Saya bertanya untuk dokter,di usia 21 tahun
Berbahaya tidak untuk mengkonsumsi vit c + kolagen larscorbine roche
Yang di suntik 2x seminggu...dgn minum air putih teratur
Apa ttp ada dampak klinis kah..
Mohon info
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dr.Krisman Hamonangan Siahaan
-----Original Message-----
From: dokter_umum@yahoogroups.com
Date: 9 Aug 2010 17:45:13
To: <dokter_umum@yahoogroups.com>
Reply-To: "No Reply"<notify-dg-dokter_umum@yahoogroups.com>
Subject: [Dokter Umum] Digest Number 2963
dokter_umum
dokter_umum <http://groups.yahoo.com/group/dokter_umum;_ylc=X3oDMTJkamVpMG8yBF9TAzk3MzU5NzE1BGdycElkAzgyMDQ0MDkEZ3Jwc3BJZAMxNzA1MDYxMTA0BHNlYwNoZHIEc2xrA2hwaARzdGltZQMxMjgxMzc1OTEz>
Messages In This Digest (16 Messages)
1.
(no subject) From: (no author)
2a.
Re: Tentang Herbal dll. From: Agus heru Soebroto 2b.
Re: Tentang Herbal dll. From: Astrawinata G
3.
(no subject) From: Yenny Meiliany
4a.
Re: Boleh share dong bagaimana merencanakan agar mendapat anak perem From: syane_marlina 4b.
Re: Boleh share dong bagaimana merencanakan agar mendapat anak perem From: B171 DUA 4c.
Re: Boleh share dong bagaimana merencanakan agar mendapat anak perem From: grace suraji 4d.
Re: Boleh share dong bagaimana merencanakan agar mendapat anak perem From: yulian kamil 4e.
Re: Boleh share dong bagaimana merencanakan agar mendapat anak perem From: B171 DUA
5a.
Re: Keluhan tulang belakang. From: Syane Marlina
6a.
PENYAKIT LUPUS From: Yenny Meiliany 6b.
Re: PENYAKIT LUPUS From: donny harimurti 6c.
Re: PENYAKIT LUPUS From: Hansen Nugraha
7a.
Diare From: Sri Yansen 7b.
Re: Diare From: Astrawinata G 7c.
Re: Diare From: Sri Yansen
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1.
(no subject) <http://groups.yahoo.com/group/dokter_umum/message/22527;_ylc=X3oDMTJydGFobW1tBF9TAzk3MzU5NzE1BGdycElkAzgyMDQ0MDkEZ3Jwc3BJZAMxNzA1MDYxMTA0BG1zZ0lkAzIyNTI3BHNlYwNkbXNnBHNsawN2bXNnBHN0aW1lAzEyODEzNzU5MTM->
Posted by: "(no author)"
(no email address) <mailto:(no email address)?Subject= Re%3A%28no%20subject%29>
adi_yn
<http://profiles.yahoo.com/adi_yn>
Sun Aug 8, 2010 8:39 pm (PDT)
Assalamu'alaikum Wr.Wb.
Sy seorang pemuda berusia 26 th. Sy memiliki badan yg agak besar (gemuk) sehingga terjadi penumpukan lemak di perut dan juga dada. Yg sy bingung apakah sy menderita gynecomastia?karena dada sy membesar meskipun tidak sebesar punya perempuan. Sy pernah baca bahwa penderita gynecomastia akan merasa sakit jika "payudara"nya ditekan apakah benar demikian?perlu diketahui bahwa hal ini (penumpukan lemak di perut dan dada) terjadi semenjak sy menginjak usia pubertas, meskipun tidak sebanyak saat ini
Satu hal lagi, bahwa sy juga memiliki massa otot yg rendah (pernah diukur). Ciri lainnya adalah bertambahnya berat badan tidak diimbangi dengan lengan yg proporsional, sehingga lengan sy terlihat kecil dan tidak proporsional dengan badan sy. Selain itu tidak ada otot2 yg keluar sebagaimana layaknya laki2 dewasa. Gejala apakah ini?selain hal tersebut sy memiliki ciri sebagaimana layaknya laki2 lain : tumbuh bulu di wajah, suara besar dll. Pertanyaan yg lebih ekstrem: apakah sy juga menunjukkan gejala sindrom klinefelter?
Mohon penjelasannya, karena di usia sekarang ini seorang laki2 seperti sy mulai berpikir untuk menikah dan semua gejala diatas selalu mengganggu pikiran saya.
Wassalam
Adi
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Re: Tentang Herbal dll. <http://groups.yahoo.com/group/dokter_umum/message/22528;_ylc=X3oDMTJyM3U4aWxmBF9TAzk3MzU5NzE1BGdycElkAzgyMDQ0MDkEZ3Jwc3BJZAMxNzA1MDYxMTA0BG1zZ0lkAzIyNTI4BHNlYwNkbXNnBHNsawN2bXNnBHN0aW1lAzEyODEzNzU5MTM->
Posted by: "Agus heru Soebroto"
vy_agus_hs@yahoo.co.id <mailto:vy_agus_hs@yahoo.co.id?Subject= Re%3A%20Tentang%20Herbal%20dll%2E>
vy_agus_hs
<http://profiles.yahoo.com/vy_agus_hs>
Sun Aug 8, 2010 8:41 pm (PDT)
Maaf, apa boleh berkomentar?
bagaimana dengan produk yang mengantongi GMP, kesaksian kesembuhan, ijin BPOM, dan banyak jurnal penelitian kedokteran dari seluruh dunia? apakah tetap tidak dihiraukan karena produknya berasal dari alam?
thanks.
Agus
--- Pada Sab, 7/8/10, Astrawinata G <astra.wg@gmail.com <mailto:astra.wg%40gmail.com> > menulis:
Dari: Astrawinata G <astra.wg@gmail.com <mailto:astra.wg%40gmail.com> >
Judul: RE: [Dokter Umum] Tentang Herbal dll.
Kepada: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com>
Tanggal: Sabtu, 7 Agustus, 2010, 4:04 PM
Â
Selamat malam Mas J saya coba bantu jawab ya:
1. Karena kebanyakan tidak memiliki data penelitian yang mendukung,
Mas. Banyak produk herbal yang menggembar-gemborkan bisa menyembuhkan banyak
penyakit, termasuk kanker dan AIDS. Namun sayangnya semua hanya mengandalkan
testimony, yang tentunya kita tidak tahu benar atau tidaknya. Dunia
kedokteran menganut system "Evidence Based". Jadi semua harus diteliti dulu
dan ditemukan bahwa memang ada manfaat yang signifikan, baru diakui dan
dipakai. Banyak obat2an herbal yang setelh melalui penelitian dan uji coba
yang memadai, akhirnya diekstrak dan dipasarkan sebagai obat medis berbentuk
tablet, pil, dll.
2. Mengenai hak paten ini, saya kurang mengetahui jelas Mas L mohon
bantuan rekan sejawat untuk membantu menjawab.
3. Yang mendapat izin POM tentunya adalah yang telah diakui dan aman
untuk dikonsumsi dalam jumlah dan takaran yang tepat. Kalau yang tidak
ditujukan untuk makanan dan/atau berbahaya, tidak akan "direstui" POM J
4. Human clinical trial itu sederhananya adalah percobaan memberikan
sesuatu (obat, radiasi, tindakan bedah, dll) untuk dipastikan keamanan dan
hasilnya J
Best regards,
Astrawinata G
From: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com> [mailto:dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com> ] On
Behalf Of Mus Wae
Sent: Saturday, August 07, 2010 5:35 PM
To: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com>
Subject: [Dokter Umum] Tentang Herbal dll.
Selamat Sore Dok!
Mau Tanya, Dokter!
1. Mengapa produk-produk herbal cenderung tidak diakui oleh dunia
kedokteran?
2. Apa yang dimaksud dengan Hak Paten Efek Terapeutik?
3. Mengapa produk-produk yang ada baha-bahan berbahayanya seperti MSG,
pewarna,
pengembang, pengawet makanan bisa dapat izin POM.
4. Apa yang dimaksud dengan Human Clinical Trail?
Terimakasih, Dokter
Mustari
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Re: Tentang Herbal dll. <http://groups.yahoo.com/group/dokter_umum/message/22540;_ylc=X3oDMTJydWlsbDhtBF9TAzk3MzU5NzE1BGdycElkAzgyMDQ0MDkEZ3Jwc3BJZAMxNzA1MDYxMTA0BG1zZ0lkAzIyNTQwBHNlYwNkbXNnBHNsawN2bXNnBHN0aW1lAzEyODEzNzU5MTM->
Posted by: "Astrawinata G"
astra.wg@gmail.com <mailto:astra.wg@gmail.com?Subject= Re%3A%20Tentang%20Herbal%20dll%2E>
astrawinata_g
<http://profiles.yahoo.com/astrawinata_g>
Mon Aug 9, 2010 2:00 am (PDT)
Halo Mas Agus. Memang banyak jurnal penelitian sekarang yang sudah mengarah kepada penelitian produk herbal. Namun banyak yang masih perlu disempurnakan. Saya juga pernah menelusuri jurnal penelitian yang meneliti kunyit untuk berbagai penyakit. Sangat banyak sumber ilmiah yang tersedia. Namun sayangnya ada masalah dengan sang kunyit sendiri. Ekstrak kunyit harus dikonsumsi dalam jumlah yang sangat besar untuk menimbulkan khasiatnya. Ini yang sampai sekarang masih terus diuji coba dan disempurnakan. Jikalau sudah sempurna, maka tentunya bisa diproduksi dan dipakai secara missal J
Kalau berdasarkan kesaksian sih sangat tidak objektif Mas. Bisa ditambah bumbu pengheboh, manipulasi stadium penyakit, dan sebagainya. Patokan baku adalah jurnal penelitian, dan yang paling bagus adalah dari hasil meta-analisis J
Best regards,
Astrawinata G
From: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com> [mailto:dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com> ] On Behalf Of Agus heru Soebroto
Sent: Monday, August 09, 2010 3:18 AM
To: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com>
Subject: RE: [Dokter Umum] Tentang Herbal dll.
Maaf, apa boleh berkomentar?
bagaimana dengan produk yang mengantongi GMP, kesaksian kesembuhan, ijin BPOM, dan banyak jurnal penelitian kedokteran dari seluruh dunia? apakah tetap tidak dihiraukan karena produknya berasal dari alam?
thanks.
Agus
--- Pada Sab, 7/8/10, Astrawinata G <astra.wg@gmail.com <mailto:astra.wg%40gmail.com> <mailto:astra.wg%40gmail.com> > menulis:
Dari: Astrawinata G <astra.wg@gmail.com <mailto:astra.wg%40gmail.com> <mailto:astra.wg%40gmail.com> >
Judul: RE: [Dokter Umum] Tentang Herbal dll.
Kepada: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com> <mailto:dokter_umum%40yahoogroups.com>
Tanggal: Sabtu, 7 Agustus, 2010, 4:04 PM
Selamat malam Mas J saya coba bantu jawab ya:
1. Karena kebanyakan tidak memiliki data penelitian yang mendukung,
Mas. Banyak produk herbal yang menggembar-gemborkan bisa menyembuhkan banyak
penyakit, termasuk kanker dan AIDS. Namun sayangnya semua hanya mengandalkan
testimony, yang tentunya kita tidak tahu benar atau tidaknya. Dunia
kedokteran menganut system "Evidence Based". Jadi semua harus diteliti dulu
dan ditemukan bahwa memang ada manfaat yang signifikan, baru diakui dan
dipakai. Banyak obat2an herbal yang setelh melalui penelitian dan uji coba
yang memadai, akhirnya diekstrak dan dipasarkan sebagai obat medis berbentuk
tablet, pil, dll.
2. Mengenai hak paten ini, saya kurang mengetahui jelas Mas L mohon
bantuan rekan sejawat untuk membantu menjawab.
3. Yang mendapat izin POM tentunya adalah yang telah diakui dan aman
untuk dikonsumsi dalam jumlah dan takaran yang tepat. Kalau yang tidak
ditujukan untuk makanan dan/atau berbahaya, tidak akan "direstui" POM J
4. Human clinical trial itu sederhananya adalah percobaan memberikan
sesuatu (obat, radiasi, tindakan bedah, dll) untuk dipastikan keamanan dan
hasilnya J
Best regards,
Astrawinata G
From: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com> <mailto:dokter_umum%40yahoogroups.com> [mailto:dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com> <mailto:dokter_umum%40yahoogroups.com> ] On
Behalf Of Mus Wae
Sent: Saturday, August 07, 2010 5:35 PM
To: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com> <mailto:dokter_umum%40yahoogroups.com>
Subject: [Dokter Umum] Tentang Herbal dll.
