Water Birth

Water birth is a method of giving birth, which involves immersion in warm water. Proponents believe this method to be safe and provides many benefits for both mother and infant, including pain relief and a less traumatic birth experience for the baby. However, critics argue that the procedure introduces unnecessary risks to the infant such as infection and water inhalation.
History
During the 1960s, Russian researcher Igor Charkovsky undertook considerable research into the safety and possible benefits of water birth in the Soviet Union. In the late 1960s, French obstetrician Frederick Leboyer developed the practice of immersing newly-borns infant in warm water to help ease the transition from the womb to the outside world, and to mitigate the effects of any possible birth trauma.

Another French obstetrician, Michel Odent, took Leboyer's work further, using the warm-water birth pool for pain relief for the mother, and as a way to normalize the birth process. When some women refused to get out of the water to finish giving birth, Odent started researching the possible benefits for the baby of being born under water, as well as the potential problems in such births. By the late 1990s, thousands of women had given birth at Odent's http://en.wikipedia.org/wiki/Birthing_center at Pithiviers, and the notion of water birth had spread to many other Western countries.

Water birth first came to the United States through couples http://en.wikipedia.org/wiki/Home_birth, but soon was introduced into the medical environment of hospitals and free-standing birth centers by midwives and obstetricians. In 1991, Monadnock Community Hospital in Peterborough, New Hampshire became the first USA hospital to create a protocol for giving birth in water. By 2005, there were over 9000 hospitals in the US that had adopted such protocols. More than three-quarters of all National Health Service hospitals in the UK provide this option for laboring women.

The benefits of water birth and its history among some primitive peoples has been advanced as evidence in support of the aquatic ape hypothesis.

Research

Considerable research has been undertaken into the safety of water birth. Two of the most prolific researchers have been Michel Odent and the American obstetrician Michael Rosenthal. Dianne Garland, a midwife in the UK, has focused on gathering research through the National Health Service system, and has published a book called, Water birth: An Attitude to Care. In the US, Barbara Harper, a nurse and childbirth educator, has explored water birth throughout the world, and chronicled the history and current use of water birth in dozens of countries in her book, Gentle Birth Choices. Harper has compiled an extensive bibliography of research on the subject, which can be seen at the website for Water birth International.

Benefits

For the baby

Childbirth can be a strenuous experience for the baby. Properly heated water[4] helps to ease the transition from the birth canal to the outside world because the warm liquid resembles the familiar intra-uterine environment, and softens light, colors and noises.

Pain management

Harper reports that water birth is an effective form of pain management during labor and delivery (Harper 2000). Water birth is a form of hydrotherapy which, in studies, has been shown to be an effective form of pain management for a variety of conditions especially lower back pain (a common complaint of women in labor)[citation needed]. In an appraisal of 17 randomized trials, two controlled studies, 12 cohort studies, and two case reports, it was concluded that there was a definite "benefit from hydrotherapy in pain, function, self-efficacy and affect, joint mobility, strength, and balance, particularly among older adults, subjects with rheumatic conditions and chronic low back pain," (Geytenbeek 2002). When compared with conventional pain management techniques for labor and delivery (e.g. anesthesia and narcotics) hydrotherapy is also possibly a safer alternative. In studies, epidural anesthesia (EDA), is correlated with an increased rate of instrumental (e.g. forceps in childbirth) delivery rates and also cesarean section rates (Ros et al. 2007). Full immersion in water promotes physiological responses in the mother that reduce pain including a redistribution of blood volume, which stimulates the release of oxytocin and vasopressin (Katz 1990), the latter which also increases oxytocin blood levels (Odent 1998). The Cochrane Database of Systematic Reviews[5] has found that "the statistically significant reduction in maternal perception of pain and in the rate of epidural analgesia suggest that water immersion during the first stage of labour is beneficial for some women. No evidence was found that this benefit was associated with poorer outcomes for babies or longer labours."

Intact perineum/decreased episiotomy

Water birth is believed to aid stretching of the perineum and decrease the risk of skin tears. Support from the water slows crowning of the infant's head and offers perineal support, which decreases the risk of tearing and reduces the use of episiotomy, a surgical procedure which can cause a number of complications. Indeed, there is a zero episiotomy rate in the waterbirth literature (Harper 2000). Moreover, "perineal trauma is reported to be generally less severe, with more intact perineums for multips, but in some literature about the same frequency of tears for pimips in or out of the water," (Harper 2000; also see Burn 1993 and Garland 1997).

Risks and concerns

A large-scale study of waterbirth in the UK (1994-1996) showed a decrease in perinatal mortality (1.2 per 1,000 for waterbirth vs. 4 per 1,000 for conventional birth during the same period) (Harper 2000; Gilbert 1999; London: Office for National Statistics 2005). While of the 150,000 recorded waterbirths worldwide between 1985 and 1999, problems comparable to non-water births did arise, "there are no valid reports of infants deaths due to water aspiration or inhalation,".

A review of the literature on water birth suggests that any controversy in the medical community stems from OBGYN and pre-natal care providers who generally support water birth, on the one hand, and pediatric specialists who criticize water birth, on the other (see Schuman 2006). While this is by no means a universal divide, it appears to correlate with the "do no harm" credo. The American Academy of Pediatrics 2005 statement on water birth explains that because to date there is no adequate randomized controlled study to demonstrate any benefit to the newborn (only concern over possible complications), when parents are informed about water birth, risks (rather than benefits) should be stressed (Schuman 2006). However, on the other hand, studies have shown that laboring in water does offer significant benefits to the mother (as cited above). While as of 2006 the American College of Obstetricians and Gynecologists had not taken an official position on water birth (Schuman 2006), the Royal College of Obstetricians and Gynaecologists and the Royal College of Midwives explicitly support, "Immersion in water during labour and birth," (Royal College of Midwives 2006). Studies that are critical of water birth generally object to or cite evidence from "poorly managed" or un-monitored water birth by inexperienced care providers.

Infection

Another concern is that the water could increase the risk of infection.In a randomized controlled trial of the effects of water labor in Canada, no difference was noted in the low rates of maternal and newborn signs of infection in women with ruptured membranes. Due to the rigorous protocols for cleaning birthing tubs between labors (especially in hospitals), there is little (if any) risk of transferring bacteria from infant to mother or mother to infant. In a 1999 study of bacterial cultures carried out at the Oregon Health Sciences University Hospital, there were no instances of bacteria cultured from the birth pool itself. While Pseudomonas bacteria (common in tap water) were present, even those infants that tested positive for the bacteria needed no treatment for infections.

Slowed labor

Due to the documented relaxing effects of water, laboring in water is sometimes associated with a decrease in the intensity of contractions, and is thus thought to slow labor. While water birth experts (e.g. Harper, RN) argue that this must be evaluated on a case-by-case basis, some hospitals have adopted a "5 centimeter" rule, allowing women to enter the tub only once the cervix has already expanded to 5 centimeters (Harper 2000).

Maternal blood loss

For care providers who are inexperienced in delivery in water, it may be difficult to assess the amount of maternal blood loss. While well-developed methods of determining maternal blood loss in water do exist[12], many providers prefer to deliver the placenta "on land" for this reason (e.g. the University of Michigan hospital).

Acceptance

Water birth is accepted and practised in many parts of the United States, Canada, Australia, and New Zealand, as well as many European countries, including the United Kingdom and Germany, where many[specify] maternity clinics have birthing tubs. Many[specify] independent birthing centers and many home birth midwives offer water birth services. At present, water birth is often practised by those who choose to have a home birth, because the majority of hospitals have not yet installed proper birth pools in their maternity wards. In 2006, Waterbirth International listed more than 300 U.S. hospitals that offered such facilities. At least two such hospitals were listed in the 2006 U.S. News and World Report "Honor Roll" of best U.S. hospitals: Barnes-Jewish Hospital in St. Louis, Missouri and the University of Michigan hospital in Ann Arbor, MI.

Hypothesis of origin

David Attenborough has linked the claimed benefits of water birth to the aquatic ape hypothesis. This hypothesis is controversial but suggests that proto-humans had a more aquatic existence. The proponents of the theory point to several anatomical differences between humans and apes. In particular, babies have much more subcutaneous fat than apes. The fat appears in the thirtieth week of pregnancy and continues increasing for the first year after birth. As well the insulation for a baby while its mother is in water, the additional buoyancy has been noted as another benefit of fat. Babies float unaided. Vernix caseosa has also been cited as further evidence, as the only other species in which it has been observed are marine mammals.

Inline

1. Monadnock Community Hospital
2. Scars of Evolution- Presented by Sir David Attenborough, a two part BBC radio
4. series examining the 'aquatic ape hypothesis']
3. waterbirth.org (PDF)
4. In most countries, the usual temperature range is roughly 92 to 100 degrees Fahrenheit; this issue is explored in an article by Barbara Harper, "Taking the plunge: reevaluating waterbirth temperature guidelines", MIDIRS, January 2003
5. Cochrane Database of Systematic Reviews
6. (Garland 2000)
7. (Harper 2000)
8. (e.g. Zimmermann et al. 1993)
9. Water Birth and Infection in Babies - British Medical Journal
10. (Rush 1996)
11. These findings confirm those of a British study conducted over a 3-year period (Brown 1998)
13. Scars of Evolution (On-line series of two BBC radio programmes about AAH)
14. Schultz, AH (1969). The Life of Primates. Weidenfeld & Nicholson.
15. Morgan, Elaine (1997). The Aquatic Ape Hypothesis. Souvenir Press.

