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28 July 2010

Pneumonia


Understanding Pneumonia

Pneumonia is an acute infectious process of the lung tissue (alveoli). The occurrence of pneumonia in children is often in conjunction with the process of acute infection in the bronchi (usually called bronchopneumonia). Symptoms of this disease in the form of rapid breathing and shortness of breath, because suddenly inflamed lung. Limit fast breathing is a respiratory frequency of 50 times per minute or more in children aged 2 months to less than 1 year, and 40 times per minute or more in children aged 1 year to less than 5 years. In children under the age of 2 months, no known diagnosis of pneumonia.
Serious pneumonia characterized by coughing or (accompanied) difficulty breathing, shortness of breath or withdrawal of the lower chest wall into the (severe chest indrawing) in children aged 2 months to less than 5 years. In this age group is also known Pneumonia is very serious, with symptoms of cough, difficulty breathing accompanied by symptoms of central cyanosis and can not drink. As for children under 2 months, severe pneumonia is characterized by respiratory frequency of 60 times per minute or more or (also accompanied by) a strong drawdown in the lower chest wall inward.
Pneumonia became the focus of disease control program activities P2ISPA (Disease Eradication Acute Respiratory Tract Infection). This program is an effort to better known term Pneumonia society, making it easier for extension activities and dissemination of information on prevention Pneumonia.
P2ISPA program classifies patients into 2 groups of age:
Age younger than 2 months (Weight and Not Pneumonia Pneumonia)
Aged 2 months to less than 5 years (2 months - Pneumonia, Pneumonia Weight and Not Pneumonia)
Classification of Non-pneumonia include cough group of five patients who showed no symptoms of increased frequency of breath and do not indicate a withdrawal of the chest wall into the bottom. ARI disease outside of pneumonia include: cough, common cold (common cold), pharyngitis, tonsillitis and otitis. Pharyngitis, tonsillitis and otitis, excluding diseases covered under this program.
Pneumonia is the world's health problems due to high death rates, not just in developing countries, but also in developed countries like the U.S., Canada and European countries. In the U.S. for example, there are two million to three million cases of pneumonia per year with an average number of deaths 45,000 people.
In Indonesia, pneumonia is the third cause of death after cardiovascular disease and tuberculosis. Low socioeconomic factors heightens mortality. Pneumonia Symptoms are fever, shortness of breath, rapid breathing and pulse, or greenish phlegm such as rubber, and the description of X-ray results show the density in the lung
Density occurs because the lungs filled with inflammatory cells and fluid which is actually the body's reaction to deadly luman. But consequently impaired lung function, patients have difficulty breathing, because it left no room for oxygen. Pneumonia in the community generally, are caused by bacteria, viruses or Mycoplasma (an intermediate form between bacteria and viruses). Common bacteria are Streptococcus pneumoniae, Staphylococcus aureus, Klebsiella Sp, Pseudomonas sp, viruses such as influenza virus.


Treating Pneumonia

You have signs of pneumonia?, Do not worry, the chance is still very large recover with the following conditions; young age, detected early, the immune system work properly, the infection has not spread, and no other infections.
Initial treatment is usually antibiotics, which are potent enough to overcome pneumonia by bacteria, Mycoplasma and some cases of rickettsia.
For pneumonia, the virus until now there is no specific guidance, although some antiviral drugs have been used. Most patients can be treated at home. Usually, the treating doctor will choose medicines according peneumonia considerations respectively, after the patient's temperature returned to normal, your doctor will instruct advanced treatment to prevent recurrence. You see, seranganberikutnya can be more severe than the first. Besides antibiotics, patients also will receive additional treatment in the form of dietary regulation and oxygen to increase the amount of oxygen in the blood.
In the mid-old patient, it takes longer to break mengembvalikan body condition. However, those who had recovered from the pneumonia mycoplasmal will be exhausted in a long time. Routinely, patients who had recovered from pneumonia, do not be prohibited from returning to conduct its activities. But they need to be reminded to not directly perform heavy. You see, adequate rest is key to a healthy back.
To deal with severe acute respiratory (Severe Acute Respiratory Syndrome / SARS) is still mysterious, the World Health organization (WHO) urged health officials to implement universal precautions. That is, they should wear gloves, masks, boots and jackets that protect the body from direct contact with patients. Create sufferers are also advised to wear masks and other protective until SARS was tackled. Patients who are suspected or likely exposed to SARS should be isolated. Treatment should be low-pressure chamber with the door closed, not sharing with other patients (including patients with a similar syndrome) and had a bathroom and toilet facilities themselves.
All equipment used should be disposable and the room cleaned by using desinfektans which contain antibacterial, antiviral and antifungal. Patients should be kept sedentary. Patients and healthcare workers who handle recommended to always wash hands with soap to prevent spreading. Because antibiotics do not demonstrate the effectiveness of broad berspekturm handle SARS, the WHO would recommend for the use of intravenous ribavirin and steroid injections to stabilize the patient's condition was critical.