Selamat Sore Dok!
Mau Tanya, Dokter!
1. Mengapa produk-produk herbal cenderung tidak diakui oleh dunia
kedokteran?
2. Apa yang dimaksud dengan Hak Paten Efek Terapeutik?
3. Mengapa produk-produk yang ada baha-bahan berbahayanya seperti MSG,
pewarna,
pengembang, pengawet makanan bisa dapat izin POM.
4. Apa yang dimaksud dengan Human Clinical Trail?
Terimakasih, Dokter
Mustari
[Non-text portions of this message have been removed]
No virus found in this incoming message.
Checked by AVG - www.avg.com
Version: 9.0.851 / Virus Database: 271.1.1/3055 - Release Date: 08/07/10
01:35:00
[Non-text portions of this message have been removed]
[Non-text portions of this message have been removed]
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3.
(no subject) <http://groups.yahoo.com/group/dokter_umum/message/22529;_ylc=X3oDMTJyaTQ1b2EzBF9TAzk3MzU5NzE1BGdycElkAzgyMDQ0MDkEZ3Jwc3BJZAMxNzA1MDYxMTA0BG1zZ0lkAzIyNTI5BHNlYwNkbXNnBHNsawN2bXNnBHN0aW1lAzEyODEzNzU5MTM->
Posted by: "Yenny Meiliany"
Yenny_Meiliany@bca.co.id <mailto:Yenny_Meiliany@bca.co.id?Subject= Re%3A%28no%20subject%29>
xiau_yhenie
<http://profiles.yahoo.com/xiau_yhenie>
Sun Aug 8, 2010 8:41 pm (PDT)
Selamat pagi rekan rekan sekalian..
Saya ingin menanyakan mengenai penyakit lupus.. apa itu penyakit lupus..??
apakah bisa disembuhkan? Jika bisa, obat apa yg dapat dikonsumsi agar bisa
sembuh..??
Terima kasih.
:BCA:
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Re: Boleh share dong bagaimana merencanakan agar mendapat anak perem <http://groups.yahoo.com/group/dokter_umum/message/22530;_ylc=X3oDMTJybXFjMzVzBF9TAzk3MzU5NzE1BGdycElkAzgyMDQ0MDkEZ3Jwc3BJZAMxNzA1MDYxMTA0BG1zZ0lkAzIyNTMwBHNlYwNkbXNnBHNsawN2bXNnBHN0aW1lAzEyODEzNzU5MTM->
Posted by: "syane_marlina"
syane_marlina@yahoo.com <mailto:syane_marlina@yahoo.com?Subject= Re%3A%20Boleh%20share%20dong%20bagaimana%20merencanakan%20agar%20mendapat%20anak%20perem>
syane_marlina
<http://profiles.yahoo.com/syane_marlina>
Sun Aug 8, 2010 8:42 pm (PDT)
biasanya ibu nya hrs byk mkn sayur an buah2 an tiap hari rutin semua jenis sayur..anak saya 2 ce smua krn emang dr dulu saya g suka mkn daging y..tiap hr psti ada sayur..dmkian sebalik nya tmn2 saya klo ga suka mkn sayur,anaknya laki smua.
tp klo mo progrm cb ty aja dktr kndungan skrg 80% bs kok direncanakan.
semoga membantu,thx
syane
--- In dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com> , "B171 DUA" <bungaoc@...> wrote:
>
> Hmm orng tua yang bapaknya atau ibunya ya? apa keduanya?
>
> Salam,
> gus
>
> ----- Original Message -----
> From: Henkie Basuki Djayapranata
> To: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com>
> Sent: Friday, August 06, 2010 6:53 PM
> Subject: Re: [Dokter Umum] Boleh share dong bagaimana merencanakan agar mendapat anak perempuan?
>
>
>
> Saya bukan dokter, namun pernah dengar, kalau ingin mempunyai anak perempuan, orangtuanya jangan banyak memakan daging, tetapi banyak memakan sayuran dan sebaliknya.
>
> Salam.
>
> ----- Original Message -----
> From: B171 DUA
> To: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com>
> Sent: Friday, August 06, 2010 3:11 PM
> Subject: [Dokter Umum] Boleh share dong bagaimana merencanakan agar mendapat anak perempuan?
>
> Boleh dishare dong yang pernah pengaalaman, bagaimana agar mendapat anak
> perempuan ?
> Saya sudah ada 2 anak semua laki-laki (9thn & 4 thn) ingin nambah namun
> ingin sekali dapat anak perempuan.
> Walau semua karunia Tuhan namun mungkin kita bisa usaha bagaimana
> perencanaan agar mendapat anak perempuan.
>
> Trims & Salam,
> Gus
>
> [Non-text portions of this message have been removed]
>
>
>
>
>
> [Non-text portions of this message have been removed]
>
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Re: Boleh share dong bagaimana merencanakan agar mendapat anak perem <http://groups.yahoo.com/group/dokter_umum/message/22533;_ylc=X3oDMTJyamIzbHRoBF9TAzk3MzU5NzE1BGdycElkAzgyMDQ0MDkEZ3Jwc3BJZAMxNzA1MDYxMTA0BG1zZ0lkAzIyNTMzBHNlYwNkbXNnBHNsawN2bXNnBHN0aW1lAzEyODEzNzU5MTM->
Posted by: "B171 DUA"
bungaoc@gmail.com <mailto:bungaoc@gmail.com?Subject= Re%3A%20Boleh%20share%20dong%20bagaimana%20merencanakan%20agar%20mendapat%20anak%20perem>
Sun Aug 8, 2010 8:57 pm (PDT)
Trims ya..sangat membantu sekali
Salam,
Gus
syane_marlina wrote:
>
> biasanya ibu nya hrs byk mkn sayur an buah2 an tiap hari rutin semua
> jenis sayur..anak saya 2 ce smua krn emang dr dulu saya g suka mkn
> daging y..tiap hr psti ada sayur..dmkian sebalik nya tmn2 saya klo ga
> suka mkn sayur,anaknya laki smua.
> tp klo mo progrm cb ty aja dktr kndungan skrg 80% bs kok direncanakan.
> semoga membantu,thx
>
> syane
>
> --- In dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com>
> <mailto:dokter_umum%40yahoogroups.com>, "B171 DUA" <bungaoc@...> wrote:
> >
> > Hmm orng tua yang bapaknya atau ibunya ya? apa keduanya?
> >
> > Salam,
> > gus
> >
> > ----- Original Message -----
> > From: Henkie Basuki Djayapranata
> > To: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com> <mailto:dokter_umum%40yahoogroups.com>
> > Sent: Friday, August 06, 2010 6:53 PM
> > Subject: Re: [Dokter Umum] Boleh share dong bagaimana merencanakan
> agar mendapat anak perempuan?
> >
> >
> >
> > Saya bukan dokter, namun pernah dengar, kalau ingin mempunyai anak
> perempuan, orangtuanya jangan banyak memakan daging, tetapi banyak
> memakan sayuran dan sebaliknya.
> >
> > Salam.
> >
> > ----- Original Message -----
> > From: B171 DUA
> > To: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com> <mailto:dokter_umum%40yahoogroups.com>
> > Sent: Friday, August 06, 2010 3:11 PM
> > Subject: [Dokter Umum] Boleh share dong bagaimana merencanakan agar
> mendapat anak perempuan?
> >
> > Boleh dishare dong yang pernah pengaalaman, bagaimana agar mendapat
> anak
> > perempuan ?
> > Saya sudah ada 2 anak semua laki-laki (9thn & 4 thn) ingin nambah namun
> > ingin sekali dapat anak perempuan.
> > Walau semua karunia Tuhan namun mungkin kita bisa usaha bagaimana
> > perencanaan agar mendapat anak perempuan.
> >
> > Trims & Salam,
> > Gus
> >
> > [Non-text portions of this message have been removed]
> >
> >
> >
> >
> >
> > [Non-text portions of this message have been removed]
> >
>
>
--
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Re: Boleh share dong bagaimana merencanakan agar mendapat anak perem <http://groups.yahoo.com/group/dokter_umum/message/22537;_ylc=X3oDMTJybzEwdGp1BF9TAzk3MzU5NzE1BGdycElkAzgyMDQ0MDkEZ3Jwc3BJZAMxNzA1MDYxMTA0BG1zZ0lkAzIyNTM3BHNlYwNkbXNnBHNsawN2bXNnBHN0aW1lAzEyODEzNzU5MTM->
Posted by: "grace suraji"
grace_suraji@yahoo.com <mailto:grace_suraji@yahoo.com?Subject= Re%3A%20Boleh%20share%20dong%20bagaimana%20merencanakan%20agar%20mendapat%20anak%20perem>
grace_suraji
<http://profiles.yahoo.com/grace_suraji>
Sun Aug 8, 2010 10:41 pm (PDT)
Ayahnya harus makan banyak sayur juga, ini pengalaman saya sendiri ketika ingin anak ke 2 perempuan karena anak 1 sudah laki-2, jadi selama 6 bulan suami saya menunya berubah drastis makannya capcai, lalap, gado-2 untung ga lama saya hamil dan anaknya perempuan selain itu juga suhu isteri harus dipantau, kami konsultasi dengan dokter kandungan dan dikasih tahu teorinya, tinggal dipraktekin, juga jadwal haid dikasih tahu ke dokter kandungan dan dokter nanti yang hitung hari-2 subur dimana bisa berhubungan suami isteri, tentunya doa juga sama Tuhan, usaha dan doa, Tuhan yang menentukan..
Salam,
grace y.s.
--- On Sun, 8/8/10, syane_marlina <syane_marlina@yahoo.com <mailto:syane_marlina%40yahoo.com> > wrote:
From: syane_marlina <syane_marlina@yahoo.com <mailto:syane_marlina%40yahoo.com> >
Subject: [Dokter Umum] Re: Boleh share dong bagaimana merencanakan agar mendapat anak perempuan?
To: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com>
Date: Sunday, August 8, 2010, 7:51 PM
Â
biasanya ibu nya hrs byk mkn sayur an buah2 an tiap hari rutin semua jenis sayur..anak saya 2 ce smua krn emang dr dulu saya g suka mkn daging y..tiap hr psti ada sayur..dmkian sebalik nya tmn2 saya klo ga suka mkn sayur,anaknya laki smua.
tp klo mo progrm cb ty aja dktr kndungan skrg 80% bs kok direncanakan.
semoga membantu,thx
syane
--- In dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com> , "B171 DUA" <bungaoc@...> wrote:
>
> Hmm orng tua yang bapaknya atau ibunya ya? apa keduanya?
>
> Salam,
> gus
>
> ----- Original Message -----
> From: Henkie Basuki Djayapranata
> To: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com>
> Sent: Friday, August 06, 2010 6:53 PM
> Subject: Re: [Dokter Umum] Boleh share dong bagaimana merencanakan agar mendapat anak perempuan?
>
>
>
> Saya bukan dokter, namun pernah dengar, kalau ingin mempunyai anak perempuan, orangtuanya jangan banyak memakan daging, tetapi banyak memakan sayuran dan sebaliknya.
>
> Salam.
>
> ----- Original Message -----
> From: B171 DUA
> To: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com>
> Sent: Friday, August 06, 2010 3:11 PM
> Subject: [Dokter Umum] Boleh share dong bagaimana merencanakan agar mendapat anak perempuan?
>
> Boleh dishare dong yang pernah pengaalaman, bagaimana agar mendapat anak
> perempuan ?
> Saya sudah ada 2 anak semua laki-laki (9thn & 4 thn) ingin nambah namun
> ingin sekali dapat anak perempuan.
> Walau semua karunia Tuhan namun mungkin kita bisa usaha bagaimana
> perencanaan agar mendapat anak perempuan.
