So Called Global Threat of Disease Cardiovascular

Your soybean cake, disease of murderer number one in world? If cancer or diabetes is your answer, provide against the fact from WHO of following: Each; Every two second, one people in world die because disease cardiovascular. Yes, disease of cardiovascular prayer beads have as the root cause death and handicap in all the world. Come on recognize the disease cardiovascular of so that we can determine the a step in the right direction face the this global threat
According To Chief of Gathering of Indonesia Hypertension at the same time Senior cardiologist from RS of Heart and Our Expectation Vein, Dr. Arieska Ann Soenarta, Sp.Jp(K), disease cardiovascular represent an word used to denote trouble causing heart sickness (cardio) and venous (vascular).
There is three form of disease cardiovascular, namely:
o Heart sickness of Coroner is vein disease which heart supply. Its implication cover the infark miocard (heart attack), angina (pain in bone chest), and aritmia (abnormal heart rhythm)
o Disease Serebrovascular is vein disease which brain supply. Its implication cover the stroke (damage of brain cell of because lack of blood supply) and transient ischemic attack (damage of whereas at eyesight, ability converse, feel or movement.
o Disease of Vascular perifer is vein disease which supply of hand and foot/feet causing to feel the pain which just come and go, and also feel the pain of because cramps of muscle of foot/feet of sport moment.

Real Impact of Disease Cardiovascular
Complete Formulation of fact which have been mentioned previously shall be as follows, happened by one death of effect of disease cardiovascular of each; every two second, heart attack of each; every five second and effect of stroke of each; every six second. Every year estimated by 17 million people die effect of disease cardiovascular
In the year 2005, mortality of effect of disease cardiovascular reach 17,5 million. Around 7,6 million is among others happened by because heart sickness of coroner and 5,7 million because stroke. Estimated by a global death effect of disease cardiovascular reach around 25 million in the year 2020.
For a while from around 10 million people in safe world from stroke every year, more than 5 million among others experience of the permanent handicap, so that become the separate burden to family and society. In the year 2020, disease cardiovascular estimated to occupy the higher level position above contagion as biggest handicap cause in the world.

Recognize the Cause of Disease Cardiovascular
Heart attack and stroke especially because of aterosclerosis (fat heaping) at wall of vein artery which supply of heart and brain. Cumulative Deposit Fat cause formed [his/its] is peaky old ones too long will be thick and big so that narrow the artery and pursue the blood stream. Finally vein will ossify and have the character of less limber
Trouble Cardiovascular caused by aterosklerosis related to to decrease [it] blood stream of because heart and brain [do] not accept the blood supply which enough. Resistance of blood stream hereinafter can cause [at] more serious episode cardiovascular is including heart attack and stroke
Existence of blood cork also can cause the happening of break network in artery which later; then will swell and can pursue entire/all vein so that result the heart attack or stroke.

Take heed the Symptom and Factor of Risk of Disease Cardiovascular
One matter which require to be taken heed the, individual with the disease cardiovascular in general [do] not experience of the symptom. Sign of initially can be in the form offing heart attack or stroke. Public Symptom of heart attack cover the pain or feel is not delicious [in] chest, hand, left shoulder, elbow, or back. Other symptom include; cover the asphyxia, queasy and vomit, feel to float or faint the, sweat chilled, and seen to by turn pale the
Public Symptom from stroke is weakening it face, hand and foot/feet, oftentimes at one body side. Other symptom include; cover the sudden episode like insensible [in] face, hand or foot/feet, confuse, difficult converse and comprehend the discussion, difficult see side or [both/ second] eye, difficult walk, confused, lose balance the, hard headache without cause, and faint
There are a number of factor causing someone to be risk to disease cardiovascular. This Risk factor is divided to become two group, able to be controlled and uncontrolable. 80 % of heart sickness of coroner and cerebrovascular of because of risk factor able to be controlled.
Risk factor able to be controlled high blood Cholesterol rate, Hypertension, Diabetes Mellitus, Obesity, Life style (less move the, cigarette, consume the abundant alcohol. Uncontrolable risk factor Age, Gender, History of Disease cardiovascular in family.

Become, What Can Be conducted
It is true, cannot be conducted by intervention to uncontrolable risk factor. Age, gender, and history of disease cardiovascular in family represent the improbability altered. Real step hereinafter only how manage of risk factor able to be controlled.
Its fact, about 75 % of disease cardiovascular in all the world because of conventional risk factor is including obesity, less physical activity, and tobacco usage (cigarette). For a while in developed countries, one-third disease cardiovascular caused by five risk factor namely tobacco, alcohol, high blood pressure, cholesterol, and obesity.
That risk factor able to be controlled by more dominant have contribution to as cause of disease cardiovascular. although Medication can be conducted at most of all form of disease cardiovascular is including hypertension, high cholesterol, and diabetes mellitus, but all that come home to individual to run healthy life pattern. As possible avoid the risk factor able to cause the disease cardiovascular represent the best step able to be conducted.

