Wednesday, September 7, 2011

Mikrosefalus


Mikrosefalus is a situation where the size of the head (top of head circumference) is smaller than average head size in infants by age and sex.
said to be smaller if the size of the head circumference of less than 42 cm or smaller than three standard deviations below the average figures.

Mikrosefalus often result from failure of brain growth at a normal pace. various conditions and diseases that affect brain growth can cause mikrosefalus.

Mikrosefalus often associated with mental retardation. Mikrosefalus can occur after an infection that causes damage to the brain in very young infants (eg meningitis and meningoencephalitis).

The main causes:
- Down syndrome
- Cri du chat syndrome
- Syndrome seckel
- Syndrome Rubinstein-taybi
- Trisomy 13
- Trisomy 18
- Smith-lemli syndrome-Opitz
- Cornelia de lange syndrome

Secondary Cause:
- Maternal phenylketonuria uncontrolled
- Methyl mercury poisoning
- Congenital rubella
- Congenital toxoplasmosis
- Congenital cytomegalovirus
- Drug abuse by pregnant women
- Malnutrition (malnutrition).

Treatment at mikrosefalus depends on the cause. Babies who survive often suffer mikrosefalus life but tend to have mental retardation, seizure disorders and muscle coordination.
READ MORE - Mikrosefalus

Rheumatism

Rheumatism is a disease that attacks the joints and surrounding structures. Arthritis can strike the head to toe. Common rheumatic arthritis is also called by the name of the disease is generally characterized by a number of symptoms, such as swelling, redness, pain in the knee, elbow, wrist or at the other joints, disorders of the muscles and tendons. symptoms of arthritis is quite broad.
Consisting of 150 arthritic's type. But there are four types of arthritis are most common in our society are osteoarthritis caused by calcification, rheumatic joints that strikes out beyond the cartilage tissue, inflammatory arthritis, and rheumatism caused by thinning.

Tempat2 Rheumatic Diseases

"About 50 percent of the complaints of joint pain caused by calcification. Means the depletion of tissue calcification of cartilage that serves as a cushion joints, '
Worn bearings in the joints that causes bone friction, causing pain. Liming is a process of degeneration that began at the age of 40 years. Speed ​​the process of degeneration is different in each person.

Joints someone could start trouble at the age of 40. But there are people up to age 70-the joint is fine. How quickly this process is determined by several risk factors, "such as: the quality of cartilage and overweight. Cartilage can be more resistant to wear condition. Like a car tire if the quality is good then the joints are not easily wear out even if worn for long.

Type of arthritis the most common cancer world population is rheumatoid arthritis (RA), namely rheumatoid arthritis, gout (uric acid) caused by excessive uric acid levels in the blood, and osteoarthritis (OR), the calcification of the joints. ccording dr.Riardi Pramudiyo, SpPD-KR from RS.Hasan Sadikin, Bandung, OR is a joint disease that most often found. This disease is degenaratif, the number of events increases with age. Accompanying symptoms include, pain in the joints after the patient perform the activity, or when the weather changes from hot to cold. As disclosed Riadi, OR trigger factor is usually due to another disease or certain circumstances. "It is not known what causes primary, but secondary causes of obesity could be due to people, so the burden that must be supported by the knee is too large, or because of excessive wear of the knee, such as professional football players," he said.

Other types of rheumatic disease that affects many people of Indonesia are rheumatoid arthritis (RA). This disease most commonly affects the age group of 20-50 years. Symptoms commonly found is when you wake up stiff joints and the patient could hardly move.

Rheumatism in the productive age are usually caused by inflammation. This inflammation can be due to gout or other causes. Rheumatism because uric acid is often found in men in their 30s and 40s.
This species, according to Dr. Harry Isbagio, due to the excess of purine metabolism that accumulate in the joints. This heap that cause pain in joints.

