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Myomas

Posted by All Info Friday, January 28, 2011 0 comments

WHAT is uterine myomas?
Uterine myomas are benign uterine muscle tissue accompanied by binding to the solid form as the dominant binding network, and software as the dominant uterine muscle

CAUSE?
Unclear, but suspected estrogen hormone 




INCIDENT?
20% of women aged 35 years

CLINICAL SYMPTOMS
The existence of a tumor or mass in the lower abdomen. Bleeding is not usually in the form of menorrhagia normalĂ 

Painful
Caused by circulatory disorders or local necrosis accompanied by inflammatory processes with omental adhesion to the intestinal. It can also be caused nerve pressure and spread to the waist and lower leg. The emphasis of the enlarged uterus. Bladder pressure in causing vulnerability bladder, polyuria and dysuria. When the urethral pressure, urinary retention could arise. Pressure on the rectum, sometimes causing constipation and pain during defecation.

SECONDARY SYMPTOMS
Severe anemia because of bleeding. Weak and tired

Dizziness
Easy infection. Sesakn breath. Erytrositosis at large myomas

Myomas EFFECT ON PREGNANCY AND LABOUR.
Reduce the possibility of women becoming pregnant, especially in uterine myomas submukosum. The possibility of increased abortion. Abnormalities location of the fetus in the womb, especially in large myomas and location subserus. Hindering the birth of a baby, especially in the uterine cervix is located at Complicate the release of the placenta

TREATMENT
Progestin therapy. Giving aginis GnRH. Conservative Action. Radiotherapy


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Body fluids normally travels between the two compartments or the main room in an effort to maintain fluid balance value. The loss of intra-cellular fluid (CES) into a space that does not affect the balance between intra-cellular fluid with extra cellular (CIS) and (CES) is called the third space fluid shifts. The effect of third space fluid shifts that is characterized by dizziness, increased frequency of the heart, decreased blood pressure, decrease in intra central pressure (TIS), edema, weight gain, and imbalances in the input and output of fluid.

Normal fluid movement through capillary walls into the tissue depends on the increase in hydrostatic pressure (pressure generated by fluid in the blood vessel wall) on both ends of the arteries and veins.

Osmotic pressure generated by liquid plasma.
Direction of fluid movement depends on the difference of these two opposite directions (hydrostatic pressure of osmotic). In addition to CES electrolyte also transports other substances, such as enzymes and hormones. CES also brings blood components like red cells and white blood cells throughout the body.

Osmosis and osmolarity.
Displacement of water occurs via membrane from areas with low solute concentration to regions with high solute concentration until both concentrations are equal.

-                      Diffusion
Is the natural tendency of a substance to move from an area with a higher concentration to low concentration area. Diffusion occurs through irregular movement of ions and molecules.

- Filtration
Hydrostatic pressure in the capillaries tend to filter the discharge from vascular compartments into the intra-cellular fluid.

- Sodium-potassium pump
Greater sodium concentration in the CES in the appeal in the CIS and therefore there is a tendency of sodium to enter cells by diffusion. It is also balanced by the sodium-potassium pump located on the cell membrane and move the active cell sodium of the cell into the CES. Conversely intracellular potassium concentration which occurs maintained by pumping potassium into cells.

Route revenue and loss
Water and electrolyte obtained in various ways. In a healthy state, a liquid obtained by drinking and eating. But in many kinds of diseases may be given fluids through the parenteral or enteral nutrition through a tube in the stomach or intestines. If fluid balance is critical, all the way meeting and all the way to lose should be recorded and the volume comparison. Organs seem to lose fluids, including kidneys, skin, lung and gastrointestinal.




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TB disease is a disease which is categorized in infections caused by bacteria Micro bacteria tuberculosis. TB disease can strike at anyone not to mention men, women, old, young, rich and poor and anywhere. In Indonesia in particular, this disease continues to grow each year and currently reaches 250 million new cases among 140 000 resulted in death. Even Indonesia occupied the third largest country in the world in this TB problem.



· Cause Disease (TB)

TB disease is caused by bacteria Mikobakterium tuberculosis, rod-shaped bacteria and is resistant to acids also known as the Batang Resistant Acid (BTA). This type of bacteria was first discovered by a man named Robert Koch on March 24, 1882, to commemorate his services, the bacteria is given the name of the Koch bacillus. Even TBCpada lung disease was also known as Koch Pulmonum (KP).



· How to transmission of TB Disease

TB disease transmission is through contaminated air by Mikobakterium tuberculosis that is given off by the TB patient released when coughing, which in children is generally the source of infection comes from adults who suffer from tuberculosis. These bacteria enter the lungs, and gathered to develop into many (especially in people who have low immune system), even these bacteria also may have spread through the blood vessels or lymph nodes, causing infection of other organs such as brain, kidney , gastrointestinal tract, bone, lymph nodes and the others though that most of the pulmonary organs.