Bibliography
(Nita.www.medicastore.com obtained on the date of 27 august 2008)

Take heed the your waist circumference

Fatness which is in general marked with this bay window have come to the new epidemic [in] world, do not aside from Indonesia. Some people possible there is still trusting myth that fatness with the prosperity. Though bay window make the owner of body to heart sickness and diabetes mellitus of related to risk cardiometabolic.
According to dr Sunarya Soerianata, Spjp (K), heart expert from Our RS Expectation Heart, " Heart sickness And stroke represent the compared to by highest death cause of cancer, diabetes and undercarriage channel disease."
Laboratory inspection needn't be costly to know the risk you'd cardiometabolic. Its way enough easy to and cheap that is with measuring your waist circumference. Circular size measure of waist in the reality can be used as by a parameter to know the risk to disease of effect of the indisposed life style.

Risk Kardiometabolik Is not Disease
Risk cardiometabolic by x self is not disease but represent a group of trouble which by xself and also together can improve the risk to heart sickness and diabetes.
risk cardiometabolic (cardiometabolic risk / CMR) consisted of by the risk factors able to be altered, facilitating people rentan to disease of diabetes type 2 and heart sickness. A number of the factors emerge by klinic in specific group.
dr Sunarya Soerianata, Spjp ( K), what also act as the executor deputy 16th ASEAN Congress of Cardiology that goes on April month;moon 2007 [in] this Bali explain, there is risk factor pertained by as risk factor " classic" and there is pertained " new". Follow the example of the risk factor " classic" for example high blood pressure, cholesterol LDL ( virulent cholesterol) and blood sugar is often evaluated and handled by doctor.
As for considered to be by other factors of risk factor " new" for example excess of stomach fat, cholesterol HDL ( good cholesterol), resistensi insulin (disability of response body and use the insulin), and also peradangan (low rate adiponektin or high rate C-Reactive protein). dr Sunarya, Spjp enhance that risk factor " new" this since long time less paid attention.
In this last yrs., subdividing of factors CMR progressively draw attention because that factors often arise at a time. The example, almost 26% from entire/all underage adult in all the world 60 year known to have [at] least three from five factors CMR which is the including in criterion of syndrome metabolik.

Realize The Danger of Stomach Fat
Excess of stomach Fat (abdominal intra obesity) or conglomeration of fat network in stomach, relate to the other factors CMR like improvement of trigliserida and blood sugar
Research into to indicate that the network adiposa (fat network) not merely representing place of fat relocation, but also active endocrine organ discharging certain and chemicals into body knew to influence the metabolism and system cardiovasculer.
"Abdominal excelsior intra obesity of hence rate HDL will go down meaning to lower of proteksi body to aterosklerosis ( venous stricture by fat)," express the dr Sunarya, Spjp.

Release of this look vitamin and Chemicals is contribution can to growth of factors CMR of like high trigliserida and make-up of blood sugar, improving someone risk to diabetes and heart sickness.
Become, by owning bay window or equally high stomach fat hence can improve the risk expand [it] disease of diabetes type 2, that is diabetes which is most commonly happened [at] society with the indisposed life style
Do not surprise if prediction of patient diabetes in Indonesia will go up from 6,7% population in the year 2000 becoming 10,6% population in the year 2030.

Circular Size measure of Waist as Marker
Usually, fatness measured with the index of a period of/to body (BMI), however invention recently indicate that the stomach fatness represent the more accurate sign for the prediction of heart attack of than weight of body or BMI
dr. Sunarya, Spjp agree that measuring waist circumference represent a[n simple measurement and succeed to detect one who will experience of the other diabetes heart sickness and.
Pursuant to research, circular size measure of waist owning big risk is ? 88 cm for the woman of and ? 102 cm for the man of. But, the size measure valid for American race, for the Indonesia of its boundary is smaller.
Many progress have been reached to lessen the certain prevalensi factors CMR is including high cholesterol and high blood pressure. Nevertheless, there is still around 17 million people in all the world dying because heart sickness every year.
Strategy of Handling kardiometabolik which is always assumed effective is by education is society especially patient of because risk kardiometabolik can be altered. But, prevention always better than cure. For the things not yet become the patient, urged to keep in good health and start to experience the healthy life style.
dr. Sunarya, Spjp also wish to remind to society of concerning size measure of stomach fat able to be used as by marker for the heart sickness of and diabetes. Circular of waist is easy to measured and can be conducted by everybody, do not aside from with the you.


