Health Information Center – CedrikaProvencher

LEVEL incidence of diabetes mellitus increased rapidly in all parts of the world each year, including Indonesia. Therefore, early detection and control is very important routine living.

Please note, diabetes has two accompanying symptoms, classic and nonklasik. Some of the classic symptoms, like a lot of peeing, a lot of drinking, lose weight dramatically, and eat a lot. While nonklasik symptoms (symptoms that are not typical and is often considered trivial), the tingling in hands and feet, easily tired and weak, prone to infection, erectile dysfunction, and cataracts.

Many studies have shown, the increase in blood sugar levels are not controlled and occurs continually damage the blood vessels that lead to vision problems (cataracts and glaucoma), kidney failure, leg injuries that ended in amputation, heart disease, and stroke.

Dr. Utami Widiastuti Sandra SpPD, Siloam Hospitals Hospital internist Jakarta convey facts, one million amputations in the world caused by diabetes and more than five percent of patients with cataract in the whole world is caused by diabetes.

Actually, these complications can be prevented or slowed if the diabetes is handled properly. And do not forget, controlled blood sugar levels as optimal as possible.

“Therefore, Siloam Hospitals Kebun Jeruk open Diabetic and Wound Care Clinic which provides holistic and comprehensive services for people with diabetes and wounds,” said Dr. Sandra to Legal when found in Plaza Senayan, recently ini.Diabetic and Wound Care Clinic provides consultation services with specialists, patient education, personal and in groups, consultations with a nutritionist, as well as foot and wound care.

“Conducting medical check ups are recommended routinely for people with diabetes over 40 years, pregnant women with high blood sugar (gestational diabetes), obesity, hypertension, and those who have a history of diabetes directly from parents,” he said.

Added Dr docked, as a diabetes prevention, healthy lifestyle is very important dilakoni, including setting diet (diet) and exercise. For sport, we recommend jogging, swimming, bicycle, and gymnastics.

As for food, portions karbhohidrat intake must be considered, ie, avoid simple sugars like cakes, chocolate, and then jams, avoid junk food, and food consumption should be steamed and boiled rather than fried.

“For patients, the daily caloric intake is determined how much. With the dose karbhohidrat 60-70 percent, 20-25 percent fat, and protein 15 per cent. So, karbhohidrat much like a normal person, only the portions should be noted,” Dr. Sandra lid.

Lately a lot of suicides appear. Finally, there was a beautiful girl committed suicide in a prestigious mall in Jakarta. Why do people want to kill yourself? There are no right answers and clear. It’s just one of the trigger factor, could be a bipolar mental disorder. This disorder usually leads to death.

According to Dr. B SpKJ Jap Mustopo from Mayapada Hospital, Tangerang, feeling happy and sad come in and take erratic suddenly included in the category of mental illness bipolar disorder. Bipolar itself is a bipolar affective disorder. Mood or emotional state of internal is the main cause of this disorder.

Bipolar disorder, says Dr. Jap, has two poles, the manic and depressed. These disorders tend to be recurrent episodes, showing the atmosphere and the feeling or mood that affected the level of activity.

“Sometimes the person you have feelings or what we might call a rising mood, energy and physical and mental activity increases (or manic episodes hipomanik) and at other times a decrease in mood, energy and mental activity and decreases (episodes of depression),” he said .

Manic episodes usually begin suddenly and last between two weeks to five months. While depression tends to last longer. “Episode hipomanik have lesser degree than the beads,” he said.

Bipolar Causes

Those who experience bipolar disorder was shifted from feeling very excited and happy to feeling very sad or vice versa. Two poles high and low moods, each in turn. In between episodes of mood shift may be people who megalami normal mood. It could be said that the incidence of bipolar disorder is not high between 0,3-1,5 percent. But that number does not include a misdiagnosis. Risk of death continue to haunt people with bipolar disorder and it is more because they take a shortcut.

The cause of this disorder, is not known. Genetic factors, and psychosocial factors. The researchers also say that there is heterogeneity of disregulasi neurotransmitters or chemicals in the brain.

Genetic factors assessed through a complex mechanism of gene, while the events of life and environmental stress is a psychosocial factors that often precedes the first episode of bipolar disorder is.

The first episode can arise from a child’s eyes to the old. Most cases occur in young adults aged 20-30 years. The earlier someone suffering from bipolar disorder, the risk will be more severe illness, prolonged, and often relapse. While children develop the potential of this disturbance into a more severe form and often in conjunction with attention deficit hyperactivity disorder.

People are at risk for bipolar disorder are those who have family members suffering from bipolar disease. Manic symptoms are usually characterized by excessive excitement, such as a sudden change from feeling happy to be a sudden anger, anxiety, said the lack of rapid and concentration, increased energy and desire to sleep less, high sex drive, tend to make big plans and is difficult to achieve , tend to lack in providing an assessment of things, drug and alcohol abuse, and impulsivitas increased.