Doctors often encounter misunderstandings Harry society about uric acid. Patients often come to consult with a test result of uric acid. "They asked why uric acid exposed to normal but the doctor diagnose arthritis. They misunderstand about rheumatism. Not all arthritis caused by uric acid, "he explained.

Autoimmune disorders such as lupus, including type of arthritis caused by inflammation. In this disorder the body's immune function as an exterminator of bacteria, viruses or foreign substances that enter the body. Immunity would damage healthy tissue, including tissue in joints.

Likewise with RA (Rheumatoid Arthritis). The disease include inflammation of the joints that cause is still unknown. According to the Encyclopedia of Public Health, there have been indications that the genetic patterns responsible for the onset of the disease.
RA can strike people at any age, including toddlers. Inflammation of the disease occurs in synovial tissue found in joints. This network serves to produce joint lubricating fluid. In RA patients, this tissue to swell and show a lot of inflamed cells.

Prevent, Abstinence and Treatment of Arthritis

According Riadi, drugs are now on the market no one can cure rheumatism. Medications just to relieve pain and prevent further joint damage. "Treatment of arthritis are usually long term," he said. If the arthritis that attacks the patient had reached the stage joint deformity (shape change joints) then the cost incurred for treatment, including expensive, there are even drugs that cost tens of millions of dollars once a syringe.
Drugs commonly administered in patients with rheumatic disease physicians, among others, groups analgesic (pain reliever), which can suppress the prostaglandins, causing inflammation. These drugs have side effects gastric disorders. Therefore, the presence of specific rheumatic drugs such as celecoxib, has been warmly welcomed because it has little side effects on the stomach and kidneys. Another class of drugs is corticosteroids, to resolve inflammation (inflammation) and suppress the immune system so that the reaction of reduced inflammation in rheumatoid arthritis. The form of this medicine can be smeared on the skin cream or injection. Unfortunately, these drugs have side effects such as swelling, increased appetite, weight gain, and emotional instability.

In addition to drugs, to reduce pain can also be done without drugs, for example with an ice pack. "Ice can lower the pain threshold and reduced enzyme function," said Riadi. Then, many kinds of vegetables that can be consumed by patients with rheumatoid arthritis, such as celery juice, cabbage or carrots can reduce the symptoms of arthritis. Several types of herbs can also help against rheumatic pain, such as ginger and turmeric, celery seed, leaf aloe vera, rosemary, aroma therapy, or juniper oil that can relieve swelling in the joints.

Maintaining ideal weight is one of the wise move to reduce pain in the knee joint. Any excess weight overload knee and hip joints, and increase pain due to arthritis. Addition of excess body weight increases the risk of uric acid.
Moderate exercise such as walking beneficial for arthritis sufferers because of uric acid. This is because walking burns calories, strengthens muscles and builds strong bones without disturbing the joints are sore.

To exercise should consult a doctor or therapist, in order to learn the best movements. Advised to avoid exercise overload the knee. "Badminton, volleyball, tennis, jogging, martial arts should not be done. Especially when the arthritic type of uric acid that is recurrent. Standing too long will cause tremendous pain, "he said.

In addition to treating, we can also prevent the arrival of the disease, such as not exercising excessively, keep your weight steady, and keep the intake of food is always balanced in accordance with the needs of the body, especially a lot of eating fish from the deep sea. If you feel you do not consume enough fish, taking supplements may be an option, especially those containing omega 3. In the omega 3 contained a substance that is very effective to keep the joints to remain supple.
Do not joke about arthritic symptoms that arise. Once the pain began to appear, immediately consult a physician to detect which one is just plain stiff or which are symptoms of arthritis.
READ MORE - Rheumatism

Hepatitis C



Hepatitis C

Hepatitis C is a liver disease caused by hepatitis C virus (HCV = Hepatitis C virus). Hepatitis C virus entry into liver cells, using the genetic machinery inside the cell to duplicate the Hepatitis C virus and infect many other cells.