Bibliography
( Scientific. www.medicastore.com obtained on the date of 27 august 2008)

Problem of Mouth

Mouth is one part of the body which vital enough because needed by a activity all day long like to speak and eat-drink. Once part of this come down with by hence other activity even also become annoyed.
Problem of mouth which often emerge is mouth aroma, sprue, mouth infection. Sprue represent the civil Ianguage to be assorted of lesion / bump [of] arising out in mouth cavity. But usually sprue type which often arise everyday at our mouth cavity is referred as (in dentist term) Stomatitis Aftosa Rekuren (SAR).
Its Symptom in the form of feeling pain or feel burnt by one two-day until which later;then can arise the hurt (ulser) [in] mouth cavity. Feel the pain and feel the heat at this sprue make the hard us eat and drink. So that sometime patient by SAR come to dentist in a state of weakening.
Till now the root cause from SAR not yet been known. But all expert have anticipated many matter becoming cause incidence of this sprue, among others is :
Ø Deficiencies of vitamin of B12 and ferrum
Ø Infection of Virus and bacterium is also anticipated by as blaze of incidence this SAR. There is also saying that sprue represent the abnormal reaction imunologik at mouth cavity
Ø Cause which enough is often happened at busy towny, is stress. this Psychological factor (stress) have been investigated to relate to incidence of SAR.

Given the its cause, is expected by us can avoid incidence of this sprue, among others with the keep cleaning of cavity trap and also consume the nutrisi which enough, pregnant especially vitamin of B12 and ferrum. Also besides, don't forget to avoid the stress.
But if in the reality sprue always lose to arise, You can try with the nut irrigate the warm salt and go to dentist to ask the correct drug for the sprue of its.
Aroma trap or its medical term is halitosis the problem of health of tooth and mouth griped by most society. In United States, more than 25 million chronic people mengidap halitosis. Similar fact is also griped by most society in nations go forward and also expand, especially in metropolis of like Jakarta
Generally trap to smell if :
Ø There is infection in mouth cavity, tooth keropos or perforated, bloated gum, tartar or calculus
Ø Tongue be angry, avitaminosis is capable because, tongue nipped, or grow the cancer over there
Ø There is gum infection, easy gum bleed the, fever, trap many salivating and weak body
Ø After dining food smelling strength of like leek and garlic.

Mouth aroma cause unconvinced of x'self because others which smell the the mouth usually will go away. Finally, is oppositely avoided from assocciation. Can possible immediately overcome the problema of mouth aroma in order not to is again avoided.

Information for The Old Fellow of in Around Drug Have A Cold and Cough The Child

During winter, [common/ public] to children to be attacked [by] various germ respiratorik causing them cough and become the pain. Old fellow possibly will be direct take the drug have a cold and cough the child to try to to overcome the nose stuffed up and cough. But recently emerge the concern to security of about this drug when used by children. Old fellow can bring an action against now to take care of their child remain to be peaceful.
Every year in United States, around 7.000 child have age to 11 year and more young, step into the UGD hospital after taking medicine head cold and cough, about two-third among they take medicine without observation of old fellow or nursemaid at elbow its, that way according to newest study from Centers for Disease Control and Prevention (CDC) United States. Child of between age 2-5 year is most often experience of it. Former study also have laid open the amount of children death of because less is neglectless given by too much drug.
Concern to drug security have a cold and cough to children insist on the Food and Drug Administration (FDA) of United States in the early last month suggest so that all old fellow bracket the intention give this drug at child have age to less than 2 year. Factory of dispensing chemist voluntaryly have taken back the drug destined to children which still under age, and ought to can assist to lessen the amount of child getting negative effect because this drug. Meanwhile, FDA in this time is assessing whether this drug is peaceful to be used by child have age to more than 2 year.
During just just newest study, most child which step into the UGD needn't be taken care of ill at home. But a lot need the medication to prevent the furthermore absorbtion medicinize into their body.
Old fellow can assist to prevent the event of like this and protect their child by following suggestion of following:
1. Don'T put down the drug where your child possible can reach for it
2. Don'T inform the child that drug is peppermint
3. Don'T take medicine for the adult of before your child
4. Don'T pass to the child have age to less than 2 drug year destined to larger ones child
5. Keep away the drug have a cold and cough for the child of have age to less than 2 year

Change of Tidiness and formulation from factory of dispensing chemist also can useful in lessening hospital visit relate to the drug have a cold and cough, especially for the things is not observed its use. Some strategy to make the drug become more is difficult used and more graceless to children [of] like bottle with the cover modified the, single dose tidiness for the child of, and do not use the colourant materials which is not needed.