The entry into the organ Mikobakterium pulmonary tuberculosis cause infection in the lungs, which occurred immediately colony growth of bacteria that is round (globular). With immunological reaction, cells in the lung wall trying to prevent the TB bacteria through mechanisms alamianya forming scar tissue. As a result, the TB bacteria will stay / rest (dormant) as they appear as tubercles on X-ray examination or x-ray photo.



A person with the condition of the immune system (Immune) is good, these tubercles form will remain dormant throughout his life. Another thing for people who have low body kekebelan system or less, it will experience the proliferation of bacteria that multiply tubercles. So many of these tubercles are assembled to form a space within the lung cavity, this space will become a source of sputum production (ripple / phlegm). So the people who produce sputum and lung cavity found tuberculosis microbe called tubercles and is experiencing positive growth infected with TB.



The development of TB disease in Indonesia is nothing related to the deteriorating socio-economic conditions, ineffective public health service facilities, the increasing number of people who do not have a place to live and an epidemic of HIV infection. This also would have a major impact from a weak immune system / decrease, virulence and the number of bacteria that play an important role in the occurrence of TB infection.


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Symptoms of TB Disease

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Symptoms of TB disease were classified into two parts, the general symptoms and specific symptoms. Difficult to detect and diagnose TB is caused by a clinical picture of the person that is not typical, especially in new cases.

Common symptoms (Systemic)
§ is not very high fever which lasts longer, is usually felt at night accompanied by night sweats. Sometimes fever attack such as influenza and is intermittent.
§ Decrease in appetite and weight loss.
§ coughing for more than 3 weeks (to be accompanied by blood).
§ feeling bad (malaise), weakness.

Specific symptoms (Typical)
§ Depending on which organs are exposed to, if the obstruction occurs most bronchi (the channel that leads into the lungs) due to suppression lymph nodes are enlarged, will lead to sound "wheeze", a voice that accompanied shortness of breath weakened.
§ When there is fluid dirongga pleura (covering of the lungs), can be accompanied by chest pains.
§ When the bone, there will be symptoms such as bone infection at some point to form a channel and empties into the skin above it, in this estuary will discharge pus.
§ In children to the brain (brain wrapper layer) and referred to as meningitis (inflammation of the lining of the brain), the symptoms are high fever, a drop of consciousness and seizures.
In patients age children if not cause symptoms, so TB can be detected if there are known contacts with adult TB patients. Approximately 30-50% of children who comes in contact with adult pulmonary TB patients gave positive tuberculin test results. In children ages 3 months - 5 years old who live with adult pulmonary TB patients with sputum smear positive, 30% reported infected based on serological examination / blood.

· Enforcement of TB diagnosis
If a person suspected of suffering from or infected with TB disease, then there are some things that need to be done to check memeberikan proper diagnosis, among others:
§ diagnose both the patient and his family.
§ Direct physical examination.
§ Laboratory tests (blood, sputum, cerebrospinal fluid).
§ Examination of anatomical pathology (PA).
§ X-ray of the chest (thorax photo).
§ and tuberculin test.

· Treatment of TB Disease
Treatment for patients with TB disease will undergo a long process, ranging from 6 months to 9 months or even more. TB disease can be cured completely if the patient regularly taking medication that a doctor can improve endurance and body with good nutrition.

During the treatment process, to find a better development then advised the patient to undergo either blood, sputum, urine and X-ray or x-rays every 3 months. The drug is generally given is obtan Isoniazid and rifampin as basic treatment for patients with tuberculosis, but because of the possibility of resistance by both drugs, the doctor will decide on providing additional drugs such as pyrazinamide and streptomycin sulfate or Ethambutol HCL as a single entity known as' Triple Drug '.

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How To Treat Migraine

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Migraine is a throbbing headache most often affects one side of the head only, sometimes switch to the other side, but not infrequently also on both sides of the head at once.  Headache is often accompanied by nausea and vomiting. Usually the patient will be sensitive to light, sounds and even smells.

The cause of this disease is still not so clear. It is estimated, the hyper activity of the brain's electrical impulses increase blood flow in the brain, resulting in brain blood vessel dilation and inflammation. This causes pain and other symptoms, such as nausea. More severe inflammation that occurs, the more severe migraine also suffered. Genetic factors known to contribute to the occurrence of migraine.

This disease can be very disturbing your daily activities. As quoted from conectique, to combat migraines, you can follow some natural way the following:
Ginger
Ginger is also believed to help reduce your headache. These plants acting as anti-allergy drugs and also anti-inflammatory, so it is very effective for preventing migraine becomes increasingly worse.

2. Omega 3
Omega 3 found in fish, particularly salmon, are also proven effective in fighting due to migraine headache.

3. Magnesium
Types of foods rich in magnesium as found in the type of spinach, peas and pumpkins also can reduce migraine attacks that appear suddenly.