While symptoms of depression is usually indicated by pain, loss of energy, feelings of despair or insignificant, the loss of the joy of things that have not felt good, difficulty concentrating, crying uncontrollably, difficult decisions, irritability, insomnia, appetite changes, thinking and trying to commit suicide. Bipolar disorder can also occur in men and women. Women with bipolar disorder experience mood yangn transition more quickly.

Handling Bipolar

Before any treatment for bipolar disorder, usually first diagnosed done with careful attention to symptoms, the level of fear, the number of time, and frequency. And symptoms of the easiest to recognize is that the mood symptoms of high transition (from high to low) is not patterned.

Bipolar disorder is a disorder that requires long-term comprehensive. Those with four or more mood changes in a year is more difficult to handle. According to dr Jap, a patient who suffered bipolar disorder can be cured. In the four phases that a patient can perform therapy. But if it does not work or mebahayakan, required special handling in a special hospital or a mental rehabilitation. “Usually in the form of psychotherapy, cognitive behavioral therapy of choice,” he said.

It has been more than 50 years of lithium therapy is used as a bipolar disorder. Effectiveness has been proven in 60-80 percent of patients. This therapy can suppress the number of deaths due to suicide and maintenance fee.

Farmakoterapi is providing medicine type drug mood stabilizer plus antipsychotic drugs goals in accordance with the clinical picture shown by these patients. Antipsychotics are better than lithium in some people with bipolar disorder.

Extra attention should be done if you want to plan for long-term antipsychotic delivery especially the first generation or typical group because it may cause some side effects. When you have this bipolar disorder, control regularly, take medication regularly, and the ability to recognize the symptoms is the key to prevention.

- the latest data the Ministry of Health (MOH) show cases of hepatitis C in Indonesia found most frequently among injection drug users.

Evaluation Based on the results of Hepatitis C Data Collection Phase I is done MOH revealed that nearly 40 percent of patients with hepatitis C who recorded admitted using drug needles. Whereas cases caused by unsafe sexual behavior, tattoos, blood transfusions, transmission from a positive family and other relatively smaller percentage.

Director General of Disease Control and Environmental Health (DG & PL) Ministry of Health, DR. Dr. Tjandra Yoga Aditama, stated that due to high cases of syringe use has become an important record that should be followed up.

From a total of 5870 cases of hepatitis in Indonesia based on the results of the first phase of data collection conducted in October 2007 to 9 September 2008, 40 percent of which came from IDUs.

“From the cases reported based on the recognition of patients, 40 percent of cases of hepatitis C from needle users. This is a big problem for the transmission of disease, not just HIV-AIDS but also hepatitis” Tjanda said on the sidelines of launch of Illness Data Collection Program Phase II Hepatitis C in Jakarta, Thursday (11/10).

In the first phase, the data collection program for hepatitis C has been implemented in 11 provinces with the reporting unit 49 consists of 13 hospitals, 24 laboratories and 12 units of blood transfusion. Banten province is, North Sumatra, South Sumatra, West Java, Central Java, East Java, Sulses, North Sulawesi, Bali, West Kalimantan and Papua. At this stage, the level of participation units involved to reach 96 percent exceeded the specified targets.

Data collection program that hepatitis C is a collaboration between the Directorate General of Disease Control and Environmental Health (DG P2PL) and PT Roche Indonesia. Phase II program will take place from October 1 until March 31 in 10 provinces with 135 units scattered reporter.

A study says that women are healthier than men. Of 15 disease causes of death in America, mostly experienced by men, even the researchers say the man died 5 years earlier than women. The following 6 male disease causes the most deaths.

In addition to its biological factors, lack of attention to men’s health issues quite influential. “He puts health at last in priority order in his life. Most of them better prioritize its role in the social environment,” said Demetrius Porche, president of the American Journal of Men’s Health, as quoted by WebMD, Wednesday (16/9/2009).

Men more often go to the doctor than women so the more often a chronic disease. “As long as they feel they can stay healthy and productive work with, most men never think about the risk of disease or their health,” said Porche.

Here are 6 types of diseases that most threaten men and how to prevent it.

1. Cardiovascular disease
Disease is known as atherosclerosis or hardening of the mean arterial tension (blood vessels). The existence of plaque caused by cholesterol in the blood vessels and cause clogged arteries that lead to heart disease.

According to the CDC (Center for Disease Control), 1 in 5 men of this disease, and generally they died at the age of 65 years. Cholesterol check once every 5 years from the age of 25 years, reduce the consumption of bad cholesterol (LDL), stop smoking, exercise more and eat vegetables and fruits can prevent this disease.

2. Lung cancer
This cancer is the most malignant types of cancer and the most deadly experienced men. Spread very fast and difficult to cure. Less than half of men who can survive a year after the symptoms spread. As many as 90 percent of the cause is smoking. Quitting smoking can reduce the early risk. Read the rest of this entry »