External links

* All About Waterbirth and Water Babies: The Waterbirth Website
* Having a Great Birth in Australia
* BBC News: Water Birth Drowning Risk, 2002 Read More..

Squid Medical Tumors

OTHER THAN cuisine, squid-rich nutrition. There, protein, minerals, and various vitamins. Ink liquid assets, useful to fight tumors. Squid is one of the animals from the sea Loliginidae family, class Cephalopoda. In Latin, squid known as Loligo spp, while the squid in the English language.

In Indonesia, the squid is known to some terms, such as enus, NUS, cuttlefish, or sontong interest. Sea animals are generally arrested on the night, using light petromaks as a tool drawer. They generally like the light at night. Throng squid can be caught using tools flavor, lift nets, gill nets, trawls the ring, shrimp trawls, rawai tuna, or holdings.

Squid is one of the types of marine animals that people, especially the fans seafood and Chinese food. In the market, squid is usually sold in two main forms, fresh, dried and salted.

High Protein
Viewed from the value of nutrition, squid have the nutritional content of the extraordinary proteins because the content is very high, namely 17.9 g/100 g fresh enemy. Meat squid have advantages compared with other marine products, namely no backbone, easily digested, have the taste and aroma are typical, and contains all kinds of essential amino acids needed by the body. Essential amino acid that is the dominant lysine, lysine, and phenylalanine. Meanwhile, nonessential rate of amino acids that are the dominant Glutamate acid and acid aspartat.

Both these amino acids contribute to the emergence of savory and delicious taste. Therefore, the natural enemy has a taste-tempting to forget, so that the processing divers do not need to be added (such as mono sodium Glutamate = MSG).

Squid also contain some type of macro and micro minerals in the number of the very high. Rate of minerals contained in the squid is very varied, although in one species of the same. This variation depends on the environmental conditions where life, size, and age.

Mineral important in the squid is Sodium, potassium, phosphorus, calcium, magnesium, and selenium. Phosphorus and calcium useful framework for the growth of bone, so it is important for the growth of children and prevent osteoporosis in the elderly. In addition to protein-rich, squid is also a good source of vitamins such as vitamin B1 (thiamine), B2 (Riboflavin), B12, niacin, folat acid, and fat-soluble vitamins (A, D, E, K).

Squid also contain TMAO (Trimetil Amin oxide), which is high enough. TMAO give this a high sense of the typical meat squid. Meat squid monoamino also contains nitrogen that caused squid has a sweet taste. Sulfur content of high enough on the squid also cause the squid smell fishy when the treatment experience of cooking, such as boiled.

Cholesterol alert
The rate of fat in meat spy relatively low, namely 7.5 g/100 g material, each comprising 1.9 g saturated fatty acid; 2.7 g saturated fatty acid is not a single; and 2.1 g saturated fatty acid is not double . Included in the fatty acid is not saturated double Omega 3 can reduce the content of cholesterol in the blood.

Nevertheless, the consumption of squid excess must be avoided because the rate cholesterol tolerable levels, namely reached 260 mg/100 g material. In groups of fish in the sea, the rate of cholesterol on the enemy, shrimp, lobster, crab and, indeed quite high. However, the rate of cholesterol in fishery products is still relatively low compared with the yellow eggs, liver, offal, brain and livestock.

Things to remember about cholesterol is we must prevent the nature phobia. However, the amount of cholesterol in the fair are needed by our body, good for the growth of cells (including brain cells) and sex hormones and the synthesis of vitamin D.

In humans, cholesterol can synthesis itself in the body, namely the liver, korteks, adrenal, skin, intestine, testes, stomach, muscles, adipose network, and the brain. About 17 percent of the dry weight of the brain consists of cholesterol. Without cholesterol, not the brain structure may be formed with perfect.

According to guidelines issued by the National Heart, Lung and Blood Institute (NHLBI), the rate of total cholesterol is good for the human body is below 200 mg / dl, HDL more than 35 mg / dl, LDL of less than 130 mg / dl, and Triglyceride less than 250 mg / dl. The rate of cholesterol in the 200 mg / dl can cause various disease threats, such as aterosklerosis (stoppage of blood vessel), stroke and coronary heart disease.

Although considered dangerous, cholesterol still needed by the body. The average man needs 1,100 milligram cholesterol per day to maintain the wall cells and other physiological functions. Of these 25-40 percent (200-300 mg) to normal came from food and the rest synthesis by the body.

Therefore, the consumption of cholesterol in the normal limit, which is not more than 300 mg per day is necessary. So, you do not need to worry at the rate of cholesterol on the enemy. For if you avoid the squid, will mean loss of other nutritional substances that food is very big for the health of the body.

Activate White Blood
I squid can be from the sweeping avoid the nimble through the rapid pengerutan muscle. If the movement is not only fast enough, the clouds thick and dark ink will be excluded from the body, so surprised the enemy for some time. Panic is the enemy to give enough time for the squid to escape immediately.

Liquid ink squid are alkaloid, so it is not preferred by predators, especially fish. This dark-colored liquid containing details of melanin pigment, or black. Melanin is a natural melano protein that contain 10-15 percent protein. Melanin is through binding protein amino acid that contains sulfur, which is sistein.

In addition, the squid also have a protection system by changing the color of the skin-change body quickly, sometimes blue, white, red, or brown. This color change occurred because of kromatofor which is the elastic bag containing pigment of red or yellow.

Pigment cells, which is surrounded by the elastic ties muscle cells that can
contraction quickly, so that the pigment cells become large and cause the color more clearly. This mechanism resulted in squid can change color quickly when the stimulus received from the outside. This system also changes the color used squid as a means of communication.

Based on research conducted by the University Hiroki Japan, squid ink and cuttlefish have a lot of functionality, which can activate the white blood cells to fight tumors. It has been tested on 15 rats tails, a contagious disease of malignant tumors. Mouse was given three doses of injection fluid cuttlefish ink, and the result, only three of the dead mouse, the rest remain alive.

Meanwhile, as control, 15 other rats, which also has the disease malignant tumors, is not given a similar injection, and all died within three weeks. Currently there is certainty in medical ink squid and cuttlefish can treat cancer or tumors, but the squid ink suspected to contain many vitamins, namely vitamin A.

During this squid ink is not much known, especially in the Catering industry. Squid ink often is not removed and left in the meat spy. However, some countries, such as Italy, the enemy has been using ink as one of the pasta cooking spice. In Japan, bags, squid ink (sepio melanin) that black is used as a preservative and to improve the spy salty flavor.

If you like it, the ink will not need to be removed from the enemy, but can be eaten. No need to be worrying about the substance ink that is tough. Some people actually think these substances ink important to enhancing the taste. Read More..

Hypnobirthing Help Eliminate To Feel Pain

On the labor can take place with comfortable and free from feeling pain?

Why not? Now there has been delivered by using the method mind positive prospective mother called hypnobirthing. Besides a great help during the birth process, later this method is also a positive effect on the flower children soon grow.

The process of birth & stress

According to Tiffany Field, Ph.D., a researcher from the University of Miami School of Medicine, United States, that more than 60 percent of women will experience stress, and only 10 percent of them women, who face relatively calm childbirth. In addition, more than 10 percent of women affected by depression during pregnancy can "transmit" kesedihannya the fetus in the content.

Maternal stress in children infectious?

True, the stress that depression will culminate in a negative impact on the growth of the fetus to be born when he was even until the children grow kembangnya soon. Stress and depression in the mother will infect the biochemistry that will affect fetal brain activity. As a result, babies born at the time showed symptoms of depression, such as restlessness, refused to drink breastmilk and exacting.

Pregnant women are prohibited from stress

Now, that these conditions do not happen to you. It is recommended that prospective birth mothers who will prepare physically and mentally. With the balance of physical and mental health of the expected confinement will occur smoothly so that mother and baby together in healthy condition.

Stress should be

Positive mind, other than the powerful against the powerful stress it can also make the mother feel strong in the face psychological matters. Now, one of the methods applied in hypnobirthing is to help reduce maternal depression due to various potential emergency, so it appears that the confidence matters will be running well.

With all the confidence in the positive, the process of childbirth that was feared to be that will run smoothly and bear children with a safe and healthy. It must put the mind and believed repeated.

source : www.Conectique.com Read More..

Water Birth. Know the risks and benefits

Delivered in water or water birth, are still not popular in our ears, although there have been two ongoing process of childbirth with this method. Unlike in some other Asian countries, this method has become a primary choice for mothers giving birth.


In our countries, not all hospitals are equipped with facilities for childbirth this method. In addition to needed medical workers trained, the hospital must memilliki swimming clothes berdesain special (birth mother). Sterilitas water should be taken not to cause infection in the mother and the baby was born.
Benefits

For the mother:

The experts in the field of health gynecologist acknowledge that the birth in water have advantages compared to other methods of birth.

1.The mother will feel more relaks because all the muscles associated with childbirth process to be elastic.

2.This method will also facilitate the process mengejan. So that the pain during childbirth is not too pronounced.

3.Water in the process of opening the road will be born to run faster.

For babies:


1.Lowers the risk of head injury baby.

2.Although not yet done research, but health experts believe that birth with this method allows the baby IQ is higher than that of infants born with other methods.

3.Circulatory baby will be better, so that the body of a baby will be born after a quick squeeze.

There are 2 methods of water birth


1.Water birth pure. Mother into the pond after experience of childbirth 6 to the process of the birth occurred.