Too late though not Know Pneumonia


PNEUMONIA peyakit actually not new. American Lung Association, for example, mentions until 1936, pneumonia became the number one cause of death in America. The use of antibiotics, making the disease can be controlled a few years later. But in 2000, a combination of pneumonia and influenza again rampant and become the seventh leading cause of death in the country.
Pneumonia is an infection that causes lung? inflamed lung. Air sacs in the lungs called alveoli filled with pus and fluid, so the ability to absorb oxygen becomes less. Lack of oxygen makes the body's cells can not work. Gara? This is because, in addition to the spread of infection throughout the body, patients can die of pneumonia. Actually pneumonia is not a single disease. The causes can vary and there are 30 known sources of infection, with the main source of bacteria, viruses, mikroplasma, mushrooms, various chemical compounds and particles.


By Bacterial Pneumonia

Triggered bacterial pneumonia can attack anyone, from babies to old age. Alcoholics, post-operative patients, people with respiratory disease, were infected with a virus or immune decline, are most at risk. Actually, the bacteria that cause pneumonia, the most common is Streptococcus pneumoniae already exist in healthy human esophagus. Once the body's defenses down by illness, old age, or malnutrition, the bacteria multiply quickly and cause damage.
The whole lung tissue filled with fluid and infection quickly spread throughout the body via the bloodstream. Patients infected with pneumonia will be a high heat, sweating, panting, and his heart rate increased rapidly. Lips and nails may turn blue because the body lacks oxygen. In the case eksterm, patients will be shivering, teeth bergemelutuk, chest pain, and when coughing green mucus. Before too late, the disease is still treatable. Even for the prevention of vaccine had been available.


Pneumonia By Virus


Half of the estimated incidence of pneumonia caused by viruses. Today more and more viruses were identified. Although most of these viruses attack the upper respiratory tract, especially in children, this disorder can lead to pneumonia. Fortunately, most of these species are not severe pneumonia and recovered in a short time.
But if the infection occurred simultaneously with influenza virus, interference may be severe and sometimes fatal, virus that infects the lungs will breed even though no visible fluid-filled lung tissue.
Symptoms of Pneumonia by just the same as influenza virus, namely fever, dry cough, headache, pain throughout the body. Lethargic and tired, during the 12? 136 hours, a shortness of breath, coughing more violently and produced a number of mucus. High fever sometimes make the lips turn blue.


Mycoplasma Pneumonia

Pneumonia is a different type of symptoms and physical signs when compared with pneumonia in general. Therefore, pneumonia suspected to be caused by a virus that has not been found is often also called a pneumonia that is not typical (Atypical pneumonia).
Mycoplasma pneumonia began to be identified in the war dnia II. Mycoplasma is the smallest the wild free agent that causes disease in humans. Mycoplasma could not be classified as viruses or bacteria, although having characteristics of both.
Pneumonia is usually mild and widespread degree. Mycoplasma attack all types of ages. But most often in young men and young teenagers. The death rate is very low, even in the untreated.
The most frequent symptoms were severe cough, but with a little mucus. Fever and chills only appears at the beginning, and in some patients could be nausea and vomiting. New weak flavor is lost in a long time.


