abnormalwhen the movements are repetitive or very If the baby or child has more than fiveintense. It is not normal for there to be episodes in one hour that last for severalmore than five episodes an hour.” days, visit a doctor that is either a specia- list in sleep medicine or a pediatrician; as Some myths exist with regard to these the specialist clarifies, while it is not verysmall spasms that children experience common, something that may be conside-while they sleep. Mothers often mentionhow their child has “worms” (parasites) or •red normal in the majority of cases, may be end up being epilepsy

( )WITH YOUR BODYDIETA SÍ, SAY YES PERO CON BUENOS HÁBITOS TO DIETING, Seguir la dieta de moda o aquellas creadas por nosotros mismos puede BUT WITH GOOD HABITS afectar nuestra salud. Asegure los nutrientes y controle porciones. Following the latest fad diet or one you made up may30 affect your health. Ensure your nutrients and control your portions.

ASESORA Cuando no se tiene una alimentación ( )WITH YOUR BODY SANDRA PATRICIA equilibrada, se pueden asociar desór- armonía en salud denes como obesidad, enfermedad ALFARO B. cardiovascular y alteraciones en el metabolis- When you don’t have a balanced diet,Nutricionista, adscri- mo de la glucosa, colesterol y ácido úrico, disorders such as obesity, heart entre otros. Según la nutricionista, Sandra disease, and alterations in the meta- ta a Coomeva Patricia Alfaro, estas complicaciones tienen bolism of glucose, cholesterol, and uric acid,Medicina Prepagada. un alto porcentaje de influencia por el tipo de among others, may arise. According to nutri- alimentación más que por la genética propia. tionist Sandra Patricia Alfaro, these compli- ADVISOR cations are highly influenced by a person’sSANDRA PATRICIA Además, actualmente, es común hacer type of diet rather than their own genetics. planes alimenticios que no tienen un ade- ALFARO B. cuado balance de nutrientes, lo cual des- Besides, nowadays, it is common to make Nutritionist, compensa el equilibrio orgánico y la salud. diet plans that do not make for an adequate affiliated with De acuerdo con la especialista, con el tiem- nutrient balance, which destabilizes the Coomeva Medicina po, esto puede tener una importante body’s organic balance and health. Prepagada. influencia en generar desórdenes neurológi- According to the specialist, in time, this may cos como demencia senil y Alzhéimer, sarco- have an important influence on the appea- penia (pérdida de músculo en la vejez), pro- rance of neurologic disorders such as senile blemas gástricos y osteoarticulares. dementia and Alzheimer’s disease, sarcope- nia (loss of muscle in old age), and gastric La dieta debe suministrar suficientes and osteoarticular problems. calorías y nutrientes, por ejemplo, si una persona necesita 1800 calorías en su alimen- Our diet must provide enough calories tación, esta debe aportar macronutrientes: and nutrients—for instance, if a person needs de un 50 a 60 % de carbohidratos como 1,800 calories in their diet, this must provide fuente de energía; del 15 al 20 % de proteí- macronutrients: 50 to 60 percent carbohydra- nas, las cuales son reguladoras de las funcio- tes as a source of energy, 15 to 20 percent nes orgánicas y de un 25 al 30 % de grasas, protein, which regulates organic functions, dentro de estas, se recomienda consumir and 25 to 30 percent fats (olive oil, avocado, aceite de oliva, aguacate, nueces o semillas. nuts, or seeds are recommended). También deben tenerse en cuenta los We must also keep in mind micronu- micronutrientes y la fibra como frutas, verdu- trients and fiber, found in fruits, vegetables, ras y cereales de granos enteros, además, and whole-grain cereal. We also need an tomar 30 centímetros cúbicos de agua por intake of 30 cubic centimeters of water per kilogramo de peso. kilogram of weight. ARMAR LA DIETA PLANNING THE DIET Las comidas diarias deben ser cinco: desa- We must eat five daily meals: breakfast, mid- yuno, media mañana, almuerzo, algo y morning snack, lunch, mid-afternoon snack, comida, con un tiempo entre ellas de tres and dinner, spaced in three-hour intervals. horas. Sandra Alfaro indica que el plato debe Sandra Alfaro indicates that the plate must ser igual al perímetro de la mano abierta; si se be as big as the perimeter of an open hand; if van a comer harinas, granos, semillas o fruta, la carbohydrates, grain, seeds, or fruit are going medida debe ser de un puño; la carne debe ser to be consumed, their portions must be as del tamaño de la palma con los dedos cerrados big as a fist; meat needs to be the size of the y las verduras, una taza grande. palm of the hand with closed fingers, and vegetables must be as big as a large cup. También agrega que se debe empezar el almuerzo o la comida con una ensalada, una She also adds that lunch or dinner must crema o una copa de vino y terminar con una begin with salad, soup, or a glass of wine, fruta; si se acompaña con agua, debe tomarse and must end with fruit. If the meal is accompanied with water, we must drink a small glass slowly while ingesting our food. For breakfast, Alfaro specifies that this 31