15% of cases of Hepatitis C infection is acute, meaning the body is automatically cleaned and no consequences. Unfortunately 85% of cases, hepatitis C infection becomes chronic and slowly damages the liver for years. In that time, the liver can be broken into cirrhosis (hardening of the liver), end-stage liver disease and liver cancer.

Hepatitis means swelling of the hati.Banyak kinds of viral hepatitis C. In many cases, the virus enters the body, began life in the liver cells, disrupt the normal activity of the cell, then use the genetic machinery inside the cell to duplicate the Hepatitis C virus and then infect other healthy cells.

If you have Hepatitis C, it is important to eat healthy and avoid alcohol. Alcohol can worsen liver damage you, whether you are in treatment or not.

One of the common symptoms of Hepatitis C is chronic fatigue. Fatigue can also be a side effect of treatment of Hepatitis C. Fatigue caused by Hepatitis C can be resolved with adequate rest and perform a routine exercise.

Hepatitis C virus is very clever to transform themselves quickly. Today there are at least six major types of hepatitis C virus (often called genotypes) and more than 50 subtypes.

This is the reason why the body can not fight viruses effectively and research have not been able to make a vaccine against viral hepatitis C. Genotype does not determine how severe and how quickly the development of hepatitis C, however, certain genotypes may not respond as good as the others in treatment.

Symptoms of Hepatitis C

Often people who suffer from Hepatitis C have no symptoms, although infection has occurred for many years.

If the symptoms below there are probably vague:

Tired
Loss of appetite
Stomach ache
Urine becomes dark
Yellow skin or eyes (called "jaundice") are rare
In some cases, Hepatitis C can cause an increase in certain enzymes in the liver, which can be detected on routine blood tests. However, some patients with chronic hepatitis C have levels of liver enzymes or abnormal fluctuations.

Nevertheless, it is necessary to perform the test if you think you have the risk of contracting hepatitis C or if you had any contact with contaminated people or objects. The only way to identify this disease is by blood tests.

Transmission of Hepatitis C

Transmission of Hepatitis C is usually through direct contact with blood or its products and needles or other sharp instruments contaminated. In many everyday activities such as Hepatitis C infection risk bleed from cuts or nosebleeds, or menstrual blood. Personal equipment are exposed to contact by the patient can transmit the hepatitis C virus (such as toothbrushes, razors or manicure tools). Risk of Hepatitis C infection through sexual intercourse is higher in people who have more than one partner.

Hepatitis C transmission is rare from Hepatitis C infected mother to a newborn or other family members. However, if the mother is also HIV positive, the risk of transmitting hepatitis C is very much possible. Breastfeeding does not transmit hepatitis C.

If you have Hepatitis C, you can not transmit hepatitis C to others through hugs, handshakes, sneezing, coughing, sharing eating utensils and drinking, casual contact, or other contacts are not exposed to blood. A person who is infected with Hepatitis C can infect other people two weeks after being infected himself.
READ MORE - Hepatitis C

Hepatitis B


Hepatitis B is a liver disease caused by hepatitis B virus (HBV), a member Hepadnavirus which can cause acute or chronic inflammation of the liver are in a minority of cases may progress to liver or liver cancer sirosi. Treatment of hepatitis B progressively developed by the various State and became one of the World Health Organization's attention.

The cause of hepatitis was not merely a virus. Drug toxicity, and exposure to various chemicals such as carbon tetrachloride, chlorpromazine, chloroform, arsenic, phosphorus, and other substances used as medicine in the modern industry, can also cause hepatitis. These chemicals may be ingested, inhaled or absorbed through the skin of the patient. Neutralize toxins circulating in the blood is the work of the heart. If a lot of toxic chemicals that enter the body, the liver can be damaged so that it can no longer neutralize the other toxins.