BIBLIOGRAPHY
www.cdc.gov
www.medicastore.com / Information for the old fellow of in around drug have a cold and cough anak.htm

How to be Our Child is Smart and Healthy?

Each; Every sure parent wish to have the smart and healthy child. All energy and effort will be conducted by the mother and father of to be the target reached. Start from often hear the classic music, drink the vitamin, athletic diligent giving pregnant milk formula of AA And DHA trusted can improve the child intellegence.
Not many knowing that there is way of cheap and easy to be smart and healthy child. Dr. Utami Roesli, Sp.A, MBA, IBCLC, Chief of Sentra Laktasi Indonesia tell, " Suckling exclusive ASI can improve the health and child intellegence."
Unhappily, all mother in Indonesia a lot do not give the ASI to its baby. Though by giving ASI, health and intellegence of the well guaranted baby even also. Do not only that, the mother even also get one of the benefit that is becoming is rarer hit by]a bosom cancer.
Behold the Nia (28), workingwoman owning this two putri confess to give the good ASI vitamin and to be its child is smart and healthy. Very mother care about this health is natural more opting like ASI (Irrigate The Milk of Ms.). For his, important to be child is always given by the affection and fulfill the psychological requirement.
You possible confuse, how ASI can make healthy and educate the clear your child? ASI is rights the baby and milk initiation early ASI of playing important role in exclusive success ASI. Concerning excess ASI compared to by milk formula and to be wisdom in chosening and using milk formula, You can correct reading the description hereunder.

1. Lock to be Smart and Healthy Child
There is two factor influencing intellegence, that is factor of environmental genetik factor and. According to dr. Bernard Devlin from Faculty Of Mediciness of University Pittsburg, United States estimate the factor genetik only contributing 48% in forming IQ child. The rest is environmental factor.
Important environment because owning bigger role than genetik. consisted of to by Environmental factor take care of, sharpen and asih. Take care of to mean to give the requirement for the growth of physical, Sharpen to mean to give the stimulasi or education, ASI mean to give the requirement psychososial.
So that growth of health and child intellegence is not annoyed, old fellow require to take care of the nutrisi. Matter is important for the growth of child growth and especially brain of because cleverness relate to the brain growth.
"Exclusive ASI is best nutrisi in quality and amount at the (time) of a period of/to jumping movement of brain growth that happened from 0 until 6 month; moon", express the Dr. Utami Roesli, Recuring Sp.A which is just year in September then.
ASI contain the nutrient having specific function for the growth of brain for example long chain polyunsaturated fatty acid (DHA And AA) for the growth of brain and retina, cholesterol for the myelinisasi of nerve network, taurin for the neurontransmitter of inhibitor and membrane balancer, laktosa for the growth of brain, koline which possible improve the memory.
Gift exclusive ASI during 6 month; moon of besides nicely for the growth of brain, also nicely to draw up the system of baby digestion of because at the (time) of delivering birth, enzyme of baby digestion still not yet complete and only can be used to digest the ASI. It is important to know that ASI contain more than 100 kinds of enzyme assisting absorbtion of Iihat vitamin of gizi which is consisted in in ASI.
Furthermore, dr. Utami Roesli, more addressed by chummy Sp.A of dr. Tami enhance the, " Process suckle the ASI do not just feeding but also educate and give the requirement psychososial". Process to suckle that represent the stimulasi to child education of caused by eye contact, invited by a talking, embraced, and dielus-elus by the mother.

2. Smart and Healthy by ASI
Beyond the sea have many conducted by research to child suckling ASI more than semi last century. Start from Douglas year 1950 finding that quicker child ASI can walk, until research by Lucas (1996) and Riva (1998) finding that value of higher IQ child ASI some poin.
Pursuant to result of study Horwood & Fergusson Year 1998 to 1000 child have age to 13 year in New Selandia, see the old increase tendency of of ASI as according to improvement IQ, result of tes of standard intellegence, improvement rangking in school and make-up of number in school.
Do not only that, other research conducted in different state in the year 2002 also seiya word with the result of study Horwood & Fergusson. Richards Dkk. In English find that children gave by the ASI by having a meaning of to show result of higher level education.
All the research result of positive believe benefit give the ASI that more intelligent child ASI. Dr. Utami Roesli, This Sp.A affirm the " Child gave by the ASI will be more be healthy, Higher IQ, better EQ And SQ even soleh and soleha".