Other Types of Pneumonia

Including this group is Pneumocystitis pnumonia carinii (PCP) are suspected to be caused by fungi, PCP usually be early signs of disease attack in people with HIV / AIDS.
PCP can be treated in many cases. It could be the disease appeared again a few months later, but good treatment will prevent or menundah recurrence.
Other more rare pneumonia caused by the entry of food, liquids, gases, dust and mold.
Rickettsia-also fall into the category of viruses and bacteria-causing Rocky Mountain fever, Q fever, typhoid, and psittacosis. These diseases also interfere with lung function, but eyebrows tuberculosis pneumonia Tuberculosis is the most dangerous lung infection except dioabati early.

25 July 2010

Bronchitis


Bronchitis is an inflammation of the bronchi (airways into the lungs). The disease is usually mild and will eventually complete recovery. But in patients who have chronic illnesses (eg heart disease or lung disease) and in the elderly, bronchitis can be serious.

Infectious bronchitis caused by viruses, bacteria and organisms that resemble bacteria (Mycoplasma pneumoniae and Chlamydia)
Recurrent bronchitis attacks could occur in smokers and people with lung disease and chronic respiratory tract. Recurrent infections may be a result of:

    * Chronic Sinusitis
    * Bronchiectasis
    * Allergies
    * Enlarged tonsils and adenoids in children.

Irritating bronchitis can be caused by:
Symptoms include:

    * Cough up phlegm (sputum can be colored red)
    * Shortness of breath during exercise or mild activity
    * Suffer from frequent respiratory infections (eg flu)
    * Asthma
    * Tired
    * Swelling of ankles, feet and legs left and right
    * Face, palms or mucous membranes of the reddish color
    * Looked ruddy cheeks
    * Headache
    * Impaired vision.

Infectious bronchitis often starts with symptoms such as runny nose, ie runny nose, fatigue, chills, backache, muscle ache, mild fever and sore throat.
Coughing is usually a sign of the start of bronchitis. In the beginning, not coughing up phlegm, but 1-2 days and then will issue a white or yellow sputum. Furthermore, sputum will multiply, yellow or green.
In severe bronchitis, after most other symptoms improve, sometimes there is a high fever for 3-5 days and the cough may persist for several weeks.
Shortness of breath occurs when the airways are blocked. Often found wheezing, especially after coughing. Pneumonia can occur.

    * Various types of dust
    * Smoke from strong acids, ammonia, some organic solvents, chlorine, hydrogen sulfide, sulfur dioxide and bromine
    * Air pollution irritants ozone and nitrogen dioxide
    * Tobacco and other cigarette.

22 July 2010

Asthma






* Cause: The cause of asthma is a temporary narrowing of the respiratory tract that can cause sufferers to feel shortness of breath. Vessel constriction occurs in the throat. Heredity plays an essential role in this disease, if there are parents or grandparents who suffer from this disease can be reduced to a child or grandchild.

      
Allergies to things like dust, changes in temperature, humidity, excessive exercise or emotional stress can cause allergies so that the membranes lining the vessels will swell and excessive mucus so that the vessels become narrow and people with difficulty breathing. Despite the shortness of breath attacks can go away, but severe attack if left untreated can cause death because the patient can not breathe.
    
* Symptoms: Shortness of breath accompanied by wheezing sound (wheezing) Prevention and solution: Avoid things that can cause allergies in people, causing asthma attacks. For example, by cleaning the dust on the mattresses, pillows or blankets. Avoid extreme temperature and humidity, piaran animals or food that can cause allergies.
    
* Treatment: To cope with asthma attacks is to use a salve medicine (bronchodilator) by inhaled. Another way is to do therapy that will teach you how to relax and catch your breath in case of an asthma attack. When asthma is severe, can take medication every day to salve asthma attacks can be controlled. Thus, it is advisable for sufferers to always carry a salve to any drug he can go for immediate use in case of attack.

19 July 2010

Tuberkulosis (TBC)

Cause: The disease tuberculosis is caused by the bacterium Mycobacterium tuberculosis. The disease can be transmitted through saliva splashes when patients cough.