2.Water birth emulsion. Only the mother is in the pond until the end of contraction. The process of giving birth still be done in bed.



Risk


* Chance of pond water consumed by the very large baby. This condition causes the process requires a doctor obstetrics and content, also a specialist children who will undertake direct when the baby is born. So if there is a direct interference can be detected and overcome.

* Hipotermia or too low body temperature will be experienced by the mother if the birth process lasts longer than perperkiraan.

* The baby's risk of experiencing shock if the water temperature is not the same as the temperature of the mother during childbirth is 37 degrees centigrade.

source :www.conectique.com Read More..

Reveals the benefits of Tempe

Who is not familiar Tempe. Food fermentation results between soybeans with Rhizopus jamur Oligosporus this many best monetization opportunities. Taste delicious, the price is cheap and easily obtained. Moreover piece of tempeh, contain many useful elements, such as carbohydrates, fat, protein, fiber, vitamins, enzymes, daidzein, genisten, antibakteri and components useful for health.

Tempe foods that are often found in the home and in the stalls, as it complements the meal has a value of the content and digested better than the soybeans. Hence, tempeh is very good to be given to all age groups (from infants to elderly), so it can be called as a food of all ages.

In addition, in Tempe also increased the value of nutrition, such as the level of vitamin B2, vitamin B12, niasin, and acid pantorenat. Even the results of the analysis, the nutrition content of Tempe shows niasin of 1:13 mg/100 grams of weight that can be eaten Tempe. Content is increased about 2-fold after becoming tempeh, fermented soybeans. Because the rate on soybean niasin only 0.58 mg, tempeh, can be consumed in three main forms.

First, tempeh, generally consumed in the form of chips, bacem, or cooked with vegetable mixture. Second-shaped flour. This can be used as the content of food, which is useful for improving the nutrient and fiber, as a natural preservative and to combat diarrhea in children. Third, tempeh can also be treated as a concentrate, protein, protein isolat, peptida, and other components biokatif.

Anemia & Osteoporosis
Tempe also can be trusted to prevent anemia and osteoporosis, two diseases that many women suffer, because the nature of women must be experiencing cramps, pregnant and breastfeeding infants. This disease can attack the anemic women who eat lazy, fear of fat, so the supply and production of cell-red blood cells in the body decreases.

Now, where can play a role as a supplier of minerals, vitamin B12 (found in animal foods), and iron is needed in the formation of red blood cells. In addition, tempeh, can also reduce the rate of cholesterol in the blood. Compound, protein, fatty acid PUFA, fiber, niasin, and calcium in the home can reduce the amount of bad cholesterol.

Prevent Aging & Breast Cancer
In Tempe also found a substance in the form of antioxidant isofalvon. Like vitamins C, E and karotenoid, isoflavon antioxidant that is very necessary to stop the body's reaction to the establishment of radikan free. In soybeans, there are three types of isoflavon, namely daidzein, glisitein, and genistein. In the past, in addition to the three types of isoflavon these factors, there are also antioxidants II (6,7,4 trihidroksi isoflavon), which has the most powerful antioxidant compared with isoflavon in soybeans.

This antioxidant disentesis while the fermentation process soybeans into Tempe by the bacteria Micrococcus leteus and Coreyne bacterium. Research conducted at the University of North Carolina, United States, found that genestein and phytoestrogen found in the past it can prevent prostate cancer, breast and aging (Aging).

Therefore, the best way to optimize the body for the property, wherever we are with mengonsumsinya every day in the number significantly. To have not experienced boredom, the use of the Tempe varisi in various recipes need to be done.

So that property-being of useful substances is not wasted in the process of cooking, tempeh should diamsak with the menu, such as soup, semur, or bacem. Ways to reduce it a little more savor Tempe, instead of fried. manfat out of the past for our body, so, do not hesitate to consume tempeh, yes!

10 properties Tempe:

a. Protein found in tempeh is very high, easily digested so good to overcome diarrhea.

b. Contain iron, which are antioxidants flafoid reducing blood pressure.

c. Containing superoksida desmutase that can control free radicals, for people with heart.

d. Countermeasures anemia. Anemi marked with a low rate of hemoglobin because of lack of iron (Fe), copper (Cu), Zinc (Zn), protein, folat acid and vitamin B12, in which the elements contained in Tempe.

e. Anti-infection. The survey shows that the past contains anti-bacterial compound produced by tempe coral (R. Oligosporus) is a useful antibiotic that minimize the incidence of infection.

f. Hipokolesterol power. Saturated fatty acid content of the double in the past may be lower rate of cholesterol.

G. Having the nature of anti-oxidants, reject cancer.

h. Prevent the double problem of nutrition (due to shortage and excess nutrients) and their various diseases are involved, both infection and degeneratif.

i. Prevent the onset of hypertension

j. Content high calcium, tempeh can prevent osteoporosis.

Source: Tabloid Mother & Child Read More..

7 Things You Didn't Know About Fat

Fat is usually 'lazy' we hear, especially if related to the body. But it must be recognized, fat also play an important role in the processes going on in our bodies every day - whether positive or negative. With a five-letter word has a secret that you need to know. Agung Cahyono Widi give to you.

1. Tuesday fat can be big six times the size of the minimum.
Each person has Fat cells; cells formed this start even before we were born. At the age of 16 years, the cells are mature. Then, genes and factors that determine the style rather than increased body weight or not. Tuesday for the body fat important in helping the system of storage and management of energy the body. Fat is not used in the near future will be saved for an emergency. So if you eat more food berkalori every day, but rarely burnt, your fat cells will swell and doubled, so overweight created.

2. Tuesday trigger the formation of fat extra estrogen
Excessive fat can damage the hormonal balance that culminate in a variety of diseases. Estrogen, a hormone greater number of women had also owned by men (in the number of small). However, this hormone is very important for men, because estrogen set a healthy libido, improve brain function (especially recall), and protect the heart. But if the level is too high, the level of hormones testoteron will be reduced, and men will experience fatigue, weakness, decreased sexual function, and in some cases will occur prostate enlargement.

3. If you lose more weight, your fat cells will shrink, but not lost
Have 100 billion fat in the body due to increased body weight may be frightening. What's the best, you can still remove the weight, even after your fat cells swell and grow. Because when the weight down, Andapun fat cells shrink. So what if you maintain good body weight than the normal take-hard diet. Someone who still maintain a normal body weight throughout life will be easier to maintain weight than someone who had the fat cells swell and grow.

4. The network of fat cells to cause inflammation
In addition to feeling guilty when your weight increases, there is also the internal complications that can be caused by excess fat. Tuesday fat causes immune cells and macrophages increased inflammation. Inflammation is a reaction to the body against infection. Fat Tuesday is considered as attack on the body and react immediately attacked him.

5. Tuesday fats have different effects in every part of the body
Men usually store excess fat in the middle of the body. Fat in the stomach to increase the bad cholesterol trigger stoppage blood vessels and increase pressure and blood sugar. Furthermore, stored fat in the stomach in the body fat in a different part of the thigh just below the skin. Tuesday fat metabolism in the stomach more active than fat stored in other parts of the body. Fat is release more fatty acid, which can lead to diabetes, coronary artery disease, stroke, Lever interference, and cancer. There is no way to eliminate fat in certain parts of the body. The best way is to train all the programs. And good news, fat in the abdomen fat is the most flammable with the exercise routine.

6. If you do not consume fat at all, you will create a 'korslet' body.
As mentioned, fat is very important to maintain the body's natural processes, such as the absorption of vitamins and the formation of energy. Without a functioning dissolves fat, vitamins, vitamins A, D, E and K, the body does not absorb the calcium adpat well. This resulted in disruptive hormone, the formation of blood cells, and blood clotting. Lack of vitamin-vitamin can cause serious health problems, such as short-sighted, rickets, anemia and bleeding in. Furthermore, lack of calcium can cause bone brittleness.

7. Fat calories should be only 30% of total calories daily
Nevertheless, fat is not the enemy. Fat is required to form the body of energy. But it should be remembered, the calories of fat should be a total of 30% of total calories daily. There is also a type of fat, such as fat plants that are better than other types of fat because fat does not trigger the formation of evil (LDL). Read More..

Vulnerable girl Cage miscarriage

Women who have a body mass index (BMI) is low, the risk of miscarriage during pregnancy experience. Characters 72 percent higher in the three months of age first pregnancy. Therefore, the sound of a team of researchers reports the London School of Hygiene & Tropical Medicine, UK, published on December 6 last.

Noreen Maconochie, a professor of epidemiologist and medical statstics from the university, the estimate of one in five pregnancies ended in miscarriage English. This is certainly cause stress for women in the UK.

This incident can be pressed to consume various supplements, eat fresh fruit and vegetables. Research previously mentioned that a healthy diet, stress and pressure to keep emotions play an important role in helping women more easily pregnant or planning a pregnancy, and prevent miscarriage.

Noreen who led the research is to learn the relationship between biological history, customs and lifestyle as risk factors cause miscarriages. Another risk factor is age, infertility, and has a history of miscarriage. Although there was still debate, alcohol consumption, smoking, and Feed the high caffeine can also cause.

In the research, the experts examined 605 British women aged 18-55 years who have recently experienced a miscarriage and 3 months in the pregnancy (less than 13 minggi age pregnancy), and 6,116 women are up to 12 weeks. Found a number of skinny women, 72 percent experienced a miscarriage in early pregnancy trisemester.

