Cholelitiasis Information

Switch to Bahasa Indonesia
Cholelitiasis a.k.a. gall stones are crystalline deposits that occur in the gall bladder. If gallstones are found in the bile ducts called choledocolitiasis.

"Early detection of Cholelitiasis disorders is very important in order not to interfere with quality of life of patients, and this can be done through the liver function tests, ultrasound and CT scans. Even with a more sophisticated device, the most accurate diagnosis for gallbladder inflammation (acute cholecystitis) may be obtained from the examination skintigrafi hepatobilier, which gives a picture of the liver, bile duct, gall bladder and the upper small intestine ", expressed by Dr. Tjahyono Sigit, who is also as Chief of Medical Committee, Puri Indah Hospital, Jakarta.

Generally there are 3 kinds of rocks that may occur, namely:
1. Cholesterol stones, which occurs when bile contains large amounts of cholesterol that usually remains as a liquid. When bile becomes saturated cholesterol, the cholesterol becomes insoluble and forms deposits. This case reaches 80 percent of cases of gallstone disease.
2. Bilirubin stone, occurs when unconjugated bilirubin consentration increased. Bilirubin has a tendency to bind with calcium, forming insoluble precipitates. With increasing concentration of bilirubin, calcium bilirubinate can crystallize and form stones. Over time, various types of oxidation that occurs resulting precipitate bilirubin. Because of its color, this stone is known as a black stone.
3. Mix Stone, a mixture of both types of stone above tesebut.

To be aware of this disease can be used benchmark 4F:
• Women (Female) although men also was not susceptible to this disorder, because the pattern of unhealthy eating can also be a cholelitiasis trigger factor.
• Age 40 years (Forty)
• High-fat diet (Fatty)
• Still active in the reproductive (Fertile)

Basically, this disease does not need to worry and unnecessary medical treatment for does not cause pain or discomfort such as a particular pain. But to know the early symptoms of deterioration are usually cholelitiasis will feel the symptoms:
• Pain in the upper right abdomen, sometimes like being blackmailed and intermittent, spread to the back right shoulder. May occur several minutes to several hours.
• Fever
• Nausea
• Vomiting
• Yellow (ikterik)

To determine whether a person has to be done cholelitiasis medical examination, because sometimes patients feel just like ulcer symptoms alone. Supporting examination to detect gallstones done by inspection:
1. Heart function tests
2. In gallbladder stones, generally Gamma GT and Alkaline Phosphatase increased.
3. USG Abdomen
4. Visible image of the gall-bladder stones, and sometimes can be seen in the bile ducts.
5. Other tests such as CT scans if the Abdomen ultrasound can not describe it clearly.

If you have entered a stage of acute (Acute cholecystitis) there will be inflammation of the gallbladder wall, usually the result of gallstones in cystic duct, which causes sudden attacks of great pain.

Approximately 95% of those with acute gallbladder inflammation, have gallstones. Sometimes, the inflammation that occurs is caused by bacterial infection. Before you feel the incredible pain in the upper abdomen of a sudden, the patient usually does not show signs of gallbladder disease.

While acute cholecystitis without stones (5%) is a serious illness and tends to occur after the occurrence:
• Injuries resulting from a hematoma, etc..
• Infections caused by burns
• Sepsis (infection that spreads throughout the body)

The influence of infection from diseases severe (especially people who receive food intravenously in a long time). Acute gallstone symptoms include:
• Pain in upper right abdomen, intensified when the patient take a deep breath and often spread to the right shoulder.
• Nausea
• Vomiting
• Low-grade fever, the longer it tends to rise.
• Usually less pain attacks within 2-3 days and then disappeared within 1 week.