a. Irrigate the Mother Milk is Baby Rights
Cat And tiger of[is including mammal type which its mother bear and suckle its child. Try to pay attention that milk of cat mains can be enjoyed by the catty and milk of tiger mains can be enjoyed by tiger child. But, irrigate the incompatible cat milk for the tiger of, that way on the contrary.
"God have created the water of mother milk always suited for its child", express the dr. Utami Roesli, Sp.A, MBA, IBCLC taking specialist of child doctor in FK UNPAD, Bandung. Its Excitement again that ASI [released] by mother bosom amount to matching with the one which can be permeated by digestion of the baby. Even godsend which is one this also can correspond to the requirement is the baby by real is time, for example if merely starve for hence will be more many dilution and so on.
Though in a few hours its birth, baby not yet hungry or starve for because stock there is still from in content, newborn baby is entitled to get the kolostrum that is rich gold dilution of first antibody multiply the exit from nipple of mother bosom after bearing.
ASI represent the children right to the continuity of baby life and grow the flower in an optimal fashion. A mother is obliged to suckle its child. Gift of ASI have many benefit most off all playing a part in to make healthy and educate the baby.
Useful ASI form the growth intelegensia, spiritial, and emotional growth because during suckled in gentle hug mother, baby come into contact with direct with the mother, and get the warm feeling of affection and feel safe.

b. Initiation of Milk ASI
In the early last August, week of ASI world 2007 is also celebrated in Indonesia with the Milk theme " One First Hour of Life Continued with the Exclusive Milk 6 Month; Moon, Saving More Than One Million Baby".
Indonesia Government support the policy of WHO and Unicef recommending milk initiation early (early latch on) as action of life saving, because milk initiation early can save 22 percentage of baby dying before age one month;moon. Suckling one first hour [of] life which is early with the husk contact of between mother and baby expressed by as global indicator.
"This represent the new matter to Indonesia, and represent the governmental program, is so that expected by all health energy in all good health service level of private sector, and also society can socialize and execute to support its success is the program, is so that expected will be reached by the qualified Indonesia resource, " say the Mother of Ani Yudhono in event culminate the week of ASI World 2007.
Milk initiation early is by putting down newborn baby above stomach or its mother chest. During almost 1 hour, baby will start to make a move to look for the mother nipple and start the milk by xself. Dr. Tami mention that beyond the sea this matter is known have been long enough but in Indonesia newly since year 2006 then.
Milk initiation early can assist to peep out the refleks baby to suckle and playing important role for the successfulness of to run the exclusive ASI. Unhappily, not yet all health energy in Indonesia knowing this matter.
Decree Of The Minister For Public Health of RI about giving irrigate the mother milk exclusively at baby in Indonesia have been ratified by since 2004 then. All mother and mother to be can follow to support the governmental program by giving exclusive ASI for the baby of its. Possible small matter for us but very meaning to life [of] the baby later.

c. Excess ASI compared to by Milk Formula
Baby gave the threatened milk formula of obesitas. Mostly milk formula base on the pregnant ox milk [of] protein much more many from human being protein. We know that animal tend to quicker [is] its growth [is] compared to by a human being.
No wonder a research mention that baby getting ASI do not as fat as baby getting milk formula. Its growth is nicer and seldom be ill. By dozens diarrhoea baby [of] effect of milk formula [of] because sugar of ox milk ( laktosa) of some baby.
Milk Formula in marketing nowadays many containing addition nutrisi in the form of fat acid of like AA and DHA trusted can educate the child. But, baby do not have the ability to digest all Iihat vitamin the gizi.
Baby produce the enzyme in rough to be able to digest the fat, while in ASI have been prepared by enzyme lipase assisting to digest the fat, and this enzyme do not there are at milk of formula or animal milk.
Fat of exist in maximal digestible ASI by baby body from at fat of exist in milk formula, so that faeces of baby of milk formula of more containing food which cannot be digested by its body.
Later;Then, in ASI consisted in by acid of fat esensial which is not got in milk of ox or milk formula. Sour of this fat esensial is required for the growth of brain and baby eye, and also venous health.
In ASI is also consisted in by Vitamin C, so that baby ASI needn't get the suplemen of vitamin C, vitamin C is usually given for the babes of gave by the milk formula. Ferrum very required by body of human being so that is not attacked by a anaemia (insuffiency darh of effect of defisinesi ferrum).
Moment borne by a baby have the supply enough ferrum, but that return to its mother, whether pregnant moment is he/she have the ferrum supply which enough. All milk type contain a few/little ferrum of [around] 100ml, or 0.5-0.7mg / i, but its difference is ferrum of exist in maximal digestible ASI until 50% by baby, differing from ferrum of exist in animal milk which is only 10%.
First in the year its life, baby very rentan to disease, so that need the protection [of] extra from its mother. ASI contain the phabocyte and a number of factor anti-infektif assisting to protect the baby from infection. ASI also contain the antibody to various infection which have been experienced of [by] the previous mother