    * Symptoms: Coughing up phlegm for more than three weeks. It can also be accompanied by a cough that bleed. Patients will experience a fever, especially in the afternoon or evening, sweating at night. Decreased appetite resulting in weight being thin.

    * Prevention and solutions: If there are friends, neighbors or family members who experience these symptoms, you should suggest to consult a doctor to see if the cough is TB disease or not. Because sometimes a cough illness are often considered trivial, but this disease can kill someone if not immediately addressed and can be transmitted to others.

    * Treatment: Treatment for tuberculosis when it is known early really is not that expensive and easy to cure because there is a drug that provided by the government. If required, a patient with TB may also be quarantined in a special place so as not to transmit the disease.

      This disease is actually also one of the diseases that have been conquered, but later returned to attack. One of them is because people with tuberculosis are not spending their medication. Drugs must be taken regularly for 6 to 9 months to cure this disease. No drug can cause sufferers to spend can not be cured and no longer able to lead drug fight germs because germs become resistant.

16 July 2010

Treat Kidney Stones







Treating kidney stones may or not involve surgery. Ninety percent of patients, does not have to perform the operation because your body can expel the disease. But what happens to the remaining ten percent?

Ten percent of the remainder require surgery because the stones that have been clogging the system of your body is too large to pass through the bladder and will continue to grow larger. It also can block the flow of urine, causing pain, tissue damage kidneys or cause you to have a UTI or urinary tract infection.

Currently there are 4 methods for dealing with kidney stones:


The first is extracorporeal shockwave lithotripsy or ESWL. Non-electric shock wave created outside your body, then traveled to the skin until it reaches the solid rock in your body. Within minutes, the stones will form flakes. In order for this treatment can work, you will be placed in a warm tub, containing purified water or onto a machine that acts as a medium for non-electrical wave through it.

Second, the PNL or percutaneous nephrolithotomy. This is used when a kidney stone is big enough and ESWL does not work. Here, the doctor will make small cuts on your back to make a tunnel into the kidney. The stone will then be removed using a tool known as nephroscope. If the stone is too large, will use the investigation of energy (energy probes). There are two types of ultrasonic and elektrohidrolik.

Third, known as ureteroscopic stone removal. Here, a small fiber optic instrument walk through the urethra and bladder to reach the ureter. Once it got inside, the stone was found and destroyed with a special device that emits a shock wave. After surgery, the tube will be installed in the uterer for a few days to help heal the lining the ureter.

The fourth option is open surgery. Basically, the doctor will open the affected area and then picked up kidney stones. It is also possible to inject a solution consisting of calcium chloride, cyroprecipitate, thrombin and indigo carmine into the kidney, the first to trap the stones in a jelly-like clumps and therefore will be easy to lift it using forceps.

Kidney stones can come back again, even after your surgery. If this happens, it means you do not take precautions.

Which includes preventive measures is to drink 6 to 8 glasses of water a day which is about 3 liters as this will make your urine looks clear rather than yellow. You have to make changes in your diet because too much calcium is bad for your health. Some things you should subtract including apples, black pepper, chocolate, coffee, cheese, wine, ice cream, oranges, tomatoes and yogurt.

In addition, you also have to reduce the product of fish, meat or poultry because of this increase your uric acid. If you often drink alcohol, hilangkanlah although it is not dangerous if you can manage it.

We all know that it is impossible to eat the same food every day to maintain a balanced diet. What you can do is take the supplement.

The best way to treat kidney stones is prevention. It will also save you money, because you do not have to pay for doctors, medicines and the cost being done to make the correct diagnosis.

13 July 2010

26 Facts 'Fresh' About Your Heart Health

If you want to keep your heart healthy, Missed opportunities to get to know the heart of it first. Including known some early signs of heart disease alarm. In the case of heart disease, the most important thing is prevention, and it's easy ga actually, just need to know about the heart of it all.

Here are some loaded on the clinical facts of heart so much the intersections ga siurnya and intended to allow you to know the heart of more familiar again.