WITH YOUR BODY meal must have balance between car- bohydrates (like tortilla, bread, or grilled( )armonía en salud plantain); one must choose between the protein offered by cheese, eggs, or meat; un vaso pequeño pausadamente mientras one whole fruit must be eaten, and the se ingieren los alimentos. drink can be selected between juice, oat- meal, latte, chocolate milk, sugarcane Para el desayuno, Alfaro precisa que water, or herbal tea. Yogurt or kumis with este debe tener un equilibrio entre car- cereal and a fruit can also be preferred. bohidratos como una arepa, un pan o un plátano asado; escoger entre las proteínas For the mid-morning snack, she que ofrecen el queso, huevo y carnes; suggests choosing between yogurt, a fruta entera y en la bebida se puede elegir slice of cheese, nuts, or fruit. Half of entre jugos, avena o leche con café, choco- the plate at lunch must contain raw late, panela o aromática. También pueden and cooked vegetables; a quarter must ser yogur o kumis con cereal y una fruta. contain the carbohydrates, which may be rice, potatoes, manioc, plantain, Para la media mañana sugiere escoger corn, or buckwheat; protein may be entre yogur, un pedazo de queso, nueces o meat or grain, and finally, a fruit must fruta. La mitad del plato del almuerzo also be included. debe tener vegetales crudos y cocidos; un cuarto debe contener la harina la cual The mid-afternoon snack may be fruit, puede ser arroz, papa, yuca, plátano, maíz nuts, or dairy, and dinner must be distribu- o cebada; la proteína puede ser carnes o ted between vegetables, carbohydrates (tor- granos y, por último, una fruta. •tilla, bread, rice, or pasta), protein (cheese, El algo o merienda puede ser fruta, frutos secos o lácteos y la comida debe distribuirse eggs, or meat), and finally, a fruit entre verduras, harina (arepa, pan, arroz o •pastas), proteína, que puede ser queso, huevo o carnes y, finalmente, una fruta AJUSTARSE ► Los padres deben formar la conducta ► Parents must guide their children’s dietary A CADA alimentaria de sus hijos, explicándoles behavior, explaining to them the importance la importancia de comer cada alimento of eating each food and inviting them to do NECESIDAD e invitándolos a mercar y a preparar grocery shopping and to prepare the meals. las comidas. ADJUSTING ► Older people may consume sugar and salt TO EACH ► Los ancianos sí pueden consumir azúcar y in moderation, and on average, six car- sal sin exceso y en promedio seis harinas al bohydrates per day, as they need glucosePERSON’S NEEDS día, pues necesitan glucosa para el cerebro. for their brain. It is better for them to eat soft Mejor, comidas blandas y evitar los fritos. foods and avoid fried foods. ► Para reponer el gasto de energía en la activi- ► In order to replenish the energy consumed dad física, los deportistas deben sumar calo- during physical activity, sportspeople must rías a la dieta, consumiendo cereales ente- add calories to their diet, consuming whole ros, lácteos, frutas e hidratar muy bien. cereal, dairy, fruits, and they must keep themselves well hydrated. ► A las personas obesas y diabéticas se les recomienda programar las calorías indicadas ► It is recommended for obese and diabetic por peso, talla y somatotipo (constitución people to plan the calories indicated for ósea) para evitar una descompensación, con- their weight, size, and constitution in order sumiendo una alimentación rica en fibra y to avoid energy depletion, with a fiber-rich baja en grasas y azúcares simples. diet, low in fats and simple sugars.32