>
> Trims & Salam,
> Gus
>
> [Non-text portions of this message have been removed]
>
>
>
>
>
> [Non-text portions of this message have been removed]
>
[Non-text portions of this message have been removed]
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Re: Boleh share dong bagaimana merencanakan agar mendapat anak perem <http://groups.yahoo.com/group/dokter_umum/message/22538;_ylc=X3oDMTJydjJxODJoBF9TAzk3MzU5NzE1BGdycElkAzgyMDQ0MDkEZ3Jwc3BJZAMxNzA1MDYxMTA0BG1zZ0lkAzIyNTM4BHNlYwNkbXNnBHNsawN2bXNnBHN0aW1lAzEyODEzNzU5MTM->
Posted by: "yulian kamil"
yuliankml@yahoo.com <mailto:yuliankml@yahoo.com?Subject= Re%3A%20Boleh%20share%20dong%20bagaimana%20merencanakan%20agar%20mendapat%20anak%20perem>
yuliankml
<http://profiles.yahoo.com/yuliankml>
Mon Aug 9, 2010 12:27 am (PDT)
Kira-kira 2-3 bulan lalu saya dan Istri juga tanya cara agar mendapat anak cewek
ke dokter kandungan di RSB Duren Tiga.
Caranya gini kata dokter.... maaf yah sblmnya.. jadi vagina istri dicipratin
cuka (asam) sedikit saja sebelum berhubungan, karena asam akan membunuh sperma
bakal cowok (sperma kan ada; yaitu sperma bakal cowok dan sperma bakal cewek).
Kami sempat lakukin cara ini beberapa kali tapi sampe sekarang belum isi juga
(mungkin uda 2-3 akhirnya kedapetan haid lagi), akhirnya skrg cukanya kelupaan
terus (pasrah deh sama YME).
Itu aja yah, believe it or not, silakan tanya lagi ke dokter kandungan langsung
yg terpecaya... Jadiin masukan aja yah...! Semoga Bpk/Ibu yang pengen punya anak
cewek segera tercapai, juga semoga anak kami yang kedua nanti cewek juga,
hehee.. aminnn...
Â
________________________________
From: grace suraji <grace_suraji@yahoo.com <mailto:grace_suraji%40yahoo.com> >
To: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com>
Sent: Mon, August 9, 2010 11:34:59 AM
Subject: Re: [Dokter Umum] Re: Boleh share dong bagaimana merencanakan agar
mendapat anak perempuan?
Â
Ayahnya harus makan banyak sayur juga, ini pengalaman saya sendiri ketika ingin
anak ke 2 perempuan karena anak 1 sudah laki-2, jadi selama 6 bulan suami saya
menunya berubah drastis makannya capcai, lalap, gado-2 untung ga lama saya hamil
dan anaknya perempuan selain itu juga suhu isteri harus dipantau, kami
konsultasi dengan dokter kandungan dan dikasih tahu teorinya, tinggal
dipraktekin, juga jadwal haid dikasih tahu ke dokter kandungan dan dokter nanti
yang hitung hari-2 subur dimana bisa berhubungan suami isteri, tentunya doa juga
sama Tuhan, usaha dan doa, Tuhan yang menentukan..
Salam,
grace y.s.
--- On Sun, 8/8/10, syane_marlina <syane_marlina@yahoo.com <mailto:syane_marlina%40yahoo.com> > wrote:
From: syane_marlina <syane_marlina@yahoo.com <mailto:syane_marlina%40yahoo.com> >
Subject: [Dokter Umum] Re: Boleh share dong bagaimana merencanakan agar mendapat
anak perempuan?
To: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com>
Date: Sunday, August 8, 2010, 7:51 PM
Â
biasanya ibu nya hrs byk mkn sayur an buah2 an tiap hari rutin semua jenis
sayur..anak saya 2 ce smua krn emang dr dulu saya g suka mkn daging y..tiap hr
psti ada sayur..dmkian sebalik nya tmn2 saya klo ga suka mkn sayur,anaknya laki
smua.
tp klo mo progrm cb ty aja dktr kndungan skrg 80% bs kok direncanakan.
semoga membantu,thx
syane
--- In dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com> , "B171 DUA" <bungaoc@...> wrote:
>
> Hmm orng tua yang bapaknya atau ibunya ya? apa keduanya?
>
> Salam,
> gus
>
> ----- Original Message -----
> From: Henkie Basuki Djayapranata
> To: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com>
> Sent: Friday, August 06, 2010 6:53 PM
> Subject: Re: [Dokter Umum] Boleh share dong bagaimana merencanakan agar
>mendapat anak perempuan?
>
>
>
> Saya bukan dokter, namun pernah dengar, kalau ingin mempunyai anak perempuan,
>orangtuanya jangan banyak memakan daging, tetapi banyak memakan sayuran dan
>sebaliknya.
>
> Salam.
>
> ----- Original Message -----
> From: B171 DUA
> To: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com>
> Sent: Friday, August 06, 2010 3:11 PM
> Subject: [Dokter Umum] Boleh share dong bagaimana merencanakan agar mendapat
>anak perempuan?
>
> Boleh dishare dong yang pernah pengaalaman, bagaimana agar mendapat anak
> perempuan ?
> Saya sudah ada 2 anak semua laki-laki (9thn & 4 thn) ingin nambah namun
> ingin sekali dapat anak perempuan.
> Walau semua karunia Tuhan namun mungkin kita bisa usaha bagaimana
> perencanaan agar mendapat anak perempuan.
>
> Trims & Salam,
> Gus
>
> [Non-text portions of this message have been removed]
>
>
>
>
>
> [Non-text portions of this message have been removed]
>
[Non-text portions of this message have been removed]
[Non-text portions of this message have been removed]
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Re: Boleh share dong bagaimana merencanakan agar mendapat anak perem <http://groups.yahoo.com/group/dokter_umum/message/22541;_ylc=X3oDMTJyZ3QycDRzBF9TAzk3MzU5NzE1BGdycElkAzgyMDQ0MDkEZ3Jwc3BJZAMxNzA1MDYxMTA0BG1zZ0lkAzIyNTQxBHNlYwNkbXNnBHNsawN2bXNnBHN0aW1lAzEyODEzNzU5MTM->
Posted by: "B171 DUA"
bungaoc@gmail.com <mailto:bungaoc@gmail.com?Subject= Re%3A%20Boleh%20share%20dong%20bagaimana%20merencanakan%20agar%20mendapat%20anak%20perem>
Mon Aug 9, 2010 2:05 am (PDT)
Trims, ada yg pernah pake kalender tiongkok gak ??
Salam,
Gus
yulian kamil wrote:
>
>
> Kira-kira 2-3 bulan lalu saya dan Istri juga tanya cara agar mendapat
> anak cewek
> ke dokter kandungan di RSB Duren Tiga.
>
> Caranya gini kata dokter.... maaf yah sblmnya.. jadi vagina istri
> dicipratin
> cuka (asam) sedikit saja sebelum berhubungan, karena asam akan
> membunuh sperma
> bakal cowok (sperma kan ada; yaitu sperma bakal cowok dan sperma bakal
> cewek).
> Kami sempat lakukin cara ini beberapa kali tapi sampe sekarang belum
> isi juga
> (mungkin uda 2-3 akhirnya kedapetan haid lagi), akhirnya skrg cukanya
> kelupaan
> terus (pasrah deh sama YME).
>
> Itu aja yah, believe it or not, silakan tanya lagi ke dokter kandungan
> langsung
> yg terpecaya... Jadiin masukan aja yah...! Semoga Bpk/Ibu yang pengen
> punya anak
> cewek segera tercapai, juga semoga anak kami yang kedua nanti cewek juga,
> hehee.. aminnn...
>
>
>
>________________________________
> From: grace suraji <grace_suraji@yahoo.com <mailto:grace_suraji%40yahoo.com>
> <mailto:grace_suraji%40yahoo.com>>
> To: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com> <mailto:dokter_umum%40yahoogroups.com>
> Sent: Mon, August 9, 2010 11:34:59 AM
> Subject: Re: [Dokter Umum] Re: Boleh share dong bagaimana merencanakan
> agar
> mendapat anak perempuan?
>
>
> Ayahnya harus makan banyak sayur juga, ini pengalaman saya sendiri
> ketika ingin
> anak ke 2 perempuan karena anak 1 sudah laki-2, jadi selama 6 bulan
> suami saya
> menunya berubah drastis makannya capcai, lalap, gado-2 untung ga lama
> saya hamil
> dan anaknya perempuan selain itu juga suhu isteri harus dipantau, kami
> konsultasi dengan dokter kandungan dan dikasih tahu teorinya, tinggal
> dipraktekin, juga jadwal haid dikasih tahu ke dokter kandungan dan
> dokter nanti
> yang hitung hari-2 subur dimana bisa berhubungan suami isteri,
> tentunya doa juga
> sama Tuhan, usaha dan doa, Tuhan yang menentukan..
>
> Salam,
>
> grace y.s.
>
> --- On Sun, 8/8/10, syane_marlina <syane_marlina@yahoo.com <mailto:syane_marlina%40yahoo.com>
> <mailto:syane_marlina%40yahoo.com>> wrote:
>
> From: syane_marlina <syane_marlina@yahoo.com <mailto:syane_marlina%40yahoo.com>
> <mailto:syane_marlina%40yahoo.com>>
> Subject: [Dokter Umum] Re: Boleh share dong bagaimana merencanakan
> agar mendapat
> anak perempuan?
> To: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com> <mailto:dokter_umum%40yahoogroups.com>
> Date: Sunday, August 8, 2010, 7:51 PM
>
>
>
> biasanya ibu nya hrs byk mkn sayur an buah2 an tiap hari rutin semua
> jenis
> sayur..anak saya 2 ce smua krn emang dr dulu saya g suka mkn daging
> y..tiap hr
> psti ada sayur..dmkian sebalik nya tmn2 saya klo ga suka mkn
> sayur,anaknya laki
> smua.
>
> tp klo mo progrm cb ty aja dktr kndungan skrg 80% bs kok direncanakan.
>
> semoga membantu,thx
>
> syane
>
> --- In dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com>
> <mailto:dokter_umum%40yahoogroups.com>, "B171 DUA" <bungaoc@...> wrote:
>
> >
>
> > Hmm orng tua yang bapaknya atau ibunya ya? apa keduanya?
>
> >
>
> > Salam,
>
> > gus
>
> >
>
> > ----- Original Message -----
>
> > From: Henkie Basuki Djayapranata
>
> > To: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com> <mailto:dokter_umum%40yahoogroups.com>
>
> > Sent: Friday, August 06, 2010 6:53 PM
>
> > Subject: Re: [Dokter Umum] Boleh share dong bagaimana merencanakan agar
> >mendapat anak perempuan?
>
> >
>
> >
>
> >
>
> > Saya bukan dokter, namun pernah dengar, kalau ingin mempunyai anak
> perempuan,
> >orangtuanya jangan banyak memakan daging, tetapi banyak memakan
> sayuran dan
> >sebaliknya.
>
> >
>
> > Salam.
>
> >
>
> > ----- Original Message -----
>
> > From: B171 DUA
>
> > To: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com> <mailto:dokter_umum%40yahoogroups.com>
>
> > Sent: Friday, August 06, 2010 3:11 PM
>
> > Subject: [Dokter Umum] Boleh share dong bagaimana merencanakan agar
> mendapat
> >anak perempuan?
>
> >
>
> > Boleh dishare dong yang pernah pengaalaman, bagaimana agar mendapat
> anak
>
> > perempuan ?
>
> > Saya sudah ada 2 anak semua laki-laki (9thn & 4 thn) ingin nambah namun
>
> > ingin sekali dapat anak perempuan.
>
> > Walau semua karunia Tuhan namun mungkin kita bisa usaha bagaimana
>
> > perencanaan agar mendapat anak perempuan.
>
> >
>
> > Trims & Salam,
>
> > Gus
>
> >
>
> > [Non-text portions of this message have been removed]
>
> >
>
> >
>
> >
>
> >
>
> >
>
> > [Non-text portions of this message have been removed]
>
> >
>
> [Non-text portions of this message have been removed]
>
> [Non-text portions of this message have been removed]
>
>
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5a.
Re: Keluhan tulang belakang. <http://groups.yahoo.com/group/dokter_umum/message/22531;_ylc=X3oDMTJyOXJvZzRkBF9TAzk3MzU5NzE1BGdycElkAzgyMDQ0MDkEZ3Jwc3BJZAMxNzA1MDYxMTA0BG1zZ0lkAzIyNTMxBHNlYwNkbXNnBHNsawN2bXNnBHN0aW1lAzEyODEzNzU5MTM->
Posted by: "Syane Marlina"
syane_marlina@yahoo.com <mailto:syane_marlina@yahoo.com?Subject= Re%3A%20Keluhan%20tulang%20belakang%2E>
syane_marlina
<http://profiles.yahoo.com/syane_marlina>
Sun Aug 8, 2010 8:43 pm (PDT)
salam kenal,
sama mbak saya tiap bangun tidur malah,dulu saya sdh prnh share ke milis..
ada yg blg krg minum,klo mo tdr diks balsem dl,krg kalsium,hrs mnm susu.
klo mbak krja diblkg meja mgkn,selang bbrp jam hrs rileks,berdiri bentar,br krja
lg
jgn lupa byk mnm air putih y..
smga membantu.
thx.
syane
________________________________
From: "sabrinawattimena@yahoo.co.id <mailto:sabrinawattimena%40yahoo.co.id> " <sabrinawattimena@yahoo.co.id <mailto:sabrinawattimena%40yahoo.co.id> >
To: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com>
Sent: Sat, August 7, 2010 12:25:48 PM
Subject: [Dokter Umum] Keluhan tulang belakang.