However, women who received vitamin supplements during pregnancy experienced a decrease in incidents abortion up to 50 percent. Generally, the vitamins are consumed folat acid or iron and other multi. Eat fresh fruit and vegetables each day can also press the accident. Habit of eating chocolate is suspected terjadiya can reduce the risk of miscarriage.

Experts explain that women who during the first 12 weeks experienced bad, marked her pregnancy showed good progress. And women who experience miscarriage, or about 70 percent of her pregnancy will be good. Read More..

Fetus Prevent Fall

Fortunately if you or your spouse have a normal pregnancy, normal course. In some people, pregnancy often get a lot of interference bleeding, the possibility of diverse causes. What and how to prevent it?

Yanti should be immediately taken to hospital. Parties, he experienced bleeding quite understand the great feeling of heartburn. In the age of the content is not even nine months. Ahahah plus if doctors at the hospital immediately take action Caesar surgery. Yanti with her baby saved.

According to the doctors that deal, which is bleeding due to Yanti terlepasnya Hampi placenta or the fetus (solisio plasente). Cases of pregnancy such as bleeding Yanti suffered enough. In this case the actual Hampi inherent in the normal place but because of a case irrespective Hampi.

"The causes can be different," said dr. RB Ontowiryo HP, obstetrics and disease experts from the womb Mother and Child Hospital Harapan Kita, Jakarta. "I can grow as tumors or myom in the womb wall, because the strap can Hampi terjerat feet on the baby when the baby moving so interested and irrespective Hampi. The case of accidents such as stomach the mother hit the right inherent in Hampi can also cause irrespective Hampi."

Another reason, the case pre-eklamsia (during pregnancy increases blood pressure and certain parts of the body to swell). Lucky if terlepasnya Hampi at the age of the fetus is quite experienced as Yanti. For if the content of the occurrence before the age of 7.5 months (weight babies 1,400 -1,500 g), the fetus is generally difficult to be saved.

Bleeding during pregnancy can also turbulence Hampi cover the way baby. Hampi location here is not normal (Hampi prefia) which protrudes in the lower segment of uterus, leading to the mouth of the uterus. Furthermore, the long, Hampi cover the baby's exit. This case can also cause bleeding because of the occurrence of peregangan or pengencangan the bottom of the uterus that cause the bottom of the uterus so interested in planting Hampi little shift.

"However, handling more easily compared with the first case was," said dr. Ontowiryo. "The bleeding is not held continuously, but the repeated, for example, every 3 - 4 weeks and not a pain. So that the fetus can be maintained longer," he added.

To maintain that there is no contraction (business from the womb to remove the contents), the doctor gave medicines, which sometimes provided by Doofus, so that the contents remain weak and Hampi not move. During the pregnancy of the mother suggested to limit the daily activities (bed rest) until the time of childbirth.

Spot of blood ties and lodging the mouth

Because of the possibility of risk incurred, seringan any bleeding out during pregnancy should be skeptical. We must monitor whether the blood spot only arise once or repeatedly. Is the spot and a great increase heartburn or not. If heartburn is usually complemented spot shows indications miscarriage. Because it seems so out of the red spot, once the doctor to check themselves and the rest total.

With a total rest, the flow of blood to the uterus so that a good bleeding is expected to be reduced. To check whether the fetus is still alive is usually examined with the equipment ultrasonografi (USG). Meanwhile, the spot without any sense of heartburn can be solved with the rest, plus the total drug is pregnancy.

However, we also need not panic if there is excessive bleeding. Bleeding that can only come from the mouth of the uterus would open, or Hampi candidate who would loose, or the way the baby closed.

The condition of the mouth that are less well uterus can also cause bleeding, which ended with a miscarriage. For example, the opening of mouth, womb prematurely. Problems like this happen on many mothers who often have miscarriages or birth often. In the last case, the condition serviksnya less good or rags in the vaginanya not closed completely.

To avoid the occurrence of miscarriage, the mouth of the uterus is slightly open was tied or entangled with a "ribbon" special and opened again at the age of her pregnancy is quite old. During tied, it is not recommended for dealing with the pair can cause a contraction. Moreover, "the tape" penjeratnya hard!

When the fetus successfully maintained, after bleeding, the mother should consider the health body while not forget to avoid stress. Food should be consumed nutritious foods such as high iron-rich, calorie and protein. Furthermore, enough vitamins and minerals. Ask for advice on nutrition experts to shape the menu as needed.

RADIO virus

Bleeding during pregnancy can also an indication of irregularity in the pregnancy itself. The most dicemaskan that occurred in the first quarter of the pregnancy. Bleeding at the time this is a sign of the occurrence of miscarriage. At the beginning of pregnancy, the fetus is still weak because Hampi is not formed. The development of the fetus from 1 - 3 months only depends on the role of hormones.

Naturally, there are certain women are "gifted" to bleeding, a miscarriage followed. For But, of course must be thoroughly searched the main causes. Once the cause is found, a new medical action is carried out.

Another thing that needs attention is a hormonal imbalance or interference. In this case abortion generally can not be avoided. Disturbances on the role of supporting the pregnancy hormone early in the pregnancy 1 - 3 months did not cause the fetus develops and autumn. That is not repeated, before preparing the next pregnancy, the mother is given hormone therapy until the rate of balanced hormones, said.

Fetal abnormalities can also culminate miscarriage. Ketidaknormalan was due to one less good quality seeds. For example, because of the age of the mother is above 35 years old, suffering from chronic diseases such as tuberculosis or severe intestinal seeds or the husband is less good quality. With the fetus itself will not be established until the finally stopped normal growth.

Fetus is not normal, can also result toksoplasma kinds of infection (the virus that is transmitted by cats and birds), Rubella, Herpes Virus 1 and 2, which called the Torch. This disease germs can not be killed but only revealed activeness and endurance increased, the body of the mother.

Therefore, the test Torch needs to be done before deciding pregnant again. When the rate of IGG (imunoglugolin) do not rise, means stable or down (the virus is not helpless and lost again). The mother may be pregnant again.

Durian and the tape is prohibited?

Besides bleeding, nutrition also need to be taken to prevent miscarriage fetus. For the pregnancy should also not supported by good nutrition? Unfortunately, often with nausea, dizziness and vomiting, acapkali the mother experienced interference Feed terkuras nutrition so that energy flow and oxygen to the reduced network. Consequently, gracious can not maintain strong fetus.

Similarly, when the mother had anemia or lack of red blood cells. Food is brought together with red blood cells also become so reduced food supply and less automatically hampered the growth of the fetus. Therefore, every pregnant mothers are encouraged to drink extra vitamins and eating foods that meet the nutritional requirements as recommended doctor. Berprotein higher food and vegetables and fruits more than the recommended food berkarbohidrat high. The high-carbohydrate often causes the fetus is too large.

During pregnancy, should also be avoided eating the food many kinds of high durian and tape.

"The good, usually the higher the alcohol," added dr. Ontowiryo. "And this took hamper the growth of the fetus." If it is said that young pineapple can topple the womb, according to the board. Ontowiryo not true, except in case of diarrhea that cause great mouth mengendor womb. Doctors also add this, many drinking ice water will not cause the fetus greater unless always be drunk with syrup. That coconut oil that can cause birth seems more smoothly, also the view that one. "Coconut oil 'is only going to gut, not the vagina!" he said.

To prevent the occurrence of miscarriage, for pregnant mothers should not work hard, too tired, and avoid stress. Its excessive stress will increase the adrenalin that occur in the blood vessel constriction that result in a lack of blood flow to the uterus. If the contraction or arising vaso reaction to the contents of the baby, abortion is feared will happen.

That is not less important is to prepare the pregnancy. When previously felt the difference, such as the growth of tumors, leucorrhoea, infection cervix, cyst, endometriosis experience, etc., need to be examined and treated immediately in order to arrive when the pregnancy, the fetus can grow well and born with. Read More..

Set the weight during pregnancy

Overall health is very important during pregnancy. "Pregnancy is very healthy will affect the quality of birth and the baby was born," said dr. Hasnal Siregar, Sp.OG from RSAB Harapan Kita, Jakarta.

One of the factors that are not less important during pregnancy is the weight. In Indonesia, the ideal weight for prospective mothers during pregnancy start (the start pregnant) is between 45 to 65 kg. If less than 45 kg, a weight increased until it reached more than 45 kg before pregnancy. "Similarly, the weight when the prospective mother more than 65 kg, a weight lowered to below 65 kg before pregnancy," he continued.

Unfortunately, very few women who plan weight before the start of pregnancy. "Actually, the weight of prospective mothers less than 45 kg or more than 65 kg, will create a risk of pregnancy (low risk)," Hasnal information. Weight prospective mothers less (underweight) or excess (overweight), the risk of babies with birth weight less or low birth weight babies (BBLR). "Infants with BBLR will be subject to development and kecerdasannya, in addition to physical health are also less good."

For the mother did not lose berisikonya. "If the excess weight, he can experience bleeding or poisoning pregnancy. First overweight, and tension rising, swollen feet, kidney problematic, eventually poisoning pregnant," said the Hasnal. When the birth, usually always occur complications.

Be careful Pre-Eklampsia
How many actually increase the ideal body weight during pregnancy? The formula, each month, the weight should be increased up to 1 kg over 20 weeks gestation. Then, up 2 kg per month of pregnancy after 20 weeks. "So, if women begin pregnancy with a weight of 45-65 kg, the ideal increase during pregnancy is between 12-14 kg. Meanwhile, if the weight when pregnant start in the 45 kg weight, which is recommended between 12,5-18 kg, and if the increase 7-11,5 kg body weight when pregnant start more than 65 kg, "Hasnal information.