4. Vitamin B2
Intake of foods rich in vitamin B2 can increase the energy in the brain and muscle cells. The source of this vitamin as effective as aspirin you already know and overcome efficacy in reducing migraine. Dipresumsikan that vitamin B2 helps reduce the dilation of blood vessels that cause migraines.

5. Caffeine
Caffeine effective in reducing headaches. Efficacy is similar to ibuprofen. If you combine the two, caffeine and ibuprofen it will get good results, but it should be very careful with the dosage or measuring. Sometimes caffeine is also responsible for the emergence of pain in the head this Anda.Kafein may be found in coffee or tea.

6. Carbohydrate Consumption
Consuming foods containing complex carbohydrates. The content of this substance is widely available on wheat bread, rice and pasta. Its function was to help provide the energy your body needs, which can help reduce migraine intensity and prevent the emergence worse.

7. Aromatherapy.
Another way is fairly powerful to overcome migraine is by aromatherapy. Choose a green apple fragrances that are known effective in reducing your headache pain.

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Hypothyroidism

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Definitions Hypothyroidism.

Hyperthyroidism is a condition characterized by abnormal thyroid hormone production low. There are many disorders that result in hypothyroidism. These disorders may directly or indirectly involve the thyroid gland. Because thyroid hormone affects growth, development, and many cell processes, inadequate thyroid hormone has widespread consequences for the body.

This article will focus primarily on hypothyroid adults. Thyroid Hormones Thyroid hormones produced by the thyroid gland.
The thyroid gland is located at the bottom of the neck, below the Adam's apple. The gland wraps around the airways (trachea) and has a shape resembling a butterfly formed by two wing (lobes) and attached by a middle part (isthmus).

The thyroid gland takes iodine from the blood (which mostly come from foods such as seafood, bread, and salt) and use it to produce thyroid hormones. Two thyroid hormones the most important thing is thyroxine (T4) and triiodothyronine (T3) represent 99.9% and 0.1% of each of thyroid hormones. Hormones of the most biologically active (eg, the most effect on the body) is actually T3. Once removed from blood into the thyroid gland, a large amount of T4 is converted to T3 - the more active hormone that affects metabolism of cells.

Thyroid hormone regulation - the chain of command

\Thyroid itself regulated by another gland located in the brain, called the pituitary. In turn, the pituitary regulated in part by the thyroid hormone circulating in the blood of (a feedback effect of thyroid hormone in the pituitary gland) and partially by other gland called the hypothalamus, also a part of the brain.

The hypothalamus releases a hormone called thyrotropin releasing hormone (TRH), which sends a signal to the pituitary to release thyroid stimulating hormone (TSH). In turn, TSH sends a signal to the thyroid to release thyroid hormones. If the excessive activity of any of these three glands occurred, an amount of thyroid hormones can be produced excessive, thus resulting in hyperthyroidism.

The number or rate of thyroid hormone production is controlled by the pituitary gland. If there is an insufficient amount of thyroid hormone circulating in the body to allow for normal functioning, enhanced by the pituitary release of TSH in an attempt to stimulate the thyroid to produce more thyroid hormone. Conversely, when there is an excessive amount of circulating thyroid hormones, the pituitary release of TSH is reduced when trying to reduce thyroid hormone production.

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How To Treat Influenza

Posted by All Info Wednesday, January 26, 2011 0 comments

Healthy Tips to overcome the flu, colds, influenza is actually easy and cheap. It does not even need to see a doctor if it's not necessary. Because this disease is basically a result of viral infection (viral infection). Virus infection is self limiting diseases, which means it can heal itself. With mild effort we can overcome the cold, cold and influenza. What about tips to overcome the flu?

Below are some steps that I did. Lho kok me? yes .. because my last two days, (health consultation) lying on bed rest because my body is not able to cope with heavy colds and coughs.
1. Bed rest, try to break in Temat sleep in peace. Leave for a moment of all affairs. focus there is the thought that I must recover from this disease. Thus the body's immune system gets a positive energy from the positive thoughts as well.
2. Drink lots of water. much as strong as you drink. not only white water course, water can warm tea, lukewarm water,
3. Take vitamins or other supplements. At the time of the flu, the immune system or decreased immune system, need help from outside. This is the time to drink vitamins or honey and others.
4. Try to eat a balanced gizinya.hindarkan fatty and fried foods.
5. Pray, pray that the healing was given. By praying to stimulate the immune system to enhance immune immunity.