Selamat siang rekan2 sekalian. Saya beberapa kali mengalami keluhan di tulang
belakang khususnya di punggung. Rasa sakit yang ada hampir menyerupai pegal2.
Apa ada yang bisa bantu untuk obat maupun therapy yang bisa dilakukan.
sekedar informasi.umur saya 25 thn dan saya bekerja dengan rutinitas di belakang
meja dan sering duduk kadang bisa sampai 8 jam sehari.
Terima kasih, dan saya minta tolong bantuannya. Terima kasih.
Sent from my BlackBerry®
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6a.
PENYAKIT LUPUS <http://groups.yahoo.com/group/dokter_umum/message/22532;_ylc=X3oDMTJycTI4MWY2BF9TAzk3MzU5NzE1BGdycElkAzgyMDQ0MDkEZ3Jwc3BJZAMxNzA1MDYxMTA0BG1zZ0lkAzIyNTMyBHNlYwNkbXNnBHNsawN2bXNnBHN0aW1lAzEyODEzNzU5MTM->
Posted by: "Yenny Meiliany"
Yenny_Meiliany@bca.co.id <mailto:Yenny_Meiliany@bca.co.id?Subject= Re%3APENYAKIT%20LUPUS>
xiau_yhenie
<http://profiles.yahoo.com/xiau_yhenie>
Sun Aug 8, 2010 8:44 pm (PDT)
Selamat pagi rekan rekan sekalian..
Saya ingin menanyakan mengenai penyakit lupus.. apa itu penyakit lupus..??
apakah bisa disembuhkan? Jika bisa, obat apa yg dapat dikonsumsi agar bisa
sembuh..??
Terima kasih.
:BCA:
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Re: PENYAKIT LUPUS <http://groups.yahoo.com/group/dokter_umum/message/22534;_ylc=X3oDMTJyNXJicWpoBF9TAzk3MzU5NzE1BGdycElkAzgyMDQ0MDkEZ3Jwc3BJZAMxNzA1MDYxMTA0BG1zZ0lkAzIyNTM0BHNlYwNkbXNnBHNsawN2bXNnBHN0aW1lAzEyODEzNzU5MTM->
Posted by: "donny harimurti"
donny@babadbali.com <mailto:donny@babadbali.com?Subject= Re%3A%20PENYAKIT%20LUPUS>
babadbali
<http://profiles.yahoo.com/babadbali>
Sun Aug 8, 2010 9:27 pm (PDT)
Tanya google mbak Yenny,
Keywordnya: erythematosus lupus
Atau baca di sini:
A/l:
http://www.nurseslearning.com/courses/nrp/nrp-1601/course/section1/index.htm
Introduction
This book is for the more than 600,000 women and 60,000 men in the United States who suffer from lupus. I write from firsthand knowledge. I am a nurse and also a lupus patient. As a nurse with lupus, I don't minimize suffering or pretend that only physicians know what is best for the individual. Lupus is a strange and terrible disease. One day a person feels fine and the next day she can't get out of bed. She may have pain so excruciating that she spends the whole night in the bath tub, crying as she works to keep the water as hot as she can stand it. Another night, for no discernible reason, she may feel well enough to go dancing. Lupus may attack a patient's kidneys, heart, or brain, or her only symptoms may be joint pain or that lupus rash on nose and cheeks. Lupus causes depression. So do sortie of the medications that treat lupus. Whatever the symptoms, lupus is a chronic and as yet incurable disease. What is lupus? What are its manifestations and how is it diagnosed? Which physicians specialize in this disease? What medications do they use, and why? What about the alternative or complementary treatments? LUPUS WHAT'S IT ALL ABOUT? answers these questions and many more. Three physicians, lupus specialists, share their thoughts about lupus and lupus patients. Arheumatologist explains what a patient can do to help her physician provide her with the best treatment. An internist, who uses herbal medicine and acupuncture as well as traditional medicine, describes his holistic approach. A research physician shares the exciting research he is doing. Psychological well-being is an essential part of lupus treatment. My co-author, Mary McClure Goulding, an internationally recognized teacher of psychotherapy, presents techniques for improving the quality of life by using breathing exercises, relaxation, imagery, and story-telling. She teaches assertiveness, and how to substitute self-caring for worry and unhappiness. In the chapters, "Your Work Life" and "Your Home Life," everyday issues are presented and discussed, such as short cuts in housework and whether to keep your job or apply for disability benefits, pins a step by step guide to applying for these benefits The mysteries of computer use are made easy, so that readers can join chat groups and get the newest information about lupus. To me the most inspiring section in this book is 44 women and Men with Lupus Tell Their Stones." Each lupus patient is unique, and responds uniquely to this disease. One woman is now able to joke about a honeymoon that ended in her near total paralysis, and tells of her long and successful struggle to regain mobility. Four women, whose kidneys failed, describe their quite different experiences with dialysis. A woman who is legally blind, disabled, and almost seventy years old, survives on only $660 a month Supplemental Security Income, but nevertheless manages to go to college. Some men and women are employed and others have been forced by their illness to quit their jobs. Some have children, some are childless, some have partners, and some live alone. Two women reveal how their marriages were strengthened as their husbands helped them cope with the trauma of lupus. Two women were deserted by husbands who wouldn't tolerate their disease, one while she was hospitalized in the intensive care unit. One woman ended a seven year relationship with her lover, when she realized that she needed a more peaceful life than was possible with him. A man, who couldn't even hold a glass or step over a tiny bump on the sidewalk, put all his effort into an exercise program that made him strong enough to compete again in sailboat races.
These women and men, Mexican-American, Black, Japanese-American, and White, belong to lupus Support groups sponsored by the Lupus Foundation of America. They have become intimate friends, as they tell each other their joy and pain. I am one of them. Although I was a registered nurse when I was diagnosed with lupus, I knew nothing about the disease. My physicians did the right tests and then prescribed the right medications, but when I mentioned that I needed fourteen hours of sleep every day, and that I often cried on the way home from a perfectly fine day at work, their faces went blank. Usually, they changed the subject. I began reading everything that was written on lupus, and started a local support group for lupus patients. I wanted to learn what others did to cope with this disease. It's taken years, but I think I now understand what we lupus patients are going through physically and emotionally, and what we can do to optimize our health. This book is my first, and the writing of it has been demanding and sometimes awesome. It's also been plain fun, especially when my family started sending ideas for book titles: Don't Be A Dufus, Read About Lupus. Thrown For A Lupus? The Straight Poopus On Lupus. The Lupusite's Guide To All Things Lupusitical. And, finally, Ask Not What Your Lupus Can Do For You, Ask What You Can Do For Your Lupus. It is a serious subject, and at times I can laugh about it. My goal is to share what I have learned with lupus patients, families, friends, and health care providers, as well as with ill people who have not yet been diagnosed but think they might have lupus. All of these people are still trying, as I have tried, to find out:
* In the past male pronouns were used to designate men and women. Because most lupus patients are women, in this book the female pronouns may refer to both male and female patients.
Separator
What is Lupus
The official name of Lupus is systemic lupus erythematosus or SLE. It is a chronic, inflammatory disease that affects different parts of your body. For some unknown reason, your auto-immune system has gotten permanently out of whack. In addition to doing its usual jab of attacking germs and other unwelcome invaders in your body, it has begun attacking your body's own tissues. It may be waging war against your skin, glands, bone marrow, blood, connective tissue, or such organs as your kidneys, heart, lungs, or brain.
The symptoms are confusing, contradictory, and ever-changing. You may feel pain in your hands and then in your gut, be very sick for days at a time and then suddenly become almost symptom-free, without having the slightest idea why your symptoms appear or disappear. That's the reason lupus is called "the disease with 1,000 faces." Each person's experience with lupus is unique, as you will see as you read what fourteen women and men say about their lupus in the following section.
What else about lupus?
It is a chronic disease for which there is no known cure. It is not contagious. You didn't get it from someone else, and you can't pass it on to your children, loved ones, or anyone. No one can catch lupus from you.
A few men get lupus, and very rarely lupus shows up in females before adolescence or after menopause; however, more than ninety percent of lupus patients, are women of childbearing age. No one knows why this is true, although researchers suspect that female hormones are in some way involved.
Since lupus is not contagious, why does one person get lupus and not another? Perhaps certain diseases, contracted earlier her in a person's life, may leave her susceptible to lupus. There may be genetic explanations. Lupus may be caused by a virus or a "cluster of viral influences." Environmental causes are a possibility. Researchers are looking carefully at patients' medical histories and also are seeking genetic, environmental, and viral causes. So far, unfortunately, the cause or causes remain undiscovered.
Hereditary factors are difficult to trace, because in the past lupus was rarely diagnosed. Although a very old disease, until quite recently lupus was known only to rheumatologists and the type of physician whose hobby was reading about esoteric illnesses.
Now, every physician in America, and many lay people, know of lupus. In the United States today it is estimated that more than 600,000 women and about 60,000 men have systemic lupus erythematosus. More than 15,000 new cases are diagnosed each year.
Before lupus was well-known, physicians and the general public used to say, "She's just the ailing type," or "She was born weak," or "It's all in her mind." Surely, these remarks did not do much to make the life of a lupus sufferer happier. Imagine what it is like to be unable to get out of bed, or to hurt in every joint, and be told you are just weak or neurotic. Even today women are called "hypochondriacs" when their diseases cannot be diagnosed. A number of these women suffer from lupus.
Lupus is difficult to diagnose because of its changing and contradictory symptoms. No one has all of them, but all lupus patients have some of them from time to time. Most people with lupus have experienced the big four: exhaustion; pain, usually in the joints; sun sensitivity; and that red rash that supposedly reminded a French physician, almost 150 years ago, of "wolf bites on the face." Where in the world did he see people with wolf bites on the face, especially bites that didn't break the skin? Other medical historians believe that he named the disease lupus because the rash looks like the darker shadings on a wolf's face. Anyway, lupus is Latin for wolf.
That French physician wasn't the first to discover lupus. Good old Hippocrates described the rash in about 400 BC.
If you suspect that you may have lupus, read the list of symptoms to see if some of them apply to you.
Malar Rash. This red rash, for which lupus was named, appears over the bridge of the nose and across both cheeks. If you are the type of person who likes to imagine that rashes look like something other than just a rash, its form might remind you of a butterfly. It may be visible for only an hour or two, or for days or weeks. Usually, it comes and goes.
(Some people get a different rash, round and scaly spots that may show up on any part of the body exposed to the sun, though it, too, is most common on the face. If it isn't treated, it may leave white spots or scars. This is a different disease, called discoid lupus.)
Sun Sensitivity. You may notice your rash for the first time after you've been in the sun. You think you have a sunburn, except that it is different from sunburns you've had before. Instead of pealing or turning into a tan, it remains red and may have raised patches. Perhaps you were healthy until you got a mild sunburn, and then the burn turned into welts and your joints began to ache.
The sun is your enemy. Whether or not you have been a sun lover in the past, your days of seeking the perfect tan are over. Even short exposures to the sun may make your symptoms worse. And it's not just bright sun. Any exposure to the sun's UVA and UVB rays, such as those reflected off sidewalks, sand, or snow, are harmful to you. If you are one of the minority of lupus patients whose skin is not sensitive to the sun, you may believe that the sun is good for you, because its heat on your body makes your joints feel better. The truth is, no matter what is happening to your skin, the sun's rays are stimulating the production of auto-antibodies which activate your lupus. You cannot be outside even on cloudy days without a longsleeved shirt, sun hat, and gloves, especially between 11 am and 3 pm, when the sun's rays are strongest. For some people, even prolonged exposure to halogen lights or copy machines may cause a lupus flare.