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WITH YOUR BODY( )Set BACK PAIN 30 The back or spine is made up of bones It can have a mechanical or neurologic OF DAILY PHYSICAL and muscles. It is origin, it can occur as a result of an ACTIVITY WILL ALLOW the structure that YOU TO RELAX YOUR holds up the body injury, a sprain, or a fall, among others. MUSCLES. WALK, RUN, and contributes to It can cause pain, functional impair- SWIM, ATTEND YOGA keep it stable. OR PILATES CLASSES. ment, swelling, and/or muscle spasms. ADVISOR In order to avoid it and treat it in a POHSTYUGRIEANLE DOLLY MARCELA ZAPATA timely fashion, stay continuously acti- 33 Physical Therapist ve, maintain an upright posture and avoid excess weight. Most severe VERTEBRAE MAKE UP BAD POSTURE THE SPINE. cases can be treated with medication When a spine presents with or nonsurgical treatments such as kyphosis (exaggerated rounding of physical therapy. the back) the body is at risk of injury in different areas, as otherDOING regions of the body will beTHINGS RIGHT overloaded. The person’s belly will seem bulky, as bad posture canPostural hygiene and ergonomics will debilitate the muscles of theteach you to reduce the load being abdomen, cause more pain, andcarried by your back. Determine the reflect a deteriorated body image.posture in which you will be thelongest, and seek advice on what typeof exercise is right for you. Ideally youshould maintain a balanced routine thatincludes physical training, weightcontrol, stretching, and low impactaerobic exercises, depending on thetype of pain being experienced. Avoidstaying in the same position for longperiods of time and take active pauses.34

( )WITH YOUR BODY 35

WITH YYOOUURRBBOODDYY( )for her ON THE PROPER USE OF WASHESPANTYLINERS AND INTIMATE ADVISOR GLORIA INÉS LOPERA - Gynecologist. The optimal use of these products can provide women with a proper intimate hygiene, especially when their menstrual cycle begins. Restricting the use of pantyliners and intimate don’t even know what is in them. Therefore, it is washes for women is not the best solution to key that you consult with your gynecologist on avoid vaginal infections and UTIs. What which ones to use, as certain components can also gynecologist Gloria Ines Lopera recommends in affect or irritate some people. Ideally, you should order to avoid complications in your intimate area use a neutral wash, and its use is recommended for is to give proper use to these two products. people who are allergic to hand soap”, she added. For pantyliners, she recommends using hypoa- IT AFFECTS THE NORMAL COURSE OF THINGS llergenic, cotton, breathable, chemical-free, color- A vagina’s pH (which stands for power of hydro- less pantyliners, with no synthetic meshes, or perfu- gen), in other words, its normal acidity level, can mes. Additionally she recommends that they be be modified depending on the phase of a changed at least three times the day. This same woman’s cycle, as the pH can temporarily change habit applies to sanitary pads and tampons. during her menstrual period, but it can also chan- ge during a woman’s lifetime. If the vagina’s pH is “The problem is not the pantyliners per se, it’s altered, it can produce infections such as mycosis, the way women use them. Some people will leave which can generate such vaginal discomfort as irri- the same pantyliner on all day, and that can really tation, itching, vulvar pain, and pain upon urina- accumulate bacteria. Plus, with the use of pantyli- tion, which in turn can modify the balance of the ners your underwear will stay cleaner, given that vaginal bacterial flora. Thus, certain habits or underwear fabric can also accumulate germs”, situations, such as inadequate intimate hygiene, Lopera explained. tight clothing, or synthetic material underwear, can cause allergies, infections, and diseases in the Vaginal secretions, sweat, physical activity and vagina. So take preventive measures and study the the type of clothes you wear can also influence the risk factors to avoid bacteria and fungi. “Once frequency with which you should replace pantyli- women start their cycle, they can use menstrual ners, given that excess humidity can make your skin products for hygiene. They don’t need to use inti- feel uncomfortable in that area of your body. •mate washes or pantyliners during that phase”, With regard to intimate washes, Lopera stated that wrongfully performed vaginal douches can alter concluded the expert the pH of this area of the body. “There are a lot of commercial intimate washes on the market, but we36