Increase the weight that is not in accordance with the formula was not ideally good and risk. For example, the increase of excess or very fast. "If this happens, you should be careful, because it could be an early indication of poisoning the occurrence of pregnancy (pre-eklampsia) or diabetes," said Hasnal.

Not only that, the body of the pregnant mothers can be swelling, either in the legs and stomach. In addition, can also hinder the growth of the fetus. "The delivery of food to the fetus be reduced because of a blood vessel constriction. Now, if the blood vessel constriction of this increase in intensity, could be fatal to the fetus," Hasnal information. Excessive weight can also affect the process of childbirth. For example, is not strong mengejan.

Generally, the increase in weight that occur quickly at the end of pregnancy. Usually, if there is excessive increase during certain months, up to 5 kg for example, doctors will recommend for the diet. The next two months, the weight of prospective mother must be stable (can not be increased and decreased). "This can be done to set back the list of the food. Normally Feed by reducing fat and carbohydrates, such as sugar, rice, cheese, gorengan, and enhance the consumption of protein, such as fish, meat, eggs, nuts, and fruits, because is necessary for the growth of the fetus in the womb. "

Clever choose food
What if the weight of unremitting rise or even fall during pregnancy? "Mother pregnant should eat more fatty foods that contain carbohydrates and high, such as ice cream, alpokat, cakes, until the weight is increased, but still limit the increase in the ideal," said Hasnal.

Usually, the difficulty of body weight rise occurred in the months early pregnancy. "In the first trimester pregnancy, pregnant women are often nausea or vomiting, loss of appetite, so. Actually, in this trimester, the brain, senses and genitals formed fetus," said Hasnal. If this continues until the next trimester, may not Feed nutrition fetus will be disrupted, so that the growth of the fetus to become obstructed.

Therefore, the prospective mother must be clever-clever choose food that you eat appetite remains intact. "To avoid nausea, should avoid fatty food, cold food, or food that is too sour," Hasnal suggestions.

In addition, psychological factors also affect the appetite of prospective mothers. For example, if indeed he expects her pregnancy or not. "There are pretty women who have not actually pregnant, sensitive, but then pregnant. This certainly must be considered can affect psikisnya because," saying Hasnal further asserts that in the first trimester pregnancy, weight should be increased, although feel nausea or vomiting. "The weight of the body based only baseball can be increased greatly, especially down."

Usually, in the second trimester pregnancy, the mother is calm, then appetite is also recovered. In this trimester, have lost a sense of nausea. "But, still must be careful also to avoid excessive weight increased," anjur Hasnal.

Formula increases the weight of the ideal must be correct. For example, this month should be raised by 2 kilos, but it increase of 2 kilos already occurred in the first 2 weeks. "So, the next 2 weeks he should diet." Or, the first 2 weeks, body weight has not increased, then the prospective mother must pursue ketingalan in the next 2 weeks.

The ideal weight is reached, the birth will be running easily, without complications. Or, if any, only a few (low risk). "Childbed will also soon be over, in addition to not damage the body shape." Yes, the ideal body weight during pregnancy will soon return to the form of body weight after giving birth. "Mother will be beautiful again, without the need to take pains to manage weight."

Diligent, industrious control
What must be done so that the ideal body weight can be achieved?
• We recommend that before pregnancy, consultation to the doctor about the factors that disrupt the disease pregnancy, including BB (more or less).
• Turuti doctors advice about BB month per month. Ask a diet that matches your situation. For example, if excessive, some diet, and so forth.
• Every control to the doctor. If the charming doctor and patient and diligent control does not have penyulit during pregnancy, it either diabetes or goiter, usually the standard weight is reached.
Damaged teeth can be problematic
Less or even decrease the weight not only occur in pregnant women who lost their appetite. "There are also prospective mothers eat more, but weight is not up-and-ride. If this occurs, the composition of the food must be checked. Do not feed the dikonsumsinya not nutritious, replete origin only," said Hasnal.

If the quality of food consumed is good, but he still thin, must be checked, is there something wrong in the digestive equipment or teeth. "Gigi is damaged to make the food was sometimes can not be chewed well, so it can not be digested and absorbed by the body perfectly. As a result, the fetus not get better with the food supply, so that growth is obstructed," said Hasnal.

What is clear, any weight when pregnant start, the increase should be increased according to the formula of body weight. After the pregnancy weight should also be increased according to increase always ideal. "Do not get pregnant and then after I eat because it is fat. If this is done, Feed nutrition for the fetus will be disrupted."

Ideal weight babies
How many actually a normal fetal weight for age appropriate? At the age of 20 weeks gestation, the fetus weight of approximately 0.5 kg. At the age of 36 weeks gestation, it should reach 2.5 kg. Furthermore, close to birth, the weight should reach 3 kg. "Ideal body weight baby is between Indonesia 3-3,5 kg. If the growth of the fetus is not in accordance with the formula above, should be examined salvo. Is there a difference of the body, such as the aberration that causes kidney hidramnion, or how the system pencernaannya," Hasnal said. Read More..

Myth 10 causes miscarriage

We still live in the nature of myth. From the mystifying question the ability Mak eliot, how to facilitate the provision. However, myths are the most difficult is the trust as a cause for miscarriage, which contain the mother. Myth is sometimes not so reasonable, but very reliable. Weird, yes?

You may have heard, pregnant women are forbidden to see people die. These are to make their children because of miscarriage "asked" who died the same night. Weird huh? But it's a trust, trusted and believed.

One of the four pregnant women at risk of experiencing miscarriage, medical experts note that, so it should not sepelekan risk of miscarriage, especially if this your first pregnancy. Every pregnant woman can minimize the risk of miscarriage, one with various pencetusnya avoid. This was the explanation ten myths about abortion. Based on interviews Dr Dedi Arman Siabi from RS Hermina Bekasi, we sarikan tabloids from the mother-child.

Sex. ''Suggest pregnant women are not sexual intercourse at 12 the first week of her pregnancy'', so many doctors advice content. In fact, there is no medical research to prove that sexual intercourse causes miscarriage. So as long as it is not painful and not to cause inconvenience, please only.

Sports. Exercise regularly in the sports portion during pregnancy good enough for you and your baby. There is no risk of miscarriage, provided you are not too tired to do so. But should not start a new type of sport that you do not have the time before pregnancy.

Air travel. There is no evidence that travel up the aircraft causing miscarriage, either the short or long trip.

Ultrasonografi examination. Many mothers fear to undergo examination ultrasonografi - including checks for USG to mencek development of the fetus in the womb, because never heard USG can cause miscarriage. Actual inspection USG can not increase the risk of miscarriage, though indeed, a number of mothers who undergo the examination several times during her pregnancy USG had delivered babies lefty.

Sauna. A study of the 1970s linking sauna bath with a number of problem pregnancies, is the biggest risk of miscarriage. But research has not confirmed further. However, to prevent the fetus in the womb suffer from excess heat. Sauna bath should only be limited to 10 minutes, and should avoid water that is too hot.

Coffee. Studies indicate if pregnant women drink more than six cups of coffee, tea or cola per day, eat a high risk of experiencing miscarriage. Therefore, the body naturally often sort themselves with the "decline" of coffee in the first weeks gestation.

X-rays. A one-time inspection by X-ray or X-Ray during pregnancy will not cause a miscarriage, cause problems in pregnancy, or harmful to the fetus. However, doctors usually very careful in the use of X-rays on pregnant women, and never merekomendasi a series of X-Ray therapy in pregnant women her pregnancy before the age of 8 weeks.

Using Computers. If the mother working with the computer, do not worry about radiation monitor screen cause miscarriage. Studies conducted intensive and detail has indicated there is no relationship between the use of the computer with a miscarriage or other problems of childbirth, even though you all day typing on the keyboard once it.

And the use of the microwave oven. Recently there are reports in the media that microwave radiation had the critical problems of pregnancy, but this report is not supported by scientific research. This confirms that there is no research to the electronics of similar objects in the vicinity of pregnant women who radiasinya cause miscarriage.

Dental pull. If you have patches of copper in the teeth you do not need to be pregnant while removing the fear of dangerous pregnancy. Patches of copper allocated teeth do not contain mercury, which if exposed to mercury in the body of the said amount with the risk of miscarriage. Medical experts also recommend that pregnant women do not change the type of teeth patches immediately. Read More..