Pain. Lupus pain may be very mild or may be terrible. "I hurt all over," some say. One adolescent told her physician, "Even my hair hurts." The pain may be sharp, a steady ache, or a burning sensation, and it probably is located, like arthritis, in your joints, especially the joints of hands and fingers. Some people also have swelling and tenderness in their joints. Some have pain in their muscles rather than their joints. The pain may move around. One day it is in your ankle and the next day in the back of your neck, and another day it is everywhere. Or you may be lucky and not have much pain at all. Even if your pain is severe, it is not constant and your physician can prescribe medicine that will bring you relief, so don't despair!
Exhaustion. Exhaustion, like the pain and the rash, comes and goes, and almost always is worse during the early stages of your illness. What's the exhaustion like? In your pre-lupus days, you may have been the sort of person who raced home from work, grabbed a mountain bike and rode ten miles before supper. Or you may have ended the day tired, but able to go to the grocery store, fix supper for the children, and throw a load of laundry in the washer before you collapsed in front of the TV.
Lupus exhaustion is something new. As Tom (chapter 15,) said, "All of a sudden, I got so tired I'd even have to rest on my way back from taking out the garbage. How do you explain to anyone that you can't take out the garbage without resting?"
You may wake up in the morning too tired to get out of bed. Other days you go to work, but you have to lie down almost as soon as you arrive. On the way home from work, you pull over to the side of the road to nap, before you can continue your drive home. On bad days, grocery shopping and cooking are impossible, and doing anything with children beyond reading to them is from another lifetime. You may be too tired even to hold a book.
Again, everyone is different, some people feel vaguely tired, but can carry on their usual activities. One of the strange aspects of this disease is that the exhaustion, for no known reason, comes and goes. You may not be able to get out of bed one day, and the next day you are again energetic.
Later, when you and your doctor have figured out what medications are best for you, and when you have learned some simple ways to reduce stress and care for your body, you'll get back your enthusiasm for living. You still will need lots of sleep. Most people with lupus sleep at least ten hours out of every twenty-four.
There are other symptoms besides the four most prevalent ones:
Depression. Depression is common in lupus patients. Anyone who suffers the pain and exhaustion of lupus might be expected to be depressed, but a lupus depression is more than simply a response to a chronic and very difficult physical illness. It seems to be organically based, meaning that your body produces your depression, just as it also produces rash, exhaustion, or pain. The classic symptom of this type of depression is an overwhelming feeling of despair. Patients may or may not verbalize this despair, but the words that go with such despair are, "There's no hope for me," "Nobody can help me," and "There is nothing worth living for."
In reality, there is help and hope for you, and you'll find much to live for. A lupus depression is curable, but in the midst of your depression, you may not believe this.
Easy Bruising. You don't know that you bumped your arm or leg, until you see your black and blue bruises. Sometimes lupus medication causes this condition, but it may also be a sign that your lupus is attacking the platelets, which allow your blood to clot.
Hair Loss. You notice that your comb or brush are full of hair, and you may find hair on your pillow. This is an occasional occurrence during lupus flares, and won't be continuous.
Fever. Some people run a consistent low-grade fever, perhaps 100 degrees. Others run high fevers that come and go for no apparent reason. Check your temperature when you think you are running a fever.
Chest pain. You may feel a sharp pain in your chest that is not a heart attack. Usually, the cause is inflammation of the connective tissue between your ribs. However, the pain may be due to inflammation of the lining of your heart or your lungs. This needs immediate treatment. A physician can differentiate easily between heart, lung, and connective tissue inflammation.
Edema. If your kidneys are affected, one of the first signs is swelling (edema) of your legs, ankles, and feet. You may see in the mirror that there is also swelling around your eyes. Again, see a physician right away, preferably a nephrologist, a physician who specializes in kidney diseases. Early treatment can save your kidneys.
Cold hands and feet. As with other lupus symptoms, coldness in the extremities can be caused by a variety of physical problems, so it is not by itself a test for lupus. If your fingers turn white when cold, and bright red when warmed, you may have Raynaud's syndrome, or Raynaud's and lupus together.
Dry Eyes and Dry Mouth. This symptom occurs in about ten percent of lupus patients, and sometimes means that your lupus is involved in the glands that produce saliva and tears. You may have Sjogren's syndrome, a different, usually quite mild disease that often accompanies lupus. Or, as with other symptoms, your dry eyes and mouth may be caused by something that has nothing to do with lupus.
Confusion. Driving your car, you suddenly don't know where you are going, or how to navigate streets that in the past you knew well. Routine jobs you've done dozens of times become impossible to figure out. Usually your confusion is shortlived, but for some people it hangs around for a longer time. Some medications can clear up confusion, and others actually cause it. No wonder lupus patients need good doctors and lots of emotional support! If you have symptoms of confusion, you need someone to help think for you, so you don't make precipitons decisions, as Vera (Chapter 9) did, when suddenly she couldn't remember how to run the computer at work. She fled from her job out of fear and shame, instead of taking the sick leave she deserved. In a short time, her memory returned, but it was too late to get her job back.
Neurologists are finding other symptoms in addition to confusion, including inability to remember words, coordination difficulties, and headaches. These symptoms, now grouped together, are called neuropsychiatric lupus.
Pre-Menstrual Flares. Whatever your lupus symptoms, you will probably notice that premenstrual flares are common. Just before your period is due, your symptoms become worse. You'll learn to take special care of yourself, and not plan difficult or taxing activities at this time each month.
Those are the common symptoms of lupus. To know which symptoms apply to you, you need to be aware of your own body and what is going on with it. Perhaps in the past you were a person who took your body for granted. Most people do. From time to time they exercise, go on diets, or lie in the sun to get a good tan, but mostly they don't concern themselves with their bodies. If you have lupus, you must concern yourself with your body. Your life may depend on it.
No one has every symptom, and each of the symptoms, seen alone, can point to problems other than lupus. If you have three or four of these symptoms, or if any one of these symptoms is severe, you'll want a physician to order laboratory tests to help diagnose your illness.
A few people with lupus, especially those who are on steroids for treatment of other diseases, have such minor symptoms that they hardly even know they have the disease. Others feel very ill right from the beginning. In the past, the majority of lupus sufferers died within a few years, but today almost everyone with lupus can live out a full, active life. You can, too, especially if you and your physicians do a good job of taking care of you.
Probably you don't need urging to make an appointment with your physician. Even if in the past you've been the type to avoid doctors, this time you know from your level of pain, fatigue, and general distress that something is very wrong with you.
But when you get to the doctor's office, you may feel much better and your rash may have subsided, You may be a bit embarrassed that you are taking a physician's time with something that has already "gone away." On the other hand, you may be too exhausted and depressed to explain satisfactorily what you are experiencing. It may seem hard to speak convincingly about how much you hurt or how tired you are.
In order to give a complete report to your physician, reread the list of symptoms, and write down all of them that you have experienced, plus any others that are not listed. That way, you'll be able to present a clear picture of what has been going wrong with your body.
Although no one can cure your lupus, much can be done to alleviate your symptoms and prevent permanent damage to your vital organs. Remember, more and more studies and experiments are being undertaken to find new ways to treat systemic lupus erythematosus. In the future, who knows what new treatments or even cures will be available? If you and your physicians do everything possible for your health today, you'll be ready as the newer and better treatment methods arrive.
In the following chapter you will learn more about how physicians diagnose and treat systemic lupus erythematosus. You'll learn which medical specialists you need, and how to find them. You'll learn about medications, as well as complementary or "new age" medicine. In addition, you'll discover many simple, enjoyable, and effective methods for helping yourself.
You'll also get to know some lovely, exciting women and men, who report on how they have managed to live with lupus. Each person describes her particular symptoms, and her own unique methods of coping with problems at home and at work. They are members of lupus support groups, which meet regularly to share information about lupus, and have fun together.
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Finding a Doctor and Getting a Diagnosis
First of all, let's assume that you have some symptoms of lupus, and are looking for a good physician. Perhaps you have a primary care physician. You may want to see this person for your first appointment, or you may have no choice for the first appointment. If you are hurting badly and have frightening symptoms, you don't want to dally around, looking for a new physician. It is understandable that you need someone right now. With luck, you have a primary care physician whom you like and find easy to talk with.
If not, make an appointment with a rheumatologist, because these doctors specialize in diagnosing and treating lupus. Remind yourself that you can choose a new physician at any stage of your treatment. More about that later.
Now you need to prepare for your appointment. In the old days, that meant only that you should take a bath and wear clean, nice underwear so that the doctor would think well of you. That was what your grandmother was told, when she was a child. In her world, her family doctor knew her entire family well, and made treatment decisions that everyone obeyed. In today's world, the practice of medicine is more technical and scientific - - actually, it is far better medicine - - but physicians are busier, may not know your family or you, and they definitely need your help.
You can do your part by gathering the necessary medical information ahead of time. Before your appointment, write down your family medical history, your medical history, a list of past and present medicines that have been prescribed for you, your current symptoms, and your questions about your symptoms. Use four sheets of paper.
On the first sheet, write the significant diseases that members of your family had. If you don't know what is significant, put down all the diseases you remember. Include on the list the causes of death of your grandparents, parents, aunts and uncles, and brothers and sisters.
On the second sheet of paper, write your own medical history. Write the names of all illnesses and all surgeries you have had, with approximate dates, as well as the names and phone numbers of physicians you have seen recently. If you are allergic to any medicine, don't forget to list it, too! List each medicine you are currently taking, the dosage, and how long you have been taking it. Also list medicines that you have taken during the past year or two, and are no longer taking If you are uncertain of the names of these medicines, put all your medicines in a bag and bring them with you.
On the third page, list the symptoms that you have experienced during the past month. Re-read the symptoms listed in the first chapter of this book, to help you remember, and be sure to write down any symptoms that are not on that list. Underline the symptoms that led you to make this appointment, the ones that are especially troublesome or painful.
The fourth sheet of paper, which you need for every visit no matter how often you see a physician, is your list of questions. Always, keep a written list of questions that you want to discuss with your physician. Otherwise, during a brief, hurried appointment, you may forget them.
Now that you have the information your physician will seek, plus your own questions, you need to put yourself in the right frame of mind. Some people are afraid of doctors because of past experiences, or because their parents were afraid. Some go into a doctor's office as if they are peasants being brought before the King or Queen. It is important that you maintain your self-esteem and dignity. Ignorance and poor self-esteem lead to poor treatment and, therefore, a worsening of your symptoms.
Tell yourself, as you walk into the office, "I am not a little child. I am a competent adult." You are not in a physician's office to please the physician, or to prove that you are sweet, lovable, respectful, or brave. Remind yourself that the physician is neither your parent nor your god. You don't have to prove that you are ill. You already know that fact. You are there for the physician to use her* expertise to diagnose your illness correctly and begin treatment. You are there to get relief from your symptoms.
You are keeping an appointment with a physician in order to receive expert help for your body. It is similar to seeking expert help for your home, if the roof leaks or there is a strange odor under the house. Whether you are hiring someone to repair your body or your home, you are in charge. You are talking to a doctor who is your employee, not your judge. And you will decide whether to continue to hire this person or seek another physician.
Someone in the physician's office will ask for your family history and your personal medical history, and, of course, what is troubling you that led you to make this appointment. You will take out your notes, and begin.
(If, after you have been seen by your doctor, she merely suggests 'rest and aspirin," find another doctor immediately. Even today there are physicians who overlook the disease of lupus, or the seriousness of the disease. They still believe that their patients are depressed or hypochondriacal. These doctors should be avoided like the plague!)
Your physician will conduct a physical examination. In addition to the usual physical examination you've had lots of times, this physician will pay special attention to the areas of your complaint. She will be checking for signs of lupus. She will look for oral ulcers, which have the appearance of cold sores and are caused by inflamation. To give an example of the contradictoriness of lupus symptoms: some patients have oral ulcers so small that physicians can't see them, but they hurt so much that patients know exactly where they are; other patients have large, painless ulcers they didn't know existed
The doctor will palpate for tenderness around joints and areas of suspected inflammation. Your legs will be checked for signs of swelling. The doctor will examine your rashes, and order a biopsy if there are welts. Some lupus patients have serositis, which is an inflammation of the linings of heart, lungs, or intestines. The physician will listen through a stethoscope placed on your chest, for abnormal sounds such as those made by fluid, rubs (friction), or murmurs.
After the physical examination, your physician will order lab tests, and prescribe medication for relief of your symptoms. There is no reason for you to keep on hurting. You do not need the results of tests to be given medication for symptomatic relief.