( )WITH YOUR BODY 18 and 36 INFECTION INDICATORS YEARS OLD – THE AGE AT WHICH WOMEN ARE MORE Consult your gynecologist if you present PRONE TO SUFFER VAGINAL with any of the following symptoms: INFECTIONS CAUSED BY ► Vaginal flow with a strong odor FUNGI. ► Itching in your vaginal area ► Burning sensation upon urination75% ► Vaginal pain and irritation ► Pain upon sexual intercourse OF WOMEN SUFFER FROM ► Vaginal dryness VAGINAL CANDIDIASIS AT ► Changes in the color LEAST ONCE IN THEIR LIFEDURING THEIR REPRODUCTI- of your vaginal flow VE AGE, ACCORDING TO THE MOST COMMON ESTIMATES. INFECTIONS ► VAGINITIS OR CANDIDIASIS (YEAST INFECTION): fungal infec- tion that occurs when there is an overgrowth of the Candida fungus, which is usually present in our orga- nism in small amounts, but can be mul- tiplied when the body’s pH is altered. ► VAGINOSIS OR GARDNERELLA: it occurs due to an over growth of the Gardnerella anaerobic bacteria (it lives and thrives without oxygen), which is normally found in the vagina, but can be altered when the area cannot transpire. FOR A PROPER VAGINAL HYGIENE ► Make sure you dry well after taking a bath or using the bathroom. ► Make sure you are the only one using your bath towel. ► Hand-wash your underwear using mild soap; avoid putting it in the washing machine with the rest of your clothes. ► Use cotton underwear and make sure that no soap or detergent marks remain on the fabric after you wash it. 37

WITH YYOOUURRBBOODDYY( )your smile INJUREWHAT TO DO WHEN YOU YOUR TEETH? Although they “ A 9 year-old girl went down a water slide Tooth fractures may vary, they can be seem as hard as a and when she got to the bottom of it she small and take place at the crown, either hit her teeth. One of her tooth fell off and on the enamel or the dentin. These situa- rock, teeth can into the pool”. Her mother kept it in milk tions can be restored using resin. When also get injured. for six hours. A dentist tried to reattach it, the tooth is chipped, it mustn’t be tou- but due to how long they had waited to per- ched. You should also avoid eating hot or When this form the procedure, when she was 15 she cold foods, and see a dentist immediately. happens, it is suffered from a dental root resorption, and better to not give at 21 she had to get an implant. When the fracture compromises the way to other nerve, a root canal must be performed complications. Fractured teeth, luxated teeth (loose (the nerve is removed, the conduit is clea- teeth), teeth displaced from their socket or ned and filled with a material), and then ADVISOR inside the socket, or teeth with discolora- the crown is restored using resin or, CARMENZA MACÍAS. tions. Such are the cases that may occur. depending on the size of the fracture, Carmenza Macías, a dentist specialized in using a complete crown. Odontologist with odontopediatrics, affirmed that this situa- Coomeva Medicina tion is more recurrent in male teenagers Teeth can also change color (yellow, and adults, mostly due to sports injuries, brown, gray or black). According to Dr. Prepagada. traffic accidents, and violent events. Macias, discoloration occurs when the nerve dies because of trauma, and the crown Children are also prone to these types is stained with blood pigments. Thus, once of situations, as they have a tendency to you finish your treatment, you must under- fall while they learn how to walk, and they go a whitening and restoration treatment. like to participate in games that require running and jumping. When the fracture takes place at the root, in general the tooth cannot be resto-38

( )WITH YOUR BODYred. A tooth extraction will be performed(the tooth is removed), and an implantwill be placed.SPECIAL CAREWhen a tooth is excessively loose, thedentist will conduct a dental splinting(the tooth is attached to the adjoiningteeth with resin for two weeks). Thepatient must be given special care inorder to protect the tooth, including asoft diet, avoiding shutting their mouthtoo tightly, avoiding any trauma orpushing the tooth with their tongue.Another situation that may occur is thatthe tooth that suffered the trauma can becompletely pushed into the socket. Inthese cases, you must wait for the toothto progressively come out on its own.The opposite can also happen, where thetooth comes completely out of thesocket. In this case, Macias recommendsthat you wash it using a sterile solution, 39

CWOITNHTYUOCUUREBROPDOY( ))por tu sonrisa PREVENTIVE MEASURES ► People who practice contact sports (shock) must use mouthguards. ► Avoid fights. ► Avoid eating hard foods. ► Always use a seat belt. ► Seniors should use non-skid shoes in order to avoid falling. ► Adults should ask children to be careful when they’re running. (Teenage and adult males TOOTH are more prone to suffering tooth INJURIES injuries due to sports practices, traffic accidents and violent events. Fractured teeth The main causes are jaw clenching, teeth grinding, and trauma.and that you attempt to put the tooth ched (maximum 2 hours after the inci- Tooth discolorationback in the socket immediately. If you are dent), an implant will be necessary. Causes include congenitalunable to perform said maneuver, insert Finally, Carmenza Macías stated that when disease, environmentalthe tooth in a glass of milk or under the teeth are temporary (baby teeth) and factors and infections.mother’s tongue, in the case of small they’re injured, they may be pushed furtherchildren, in order to keep it moist with into the socket. This can cause damage tosaliva and thus keep the cells of the root the permanent or definitive teeth that arealive while you arrive to the dentist’s offi- being formed, or can displace them andce so that they can re-implant it (put the alter their calcification. As a result, perma-tooth back in the socket).If the tooth is lost and cannot be re atta- •nent teeth can come out in a bad position or with defects in their shape40