Hepatitis B virus interfere with liver function and activate the immune system, which produces a specific reaction to combat the virus. As a consequence of pathological damage, the liver becomes inflamed. A small percentage of infected people can not get rid of the virus and become chronic infections. If there are people who are undergoing treatment of hepatitis B in these circumstances, should be wary because these people are at high risk of death from liver cirrhosis and liver cancer.

Prevent transmission of hepatitis B virus

Hepatitis B virus is transmitted through contact with blood or body fluids from an infected person - the same way as human immunodeficiency virus (HIV). However, HBV virus is 50 to 100 times more infectious than HIV.

The main way of transmission of infection with HBV are:

Perinatal (from mother to baby at birth)
Transmission of the virus
Injections and transfusions
Sexual contact.
Around the world, most infections occur from mother to baby, and from reuse of unsterilized needles and syringes. How to protect yourself against hepatitis B diiri with vaccination. Hepatitis B vaccine has a record of safety and efficacy, and since 1982, more than one billion doses have been used around the world. The vaccine is 95% effective in preventing chronic infections from developing. Protection lasts for 20 years at least, the booster is not recommended by WHO. It is recommended as prevention for those at risk and the treatment of hepatitis B for those who have been infected.
READ MORE - Hepatitis B

Hepatitis A


Hepatitis A is one of the existing types of hepatitis. On this occasion we only emphasize on the type A include treatment of hepatitis A. The disease is caused by the hepatitis A virus (HAV). HAV can be transmitted by eating food or drinking water contaminated by feces of infected individuals.

Outbreaks can occur in countries where water supplies contaminated by sewage. In some countries, contamination of shellfish has caused large outbreaks. Close contact with infected individuals can also transmit the infection with hepatitis A, this is of particular concern in schools where the kids to be careful and notice on how to wash their hands after using the toilet facilities as a precautionary measure. This is certainly more effective than the treatment of hepatitis A should do to those who suffer.

HAV has an incubation period of 10 to 40 days. This is the time from exposure to the virus until the onset of the disease. The first symptoms include loss of appetite, hates cigarettes, nausea, muscle and joint pain and mild fever. Later symptoms include yellowing of the skin (in medical terms is called jaundice), mucous membranes, and dark urine. The duration of the disease is usually two to three weeks, but everyone can remain asymptomatic for several months.

Before speaking the treatment of hepatitis A, of course, we must know first how these types of hepatitis A can be prevented. Consider hepatitis A vaccine, it is usually encouraged by countries with limited hygiene. Good hygiene reduces the risk of infection.

Hepatitis A, or are we laymen know as the 'Sick Yellow', is one form of infection in liver disease. However Hepatitis A is a mild liver disorder, compared with after his clan, such as Hepatitis B, C and so on.

If someone is suffering from hepatitis A, of course, have to do is take medication. Although this disease tend to be mild, but it does not mean the disease is not treated. So the first step to do is see a doctor. When the period of healing and recovery, of course, the patient must not move the weight first. Bed rest (bed rest) is highly recommended to help restore power. For food, so far no one that must be avoided, but the types of foods / beverages such as coffee, tea, and alcohol should be avoided, because coffee and tea contain caffeine and alcohol also chemically incorporated in the category 'medicine' that will undergo a process of detoxification in the liver (liver function is to neutralize toxins). Because these organs are impaired, so it would be nice if it did not burden him with the 'hard work'.

Traditional medicines that have been known to help treat disorders of the liver is the ginger. Nowadays a lot of ginger was processed into a dosage form that is more easily consumed by consumers, although you should select a dosage form that contains no added chemicals (preservatives, flavorings, colorings). Better yet, if you are willing to cultivate their own ginger rhizome by thinly slicing them after cleaning, then boiled with water. Here's the stew that will be drunk, you can add honey to improve taste.
READ MORE - Hepatitis A

Bypass surgery is Better than Stents?

Bypass surgery is Better than Stents?