Obesity and Sex Harass fertility

Obesity (obesity) can cause various health disorder, among other sex and fertility problems. If you want to sexual issues is resolved soon, on your obesity. In addition to conventional, obesity can also be overcome with the shunt stomach operation.
Perhaps this is their weight that contributes most in making Farida not immediately pregnant. It was said by Dr. Indra girl Mansur, DHES, Sp.And, from the Clinic SamMarie Jakarta, obesity can cause barriers (because of the influence of physical) in sexual contact.
"In the men's cumulation of excessive fat in the pubis region often causes the penis as if not prominent, more short and small, so that hinder the penetration," he said. With the circumstances, men with obesity tend to be passive act. This can affect the sexual relationship of husband and wife.
Low number of sperm
In addition to the influence of the physical, interference also occurs in the androgen metabolism associated with spermatogenesis.
According to Dr. Indra, "In men obesity, can also occur the amount of sperm produced is below normal. These can not be produced at all." In other words, obesity in men can hamper the function of hormone test.
The influence of infertility due to obesity occurs in both men and women. Research on the relationship between obesity and fertility have been conducted with the results of that support.
It is said by DR. Dr. Elvina Karyadi, MSc., Women usually experience obesity or chronic anovulatory do not menstruate regularly in chronic. "This affects fertility, in addition to hormonal factors, which also took effect," said the doctor nutrition experts from SEAMEO-TROPMED this UI.
Hormonal changes or changes in the reproductive system can occur due to fat women in obesity. "Fat that trigger the production of hormones, especially estrogen," explained Dr. Yanto Kadarusman, Sp.OG-KFER, fertility consultant from FKUI-RSCM Jakarta.
Normally, at the age of reproductive hormone estrogen candidates come from ovarium. In addition, or as producer GAMET ova, ovarium also play a role as the organ because endokrin produce hormones estrogen and progesteron. However, obesity in women, estrogen is not only derived from ovarium but also from the fat under the skin.
"Fat under skin that contain cholesterol and fat. This prekursor of estrogen," said Dr. Yanto. That is, estrogen, which came from outside the ovarium made quite a lot. Even from the ovarium own estrogen, which many have not yet formed.
This then causes the secretion luitenizing hormone (LH) before time. LH that out too quickly can cause the egg is not broken and does not inflame progesteron, so at a time siklusnya become disordered. This incident can be seen from the menstrual cycle is not regular, the number of menstrual out that quite a lot, and also a period longer.
Many grow Feather!
LH out too quickly that will stimulate hormone secretion progesteron and androgen. In the normal cycle, this is not a problem, because the hormone androgen is converted to estradiol.
In women, obesity, androgen out too quickly will not be changed to estradiol. Why? Because the hormone androgen that is not belted. "This will make the egg cells are not growing. As a result ovulasi not happen," Dr demolished. Yanto.
The high androgen hormones in women can be identified with the development of secondary sex. "Emergence mustache, hair growth, which many, and many acne. Metabolism carbohydrate that occurs will also be converted into fat, so people will be more fat," he said.
Another problem will also arise on obesity is insulin Resistance. What is the relationship with infertility? According to Dr. Yanto, which handles many cases infertilitas this, "Insulin is not able to enter the sugar properly to ovarium, because there reseptornya damaged .. Growth of egg cells is also not so good or even stops. This is called the ovarium polikistik."
In men, insulin Resistance this will hamper the development of sperm. When this happens, then people will be given insulin synthesizer. Reseptor insulinnya made more sensitive by using drugs.
Obesity can indeed become one of the factors that cause infertility. But of course many other factors that also affect the problem, factors such as sperm, egg channel, ovulasi, pelvic infection, infection of the vagina, organic aberration, and the ability to receive the cervix in sperm, Germany, and also endometriosis.
To prevent or overcome infertility, of course obesitasnya issues to be addressed first. The lower the weight and exercise.
DR added. Elvina, "Obesity can be dealt with a variety of ways. Combination of diet, exercise, and medication can be done, depending on how heavy obesitasnya."
When the incoming light degrees or overweight, according to DR. Elvina, a combination of diet and sports can be done with intensive supervision and strict. However, in cases of obesity and weight of some complications, disease broadcaster, is usually given medication to lower body weight.
The time needed to reach a normal weight can not be determined in general. "Depending on each case and the individual. However, the need to remember that the decrease in body weight is a safe 0.5 kg to 1 kg per week," he said. Decrease the weight too fast and too much in a short time, it is not recommended. @ Diana Yunita Sari
Establish the rhythm hunger ..!
Necessary motivation and discipline to make a strong program of diet. At least some suggestion from Dr. HR Rachmad Soegih, Sp.G., nutrition experts from Jakarta following FKUI can be input.

* Diet is rational and safe. The recommended diet is low calorie diet, adekuat, low-fat, balanced and emphasized on the menu selection of food from conventional diet easy to be done in time.
* Diet appropriate diagnosis and the patient's condition.
* Feed calories based on the daily habits, physical activity, age, and gender. Typically, the diet is to reduce the selected Feed about 500 calories per day, count calories Feed 900-1200 calories per day or the count Feed Feed habit of half a day-to-day.
* Feed protein about 15 percent of total calories, or about 0,8-1,2 g / kg body weight. Can also be adapted to the needs of the daily recommended (RDA) according to age. The amount can be slightly higher than demand.
* Needs of fat is 20 percent of total calories.
* Sufficient complex carbohydrate and high fiber more than 30 grams per day.
* Drinking water at least 2 liters per day. Mengekskresi mean for the rest of metabolism and quickly create a full stomach.
* Reduce the amount of food Feed so by creating a schedule. For those who rarely eat, the frequency is 4 times a day. Meanwhile, for the love ngemil, need to 5 times a day.
* Eat according to a schedule will establish a rhythm hunger. Hunger must occur at certain hours, so that the portion of the amount of food can be mastered.
* Replace the usual carbohydrate is consumed for breakfast with a group of protein. Protein longer stay in stomach and cause the feeling satisfied longer. Fruits and vegetables can be a variety of food, better than consume carbohydrate.

Stomach shunt, Options Last ..!
When the conventional method through diet, exercise and medication use the weight is not successful, then the operation can be carried out actions. This is the last action to overcome obesity.
According to Dr. Ari Fahrial Syam, Sp.PD., which measures operating procedure is done gastroplasti vertical banded or understate shunt stomach and stomach. Diminution in the stomach, action operations to create a narrow side.
"The shunt in the stomach, created a small pouch at the top of the stomach and connected directly to the small intestine or yeyenum. So food only through a small stomach and directly to yeyenum," he says.
This operation is conducted with strict conditions. "This operation is only done on patients with a body mass index (IMT) 40, or more than 35, and accompanied by complications. This means that weight more than twice the ideal body weight," added Dr. Ari.
The advantage of this technique is a decrease in body weight drastically can be achieved more quickly. Only, this decrease depending on the technique of the operation. To gastropati technique, body weight decreased almost 40 percent in the first two years. While the technique shunt reduction in body weight can reach 60 percent in the same period.
Side effects such as operations and the occurrence of injuries in the leak could happen. Perioeratif even death may also occur, but the number is relatively small, about 1 percent. Other effects that can arise in the post-operation is a long-term lack of iron, calcium and vitamin B12. In addition to the various malabsorpsi (not good with teserapnya) vitamin.
This technique is not as popular in Indonesia. If any surgeon who digestif do, then he should have normal operation with this technique. That the operation needs to be action to reduce body weight is a serious handling. Each individual should understand the correct action. Patients and doctors should be careful on the benefits and risks are.
Reaction Post Production ...

* Nausea and vomiting often occur in the first month post-operation shunt stomach. It can occur after eating too fast, drink while eating, do not chew properly or eat more than the ability to bounce menahannya bag. It is advisable to learn eat slowly and chew properly. Nausea and vomiting can be triggered after consuming a new food. If this happens, give a few days before trying a new type of food again. To a doctor immediately if the frequency of vomiting become a problem.
* Dehydration should be skeptical, especially if vomiting or diarrhea occur many times. Dehydration can be prevented by drinking water isotonik low-calorie meals in between the time (when there is no food in the stomach). Please note that the stomach can only accommodate 3-4 oz at a time.
* Dumping syndrome occurs when food through too quickly from the stomach to the small intestine. This syndrome can include a combination of nausea, feeling full in the stomach that causes discomfort, stomach cramps, diarrhea, lethargic and weak, sweaty and a rapid heartbeat. This syndrome can also cause food from the sweet and berkadar sugar high.
* Intolerant of food, particularly red meat, milk, and high-fiber foods usually experienced by many patients. Since this varies in each individual, then the selection of food to be a good thing to minimize the symptoms of the election.

Almost all those who do have a shunt stomach problems with excess food. The causes are very complex, including genetic, emotional, including the functions of the brain. No change after the operation, except the size of the stomach is smaller than the original. Excessive eating with the size of the stomach can cause vomiting, stomach pouch dilation, adding weight even bursting stomach. Education, counseling, support from the people nearest and other treatments can help overcome the desire to eat the excess.
Another risk is sick stomach, intestine and ulcer.
That needs to be

* Stomach after the new operation can only accommodate 1 / 2 cup at a time.
* Eat small portions of food each day after the operation.
* Chewing food and slow overall.
* Avoid consuming chewing gum, because if swallowed can clog side streets.
* Do not eat excessive.
* Rilek and enjoy your new life.

Benefits

* Most of the patients experienced a decrease in body weight quickly until 18-24 months after surgery procedures performed.
* Operating improve obesity cases with certain conditions. For example, in the research of sugar in the blood of patients with diabetes obesity to return to normal conditions after the operation. Still, there are some patients who are not blood sugar back to normal because of the influence of the age that ripen or develop diabetes for a long time.

Risk

* Ten of 20 percent of patients who do weight-loss surgery require further surgery to correct the complications that occur. Hernia is the most complications occur so that action needed further surgery. Complications occur rarely, including dividing lines and broaden channels of food out of the stomach.
* More than a third of patients do have a problem operating side gallstone. Gallstone is a cloud of cholesterol and also other forms of relief in the gall bladder. During a decrease in body weight that quickly, the risk of the emergence of gallstone increased. This condition can be prevented by the addition of bile salt during the first 6 months after the operation.
* About 30 percent of patients who undergo surgery to defisiensi nutrition so that arise anemia, osteoporosis and metabolic bone disease. It can be avoided by maintaining Feed vitamins and minerals.

