Monday, March 19, 2012

Beware of irrational provision of drugs in children 

This is a piece of the story of my colleagues who have not lived a month in the Netherlands. His son, Malik, high fever, lying limp. His eyes were glazed. Her lips were chapped. Increasingly gaunt face. He turned like a malnourished child two years. Usually he is talking and laughing in the morning. Now he did not want to smile too. Occasionally he vomited. Stomach is like a wrung-out coconut am no longer fit to issue a coconut. After three days was also no improvement he brought him to huisart (family doctor), the doctor called Knol."Just wait and see. Do not forget to drink a lot. Mostly this is a viral infection." The old doctor said."Drug fever Doc?" my friend asked again."Actually That Is not Necessary if the fever is below 40 C."A piece of this conversation makes me restless heart. Because, if in Indonesia, would have given a febrifuge and vitamins. Minimal home to take medication. Why does this seem stingy Dutch physician member of drugs? What about the doctor Indonesia that "generous" to prescribe the drug?In the article belongs to Prof. Iwan Darmansjah, an expert on medicines from the Faculty of Medicine, University of Indonesia stated: "Cough - colds along with the fever is once again in 6-12 months is still considered reasonable. But observation shows that visits to the doctor can occur every 2-3 weeks over the years. When this happens, then there are two possible misunderstandings in the handling. First, the treatment given is always contain antibiotics. Whereas 95% of cough and cold attacks with or without fever is caused by viruses, and antibiotics can not kill the virus. In other hand, antibiotics actually kill the good bacteria in the body, which serves to maintain balance and avoid the bad germs invade the body. It also reduces the child's immunity, thus decreasing its durability. As a result of children falling sick every 2-3 weeks and need to be treated again. vicious circle is: sick -> Antibiotic-> immunity declines -> sick again, will make the child bullied hot-cold throughout the year, over the years. "So, what about the parents in Indonesia? Those who live in villages or marginalized people who may not have enough information so that it does not necessarily always take medicine for a sick child to "hold up" the drug. The question, we who live in big cities, rich enough, has the school literacy, the Internet and knowledge, in fact almost always physician-minded and easily targeted by the drug companies and the media. Cough, runny nose slightly to the doctor, the doctor a little fever, diarrhea, a little to the doctor. If you go to the doctor and was given no medication, usually we even grumble, grumble, 'force' that the doctor gives medicine. Drug advertisements were scattered in the media, in fact rarely doctors 'sell' a particular drug through the media. Doctor who is supposed to advertise a product banned drug.In addition, how it is with colleague friends and my teachers are often given antibiotics and drugs that are not necessary in patients with cough, runny nose, fever, diarrhea? In fact, I myself once did so because senior cheating. Are the benefits greater than the risks? Of course not. Treatment costs swell, even easy to get sick child and unnecessary drug exposure. Not to mention the great danger threatens all of humanity: superbug, an antibiotic-resistant infections? But why all this happened?Lord, I know you really do not like something in vain and no benefits. But so far I have been negligent. But definitely I am now aware, there have been mistakes in many of us diIndonesia paradigm in dealing with sick children. 


In the Netherlands, my friend used to come home from the doctor without taking drugs. He was a doctor usually 'only' for consultation, confirm the diagnosis and treatment of disease best son, and assured him that his son was fine.But in Indonesia, is not a paradigm that is still often held to be a doctor = medicines? Thus, doctors often can not act rationally because of the demands of patients. I am aware of the health system in Indonesia is still complicated. National drug policy has not been in favor of the people. Drug companies are free to act without any strict rules and regulations of the government. Doctors are free to prescribe any medication without a doubt have horrified. In essence, the existing health system in Indonesia at this time make it difficult for doctors to be rational.Then the end of the base where the harm? It was useless to look for wrong end of the base. Designate who was at fault was not any good. But the conditions obviously can not be tolerated. Who should initiate the change? Government, doctors, health workers, drug companies, would all have to change.However, in these conditions, expected changes in government policy in the near future as pungguk really missed the moon. To be sure, as our patient could not remain silent. Who said the patient had no power to change the health system? At least, when the patients 'move', a health problem in Indonesia, the main events that are not rational use of drugs and medical errors would be reduced. Not only that, health care financing can be saved, so it is no longer happening unnecessary waste.In public health science there are 5 stages of treatment in patients that is promotive, preventive, curative, rehabilitative, and palliative care.A. Promotive health information that is disseminated to the public so that people have the power to prevent the disease.2. Preventive action is undertaken by the public and health professionals to prevent the occurrence of such diseases with vaccines or with the police.3. The curative actions taken by physicians to treat patients who have been ill.4. Rehabilitative actions taken by the health workers to prevent further occurrence of physical disability due to an illness.5. Palliative, given the actions of health workers to reduce pain in patients who may not survive. As well as possible treatmentBest treatment is time before we become ill, on promotive and preventive action. Rather than rush to give drugs that are less necessary in children, she should be more careful to follow the articles about health can prevent disease in children (eg provide a balanced nutritional intake, maintaining a clean healthy lifestyle in children, etc.). Let us wiped out the irrational treatment of the children in this country right now.
REFERENCESDarmansjah, Iwan. , 2005. Why Kids Continue to heat-cold?. Popular article; http://www.iwandarmansjah.web.id/popular.php?id=21Guyton. , 2009. Textbook Physiology. EGC: Jakarta.Team HPI. Of 2011. Public Health guide. FKUII: Yogyakarta.
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Saturday, March 17, 2012