In patients with blocked heart arteries, bypass surgery is considered will give better results than angiplasti plus stent, and surgery became the standard procedure. Thus the results of an international study. However, that assessment is disputed by a cardiologist who is also involved in the study and an expert who wrote an accompanying editorial.

According to them, the advantages and disadvantages of both procedures is balanced, that a decision on which one to use depends on the case with the patient.

The study, published in the journal New England Journal of Medicine, the March mengiukutsertakan 1,800 people who have a blockage in a coronary artery or three major coronary arteries. Half of the patients undergoing bypass surgery, and half underwent percutaneous coronary intervention (PCI) or angioplasty combined with stenting. Over the next year, as much as 17.8 percent of those who had the stent procedure had "major adverse cardiac" or "cerebrovascular events" than those who underwent bypass procedures. The results stated that the superiority of surgery.

"But the important point is to look at other factors," said Dr.. David R. Holmes Jr.., Professor Mayo Clinic Graduate School of Medicine, and doctors who are also doctors who are involved in this study. The death rate and okuren major coronary events such as heart attacks were the same in both groups. The only big difference is the need for repeat artery-opening procedures: 13.5 percent in the stent group and 5.9 in the bypass group. Other findings, there is a risk for experiencing a stroke are higher in the bypass group by 2.2 percent compared to 0.6 percent in the PCI group.

The discovery was quite a relief to those who refuse to undergo bypass surgery. With the study doctor can provide a variety of data, but the patient who decides the choice.

However, according to Dr. L. David Hillis, chairman of the department of medicine at the University of Texas Health Science Center at San Antonio, there are many situations when decisions must be made by the doctor. Patients who are unable or unwilling to take anti-drugs such as aspirin or plavix blockages, not suitable to undergo the procedure sten, and should be required to undergo bypass surgery. In addition, it also applies to patients who have illnesses that increase the risk if surgery is performed, such as a bad lung condition. "The condition found in 5 to 10 percent of cases," said Hillis.

Another report in the journal reinforces the findings on a study conducted two years ago, that drug therapy is as effective as stents given action after a few days or weeks after the patient had a heart attack. Now, a new study conducted at Duke University physician, found that stents led to an improvement of quality of life is temporary but long-term benefits not unlike the drug therapy.
READ MORE - Bypass surgery is Better than Stents?

Signs and Symptoms of Gout

Signs and Symptoms of Gout

Patients with gout are usually characterized by frequent experience tingling, aching pain or a sudden joint pain. Usually it attacks one joint and more of the initial attack began in the joints of the foot.

Most of the first attack occurred on the evening before the morning. Pain can also occur on the ankles, knees, fingers or other joints. Also other signs and symptoms of the affected joint is uric acid visible swelling, redness, heat and pain was incredible.

Causes of Uric Acid
Increased levels of uric acid in the blood becomes high suddenly is one of the main causes of uric acid. This usually occurs after eating foods containing high levels of uric acid. Therefore, gout arthritis is characterized by recurrent attacks of arthritis (joint inflammation) is an acute, sometimes accompanied by the formation of large crystals of sodium urate tophus called, deformity (damage) in krosnis joints and injury to the kidney

Gout or gouty arthritis is often experienced by many people, both young, especially the elderly men and women. Uric acid is a disease characterized by recurrent pain in joints because of the deposition of monosodium urate crystals due to high levels of uric acid in the blood (hiperurikimia)
Uric acid is a purine metabolic waste substances from the food consumed. It also includes a byproduct from the breakdown of cells in the blood. whereas purine substance was found in any food that comes from living bodies.

In other words, in the living body of the presence of purines. because human beings eat it, then move to the purine substances in the body man. Purine also resulted from the destruction of body cells which occur normally or because of certain diseases.

Normally, uric acid will be released in the body through the stool (feces) and urine. However, because the kidneys are unable to remove uric acid that is then led to increased levels in the body. Excess uric acid which will then accumulate in joints, causing pain or swelling.
READ MORE - Signs and Symptoms of Gout