( )WITH YOUR BODY¿Te SpO¿droeCLts?evaigtabelisezaldlooss? línea capilar anticaspadel y anticaída Piloskin Piloskin Piloskin Piloskin Anticaída Anticaspa y Anticaída Con Plus Cabello Graso Anticaída BIOTINA Cabello NormalPiloskin Piloskin Piloskin PiloskinTratamiento Tónico Capilar Reparador AcondicionadorCapilar Capilar AnticaídaIntensivo 41

( )WITH YOUR BODY42

52% CON TU MUNDOOF ALL OLDER MEN ( ))WITH YOUR WORLDSUFFER ABNORMALRESPIRATORYPATTERNS INTHEIR SLEEPNOT ONLY DOES OUR BODY BENEFIT FROM PROPER SLEEP, OURMIND DOES TOO. THESE ARE THE BENEFITS OF A RESTFUL SLEEP.IT DELAYS MEMORY LOSS IT IMPROVES OUR PHYSICAL GOOD NEWSRespiratory problems such as loud ENDURANCE People who receive treatment with asnoring and sleep apnea can accelerate Sleeping well makes us feel less tired the fo- breathing machine can delay their mentalthe rate at which our mind and our llowing day and helps us perform more effec- decline to about the same age as peoplememory deteriorate. tively when we exercise or practice sports. without breathing disorders. 43

FROM AN EXPERT’S PERSPECTIVE:LET’S TALK ABOUTMASTURBATION It is important to This is one of those topics that you Meanwhile, the vast majority of men who foster opportunities must discuss as a family. suffer from premature ejaculation do so for a family dialogue Masturbation is part of sexuality because of poor masturbation practiceson the subject of sex, and the growth and development process, where they haven’t allowed themselves to especially with tee- so it is important to foster moments to recognize the ejaculatory urge or learned generate inspiring conversations with chil- to control their orgasms. Masturbation is nagers. Sexologist dren, where the concept of privacy and equivalent to learning how to crawl but Flavia Dos Santos, the need to live a well-balanced life are for sex. You cannot start walking without shares her views on given the relevance they deserve. first learning how to crawl. Masturbation Coomeva Medicina Prepagada invited the is a time to explore and learn about your the matter. renowned Brazilian sexologist Flavia Dos body so you can then share that intimate Santos to discuss her views on this topic. moment with another person”. WHAT ROLE DOES MASTURBATION PLAY HOW DOES MASTURBATION MANIFEST IN THE DEVELOPMENT OF SEXUALITY? ITSELF IN ADOLESCENCE? “Masturbation is part of the development “During this stage, hormones are thriving of every human being. It is a form of self- and adolescents feel the need to touch knowledge. 98% of anorgasmic women their body. Humans have more than have never masturbated, do not know 8,000 nerve ramifications throughout their clitoris and not know how much sti- their body and it is normal for them to mulus is needed to feel pleasure. feel curious and interested in feeling sen-44

FLAVIA DOS SANTOS’ DOMICILIOSPERSPECTIVEAfter training as a psychologist in hernative Brazil and completing her studies insexology and addictive behaviors in Italy,Flavia Dos Santos traveled to Colombiaand ended up staying for good.Through her participation in prominentnational television and radio shows, theBrazilian sexologist is currently one ofthe most renowned sexual counselorsin Colombia.Also worth highlighting in her careerare her two publications: Sexwithout mystery (Sexo sinmisterio), an invitation toaddress sexuality from aperspective free fromprejudice, guilt and false beliefs;and What do I do with sex? (Quéhago con el sexo?), a collection oftestimonials from patients andviewers regarding their doubtsor taboos about sexuality.sations when touched, or touching themsel-ves in parts of their body that give them plea-sure. The mistake is in forbidding orpunishing children for doing it, in addressthe issue of masturbation as something ‘bad’.It’s not that you should to teach them to doit; but rather, it’s about ‘normalizing’ theissue, talking about it. Tell them it’s ok forthem to feel pleasure, but take the opportu-nity to discuss the concept of privacy. Inother words, this is not something you cando in the street, but rather a private momentto discover your own body”.THERE ARE MANY MYTHS REGARDINGMASTURBATION, WHAT IS YOUR OPINIONON THIS?“All human beings, I would say 99%, mastur-bate. Masturbation won’t make you sick, norcrazy, you won’t get pimples or grow hairs.These all are myths that come from medieval