Laboratory work is necessary for diagnosis; lupus is well known for mimicking other diseases, so you may seem to have lupus when in fact you have something else. You need tests that are specifically designed to find the lupus autoantibodies, as well as tests that will specifically rule out rheumatoid arthritis, MDS, Lyme's disease, leukemia and lymphoma, neurologic disorders, tuberculosis, chronic fatigue syndrome, and other diseases.
You may be hospitalized for the laboratory work or you may he able to have the work done as an outpatient, depending on the seventy of your symptoms.
Perhaps your doctor prefers not to order these tests but instead immediately refers you to a specialist: an internist, dermatologist, nephrologist, rheumatologist, neurologist, or cardiologist, depending on your symptoms. The specialist will order these tests.
A complete blood count is necessary. You've had this test before, because it is given as part of mass annual physical exams. This time, the physician is on the alert for a low white blood cell count, low red blood cell count, or a lower than normal level of platelets. A low red count will show that you are anemic, and the cause might be lupus. About half of all lupus patients have a low white count and/or low platelets; which indicates a chronic, active disease.
Blood chemistry tests, which differ from the complete blood count, will be ordered to assess liver and kidney function, nutritional adequacy, and the presence or absence of infection.
ANA (antinuclear antibody test) is performed on serum from your blood. It is an important test for diagnosing lupus. The titer (strength) of the ANA gives an indication of the severity of the patient's disease, as it shows the presence of antinuclear antibodies in the bloodstream. Not all positive ANA tests indicate autoimmune disease; in fact, some perfectly healthy people have a positive ANA. If your ANA is positive and they suspect lupus, more specific autoantibody tests will be performed, such as Anti-Smith, anti-DS DNA to predict which organ systems may become endangered from your lupus.
A urinalysis will be ordered, to check for diabetes as well as to look for the presence of protein, or red or white blood cells in the urine, all of which are signs of impairment of the kidneys. To diagnose lupus nephritis (kidney disorder), the physician will do a urinalysis, including an analysis of a twenty-four hour urine collection, blood studies, and perhaps an X-ray to determine the size and shape of your kidneys. Sometimes a biopsy is needed to assess the extent and severity of kidney disease.
You will be given a serologic test for syphilis. For some reason, a false positive result on this test is an almost sure sign of lupus. A false positive result means that the test says you have syphilis, but you don't have it. On the other hand, you can have a negative result and still have lupus.
Because lyme disease and systemic lupus erythematosus have very similar symptoms, it's a good idea to run the lyme titer test, Unfortunately, some lupus patients get a false positive result, so a follow-up blood test, called Western Bloc, will have to be ordered.
If the results of any of these tests indicate the possible presence of lupus, other tests may he ordered, such as complement level, sedimentation rates, and tests that have names like addresses on E-mail: IMMOO6.JPG, IMMOO7.JKPG, IMMOlO.JPG, etc.
In 1982 the American College of Rheumatology issued the criteria for establishing a diagnosis of Systemic Lupus Erythematosus. Officially, to be diagnosed with SLE a patient must have four of the following eleven criteria, though not necessarily at the same time:
1. Butterfly (Malar) rash
2. Discoid lesions, the reddish, raised patches that leave scars. If this is the only symptom, the diagnosis is discoid lupus rather than SLE.
3. Photosensitivity, specifically, a rash following exposure to sunlight.
4. Ulcerative sores in the mouth.
5. Arthritis with joint pain, tenderness, and swelling.
6. Evidence of either pleuritis or pericarditis: inflammation of the membranes lining the chest cavity or surrounding the heart.
7. Evidence of renal or kidney disorder.
8. Signs of a neurologic disorder: seizures, psychosis, or acute loss of memory, occurring without any other explanation such as drug toxicity or injury.
9. Hematologic abnormalities: specific deficits in various types of blood cells.
10. Immunologic disorders: false-positive reaction to the test for syphilis, positive LE cell test, presence of anti-DNA or anti-SM antibodies. Any one of these constitutes an immunologic disorder.
11. Abnormal level of antinuclear antibodies.
To prepare for your second medical visit, in which you will learn the results of your laboratory work, you should update your list of symptoms and include changes you've experienced in the symptoms, reactions to the medicines you were given, and all of your questions. You should be feeling much better, because at your first visit your doctor will have prescribed medication for the relief of your symptoms.
When you are faced with a potentially serious disease, or when you are feeling very ill, it's hard to concentrate on what a physician is saying. For that reason, it is a good idea to take a friend with you for this important second visit, so that both of you can understand what is being said. It is also a good idea to bring a tape recorder. The two, a friend and a tape recorder, can prove to be invaluable.
Your physician will want to know if your medication has been effective, and if you have had any side effects. She'll tell you the results of your laboratory tests. Perhaps she will order more tests.
Do not pretend to understand your doctor when she uses words that are unfamiliar to you. Ask her what these new words mean. Ask her to use words that you understand. Do not let yourself be intimidated by your own lack of knowledge or your fears of doctors or diseases. If you don't have a tape recorder, write down the laboratory results and the physician's explanation of them. Ask, "And how would I look this up at the library?" Explain that you want to read about your illness. Ask, "Does everyone call this medicine and this disease by these names, or are there other names that lay persons use?" It is important that your physician listen to you, believe you, and address each of your concerns.
If your doctor cannot establish a diagnosis of lupus according to the accepted eleven criteria, she may continue your medication and simply wait to see what develops. She may say you have "a connective tissue disorder," which is a very general term for what way or may not be lupus. That is, of course, frustrating for you, but often symptoms do not point clearly to a diagnosis. Although it is natural to want immediate answers, sometimes they aren't forthcoming, because the tests are not always definitive.
Physicians don't want to label your illness prematurely, treat you for an illness you don't have, or subject you to a false diagnosis that may remain attached to your medical record forever.
Whatever your diagnosis, you may choose to get a second opinion. If your physician is not a specialist in lupus, ask for a consultation with a specialist.
Your local lupus society has a list of physicians who specialize in the treatment of lupus. Get the list, and then ask health professionals in your area, such as nurses or medical social workers, "What doctor would you want for your loved ones, if one of them had the symptoms I have?"
You want a rheumatologist to go over the test results, because rheumatologists specialize in treating patients with lupus. Afterwards, you may continue with that specialist, or seek a different one. If you have severe kidney involvement, you will be referred to a nephrologist, In addition, you may need to see other physicians for specific problems. With neurological disorders you'll be referred to a psychiatrist or neurologist. If you have mouth or jaw pain, see a dentist with experience in treating lupus, because lupus patients' jaws sometimes develop changes that cause great pain until treated by a dentist who knows about this problem.
A few lupus patients develop vasculitis, an inflamation of blood vessels. This can occur in your eyes, kidneys, brain, abdomen, and almost anywhere in your body. If you have eye problems, vasculitis, or are taking the drug Plaquenil you need to regularly consult an opthalmologist who can visualize "cotton wool spots" on the back of your eyes which are caused by vasculitis.
You have a right to the best medical care you can find physicians have chosen their vocation because they want to help people live well. They want to save lives. Basically, they care deeply about their patients' and they have spent hard years learning to do their jobs to the best of their abilities. With a chronic disease, you want to have confidence in your physician, and know that the two of you can work well together. It's going to be a long, difficult road, which is infinitely easier when you travel it with someone you trust.
In the following fourteen chapters, women and men with lupus tell their own unique stories of their struggles with both the symptoms and the disease itself.
* In the past almost all physicians were men. Male pronouns were used when referring non-specifically to men or women. Now many physicians are female, and in this book female pronouns will be used to designate male and female physicians.
Apa Penyakit Lupus Itu?
* Bukan Penyakit Keturunan
Seabad lalu, penyebab penyakit ini diperkirakan adalah karena faktor keturunan, selain faktor hormon dan lingkungan (seperti stres, sinar matahari, infeksi, makanan dan obat-obatan). Namun, kini disimpulkan para ahli bahwa penyebab dari penyakit Lupus adalah bukan merupakan penyakit keturunan!
Penyakit Lupus tidak diturunkan, hanya 5-10% pasien Lupus yang diturunkan dalam keluarga. Sebagian besar (90%) pasien Lupus tidak mempunyai saudara ataupun orangtua yang juga sakit Lupus.
Lebih Banyak Dialami Perempuan
Penyakit Lupus menyerang hampir 90% perempuan. Kini tercatat kurang lebih sekitar 5 juta pasien Lupus tersebar di seluruh dunia dan setiap tahunnya bertambah sebanyak 100.000 pasien baru.
Data di Amerika menunjukkan angka kejadian penyakit Lupus Ras Asia lebih tinggi dibandingkan ras Kaukasia. Di Indonesia jumlah penderita Lupus yang tercatat sebagai anggota YLI 789 orang, tetapi bila kita melakukan pendataan lebih seksama jumlah pasien Lupus di Indonesia akan lebih besar dari Amerika ( 1.500.000 orang).
Siapa saja yang bisa terserang Lupus? Lupus seringkali disebut " penyakit wanita " meskipun faktanya laki- laki juga ada yang terkena. Lupus dapat diturunkan pada semua umur, namun sebagian besar pasien ditemukan pada perempuan usia produktif. Sembilan dari 10 orang dengan Lupus (Odapus) adalah wanita. Alasan mengapa Lupus lebih banyak menyerang kaum perempuan produktif? Hingga saat ini belum diketahui pasti apa penyebabnya. Jumlah terbesar penderitanya dialami oleh perempuan di usia belasan tahun (yang sudah mendapatkan menstruasi)
Selain itu penyakit Lupus juga berhubungan dengan "hormon estrogen" yang banyak di produksi oleh perempuan. Tapi, secara pasti, penyakit Lupus ini (jarang) ditemukan pada anak-anak usia balita atau wanita menopouse. Pada perempuan usia subur dengan laki-laki perbandingannya adalah : 10 : 1 dan perbandingan ini akan mengecil pada kelompok perempuan usia menopuse.
Karena dialami oleh perempuan di usia subur, penyakit Lupus ini dapat menganggu kehamilan (terjadinya abortus, gangguan perkembangan janin/bayi mati sebelum dilahirkan). Terdapat peningkatan risiko dari aktivitas penyakit selama 3 atau 4 minggu setelah kehamilan.. Ada pula penyakit Lupus yang baru dijumpai pada saat kehamilan atau setelah melahirkan. Tetapi hal ini bukan berarti kaum perempuan harus ketakutan untuk mendapatkan keturunan. Kesuburan perempuan dengan Lupus tidak berpengaruh edngan penyakitnya. Data YLI menyebutkan banyak Odapus yang bisa memperoleh keturunan dengan keadaan bayi dalam kondisi sehat.
Bagi kaum perempuan yang mengalami Lupus diperbolehkan untuk hamil, memperoleh keturunan, di bawah pengawasan dokter secara penuh. Para dokter umumnya akan menganjurkan bagi pasien Lupus yang berat, apabila sudah memiliki anak sebaiknya tidak memiliki anak lagi selama masa kehamilan harus selalu kontrol secara teratur ke dokter ahli pemerhati Lupus untuk Lupusnya dan dokter kandungan untuk kehamilannya.
Masih Misterius
Penyakit Lupus sampai sekarang ini masih misterius. Walaupun penyakit ini sudah terdeteksi selama 150 tahun lebih tapi hingga kini belum diketahui secara pasti apa penyebabnya dan cara penyembuhan secara tuntas. Selama ini upaya yang dilakukan para tim medis – hanya sebatas untuk menekan – mengurangi gejala lupus . Bahkan rumah sakit yang khusus menangani penyakit ini belum tersedia- masih sebatas rumah sakit atas rujukan dokter setempat. Sehingga Lupus dianggap sebagai penyakit autoimmune disease yang paling menonjol beberapa tahun belakangan ini.
Definisi Lupus
Lupus adalah penyakit kronik / menahun, merupakan penyakit daya tahan tubuh atau disebut penyakit "autoimun" artinya kekebalan / perlindungan (immune) terhadap jaringan tubuh sendiri ( auto ). Pada manusia normal, sistim kekebalan tubuh akan membuat antibodi yang berfungsi untuk melindungi tubuh dari berbagai macam virus, kuman, atau bakteri dan benda – benda asing lainnya.Benda – benda asing ini disebut antigen. Pada penyakit autoimune seperti Lupus, sisitim kekebalan kehilangan kemampuan untuk melihat perbedaan antara substansi asing dengan sel dan jaringan tubuh sendiri. Pada Lupus produksi antibodi ini terlalu berlebihan. Sayangnya saking berlebihan antibodi ini tidak "menyerang" pada "kuman atau musuhnya" tetapi justru "menyerang" sistim kekebalan sel dan jaringan tubuh sendiri. Antibodi seperti ini disebut "auto-antibodi" bereaksi dengan antigen "sendiri" membentuk kompleks imun .Kompleks imun yang terdapat dalam jaringan dapat menyebabkan peradangan, luka pada jaringanan rasa sakit. Sistim kekebalan ini tidak mengenal mana teman mana lawan,.