Women who are still in the reproduction should avoid pregnancy until the weight stable. Decrease the weight quickly and the emergence of defisiensi can be dangerous to the development of the fetus. Read More..

Rahim cancer and ovary Starting from the cycle of menstruation Not Normal

Uterus cancer and ovary is a disease that typically attacks the women. Generally, the affected are those who have entered the phase off or aged above 50 years. Until now, the cause is not yet known but there are several factors such as genetic factors and environmental factors that increase the risk of cancer. As the age at first menstruation (menarke) before 12 years, off after 52 years, race, age when a child first, and obesity.

In addition, women who consume tamoksifen, drugs that prevent and treat breast cancer heighten the risk of womb cancer occurrence. However, the need to be emphasized that the benefits obtained and tamoksifen far higher than the risk of cancer womb.


Symptoms
Some of the symptoms usually experienced by people with cancer is bleeding, menstruation cycle that is not normal, pain in the lower abdomen or pelvis, difficult berkemih and alimentary tract symptoms, such as flatulence, nausea, and vomiting. But the stadium early symptoms are usually very difficult for the sufferer felt ifu recommended for screening test regularly, for example, USG, pelvic examination once a year.

Because people usually feel symptoms when the new stadium have information, then if there are cancer cells, then it must be seen whether the spread has occurred. Normally cancer cells spread through the blood vessels to the heart and lungs or the lymph gland to the pelvis or abdomen. For that, usually carried out further checks, such as biopsy, CT scan and pelvic bones or transvaginal USG stadium to determine what happened.

If there are cancer cells, it is usually done some therapy simultaneously. However, in essence, that is terapiterapi surgery, radiation and chemotherapy. Surgery performed to remove part of the cancer cells have been contaminated and surrounding areas, this is done to avoid the spread of cancer cells dormant (inactive) because inflame the estrogen produced by ovarium.

Therapy
Radiation therapy can be performed before or after surgery. Radiation therapy is done by using light beradiasi high in the area around the cancer cells with the goal to kill the remnants of cancer cells if done before the surgery.

Chemotherapy is usually the hormone therapy to prevent the provocation hormone estrogen to cancer cells, preceded by a hormone receptor tests done and to the cancer sufferer who has not spread. However, if the cells do not give a positive response to the hormone progesteron given the given other chemotherapy drugs such as siklofosfamid, doksorubisin and sisplastin.

Source: human health Read More..

Efforts to Prevent Disabled Bawaan in Janin

Lack of vitamin B particularly folat failure can cause the formation of the canal brain (neural Tube defects / NTD) in the fetus. Suplementasi acid folat - synthetic form of natural folat - and a number of other vitamins can prevent a number of congenital defects, including NTD.

This is discussed in the discussions about prevention of congenital aberration in the fetus held Obstetri society and gynecology Indonesia (POGI), Monday (25 / 3). In the event of Prof. Andrew E Czeizel DSC PhD from the Faculty of Genetics, University of Sciences, explained that the Hungarian the results of research.

Czeizel comparing the use of supplements and multi-mineral that consists of 12 vitamins, including folat acids, minerals and three of the four elements with micro-micro element supplements (three minerals plus vitamin C) in 4156 and 3713 the pregnancy the baby is evaluated until the age of eight months in Hungary.

"Suplementasi multi before pregnancy to the first trimester can reduce incidents NTD and other congenital defects such as cardiovascular malformasi, sumbatan channel urine, members of the body is not perfect, and so forth. Gen. fetal defects in the lower they get the supplements compared to the multi only get a supplement micro-elements , "Czeizel said.

NTD is meant, among other aliases anencephaly is not the formation of part or all of the brain and the head of the baby, spina bifida or imperfection unveil spinal cord that can cause paralysis.

Folat very important as the establishment of Coenzyme purin and pirimidin needed in nukleat acid synthesis. All that is required in cell division. Because of very rapid cell division in the early phase of embryo formation, the lack of folat acid can be a risk factor of the occurrence of congenital defects.

Folat acid is not the only active component in the prevention of congenital defects. There is interaction between the acid folat with vitamins B6, B12, C and zinc metabolism in point. "Folat acid with vitamins B6 and B 12 is needed to counteract the effects of poison homosistein, a product of protein metabolism," explained Czeizel.

According Czeizel, there are three ways to get adequate vitamins, which are eating more vegetables, fruits and grains, swallowing supplements or eating foods multi that difortifikasi.

No data

NTD into the extent of the problem in Indonesia? According to dr Noyorono Wibowo SpOG Obstetri from the Faculty of Medical and gynecology at the University of Indonesia / Cipto Mangunkusumo Hospital (FKUI / RSCM), which also became speaker, there has been no data on it.

Noyorono also stressed the importance of adequate nutrition and oxygen balance in pregnancy, especially Feed the calories, protein and some vitamins such as vitamin D, E, C, B complex, especially folat, as well as minerals such as magnesium, iron and iodine.

In addition to prevent NTD, acid folat able to prevent anemia. Needs acid folat pregnant at the time about 1 mg per day. A research proves that the consumption of many vegetables in the long term and ensure the adequacy of vitamin B12 needs folat acid during pregnancy.

Needs iron increased in the period of pregnancy because of the increased volume of blood, to meet the needs of the fetus and the anticipated loss of blood in childbirth. However Noyorono need to remind careful to give iron supplements because in many bearer talasemia nature.

Suplementasi iodine is needed to prevent mental disturbances in the fetus, calcium is needed to reduce the incidence of hypertension and preeklampsia and the baby can prevent low birth weight and fetal death.

"Nutrition interventions that are proven effective suplementasi iron, folat acid, iodine, calcium and protein and energy balance. Suplementasi While the benefits of vitamin A and zinc in need pregnancy is confirmed with more research," said Noyorono.

Adequacy for vitamins and minerals, Noyorono suggest to get from natural sources with the changing pattern of eating junk food eating patterns to become more healthy, that is consume more vegetables, fruits, nuts and products such as tofu and tempeh. Read More..

The Related Agamaglobulinemia Gen X

Definition

Agamaglobulinemia related genX (XLA = X-linked agammaglobulinemia) or also called Agamaglobulinemia Burton emerged at the time of birth (kongenital / congenital aberration), which is marked by a low rate of immunoglobulin or no blood flow in samasekali someone.

Imunoglobulin molecule is a protein found in blood serum that function as antibodies. Without immunoglobulin, the body functions in the body's defense system is very low. People XLA very vulnerable to a fatal bacterial infection.

Description

Insidens XLA occurs in 1 baby from the birth of each new 50000-100000. Almost all people are men. Although people have XLA genes to produce immunoglobulin, but there is a congenital aberration in the X chromosome that impedes the pembentukkan. Congenital aberration there is no relation to imunoglobulin itself, but there is a relation with B cells found in the blood stream, which usually mensekresikan imunoglobulin.

B cells is a form of blood cells and white. Only the cells that produce this imunoglobulin in the body. B cells formed in the bone marrow, after matur / cooked and then spread to the spleen, lymph glands and other organs. Maturation process depends on an enzyme known as enzyme Bruton agamaglobulinemia tirosin kinase (Btk). If the enzyme is not formed or damaged, the maturation process of B cells did not occur until immunoglobulin is not formed.

Gen-forming genes located on chromosome Btk X. Changes (mutation) in these genes cause interference pembentukkan Btk. This difference is only bound on the X chromosome, so that people are generally XLA men. Women have 2 X kromsom, meaning they have 2 coffee / copy genes Btk, where one X chromosome is normal. While the men have only one X chromosome

Because the symptoms and the symptoms -

XLA is due defek / aberration in the genes that mengkode Btk. This aberration will impeded the maturation B cells, the cells that form imunoglobulin. However, some people with the immune system to function properly, the body XLA people are still able to overcome some form of infection such as fungus infections and almost half of the virus infection. Imunoglobulin very important in overcoming a bacterial infection. Babies born with the new XLA usually do not show symptoms during the first 6 months of life. This is imunoglobulin that comes from his mother is still circulating in the blood circulation in the baby. After imunoglobulin rate decreased from the mother of the baby is very vulnerable to bacterial infection.

Symptoms defisiensi imunoglobulin look after the baby is 6 months. The symptoms most often are the sine and ear infections, pneumonia and meningitis channel digested. Some types of viruses such as hepatitis and polio could threaten the health of the baby. Children who suffer XLA grow very slowly, have tonsil (tonsils) and lymph gland small, and to chronicle the skin infection.

Kuranglebih 20% of children with XLA suffering inflammation of bones, mainly because of inflammation in the joint caused.

Diagnosis

Often have a bacterial infection, the number of B cells matur very little imunoglobulin rate and a low or no use at all to enforce the diagnosis of this aberration. Serum from the blood of newborn babies are examined to determine the rate imunoglobulin with imunoelektoforesis techniques. To enforce the diagnosis, the baby chromosome analyzed to determine the defek genes in the Btk. The same analysis as it can be done during pregnancy or to detect the difference these genes.

Therapy

XLA therapy with the sitedit globulin intravenous regularly to prevent infection. While antibiotics given to treat infections that are happening. Children with XLA should diterapi properly to prevent injury, disease or infection and should be spared from the people who are infected.

Prognosis

Before and globulin sitedit era of antibiotic therapy, kuranglebih 90% of people died before the age of 8 years. Early diagnosis and appropriate therapy can give people the hope of life to reach adult age and live as normal. XLA a new baby born, and suffered polio infection or infection, which has set a poor prognosis.