In the event of complications, it will happen
• High fever, chills, increased number of leukocytes and the cessation of bowel movements (ileus) may indicate the occurrence of abscesses, gangrenous or perforated gallbladder.
• The attack is accompanied by jaundice (yellow fever), or backflow of bile into the liver suggests that bile duct has been blocked in part by gallstones or by inflammation.
• If blood tests show elevated levels of amylase enzyme, may have occurred inflammation of the pancreas (pancreatitis) caused by gallstone obstruction of pancreatic duct (pancreatic duct)

For the treatment of the patient will be required to be hospitalized and given intravenous fluids and electrolytes and is not allowed to eat or drink.
Likely the doctor will put the pipe to keep nasogastric remained empty stomach so that the stimulation of the gall bladder can be reduced. If suspected acute cholecystitis, the patient will be given antibiotics as soon as possible.

If the diagnosis is certain and the stakes are small, usually surgery to remove the gall bladder will be done on the first day or two since the patients treated. If patients suffering from other diseases that can increase the risk of surgery, the surgery will be postponed until the treatment of these illnesses are going well. If the attack subsided, gall bladder can be removed at least 6 weeks later. But if there are complications (eg abscesses, gangrene or perforation of the gall bladder), surgery should be done immediately.

If not found symptoms, it usually does not require treatment, only require dietary changes. But when gallstones are causing recurrent pain attacks despite a diet is set up properly, patients are encouraged to undergo gall bladder removal (cholesystektomi).

Cholesistektomi can be done in a conventional or laparoscopic. Since laparoscopic dipekenalkan in 1990, then laparoscopic cholecystectomy began much done and now about 90% done in laparoscopic cholecystectomy.

Laparoscopic cholecystectomy is raised gallbladder surgery through the tube inserted through a small incision in the abdominal wall. This type of surgery has the following advantages:
• reduces discomfort after surgery
• shorten the period of hospitalization.

Read More..

Samurai Champloo Comedy Anime Series From Animax

Switch to Bahasa Indonesia
Animax anime series will bring a unique and nuanced comedy: Samurai Champloo to the screen viewers in Asia. Premier January 27, 2010 and aired every Wednesday at 19:00 pm (Jakarta time) on Animax, Samurai Champloo fighting presents a la Samurai swords are fun and slapstick comedy in Japan in the reign of Edo, with a mix of modern hip-hop culture, such as rap, breakdance, DJ music, slang, graffiti and hip hop music that makes this series exciting and unique but is the first anime series to merge them.

Samurai Champloo tells the story of Mugen, tengil fighter who lived a nomadic and fighting style a la breakdance who met with a samurai who has a calm but deadly moves, Jin. They fought in a tea-stall and arrested by local authorities for allegedly has lit a fire in the store and cause a death. Fortunately, fuu, a young waitress who worked at the tea shop to save them from execution. To repay kindness fuu, the combatants agreed to put aside animosity between them and forced to join in the adventure fuu to find a samurai who issued smell like sunflower. Various action and comedy happens and growing friendship between the trio in their adventures.

26 episode serial was a tense but shuffled the stomach was created and directed by Shinichiro Watanabe (Cowboy Bebop and the Animatrix), designed by Kazut Nakazawa (Kill Bill Vol. 1) and Mahiro Maeda (Last Exile), produced by the studio Manglobe and reinforced by the background noise created by Tsutchie, Fat Jon, Nujabes and Force of Nature is nuanced rap and hip hop.

Watch the action and the humor that made this trio of combatants on Animax every Wednesday from 19:00-19:30 (Jakarta time) at January 27, 2010.

The Characters

Samurai Champloo tells the story of three individuals who originally did not know each other which then unite for an adventure in Japan.

Fuu - a 15-year-olds who do not have parents. Her mother had died and his father was long gone. Although posture looks small and funny show himself as weak and helpless, fuu are firm and do not want to be disturbed. He is courageous and has a high and consistent willingness to achieve its goals. He insisted on his personal mission: to find a mysterious samurai that smells like sunflowers. Although he was not able to describe in detail who and how the figure of the samurai, and what the relationship with the samurai fuu and why he had to find it. He managed to convince and recruit fuu Mugen and to help achieve its mission.