d. Problema [of] Ms. Suckling
Dr. Utami Roesli regret that lack of information is biggest constraint [of] mother [do] not suckle the ASI. Information of about milk formula much more many and assure compared to by ASI so that all mother [do] not give the ASI to its baby.
ASI is the single which is good to baby. Mother better comprehend hit the milk formula of before giving it to baby. Look for the well-balanced and correct information hit] the milk of formula and ASI.
Very regrettably that [do] not all mother can give the exclusive ASI. Many factor influencing the the mother so that cannot suckle its child. One of them [is] psychological problem [of] mother pasca bear or milk nipple which below par. Can also because chronic pain, bosom infection and chafe the bosom.
If have so, its way out [is] by giving milk formula. Though [gift/ giving] of milk formula to baby old age below/under one year [is] not suggested. Doctor suggest that the baby given [by] the ASI until have age [to] 6 month;moon of[is so-called by ASI [is] Exclusive and remain to be continued until 2 year [of] if still suckle the.
Body of World Health ( WHO) mention there [is] condition [of] where milk formula may be given. milk Formula shall only be passed to [by] a situation very limited, that is have been [done/conducted] [by] assessment to status suckle from mother, and relaktasi [do] not enable [is] and also given [by] only to child which cannot milk, for example: orphan

3. Wisdom chosen and use the Milk Formula
In general correct milk election principle and good to child [is] acceptable and appropriate milk [of] system of child body. Best milk [do] not milk have to took a fancy to [by] the baby or milk which its price [is] costly. Non also milk which is many weared by many baby or milk which best selling.
Best milk should not generate the channel trouble digest like diarrhoea, vomit or difficulty defecate the. best milk also should not generate the other trouble like coughing, congested, husk trouble etcetera. Acceptance to milk in each child very differing. Certain child can accept the milk A, but other child if/when drinking milk A happened [by] the diarrhoea, vomit or difficult to [oppositely;also] defecate.
All milk formula circulating in Indonesia and [in] world have to as according to Standard RDA (Recomendation Dietery Allowence). Standard RDA for the milk of formula baby [is] the amount of calorie, vitamin and mineral have to as according to baby requirement in reaching to grow the optimal flower.
Equally any usage [is] brand of appropriate ox formula milk [of] child age [of] during [do] not generate the trouble of body function [is] best milk for the child of the. cosiest milk and taken a fancy to [by] non also represent the especial consideration [of] milk election.
Though the milk taken a fancy to [by] the child, but if/when generating many trouble of function and body system [of] hence will generate many problem of health to child. But on the contrary if/when channel trouble digest the good child and [is] not annoyed [by] hence passion eat or drink the milk [of] [at] child will not be annoyed.
Addition AA, DHA, Spingomielin [of] [at] milk formula in fact [do] not represent the especial consideration [of] best milk election. Addition [of] Iihat vitamin hoped have an effect on to child intellegence (it) is true still very controversy. Many research still bertolakbelakang for the attitude of the opinion.
Some research show the giving of AA and DHA [of] [at] premature patient see more useful. While giving [of] [at] baby enough month;moon (non premature) [do] not show the difference having a meaning (of) to influence the intellegence. So that WHO [of] only recommending giving of AA and DHA [of] only [at] just just premature baby.

How strategy or a step in the right direction in conducting best milk formula election to child:
1. Step early which must be conducted [by] [is] determine [whether/ what] child have the allergic risk or intoleransi of ox milk. This risk [is] happened [by] if (there are) any one of [the] or both parent have experienced of the allergy, asthma.
2. Second step, have to be careful in perceiving condition and trouble that happened [at] child from the day borned. Symptom which must [in] perceiving [is] symptom of channel trouble digest the, behavioral trouble and other body organ trouble since baby born
When there are allergic risk and other symptom as in to the, have to be more be careful in conducting] milk election. Where necessary conduct the consultancy farther to allergic specialist doctor [of] child, gastroenterologi of child or metabolik and endokrinologi child.
Trouble of body organ that happened continuously and happened long-range like often cough the, congested, diarrhoea ( defecate > 2 times/day), difficult defecate. If/When happened better have to be more be careful [whether/ what] this trouble [is] interconnected because incompatibility of milk formula.
3. Problem of price. Accomodating election of milk type by the condition of family economics. Milk price [do] not directly relate to the quality of content gizinya. Though the milk cheap not yet of course calorie, vitamin and its mineral [is] unfavourable