Prevention

Parents of children XLA people should do genetic counseling if their plan has many children. Read More..

Wilson disease

Definition

Wilson disease is rarely found, is a descendant of the disease that is caused due to dump copper (cuprum) excessive in the body. Increasing the rate of copper in slowly in the blood circulation will be dumped, particularly in the brain, liver, kidney and cornea in the eye.

Description

In normal conditions, copper, which comes from processed food will be in the heart. The process of digestion copper is then continued in the bile. Here, the process of digestion occurs with a component of bile (a liquid produced by the liver network, which is then forwarded to the small intestine to help the process of digestion). When the gall bladder to empty the contents at the beginning of the process of small intestine (duodenum), copper in the bile will be out and into the small intestine with the remnants of other digestion. In healthy people, the copper will be removed from the body with feces.

In Wilson disease, copper, which is located in the heart can not go into the storehouse so that the bile in the liver. The increased rate of copper in the network causes the heart kerusakkan hearts so that the copper network will enter and accumulate in the blood stream. Copper then will settle in various oragn body, particularly in the kidney, brain, central nervous system and eyes. Wilson disease is the result of interference of copper poisoning occurred since the start of birth.

Wilson disease affecting approximately 1 in 30,000 to 100,000 people and can affect people from various nations. Approximately 1 of 90 people is the bearer (career) Wilson disease genes.

Causes and symptoms

Wilson disease is a disease that are resesif autosom. Resesif autosom means each of the parents as the (career) disease genes in this pair gennya. If their parents have a chromosome containing the genes of disease Wilson, the children will be a contagious disease. Both men and women can contract the disease. If someone carrying the disease genes Wilson he did not show symptoms of this disease. This disease will appear when someone receives a copy genes from each of their parents. Most cases of the disease Wilson is not revealed but the result of spontaneous mutation in genes.

Wilson disease genes located on chromosome number 13. Ginger is called ATP7B and believed to be involved in the transportation of copper. Since 2001, more than 70 different mutation genes that are known to have succeeded so difficult to enforce the inspection genetic diagnosis.

Symptoms typically arise between the ages of 30 to 60 years and the average age at diagnosis was 17 years old. Half of the people first experienced interference in the liver. The disease causes swelling and perlunakkan hearts. Sometimes accompanied by fever, symptoms such as other diseases such as hepatitis virus infection and mononukleosis. Increasing the rate of liver enzymes in the blood indicate a network kerusakkan serious. Kerusakkan form of a network such as the heart of this degeneration perlemakan. Without proper medical treatment, the heart continues kerusakkan network and changed into liver cirrhosis. Fulminan Hepatitis is a serious situation and that can cause sudden death. Kerusakkan network inflammation and a heavy heart this cause jaundis (yellow), of the fluid in the stomach cavity, the low rate of protein in the blood circulation, blood coagulation disturbances, anemia and brain swelling due to crushing the cells of the blood red rocker.

Symptoms usually appear on the nerves in the first half of the entire people. Symptoms occur as a result of the nerve copper in the brain and nervous system. Average symptoms of the nerve occurs in the age of 21 years. Symptoms such as nerve tremor (trembling) on the hands, move the body that is not restrained, convulsions, frothy mouth, difficulty swallowing, difficulty speaking and headaches. But the intelligence does not affect people.

Approximately 1 / 3 of the overall disease sufferer Wilson have symptoms that vary as a psychiatrist early symptoms of the disease. Symptoms such as psychiatry are not able to control oneself, depression, very sensitive, easy to anger and behavior inappropriate.

Other symptoms that may arise is interference in the pivot, artritis symptoms and complaints on the skeleton such as osteoporosis. Sometimes people have stones in the kidney, a metabolic disorder of blood sugar and menstrual cycles are not regular menstrual samasekali not even a while.

Diagnosis

Wilson disease diagnosis was relatively easy to check with several different, but this disease rarely occurs so that the diagnosis was often delayed. Inspection to enforce disease Wilson can be done on people with symptoms or no symptoms. It is important for upholding the diagnosis quickly and precisely when the heart kerusakkan network before there is another sign of this disease.

An easy way to enforce the diagnosis of disease Wilson is to measure the amount of glikoprotein also called seruloplasmin in the blood. Seruloplasmin a low rate used to enforce the diagnosis of this disease in approximately 80% of people. But this is not an effective way for a woman taking the pill kb, pregnant women or newborn babies up to age 6 months.

Inspection is the second eye examinations to detect the typical deviation form the ring of copper that accumulate in the membranes of cornea (Kayser-Fleischer ring). This is easily checked and are useful in making diagnosis in people who already show symptoms. This inspection is not effective in people without symptoms. This is not a diagnostic examination can be done to determine the diagnosis of this disease because some people with the disease but not heart disease Wilson will give a positive result.

Inspection third uantuk enforce the diagnosis of disease Wilson is determining the rate of the copper network in the liver. This is done by performing liver biopsy on the network. This is one of the most effective way of enforcing the diagnosis of disease Wilson, but inspection is a way tersulit than the other way.

The other inspection is very useful to measure the rate of copper in the urine in a day (at the rate of disease Wilson copper in the urine is very high). Other laboratory examination is the ability for people seruloplasmin binding copper (Wilson disease in this reduced ability). And the last inspection was conducted by Genetic examination. In some people can be diagnosed through DNA examination to determine whether they carry two genes that cause disease Wilson. Inspection is not always useful for all patients and could be used to check the sister-sister from the sufferer.

Therapy

Long-term treatment with D-penisilamin or trientin hidroklorid. Both drugs will remove this pile of copper in the body by binding copper and removed from the body through urine. Diet and low zinc acetate copper is how to treat the disease Wilson.

Penisilamin cause some serious side effects:

* Joint pain
* Hysteria
* Eritematosa systemic Lupus
* Decreasing all the components of blood
* Interruption of blood coagulation
* Reaction alergik

If the patient experienced side effects penisilamin the dose reduced. Another alternative is a steroid used to reduce the sensitive reaction. Trientin have side effects that very few but must be in strict supervision.

Treatment with zinc is also effective to remove the copper pile in the body. Zinc is the metal work that impedes the absorption of copper and copper binding cells in the small intestine to the entire copper issued with kuranglebih feces then 1 week. Benefits of therapy with zinc is a side effect of zinc is not toxic to the body, although how it works later than the other medicines. With this method takes 4 to 8 months to roofing work effectively remove all the copper from the body.

People also are required to undergo a diet low copper, with an average copper Feed the permitted 1.0 mg / day. Food-food flow avoided because many contain copper is the heart and shellfish. Collaboration is also required to supervise the water they drink to avoid increasing the rate of copper in the blood. The best drink is water disuling.

Prognosis

Without therapy, Wilson disease can be ended by death. With therapy, the symptoms will worsen and continue for 6 to 8 weeks first. After that time, started to look real improvement. However, treatment continues until a few years (2 or 5 years old) to obtain maximum results in the brain and heart. Nevertheless many people have been treated, the rate tembaganya never reached the normal rate. Wilson disease sufferer require maintenance therapy with a drug-drug anti-copper throughout his life to prevent the increasing rate of copper in the body. Termination while therapy can cause kekambuhan the settlement and can cause death. Read More..

Blood Cancer

As with other cancers, cancers of the blood can not be the cause. Some of the factors mentioned as factors such as predisposisi affected by radiation, which is high enough. Adverse dijatuhkannya bomb in Hiroshima and Nagasaki by the U.S. in 1944, many local residents affected by blood cancer. The other factor is the display by certain chemical substances, certain viruses, and air pollution.

Cancer is marked with two of the prominent. Growth that is not normal cells and the cell growth in the number of lots. In the blood cancer, the growth of cells that are not normal. The form of white blood cells that are less mature and in large numbers. This growth emphasizes the growth of blood cells, which include a chip-chip blood or result trombosit that people often experience bleeding.

Blood cells in the first comes from one type of cell called the parent cells (stem cells). Stem cells will develop into red blood cells, white blood cells, and chip-chip blood. The growth of one type of cells can result in the emphasis of growth of cells to another. That's why the blood cancer, found the conditions of anemia (red blood cells, which decreased) and trombositopenia (chip, which decreases the blood).

Treatment of this disease depends on the type of blood cancer, stadium, and the condition of people. Through the treatment process can include chemotherapy, radiotherapy, and antibiotic therapy and supportive. Therapy was given in accordance with the complaint and signs that appear.

Adekuat treatment with the disease can be cured. Despite its recovery figures vary between 4 to 80%, depending on the type of blood cancer. This blood cancer can relapse again. When this happens, or if the treatment is usually less satisfactory results then can be done parent cell transplantation (stem cells).

Actually, the body also has its own mechanism to overcome this disease. With the spirit of life and desire to recover without any stress will help improve the resistance against the disease for people and ultimately will help the healing. No less an example, when the cancer has reached the end of the stadium, when doctors have been surrendered, and assign patients, patients do after treatment, the results bear out human calculations.

Medicine and treatment alternative to traditional There is currently no scientific evidence is. By this logic may be able to help provide healing by increasing the resistance people. If this treatment will provide komunikasikan with the doctor who cared.

Not a few cases, when patients expressed directly affected by cancer and then seek alternative treatment. However, ultimately the patient to return to medical treatment with the condition that has worsened and treatment more difficult.
Source: detikhealth.com Read More..