If the steps to overcome the flu, colds has not been successful so ... visit your doctor. The goal went to the doctor has two purposes, namely
1.   Ascertain whether there is another ride infection. mean? to ascertain whether pure flu infection or infection of other rides. If it was just the flu, colds, cough is not a problem. the problem is that no co-infection with another, such as URTI, DHF, typhus and others. Because early symptoms of disease like flu symptoms. Medical term, flu-like syndroma. So need careful here.
2. To get the drugs according to symptoms. As for lowering drugs, medicine for stuffy nose, for to mengencer sputum or phlegm, and vitamins. May we all avoid the flu, colds and influenza. hopefully useful tips to overcome this flu blind fellow bloggers, especially those who like to stay up at night. Always healthy and avoid the flu, common cold and influenza.

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Fluid Balance Settings

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The organs that play a role in regulating fluid balance include:
• Kidney

The main functions of kidney in maintaining water balance:
- Setting the volume and osmolality CES through the selective retention and excretion of body fluids.
- Setting electrolyte levels in the CES with retention of the necessary substance selective.
- Setting pH CES through the retention of hydrogen ions.
- Excretion of metabolic waste and toxic substances.



Therefore, renal failure clearly affects fluid balance, because the kidneys can not function.

• Heart and blood vessels
Working heart pumps blood circulating through the kidney under the appropriate pressure to produce urine. Cardiac pump failure and renal perfusion was bothersome because it disrupts water and electrolyte regulation.

• Lungs
Through ekhalasi lungs out as much as +300 L water per day in adults. In an abnormal condition such as hiperpnea or persistent cough will increase water loss; mechanical ventilation to reduce excessive water loss of this water.

The pituitary gland
The hypothalamus produces a substance that is also called hormone ADH water storage, because of its function to maintain osmotic pressure cell by controlling the retention or excretion of water by the kidneys and by regulating blood volume.

• Adrenal Glands
Aldosterone is produced / secreted by the adrenal cortex (zone glomerolus). Increased aldosterone resulted in sodium retention so that the water was also arrested, lose heat. Whereas if aldosterone is less then the water will leak out because of sodium loss. Cortisol also causes retention of sodium.

• Parathyroid Glands
Adjust the balance of calcium and phosphate by parathyroid hormone (PTH.) So with PTH can mereabsorbsi bone, calcium absorption from the intestine and reabsorption of calcium from the kidneys.
Factors Affecting Fluid Balance

1.        Age
With increasing age, all the organs that regulate the balance will decrease its function, the result function to regulate the balance also declined. For example: kidney failure, heart failure, etc..

2.        Environmental Temperature
A hot environment can cause us to sweat a lot so a lot of fluid out

3.    Diet
High-sodium diet will function retain urine, and vice versa.

4.    Drugs
Such as steroids, diuretics.

5.    Stress
Affect cell metabolism, increase blood sugar, increase the osmotic and ADH will increase so that the urine decreased

6.    Ill
Such as fuel, in a state of ill clear out a lot of water, such as kidney failure.
In general, the condition noraml, the body needs daily fluid can be calculated using the formula:

Formula1
The need is about 1 milliliter of fluid for every kilocalorie body's energy needs. If someone needs 1800 kcal of energy, means the need for liquids is 1 x 1800 = 1800 milliliters or 1.8 liters of water.

The formula 2
For the first 10 kg body weight need 1 liter of fluid, the second 10 kg body weight need 500 milliliters of liquid, and the rest every kilogram of body weight need 20 milliliters of liquid.

For example, if a person weighing 50 kg.
So the first 10 kg weight = 1 liter, 10 kg of a second - 500 ml, the remaining 30 (50 kg-10-10) x 20 ml = 600 ml.
So overall fluid requirement is 1,000 + 500 + 600 = 2,100 ml or 2.1 liters per day.
From where we can meet the needs of the liquid?
At the core of the two sources, namely food (vegetables, fruits, etc.) and drinks. Generally fluid obtained from the diet was about 20 percent, while the other 80 percent comes from beverages.

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Body Fluid Balance

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ANATOMY PHYSIOLOGY OF BODY FLUIDS
Type and composition of body fluid balance and movement.
Approximately 60% of adult body weight is generally composed of liquids (water and electrolytes). Factors affecting the amount of body fluid are age, sex, and fat content in the body.

In general, younger people have a percentage of body fluids is higher than with older people, and men have proportionately more body fluids than with women. People who are more obese have a smaller amount of fluid compared with people who are more lean, because fat cells contain less water.

Body fluids consist of two fluid compartments, namely: intra-cellular space (fluid within cells) and extra-cellular space (fluid outside the cell). Approximately two thirds of body fluids are in fluid intra-cell compartments, and mostly found in skeletal muscle mass.

Compartment extra fluid cells more clearly divided into space:
- Intra-vascular (fluid in the blood vessels), containing plasma.
- Interstitial space, containing fluid that surrounds the cell 8 in adults. For example lymph. ± and type
- Outdoor muscular, is the smallest part of the extra cellular fluid and containing approximately 1
liter of fluid each time.

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