During amount of, its type according to for the age of child and [there] no trouble [of] hence that [is] best milk to grow the the child flower. All milk of formula milk circulating for the baby of child and of[is amount of calorie content, vitamin and its mineral [do] not differ far. the Price difference [is] possible influenced by obstetrical addition [of] AA, DHA etcetera in milk formula
Gift of Milk formula require the big expense. For the purchasing of milk formula [of] during 6 month;moon [is] in Indonesia estimated to finish the expense Rp. 7,920 trillion - Rp. 14,720 trillion. Though not yet of course the family can economical. It is not impossible their economics progressively.
4. Important Other consideration [is] (it) is so easy got, goodness in the case of purchasing place and ready [of] product. Flit the milk type to a child [do] not have to be worried [by] during [there] no the milk acceptance trouble.

If [do] not there are allergic symptom and risk [of] next step try the appropriate milk formula [of] any child age [is] brand and its type. Perceive the symptom and sign generated, if there no sigh continued [by] a giving] the milk summed uply as required [by] a child.

BIBLIOGRAPHY
Result of interview by dr. Utami Roesli,Sp.A www.medicastore.com
http://selasi.org
http://sehatgroup.web.id
http://www.presidensby.info
http://www.pdpersi.co.id
http://www.who.or.id/

Diarrhoea Prevention

Diarrhoea is including disease able to recover by itself (self limiting disease). Nevertheless, don't look down to the diarrhoea because can menace the head. Two biggest murderer of children balita (under five year) is diarrhoea and penumonia.
Diarrhoea disease earn contagious through :
1. Usage of milk Bottle which is not clean
2. Using the source of impure water
3. Defecate any place
4. Food contamination by insect (fly, kecoa, etc) or by dirty hand

Hygiene factor in the reality follow the share in causing diarrhoea child. Start from appliance hygiene eat the child until hygiene after passing small / defecate. All that can hit the child hand or direct come into the child mouth have to be observed.
There is a way of easy to prevent hit by diarrhoea that is cleaning hand with the soap. Habit modestly clean the hand with the soap, if applied widely, will save more than one million people in all the world, specially balita.
Do not less important is giving minimum ASI 6 month;moon. Because, in ASI of there are antirotavirus that is imunoglobulin. Hence, children which drink the exclusive ASI seldom suffer the diarrhoea. Besides ASI, immunize the measles in the reality can prevent the diarrhoea," add the dr. Luszy Arijanty, Sp.A.
"The root cause diarrhoea of adult is bacterium which contamination eat and beverage, so that prevent the diarrhoea at adult by paying attention food and beverage hygiene. Become to select; choose the food which remain to be in god condition," suggestion dr. Ari Fahrial Syam, SP.PD, KGEH, MMB.


Injection of Vaccine Rotavirus

In Indonesia child death reach 240.000 people/ year. Child death because diarrhoea 50.400 people. From that amount 10.088 child among others effect of rotavirus. In Jakarta and Surabaya around 21-42 gratuity/ % of balita die effect of diarrhoea from rotavirus.
Rotavirus found first time by Ruth Bishop (Australia) Year 1973. In Indonesia rotavirus found at 1976. Rotavirus Possibility step into the body of human being not merely passing oral but also through the exhalation channel.
To prevent the diarrhoea of effect of infection rotavirus, can be given by vaccine of rotavirus per-oral (passing mouth). Unhappily in Indonesia, this vaccine rotavirus there is no. But because rotavirus generation of early that strainnya is equal to which is in world, G1, G2, G3, and G4, hence vaccine in other state can be used.
Year 2005, strain rotavirus in Indonesia turn into the G9. This type of seldom even have time to be found in India. In this time American, almost in all Europe state, Chinese, India, Bangladesh And Philippine, have used the vaccine rotavirus. Even in Philippine and American is vaccination rotavirus of[is including obliged.
Meanwhile in Indonesia, vaccination rotavirus of there is no. Rotavirus given by 2-3 times at age baby 6-8 week. Its price it is true still costly of Rp 300 ribu-500 thousand once vaccine. If used mass, can be cheaper as hepatitis B. In this time vaccine rotavirus of made in Merck and GSK have entered the permit process in BPOM.

If agreed by the Body POM (Supervisor Medicinize and Food), hereinafter prepare eight hospital (six education hospital, RSUD Kodya Yogyakarta and RSUD Purworejo) for the post of marketing surveillens of vaccine rotavirus. Vaccine hoped can lessen the diarrhoea effect of rotavirus.