WITH YOUR WORLD( )for your generation (Although for many this is not PARENTING TIPS a comfortable situation, talking with your teenage children about masturbation is the 1 You can start by bringing up the healthiest choice and best way to handle this topic with your child as if it key stage of their lives. didn’t concern him or her, tal- king about masturbation intimes, when the Catholic church forbade TALKING ABOUT IT WITH BOYS AND general. If you accidentally dis-all sexual practices that did not lead to TALKING ABOUT IT WITH GIRLS? cover your son or daughterreproduction, including masturbation, “When you have the task to educate, you masturbating, do not panic orwhich was considered sinful, dirty. It’s must consider men and women as equals. confront them. Find anotherdifficult to erase people’s collective imagi- Sexual desire is the same for both sexes. time to discuss what happened,nation… people were burned, hanged, There is no such a thing as men feeling and understand that surely heimprisoned for it. more desire or a greater need to have sex; or she is more embarrassed that is a lie. Each person has their own than you. Another myth is to think that people different sex drive, a different need forwho masturbate will prefer masturbating sex. It is evil to try to prohibit the emer- 2 When you talk about the topicinstead of being in a loving relationship. gence of sexuality in one’s daughter directly, treat it as a normalNobody will stop having real interactions because of the belief that women have no topic of conversation. Neitherbecause they have virtual friends. The such right. We are all equal”. prohibition nor punishment areworst word that can be used to refer to the solution. The idea is not formasturbation is ‘abnormal’, you really WHEN CAN MASTURBATION BECOME children to feel that masturba-shouldn’t use it at all; but unfortunately A DISTURBING HABIT? tion is a taboo or a mystery, butmany parents use this label”. “When masturbation is used negatively, rather that they understand that that is, when it is not done as a way to it’s something natural, and aboveHOW SHOULD PARENTS TACKLE THIS explore your body or pleasure, but rather all, a private act.ISSUE? practiced as a way to unload emotionally.“Overprotecting parents raise children For example: parents start a fight, and 3 Instead of creating more doubtswho end up becoming the biggest liars as their teenage son, very distressed, locks and fears in teenagers, try toadults. You have to learn to confront your himself up and starts masturbating”. debunk the myths or theoriesown fears and anxieties and try not to about the possible consequencestransfer them onto your children. It is ARE THERE ANY FINAL MESSAGES YOU of masturbation that they may haveimportant to question both what it is that WOULD LIKE TO SHARE WITH OUR heard. Finally, respect their privacy.frightens you, what happened to you in READERS? Perhaps the times when you couldyour teens, so that you can give your chil- “Don’t forget that this is a healthy activity. walk into their room unannounceddren the freedom to explore the world, It is a matter of self-esteem and of are a thing of the past.freedom with limits and love. Being over- knowing that we are able to find gratifica-protective is not good, but neither is being tion within ourselves. The idea is to feel IMPORTANTtoo open or careless with your children”. •empowered with our bodies and comfor- All men and women have differentIS THERE A DIFFERENCE BETWEEN sexual needs, so it would be wrong to table in our own skin” indicate a frequency of masturbation. The important thing here, is that this activity shouldn’t be compulsory (you stop doing other things) or exclusive (you don’t feel pleasure with another partner), because pathologically speaking, these situations would have consequences.46

( )WITH YOUR WORLD 47

( )WITH YOUR WORLD BALANCEVEGETARIANS MUST THEIR DIET Removing all meats from your daily diet is an option. The most important thing, however, is that you get advice from a nutritionist who can recommend substitutes to the nutrients that your body will no longer receive. ADVISOR BRIANA GÓMEZ Nutritionist48