Lupus dikatakan "great imitator"(peniru yang ulung) / "mimikri" (menyerupai penyakit lain), bukan satu jenis penyakit, amat heterogen. Gejala Lupus dapat terjadi dari ringan sampai berat. Gejala pada sebagian Odapus cukup ringan. Sedangkan bagi yang lainnya, lupus bisa menjadi masalah serius dan dapat berakibat fatal bahkan mengancam kelangsungan hidupnya
Penyebab Penyakit Lupus
Penyebab munculnya penyakit Lupus ini hingga kini masih belum diketahui secara pasti "apa penyebab"nya. Namun yang pasti gejala – gejala umum dari penyakit lupus ini bervariasi, mulai dari gejala yang ringan (hanya mengenai bagian kulit dan persendian) sampai pada gejala serius yang dapat mengancam jiwa manusia jika lupus menyerang organ vital. Karena itu kenalilah semenjak dini bila anda merasakan adanya keluhan dari gejala – gejala umum yang terdapat penyakit lupus.
Perlu diingat bahwa Lupus adalah "Bukan" penyakit menular, bukan penyakit AIDS, bukan penyakit kelamin serta bukan penyakit kanker. Lupus adalah penyakit kelainan antibodi .
Pada penyakit Lupus :
n Sistem kekebalan tubuh (zat antibodi-nya) justru menyerang diri sendiri dan menjadi perusak sehingga menimbulkan gejala Lupus. Dengan kata lain, penyakit Lupus ini disebut sebagai autoimun = sistem kekebalan tubuh tidak mengenal mana teman atau lawan. ( Kelebihan antibodi)
* Bukan jenis penyakit virus, kuman atau bakteri.
* Faktor penyebab munculnya gejala Lupus hingga kini belum diketahui dengan pasti.
* Lebih banyak perempuan dibandingkan dengan laki-laki.
* Sebagian besar ditemukan pada perempuan usia produktif.
* Apabila terjadi infeksi, masih bisa diobati.
* Bukan jenis penyakit menular.
Jenis-Jenis Penyakit Lupus
Jenis-jenis penyakit Lupus ada 3 yaitu :
1. Discoid Lupus – organ tubuh yang terkena hanya bagian kulit!
Dapat dikenali dari ruam yang muncul dimuka, leher dan kulit kepala, ruam di sekujur tubuh, berwarna kemerahan, bersisik, kadang gatal. Pada Lupus jenis ini dapat didiagnosa dengan menguji biopsi dari ruam. Pada discoid lupus hasil biopsi akan terlihat ketidak normalan yang ditemukan pada kulit tanpa ruam. Dan, jenis ini pada umumnya tidak melibatkan organ-organ tubuh bagian dalam. Oleh karena itu, tes ANA (pemeriksaan darah yang digunakan untuk mengetahui keberadaan sistemik lupus – hasilnya bisa saja bersifat negatif pada pasien pengidap discoid lupus. Akan tetapi pada sebagian besar pasien dengan jenis discoid lupus – hasil pemeriksaan ANA-nya positif, tetapi masih dalam tingkatan atau titer yang rendah.
10% pasien Discoid dapat menjadi SLE.
2. Drug-Induced Lupus – lupus yang timbul akibat efek samping obat.
Pada lupus jenis ini baru muncul setelah odapus menggunakan jenis obat tertentu dalam jangka waktu yang panjang. Ada 38 jenis obat yang dapat menyebabkan Drug Induced. Salah satu contoh faktor yang mempengaruhi DIL adalah akibat penggunaan obat-obatan hydralazine( untuk mengobati darah tinggi ) dan procainamide ( untuk mengobati detak jantung yang tidak teratur ). Tapi tidak semua penderita yang menggunakan obat-obatan ini akan berkembang menjadi drug induced Lupus, hanya sekitar 4% orang-orang yang menggunakan obat-obatan tersebut yang akan berkembang menjadi drug induced dan gejala akan mereda apabila obat-obatan tersebut dihentikan.Gejala dari drug-induced lupus (DIL) serupa dengan sistemik lupus. Umumnya gejala akan hilang dalam jangka waktu 6 bulan setelah obat dihentikan. Pemeriksaan Tes AntiNuclear Antibody ( ANA ) dapat tetap positif.
3. Sistemic Lupus Erythematosus.
Lupus ini lebih berat dibandingkan dengan discoid lupus – karena gejalanya menyerang banyak organ tubuh atau sistim tubuh pasien Lupus. Pada sebagian orang hanya kulit dan sendinya saja yang terkena , akan tetapi pada sebagian pasien lupus lainnya menyerang organ vital organ: Jantung – Paru, Ginjal, Syaraf, Otak.
Namun perlu dicatat : Umumnya tidak ditemukan adanya dua orang odapus terkena Sistemik lupus dengan gejala yang persis sama.
Lupus sistemik bisa masuk periode dimana, jika ada, gejalanya membaik (remisi), dan dilain waktu penyakit dapat menjadi lebih aktif ( flare up ).Gejala dari yang paling ringan sampai yang paling berat.
Faktor Penyebab Lupus
Faktor penyebab terserangnya seseorang terhadap penyakit Lupus hingga kini belum diketahui, tetapi pengaruh lingkungan dan faktor genetik, hormon diduga sebagai penyebabnya.
Faktor Genetik : Tidak diketahui gen atau gen – gen apa yang menjadi penyebab penyakit tersebut, 10% dalam keluarga Lupus mempunyai keluarga dekat ( orang tua atau kaka adik ) yang juga menderita lupus, 5% bayi yang dilahirkan dari penderita lupus terkena lupus juga, bila kembar identik, kemungkinan yang terkena Lupus hanya salah satu dari kembar tersebut.
Faktor lingkungan sangat berperan sebagai pemicu Lupus, misalnya : infeksi, stress, makanan, antibiotik (khususnya kelompok sulfa dan penisilin), cahaya ultra violet (matahari) dan penggunaan obat – obat tertentu.
Faktor hormon, dapat menjelaskan mengapa kaum perempuan lebih sering terkena penyakit lupus dibandingkan dengan laki-laki. Meningkatnya angka pertumbuhan penyakit Lupus sebelum periode menstruasi atau selama masa kehamilan mendukung keyakinan bahwa hormon, khususnya ekstrogen menjadi penyebab pencetus penyakit Lupus. Akan tetapi hingga kini belum diketahui jenis hormon apa yang menjadi penyebab besarnya prevalensi lupus pada perempuan pada periode tertentu yang menyebabkan meningkatnya gejala Lupus masih belum diketahui.
Lupus sering kali disebut sebagai "penyakit perempuan", meskipun faktanya ada juga laki-laki yang terkena Lupus. Lupus dapat terjadi pada semua usia anak, dewasa.
Walaupun terjadinya penyakit Lupus10-15 kali lebih banyak terjadi pada perempuan usia produktif dibandingkan dengan laki-laki. Gejala penyakit Lupus pada perempuan dan laki-laki pada umumnya adalah sama. Tetapi risiko timbulnya Lupus pada perempuan dewasa usia subur 8 kali lebih tinggi bila dibandingkan dengan laki-laki dewasa. Beberapa data menunjukkan insiden penyakit Lupus ras Asia lebih tinggi dibandingkan ras Kaukasia.
Faktor sinar matahari adalah salah satu kondisi yang dapat memperburuk gejala Lupus. Diduga oleh para dokter bahwa sinar matahari memiliki banyak ekstrogen sehingga mempermudah terjadinya reaksi autoimmune. Tetapi bukan berarti bahwa penderita hanya bisa keluar pada malam hari. Pasien Lupus bisa saja keluar rumah sebelum pukul 09.00 atau sesudah pukul 16.00 dan disarankan agar memakai krim pelindung dari sengatan matahari. Teriknya sinar matahari di negara tropis seperti Indonesia, merupakan faktor pencetus kekambuhan bagi para pasien yang peka terhadap sinar matahari dapat menimbulkan bercak-bercak kemerahan di bagian muka.kepekaan terhadap sinar matahari (photosensitivity) sebagai reaksi kulit yang tidak normal terhadap sinar matahari.
Empat puluh hingga 60% pasien SLE adalah rentan terhadap photosensitive. Terkena cahaya matahari secara berlebihan diperkirakan sebagai faktor pemicu serangan dari penyakit SLE dan memperburuk cutaneous (discoid) lupus.
Pasien Lupus, harus menyadari bahwa sinar matahari adalah "musuh" bagi mereka. Gaya hidup yang sensitif akan memperkecil tekena dari sengatan sinar UV yang berlebihan. Aktivitas di luar gedung sebaiknya diselesaikan sebelum jam 10 pagi dan setelah jam 2 siang – saat cahaya UV kurang begitu menyengat. Pasien Lupus sebaiknya tidak berjemur atau berpanas-panas dan tidak membuat kulitnya menjadi coklat terbakar sinar matahari.
Karena itu gunakan pelindungmatahari yang dapat menghambat cahaya matahari (sunblock) dan yang menahancahaya matahari (sunscreens). Penghambatcahaya matahari (sunblock) .
Regards,
Care For Lupus, Your Craing saves Lives
Semoga membantu.
Salam
Donny Harimurti
Note Mod:
Saya merubah ke link yg lebih informative lengkap dg berbagai kendala lupus dibandingkan yg di postkan oleh Hari yg disadurkan dari Care For Lupus, Your Craing saves Lives. Sallam,
-----Original Message-----
From: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com> [mailto:dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com> ]
On Behalf Of Yenny Meiliany
Sent: Monday, August 09, 2010 11:40 AM
To: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com>
Subject: [Dokter Umum] PENYAKIT LUPUS
Selamat pagi rekan rekan sekalian..
Saya ingin menanyakan mengenai penyakit lupus.. apa itu penyakit
lupus..??
apakah bisa disembuhkan? Jika bisa, obat apa yg dapat dikonsumsi agar
bisa
sembuh..??
Terima kasih.
:BCA:
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Re: PENYAKIT LUPUS <http://groups.yahoo.com/group/dokter_umum/message/22535;_ylc=X3oDMTJycWtwNHBsBF9TAzk3MzU5NzE1BGdycElkAzgyMDQ0MDkEZ3Jwc3BJZAMxNzA1MDYxMTA0BG1zZ0lkAzIyNTM1BHNlYwNkbXNnBHNsawN2bXNnBHN0aW1lAzEyODEzNzU5MTM->
Posted by: "Hansen Nugraha"
hansen.nugraha@gmail.com <mailto:hansen.nugraha@gmail.com?Subject= Re%3A%20PENYAKIT%20LUPUS>
Sun Aug 8, 2010 10:37 pm (PDT)
Penyakit LUPUS adalah penyakit baru yang mematikan setara dengan kanker.
Tidak sedikit pengindap penyakit ini tidak tertolong lagi, di dunia
terdeteksi penyandang penyakit Lupus mencapai 5 juta orang, lebih dari 100
ribu kasus baru terjadi setiap tahunnya.
Arti kata lupus sendiri dalam bahasa Latin berarti "anjing hutan". Istilah
ini mulai dikenal sekitar satu abad lalu. Awalnya, penderita penyakit ini
dikira mempunyai kelainan kulit, berupa kemerahan di sekitar hidung dan pipi
. Bercak-bercak merah di bagian wajah dan lengan, panas dan rasa lelah
berkepanjangan , rambutnya rontok, persendian kerap bengkak dan timbul
sariawan. Penyakit ini tidak hanya menyerang kulit, tetapi juga dapat
menyerang hampir seluruh organ yang ada di dalam tubuh.
Gejala-gejala penyakit dikenal sebagai Lupus Eritomatosus Sistemik (LES)
alias Lupus. Eritomatosus artinya kemerahan. sedangkan sistemik bermakna
menyebar luas keberbagai organ tubuh. Istilahnya disebut LES atau Lupus.
Gejala-gejala yang umum dijumpai adalah:
1. Kulit yang mudah gosong akibat sinar matahari serta timbulnya gangguan
pencernaan.