Correct Diarrhoea Medication

Do not forever that diarrhoea is ugly. In fact diarrhoea is body mechanism to release the poison from within body. Poison yielded by virus, bacterium, parasite etcetera will be thrown by exit of together with watery faeces.
Losing of pregnant body dilution of important electrolyte is death cause of diarrhoea patient. " Condition is so-called dehydrationing this dangerous because can generate the trouble of heart rhythm and degrade the patient awareness. Don'T assume inconsequential, is if not overcome can generate the death," clear of dr. Ari Fahrial Syam, Sp.Pd, KGEH, MMB.

Mostly acute diarrhoea (sudden diarrhoea) [at] remediable child only with the gift of dilution and continue the gift just just food. On that account, nucleus; core from diarrhoea medication is give the dilution to avoid happened to by dehydration.
"Principle of diarrhoea Medication is prevent to dehydration with the giving oralit (rehidrasi) and overcome the diarrhoea cause" express the dr. Ari Fahrial Syam, Sp.Pd, KGEH, MMB. Diarrhoea earn because of many factor of like malnutrition, bacterium, parasite, chafe the. Medication given have to be adapted for by klinis patient.
Diarrhoea drug divided to become three, first of kemoterapeutika fighting against diarrhoea cause. Like bacterium or parasite, obstipansia to eliminate the symptom of diarrhoea and spasmolitik assisting to eliminate the inconvenience stomach spastic.
Better don't consume the faction kemoterapeutika without doctor recipe. Doctor will determine the drug which is adapted for by its diarrhoea cause for example bacterium, parasite. Gift of Kemoterapeutika have the side effects and better be drinked by according to doctor guide.
In fact large intestine do not only releasing water redundantly but also electrolyte. Losing of dilution and electrolyte through this diarrhoea later; then can generate to dehydration. Dehydration this menace the head of diarrhoea patient.

Classification Medicinize The Diarrhoea
A. Kemoterapeutika for the therapy of kausal that is fighting against bacterium of diarrhoea cause of like antibiotika, sulphonamide, kinolon and furazolidon

1. Racecordil
Anti ideal diarrhoea have to work quickly, do not cause the konstipasi, having high index terapeutik, don't have the ugly effect to nerve system center, and which do not less important, do not cause the tergantung. First Racecordil multiply marketed in French at 1993 fulfilling all the ideal condition.
2. Loperamide
Loperamide represent the laboring faction opioid by slowing down motilitas channel digest by influencing muscle of sirkuler and intestine longitude. this Diarrhoea drug by reseptor is opioid so that anticipated by effect constipation resulted from by tying loperamid by reseptor is the. Side effects which is often met by abdomen colic (hurt in stomach shares), while tolerance to happened the very rare effect konstipasi
3. Nifuroxazide
Nifuroxazide is compound nitrofuran have the effect bakterisidal to Escherichia coli, Shigella Dysenteriae, Streptococcus, Staphylococcus And Pseudomonas aeruginosa. Nifuroxazide work local at digestion channel.
This Diarrhoea drug is indication for the dire of acute, diarrhoea which is because of E. coli & Staphylococcus, specific kolopatis and non specific, goodness used for the children of and also adult.
4. Dioctahedral Smectite
Dioctahedral Smectite (DS), an aluminosilikat nonsistemik of have structure to filitik, by in vitro have been proven can protect the barrier mukosa intestine and permeate the toxin, bacterium, and also rotavirus. Smectite denature the physical mukus bounce up and opponent mukolisis which is resulted from by a bacterium. This Iihat vitamin also can cure the integrity of mukosa intestine is such as those which seen from normalization of ratio of laktulose-manitol urin at child with the acute diarrhoea.

B. Obstipansia for the therapy of simtomatis (eliminating symptom) able to discontinue the diarrhoea with a few the way of
1. Lock vitamin of Compressor peristaltik, so that give the more time for the resorpsi of irrigate and electrolyte by mukosa intestine of like derivat petidin (difenoksilat and loperamida), antokolinergik (atropine, extract belladonna
2. Adstringensia which reduce the size the the mucous membrane intestine, for example tannic acid (tannin) and tannalbumin, salt of bismuth and alumunium
3. Adsorbensia, for example karbo adsorben yanga of its surface is permeable (poisonous adsorpsi) Iihat vitamin (toksin) yielded by bacterium or which sometimes come from food fish. Including here is also musilago of Iook vitamin of mucus closing over the mucous membrane of intestine and its hurts with a[n resist like kaolin, pectin (an carbohydrate which is there are for example sdalam apple) and salt bismuth and also alumunium.

C. Spasmolitik, namely Iihat vitamin able to discharge the muscle spastic which oftentimes result the pain in bone of stomach at diarrhoea for example papaverin and oksifenonium.

BIBLIOGRAPHY
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