( )WITH YOUR WORLD trendsIt is possible to have a well-balanced vege- DIETING KEEP tarian diet, and it is also a healthy choice. IN MIND The challenge is to be persistent when There are several types of diets:you chose this eating style. an ovolactovegetarian will avoid Grain foods contain meat, but can eat eggs and proteins, although in smaller The process requires perseverance, disci- dairy products. A lactovegeta- quantities and with a lowerpline, time, budget and dedication. “You can rian avoids meat and eggs but absorption per servingsubstitute meat, as long as you get advice will have milk, cheese and dairy compared to foods offrom a nutritionist. If you choose to remove products. And vegans are strict animal origin. The quality ofall meats from your diet, they should be vegetarians who choose to eli- these proteins can improvereplaced with foods that can act as a substitu- minate all animal products. when you combine cerealste for those you are giving up on; you will with legumes.need to take iron, vitamin B complex, vita-min B12 and protein”, said nutritionist WHAT MEAT CONTRIBUTIONBriana Gomez Ramirez, a specialist in Food PROVIDESSciences. She noted that vegetarian diets Legumes are a naturalmust be taken on calmly, taking into conside- ► Proteins: they build and source of protein and Bration that the body takes time to adjust to repair the structures of the vitamins, and their calciumthe lack of a food group. body. levels are comparable to those of dairy products.TAKE IT SERIOUSLY ► Iron: takes part in the pro-“In the short term, the decision can bring duction of hemoglobin (the THE IDEALconsequences such as anemia and weakness, main component of red LUNCHit all depends on the food culture. We recom- blood cells), contributes tomended that you do not give up on meat the formation of muscle ► Rice and beans (120g)cold turkey, but rather that you gradually protein and the metaboli- ► Mushrooms in whitereduce portion sizes until it disappears from zation of certain enzymesyour plate. It should be a gradual change”, in the body. sauce (110g)added the specialist. ► Lentil Cakes (130g) ► Vitamin B 12: forms red ► Broccoli, sweet corn, Legumes play a fundamental role in nutri- blood cells and maintainstion, as it is advisable to compensate the lack the central nervous system. peppers, cheese and nutsof meat by increasing your daily consump- salad (100 g of vegetables,tion of lentils, beans, chickpeas, peas, ► Zinc: keeps your mood up, 30 g of cheese and 30 gsoybeans, among others, as well as fruits, provides mental clarity, of walnuts)vegetables, nuts and seeds. You should also repairs sleep and tissues. ► Guava juiceinclude other animal products in your diet,such as eggs, milk or cheese. ► Phosphorus: increases energy levels. “When a person does not consume anyfoods of animal origin because they are vegan,the issue is more complex and they shouldconsider taking vitamin B12, iron and cal-cium supplements. However, in either case,whether you are vegetarian or vegan, it is keythat you are knowledgeable on the topic andaware of what it entails”, said the physician. So regardless of the reason why you deci-ded to exclude meat from your diet, remem-ber that eating an unbalanced, uninformedand inadequate diet will generate dire conse-•quences for your body in the long run 49

THE HEALING POWER OF THE SUN ADVISOR DUBBY ALVARADO CHARRIS. Dermatologist with Coomeva Medicina Prepagada. Sunlight can boost Solar radiation can provide great This therapy can be done anywhere,your immune system, benefits to our health. Sunbathing, preferably on days where the weather is also known as heliotherapy, integra- warm and dry. You should wear suns- relieve pain and tes a treatment that regulates hormone creen, in case the radiation is too strong. improve your mood. secretion, stimulates blood circulation and inhibits the development of germs. Sunbathing can be done at any age. For However, its doses older people, the benefits are greater,should be controlled In small and moderate doses, with an because it invigorates the body, which sti- average duration of ten minutes, ultra- mulates its defense mechanisms and signi- to avoid risks and violet rays can provide different benefits ficantly improves all circulatory alterations.truly take advantage to the human body. However, if they are not controlled, there may be negative For pregnant women, this therapy is of its properties. consequences such as skin cancer or pre- also very productive, as it provides seve- mature aging. ral vitamins, including Vitamin D, which helps regulate the binding of cal- “Sunbaths have been used for many cium and phosphorus in the fetus, vital years to improve people’s health. That for the formation of bones. does not mean that you should lie all day in the sun. It’s about really exploiting the “This treatment improves the health properties of sunlight”, dermatologist and quality of life of people, but it is not Dubby Alvarado Charris told us. to be carried out between 11 am and 2 pm” explains Dubbis Alvarado Charris.50