Mugen - a traveler who likes aggressive and very frank, he impressed as a person who knowingly with annoying behavior. He became an orphan since the very small, he raised himself in a tough environment. Very unique fighting style with elements of breakdance and he named it as "champuru kendo", which is partly drawn from all types of martial arts and some he created when he fought with his enemies. Mugen is wearing metal earrings and always carry Japanese sword on his back, was recruited by fuu with Jin to find a samurai who smells like flowers have matarahari.

Jin - the figure of a disciplined and full of charisma, he was the most mature than the other two colleagues. He is a trained fighter and has the ability to fight a deadly sword. Jin is a descendant of a samurai family who then followed the discipline and philosophy of life, samurai very obedient. He was always dressed a la samurai. Jin has two different personalities, in everyday life, Jin was a solitary and passive on-demand to do something and let his friends take it anywhere and have a sense of a very high respect to someone more senior, and on the other side is a fighter Jin which has the speed like lightning when he uses his sword. He was seen as someone who lives as he fought.

Read More..

Babies Base, Sites For Family

Families have seemed incomplete without the presence of children. Children are the pride and ornament for the family. So it is not surprising that the presence of children is a must, if necessary should be sought in any way.

Family information, and the pregnancy was much in cyberspace, and almost all appear with the design and content are varied. For new families, Babies Base may be an option. This site also provides information for family health and reproductive health are fairly complete. Starting from therapy and how to become pregnant, pregnancy care, birth to baby care and education of children of all available in one site.

Navigation is easy to find news and articles with the tabs at the top of the site and the categories on the left side much easier for readers to find news and articles of interest. On the right side there is news and related articles are very informative which may be a reference reader.

Babies base looks like a simple site, but very complete. The reader will not be bothered with all the ads and the sites that interfere with our search. Interesting and very specific of this site is that there is a related video or news article and the reader is able to perform queries on the video and the article in question.

Forums and blogs related to pregnancy and family are also presented and given a space in this site. It's a site worth a consideration for a new family quite informative and complete. Why not be read from now ... Time passed and the biological clock continues to chime. Do not wait anymore ...

Read More..

Dark Chocolate, Keep Stress At Bay

Switch to Bahasa Indonesia
A small bar of dark chocolate a day can keep stress at bay, according to a small study by international researchers. German and Swiss researchers have found that eating about an ounce and a half of dark chocolate a day for two weeks reduced the levels of stress hormones in highly stressed people.

Dark chocolate, which is rich in a variety of bioactive compounds, also partially corrected other imbalances in the body related to stress, making it a natural way to ease stress.

"The study provides strong evidence that a daily consumption of 40 grams (1.4 ounces) during a period of two weeks is sufficient to modify the metabolism of healthy human volunteers," wrote the researchers led by Sunil Kochhar, from the Nestle Research Center in Lausanne, Switzerland.

The study, published online in ASC's Journal of Proteome Research, comes amid growing scientific evidence that antioxidants and other beneficial substances in dark chocolate may reduce risk factors for heart disease and other illnesses.
The trial was performed on 30 people who were classified as having low or high anxiety. Researchers measured levels of stress hormones in blood and urine samples collected several times a day from the participants in the trial to measure metabolic changes.

The participants snacked on 20 grams of dark chocolate mid-morning and again as an afternoon snack.

The researchers said people with high anxiety traits had a distinct metabolic profile, and changes that occurred from eating dark chocolate showed up clearly after two weeks with reduced stress hormones and other stress-related biochemical markers.

But they said the study was small and further research was necessary -- while nutrition experts were quick to add that chocolate is high in fat and too much can lead to weight issues.

Read More..