2. Gejala umumnya penderita sering merasa lemah, kelelahan yang
berlebihan, demam dan pegal-pegal. Gejala ini terutama didapatkan pada masa
aktif, sedangkan pada masa remisi (nonaktif) menghilang.
3. Pada kulit, akan muncul ruam merah yang membentang di kedua pipi,
mirip kupu-kupu. Kadang disebut (butterfly rash). Namun ruam merah
menyerupai cakram bisa muncul di kulit seluruh tubuh, menonjol dan
kadang-kadang bersisik. Melihat banyaknya gejala penyakit ini, maka wanita
yang sudah terserang dua atau lebih gejala saja, harus dicurigai mengidap
Lupus.
4. Anemia yang diakibatkan oleh sel-sel darah merah yang dihancurkan oleh
penyakit LUPUS ini
5. Rambut yang sering rontok dan rasa lelah yang berlebihan
Dr. Rahmat Gunadi dari Fak. Kedokteran Unpad/RSHS menjelaskan, penyakit
lupus adalah penyakit sistem imunitas di mana jaringan dalam tubuh dianggap
benda asing. Reaksi sistem imunitas bisa mengenai berbagai sistem organ
tubuh seperti jaringan kulit, otot, tulang, ginjal, sistem saraf, sistem
kardiovaskuler, paru-paru, lapisan pada paru-paru, hati, sistem pencernaan,
mata, otak, maupun pembuluh darah dan sel-sel darah.
"Penyakit ini dapat mengenai semua lapisan masyarakat, 1-5 orang di antara
100.000 penduduk, bersifat genetik, dapat diturunkan. Wanita lebih sering
6-10 kali daripada pria, terutama pada usia 15-40 tahun. Bangsa Afrika dan
Asia lebih rentan dibandingkan kulit putih. Dan tentu saja, keluarga Odapus.
Timbulnya penyakit ini karena adanya faktor kepekaan dan faktor pencetus
yaitu adanya infeksi, pemakaian obat-obatan, terkena paparan sinar matahari,
pemakaian pil KB, dan stres," ujarnya. Penyakit ini justru kebanyakaan
diderita wanita usia produktif sampai usia 50 tahun sekalipun ada juga pria
yang mengalaminya. Oleh karena itu dianggap diduga penyakit ini berhubungan
dengan hormon estrogen.
Pada kehamilan dari perempuan yang menderita lupus, sering diduga berkaitan
dengan kehamilan yang menyebabkan abortus, gangguan perkembangan janin atau
pun bayi meninggal saat lahir. Tetapi hal yang berkebalikan juga mungkin
atau bahkan memperburuk geja LUPUS. Sering dijumpai gejala Lupus muncul
sewaktu hamil atau setelah melahirkan.
Tubuh memiliki kekebalan untuk menyerang penyakit dan menjaga tetap sehat.
Namun, dalam penyakit ini kekebalan tubuh justru menyerang organ tubuh yang
sehat. Penyakit Lupus diduga berkaitan dengan sistem imunologi yang
berlebih. Dalam tubuh seseorang terdapat antibodi yang berfungsi menyerang
sumber penyakit yang akan masuk dalam tubuh. Uniknya, penyakit Lupus ini
antibodi yang terbentuk dalam tubuh muncul berlebihan. Hasilnya, antibodi
justru menyerang sel-sel jaringan organ tubuh yang sehat. Kelainan ini
disebut autoimunitas . Antibodi yang berlebihan ini, bisa masuk ke seluruh
jaringan dengan dua cara yaitu :
Pertama, antibodi aneh ini bisa langsung menyerang jaringan sel tubuh,
seperti pada sel-sel darah merah yang menyebabkan selnya akan hancur. Inilah
yang mengakibatkan penderitanya kekurangan sel darah merah atau anemia.
Kedua, antibodi bisa bergabung dengan antigen (zat perangsang pembentukan
antibodi), membentuk ikatan yang disebut kompleks imun.Gabungan antibodi dan
antigen mengalir bersama darah, sampai tersangkut di pembuluh darah kapiler
akan menimbulkan peradangan. Dalam keadaan normal, kompleks ini akan
dibatasi oleh sel-sel radang (fagosit) Tetapi, dalam keadaan abnormal,
kompleks ini tidak dapat dibatasi dengan baik. Malah sel-sel radang tadi
bertambah banyak sambil mengeluarkan enzim, yang menimbulkan peradangan di
sekitar kompleks. Hasilnya, proses peradangan akan berkepanjangan dan akan
merusak organ tubuh dan mengganggu fungsinya. Selanjutnya, hal ini akan
terlihat sebagai gejala penyakit. Kalau hal ini terjadi, maka dalam jangka
panjang fungsi organ tubuh akan terganggu.
Kesembuhan total dari penyakit ini, tampaknya sulit. Dokter lebih berfokus
pada pengobatan yang sifatnya sementara.Lebih difokuskan untuk mencegah
meluasnya penyakit dan tidak menyerang organ vital tubuh.
artikel diatas di ambil dari
doktersehat
--
Thank's :)
Best Regards,
Hansen Nugraha Aris
----------------------------------------------------------
----------------------------------------------------------
2010/8/9 Yenny Meiliany <Yenny_Meiliany@bca.co.id <mailto:Yenny_Meiliany%40bca.co.id> >
>
>
>
>
> Selamat pagi rekan rekan sekalian..
>
> Saya ingin menanyakan mengenai penyakit lupus.. apa itu penyakit lupus..??
> apakah bisa disembuhkan? Jika bisa, obat apa yg dapat dikonsumsi agar bisa
> sembuh..??
>
> Terima kasih.
>
> :BCA:
>
> [Non-text portions of this message have been removed]
>
>
>
--
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Diare <http://groups.yahoo.com/group/dokter_umum/message/22536;_ylc=X3oDMTJycm80NXFhBF9TAzk3MzU5NzE1BGdycElkAzgyMDQ0MDkEZ3Jwc3BJZAMxNzA1MDYxMTA0BG1zZ0lkAzIyNTM2BHNlYwNkbXNnBHNsawN2bXNnBHN0aW1lAzEyODEzNzU5MTM->
Posted by: "Sri Yansen"
sri.yansen@istakala.com <mailto:sri.yansen@istakala.com?Subject= Re%3ADiare>
syansen
<http://profiles.yahoo.com/syansen>
Sun Aug 8, 2010 10:40 pm (PDT)
Selamat Siang Dokter,
Anak saya sudah 2 hari ini mencret, frekwensinya 1~2 kali sehari dengan suhu
badan agak panas sekitar 36~37°.
Saat badannya agak panas saya kasih Panadol anak dan juga tiap pagi saya
kasih madu. Barusan dia ikut2an minum susu fermentasi (y***t).
Apakah susu fermentasi (Y****T) ini berbahaya bagi anak yang lagi mencret?
Dan apakah minuman isotonic bisa membantu anak yang lagi diare agar tidak
dehydrasi?
Salam,
Sri Yansen
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Re: Diare <http://groups.yahoo.com/group/dokter_umum/message/22539;_ylc=X3oDMTJyYWo5a3FyBF9TAzk3MzU5NzE1BGdycElkAzgyMDQ0MDkEZ3Jwc3BJZAMxNzA1MDYxMTA0BG1zZ0lkAzIyNTM5BHNlYwNkbXNnBHNsawN2bXNnBHN0aW1lAzEyODEzNzU5MTM->
Posted by: "Astrawinata G"
astra.wg@gmail.com <mailto:astra.wg@gmail.com?Subject= Re%3A%20Diare>
astrawinata_g
<http://profiles.yahoo.com/astrawinata_g>
Mon Aug 9, 2010 1:58 am (PDT)
Halo Mbak Sri J sebaiknya untuk sementara susu fermentasinya dihentikan dulu
dan banyak diberi cairan berupa oralit ataupun minuman isotonic. Suhu tubuh
36-37 belum bisa dikatakan panas demam, walaupun bisa saja memang tubuhnya
terasa hangat. Kalau boleh tahu umur anak Mbak berapa ya?
Bagaimana dengan tinjanya, apakah ada darah, encer, berlendir atau tidak
Mbak? Apakah mencretnya terjadi setelah minum susu fermentasi tersebut?
Best regards,
Astrawinata G
From: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com> [mailto:dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com> ] On
Behalf Of Sri Yansen
Sent: Monday, August 09, 2010 12:01 PM
To: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com>
Subject: [Dokter Umum] Diare
Selamat Siang Dokter,
Anak saya sudah 2 hari ini mencret, frekwensinya 1~2 kali sehari dengan suhu
badan agak panas sekitar 36~37°.
Saat badannya agak panas saya kasih Panadol anak dan juga tiap pagi saya
kasih madu. Barusan dia ikut2an minum susu fermentasi (y***t).
Apakah susu fermentasi (Y****T) ini berbahaya bagi anak yang lagi mencret?
Dan apakah minuman isotonic bisa membantu anak yang lagi diare agar tidak
dehydrasi?
Salam,
Sri Yansen
[Non-text portions of this message have been removed]
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13:35:00
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Re: Diare <http://groups.yahoo.com/group/dokter_umum/message/22542;_ylc=X3oDMTJyaTZoMmMyBF9TAzk3MzU5NzE1BGdycElkAzgyMDQ0MDkEZ3Jwc3BJZAMxNzA1MDYxMTA0BG1zZ0lkAzIyNTQyBHNlYwNkbXNnBHNsawN2bXNnBHN0aW1lAzEyODEzNzU5MTM->
Posted by: "Sri Yansen"
sri.yansen@istakala.com <mailto:sri.yansen@istakala.com?Subject= Re%3A%20Diare>
syansen
<http://profiles.yahoo.com/syansen>
Mon Aug 9, 2010 3:14 am (PDT)
Terima Kasih Dok,
Anak ke 2 saya ini perempuan berumur 3 tahun, tinja nya encer, berlendir dan
bau sangat menyengat.
Dia minum susu fermentasi baru kemaren dan hari ini karena saya baca susiu
fermentasi ini juga bisa mengobati mencret.
Gejala awalnya seperti masuk angin, dia mengeluhkan perutnya sakit karena
karena hampir satu minggu ini ikut saya bolak - balik naik motor ke RS.jarak
rumah ke RS sekitar 1 jam. Hari Jumat kemaren waktu perjalanan dari RS ke
rumah dimotor dia muntah dan setelah itu badannya lemas dan ngga nafsu
makan.
Tadi pagi walaupun masih mencret tapi dia sudah mau makan.
salam,
Yansen (Lk)
2010/8/9 Astrawinata G <astra.wg@gmail.com <mailto:astra.wg%40gmail.com> >
>
>
> Halo Mbak Sri J sebaiknya untuk sementara susu fermentasinya dihentikan
> dulu
> dan banyak diberi cairan berupa oralit ataupun minuman isotonic. Suhu tubuh
> 36-37 belum bisa dikatakan panas demam, walaupun bisa saja memang tubuhnya
> terasa hangat. Kalau boleh tahu umur anak Mbak berapa ya?
>
> Bagaimana dengan tinjanya, apakah ada darah, encer, berlendir atau tidak
> Mbak? Apakah mencretnya terjadi setelah minum susu fermentasi tersebut?
>
> Best regards,
>
> Astrawinata G
>
> From: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com> <dokter_umum%40yahoogroups.com> [mailto:
> dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com> <dokter_umum%40yahoogroups.com>] On
> Behalf Of Sri Yansen
> Sent: Monday, August 09, 2010 12:01 PM
> To: dokter_umum@yahoogroups.com <mailto:dokter_umum%40yahoogroups.com> <dokter_umum%40yahoogroups.com>
> Subject: [Dokter Umum] Diare
>
>
> Selamat Siang Dokter,
>
> Anak saya sudah 2 hari ini mencret, frekwensinya 1~2 kali sehari dengan
> suhu
> badan agak panas sekitar 36~37°.
>
> Saat badannya agak panas saya kasih Panadol anak dan juga tiap pagi saya
> kasih madu. Barusan dia ikut2an minum susu fermentasi (y***t).
>
> Apakah susu fermentasi (Y****T) ini berbahaya bagi anak yang lagi mencret?
> Dan apakah minuman isotonic bisa membantu anak yang lagi diare agar tidak
> dehydrasi?
>
> Salam,
>
> Sri Yansen
>
> [Non-text portions of this message have been removed]
>
> No virus found in this incoming message.
> Checked by AVG - www.avg.com
> Version: 9.0.851 / Virus Database: 271.1.1/3058 - Release Date: 08/08/10
> 13:35:00
>
> [Non-text portions of this message have been removed]
>
>_
>
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