   1. We have a heart that is located on the left chest, behind the breastbone, the left ribs. The position of the heart is flanked by the two lungs, but not to worry because the lungs are like a sponge bath so that such position will not strangle the heart.

   2. The amount of heart sekepalan only the left hand of his owner, but so small, unusual heart function vital for life, when he stopped working 5 minutes alone, almost certainly we're close to the grave.

   3. Is actually misleading the Indonesian people interpret 'heart' as the 'heart'. Actually heart means a heart, while his own heart is known as 'liver'. So the term 'my heart' means 'my heart' (really weird but yes??)

   4. The heart is actually a very unique muscular pump, which pumps blood throughout the body (up to the fingertips) and with a very irregular rhythm our lifetime. Imagine, if there are man-made tool that is still so irregular after working continuously for 50 years or more?

   5. Besides as a muscular pump, the heart is also an organ that is surrounded by the electrical system is very complex and systematic, is more complex than any internet cable network has ever seen. Therefore, the slightest disturbance in any part of the heart's electrical cable will have adequate means for the overall effectiveness of the heart pumps. Heart rhythm disturbances such medically known as arrhythmias.

   6. Normal heart rhythm is irregular and under a single command that comes from the sinoatrial node. The frequency of normal is 60 - 100 times per minute

   7. Their hearts are young and fond of exercise routine, as well as athletes, beats more slowly, can reach 40 times per minute. This is normal and is the efficiency of the heart because the heart pumps power their relative power is greater than the laity and thus require much less frequency only. It is a good thing as long as no symptoms.

   8. Children's heart rate faster than adults because of reasons opposite of the above. In the fetus in the womb, a normal heart rate between 120-160 beats per minute. In children under five heart rate can reach 130 beats per minute. It is indeed normal, so do not worry

   9. When fever, normal heart rate will increase, which is about 10 times per minute for every increase in body temperature 1 'C above 38' C. That's because when fever activity of our body's cells increases so that the heart needs to work extra to meet them.

  10. Parents are often staggered, dark, dizzy when standing up, limp, one of which could be due to a too slow heart rate, in addition to blood pressure disorders. Generally, there are some degenerative processes in the Sino Atrial Node of the elderly, related to age.

  11. In adolescents, especially the women often complain of heart palpitations, especially in certain situations, sometimes accompanied with easy palms sweating. Such a situation is often encountered is the manifestation of anxiety disorders (psychological). However, it should also eliminated the possibility of excess thyroid hormone (thyroid)

  12. Even though our heart is the engine which means the blood pump is always in contact with blood, but the only blood that is carried through tiny vessels called coronary arteries who berdapat used solely as a provider of oxygen and nutrients to working muscles of the heart. So if there is a narrowed coronary branch, then in part the location of potential heart muscle injury or even death, heart attack ensued.

  13. Cardiovascular disease (heart and blood vessels) is now a scourge of mankind's number one killer in the world. In the USA, no less 400ribu new patients seen each year who experience a heart attack.

  14. In young adults sometimes experience chest pain in the left section of a sudden and intense pain like a dagger stabbed though only an instant (in seconds) and generally often rise while a deep breath. It is often not very meaningful, not caused by heart disease specific. Commonly encountered in individuals who are classified as anxious. Therefore disejuluki as cardiac neurosis. This situation is not dangerous and if examined a variety of commonly encountered no significant cardiac abnormalities.

  15. Chest pain typical for a narrowing of the coronary (angina) usually in the form of flavors such as overwritten heavy burden just behind the breastbone (in the middle of the chest) that can spread to the esophagus, shoulders, arms and back left. Pain thus risen, especially during physical activity and immediately subside after resting or taking nitrate drugs. If still not abated in more than 20 minutes, maybe a heart attack has occurred, rather than narrowing.

  16. For the Asian race, there are many cases of heart attack was found in elderly patients who come with complaints heartburn, without chest pain.

  17. In elderly patients and diabetics, heart attacks can be performed in secret, or no symptoms at all (silent infarcts), although the risk of complications similar to those symptoms. So this is really dangerous. Routine checks required in those who belong to high risk.