Gum Chewing May Speed Healing Cesarean

Switch to Bahasa Indonesia
Chewing low-sugar gum, can help the healing mother's abdomen after a cesarean delivery. Egyptian researchers found that giving them chewing gum to help restore normal bowel function and shorten the time to stay in the hospital.

Like any other surgery, cesarean section also makes the intestines and digestive functions become sluggish for some time that cause gas and constipation.
Chewing gum will help trigger the nervous system response and the release of gastrointestinal hormones that stimulate the activity of the stomach to work, according to Dr. Abd El-Karim Maeboud and colleagues at the Ain Shams University of Cairo.

Research results published in the journal BJOG obstetrics, which involved 200 women who had cesarean section and anesthesia. At random, half of the respondents were given sugarless gum to chew for 15 minutes every two hours after surgery Caesar, while half of the respondents applied the standard treatment that includes getting out of bed and practice walking to encourage bowel moving again.

In general, they found that respondents who chew gum more quickly get back to normal bowel activity. On average they will experience shitting first 21 hours after cesarean section compared to 30 hours on respondents through standard care. They are also faster to leave the hospital only 41 hours after childbirth than 50 hours in women with standard treatment.

Furthermore Abd El Maeboud explained that this research is still premature and needs further research, especially regarding the effects due to differences in anesthesia / or local anesthesia during the Caesarean section. Local anesthesia including epidural blocks and spinal expected to be influenced by the nervous system activation with chewing gum.

Read More..

Hormone Replacement Therapy, Menopause Solution

Switch to Bahasa Indonesia
Menopause is a natural event that would be faced by women/mothers. While this is very aware of women and mothers, there was always a worry and fear. Menopause usually come at the age of women/mothers reached of 50 or when ovary lifting that cause menstruation stops permanently. From the threat of bone loss until the decline of sexual desire, and the more serious is the decline in quality of life for women/mothers menopause because of psychological concerns due to the many physical effects that must be endured.

"A lot of menopause women/mothers live with drugs because of the large variety of physical complaints experienced by the menopause. And if the woman/mother menopause will notice and open, in fact the main cause of the decline in physical condition is largely due to reduced estrogen hormone itself as the impact of cessation of menstruation, "says Prof. Dr. Ali Baziad, SpOG (K).

Hormone replacement is needed to make the needs of estrogen/menopausal women remain the same as being met when they were menstruating. It's just that there is still resistance and fear of women/mothers would menopausal negative effects of hormonal drugs such as obesity and concerns about breast cancer or high blood pressure.
Now we have solutions hormone replacement estrogen/menopausal women have entered a new phase with hormone replacement therapy (HRT) with drospirenone 2mg besides additional 1mg estradiol 17β or commonly known as the estrogen. Drospirenone is expected to be able to counteract the weight gain, high blood pressure and increased cholesterol levels experienced by women / mothers who consume only menopause estradiol HRT alone.

TSH Ideally should do for 5 to 6 years when a woman/mother is no longer menstruating for one to two years. This is done so that the body condition woman/mother to fit and do therapy when everything is still possible physical condition for granting such TSH.

Current management of medication in women with HRT/menopausal women is raw and can be given by any physician who has been through the certification. This self certification by PERMI (Indonesia Menopause Society) which is the association of practitioners and observers in the medical field, especially regarding this menopausal problem.

This certificate will give flexibility to the doctor to determine the physical condition of the woman/mother menopause before prescribing HRT to prevent contra indications. Contra indication for patients TSH itself include patients with breast cancer, acute liver, brain cancer and cervical cancer. Women/mothers who have complete menopause with a thorough examination will be given HRT with one-month trial. If the TSH is suitable, it will be given later for TSH for 6 months and if possible be given HRT for 5 to 6 years without the need to control prescription.

For the woman / mother with a premature menopause as he lifted the ovaries, radiation or other reasons there is no choice of hormone replacement therapy is an urgent need, according to Prof. emphasis. Dr. Ali Baziad, SpOG (K).

Read More..