  18. Smoking increases nearly 4-fold increased risk of heart attack. Other risk factors for coronary heart disease include uncontrolled diabetes mellitus, obesity, uncontrolled hypertension, blood cholesterol (especially LDL) is high, obstructive sleep apnea (periods of stopping breathing during sleep for a moment), transcription factors family, elderly, post-menopause in women and versatile living habits and stress management anger.

  19. In individuals who are relatively young and without having any risk above, it is often not typical chest pain on the left are generally derived from other organs besides the heart, especially muscle. In addition it may also be from the stomach and lungs.

  20. Smokers, those who are obese and those who have a diet that is not good and sometimes ulcers can have a pretty horrible chest pain that is like the burning of the upper pit of the stomach to the esophagus. That so far as they occur in relatively young age and do not have the risk of heart disease is often caused by stomach acid reflux or spill that rises up to the esophagus, or known as reflux esophagitis. Because the heart of a burning sensation as it is dubbed as heart burn. But really it is just sekalai not associated with heart disease.

  21. There is one type of heart disease who have a prognosis (life expectancy) is very bad that is bad heart (heart failure). Bad heart are slowly but surely will undermine the patient until death is the end. The prognosis is even worse than some kinds of cancer!

On the bad heart, the ability of the heart pump continued to decline as a result of a heart while was no longer able to pump blood optimally so many vital organs in the body becomes disrupted its function. The most common cause of bad heart are primarily older uncontrolled hypertension and post-heart attack that is not optimally managed. Heart valve abnormalities are the cause of the relatively bad heart most often in those with younger age.

   1. Therefore, there is the term 'time is muscle' for those who suffered heart attacks, meaning that the faster patients are identified and overcome his heart attack, the heart muscle damage is not extensive and the pump function can be maintained as optimal as possible so that the risk of heart trouble can be avoided.

   2. Investigations necessary to detect narrowing of coronary or heart attack among other record static heart (ECG), records the heart with the load test (treadmill), CT coronary angiography (calcium score) and cardiac catheterization and check laboratium blood (cardiac markers).

   3. Investigations necessary to detect heart trouble among other heart ultrasound (echocardiography), chest x-ray images and lab checks the blood (NT-Pro BNP).

   4. The most important in the management of heart health is to prevent a first heart attack, meaning that prevention efforts already undertaken at high-risk individuals who have not experienced any symptoms. The way to continue to seek healthy habits and manage the existing risk factors are routinely and without knowing the boredom (eg taking medication high blood sugar and cholesterol medication every day).

   5. Efforts to prevent the most easy, inexpensive yet very effective is diligent walking every day. The trick is simple, though somewhat silly, always choose stairs instead of elevators, keep on running even when the escalator, parking the car a bit away from the entrance of your office, etc.. Walking is a friend of a healthy heart.

11 July 2010

Circumcision Prevent HIV affected

Good news for men who have been circumcised. Experts agree circumcision proven effective in suppressing HIV transmission. If done in the world, 2 million new HIV infections could be prevented.
"Two recent studies even stopped early, because it shows the high effectiveness of circumcision compared with the control group who refused circumcision," said researchers from the University of Illinois, United States, Richard Bailey, the International AIDS Society Conference in Sydney, Australia.
Conclusions are obtained after the 3 studies conducted in Africa. All the studies prove the effectiveness of circumcision to prevent HIV transmission. Circumcision couldreduce the risk of HIV transmission by up to 60%.
If circumcision is performed around the world, it could prevent 2 million new HIV infections and 3 hundred thousand deaths in sub-Saharan Africa for 10 years.
Bailey at the conference also invited leaders of developing countries to promote circumcision to male citizens. But he realized that it was not easy, because circumcision is not just a simple medical practice. Circumcision has been synonymous with culture, religion, and certain beliefs.
"For it is not easy for the health minister or a politician to spread the need for circumcision in countries that do not have that tradition," said Bailey.
However, if the promotion of the importance of circumcision are not starting from now, it would be dangerous for the long term, as more and more to be infected with HIV.
"The right time is now,"

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