Building the immune system against the weaknesses 
God created us to be his right hand to beautify the world. He definitely wanted man in the best condition and quality. Realizing this, then people will bend over backwards to be the best man for the best of their dreams in life.Only, God never created man without weakness.Humans have the disadvantages of each. There are weak against anger, weak against fatigue, weakness to change, weak against rejection, weak to shame, disease, etc.. Weaknesses that could be something very aware. He inhibit what should a man do, or what man should be. Although every effort against the weakness, many years later, the weakness was still attached to the skin as if he was languishing behind this.There are two options to solve problems arising from our weaknesses. First, live with the weaknesses and find a way to still get what it wants. Second, trying hard rid of that weakness. During this time I did the first way. Along with advancing age and increasing demands responsibility, I am aware of this weakness is a barrier I achieve my dream. It is a weakness: it is difficult to make decisions due to mood swings.Before I finally found a way how I overcome my own weaknesses, let me tell you briefly about one of my friend  successful struggle to build the immune system weakness.She is a woman, now a doctor, who has bipolar disorder. In one phase of his life when he was still attending college smester 4, the disorder appears. Up to 4 smester A value of all his courses, suddenly sank immediately into C, D, and E. Almost all campus faculty and friends wonder. He often changed his priorities suddenly to always have their own activities in addition to completing college.Bipolar disorder in the soul of medicine is also called manic-depressive illness. Bipolar disorder also known as severe depression or severe depressive disorder. This is the condition that the magnitude characteristics with mood swings from high and low (depressed). This disease occurs in <2% of Indonesia's population, in men and women in the comparison of the same and usually occurs in adolescence, ages 20 or 30 years. It is believed to be the cause of hereditary genetic disorder that pasit although still unknown.Bipolar disorder is a serious disease that causes a person experiencing an unusual mind and mood changes abruptly. If left untreated bipolar disorder can complicate daily life functions. This disease can affect relationships, work, school, and can even cause a person to commit suicide.Mania symptoms of this disease include:• Mood excited• Sense of continuous uninterrupted• The mind is racing• Insomnia or trouble sleeping• The feeling of interest and undue power• Difficulty concentrating• Spending money recklessly• Abuse of alcohol and drugs• Having unprotected sexSymptoms of depression include:• Feeling sad• Losing interest in things that used to favor• Not interested in dealing with others• Crying continues in some time• Experiencing feelings of worthlessness and guilt• Changes in appetite and weight• Problems with memory and concentration• Headaches, back pain, and digestive problems• Trouble sleeping• Fatigue and excessive sleeping• Thinking about death and suicideSymptoms of manic-depressive illness (bipolar disorder) is included at least one episode of mania was in the course of the disease. Episode of depression lasts for 3-6 months. Manic-depressive disorder is divided into a few:A. Bipolar I: depression punctuated by severe mania. On a less severe form2. Bipolar II: a brief episode of depression interspersed with hipomania.3. Cyclothymic: a milder form, where the period of excitement and depression is not too severe, lasting just a few days and relapse in irregular time intervals.1 of 3 patients with bipolar disorder experience symptoms of mania jegala (ato hipomania) and depression simultaneously. This situation is called a mixed bipolar state.According to medical science of the soul, if there are signs hipomania or mania, the antidepressant is likely to cause mood swings are bupropion and MAOIs (monoamine oxidase inhibitor). To people with manic-depressive illness should be given drugs that can stabilize mood, for example lithium or anti-seizure medications, and psychotherapy. Psychotherapy can be done individually or in groups.Group therapy to help patients and their spouses or their families to understand the disease and deal with it better.Almost in all cases, the illness is manic-depressive relapse. 15% of patients, especially women, have four or more episodes per year.Patients who experience frequent recurrence, more difficult to treat. He noticed when I was in college the semester 4. He previously was an intelligent student with an A remarkable series along smester. But something very bad in one phase of his life in smester 4, trigger bipolar disorder.Back to the story about my good friend, he was fortunate to quickly realize his weakness. He tried to cope with a vengeance with the help of medical specialists who provided campus life. Now he's a doctor, is married and blessed with a beautiful and healthy daughter. He knew his weaknesses still persist for a lifetime and could relapse at any time. But in its struggle to become a doctor, he managed to subdue his weakness.Weaknesses within each human being is actually a great power. For example, bipolar seroang could have become paralyzed from productivity due to mood disorders, but it can be very unreliable when it comes to address the mania of a case. In addition, a stable bipolar patients can be a pioneer for the widest spread the word about the dangers of bipolar so that more people are aware of it and quickly overcome.Learn from my good friend, now there are three ways to overcome the disadvantages: First, live with it weakness and find a way to still get what they want. Second, trying hard rid of that weakness. Third, do the first and the second along the way. Weaknesses such as a row of horses pulled chariots raced. The horses are your weaknesses, while the carriage is that you as a whole. Success or failure of the horses ran towards the same, determined by the driver. Weak-weak attempt to control weaknesses is a strong will and reason. After that, slowly, all the hormones in your body you will help make it happen. While this process may fail, never give up to keep trying and trying again until it can be. Your persistence will invite many miracles in your life.
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Wednesday, March 14, 2012


Amazing limitations 
 
 Be a slacker right field, and be a proper discipline in the field as well. This knowledge I learned this month. A lazy will not get any. The words I hear, and to be honest, I agree. Because, people who held the world number one baton of leadership it was a discipline. For example, the number one guy that we have a (father). A father who worked hard and become rich in order to feed us. It was rare to see him lazy. For someone who is pioneering life, it is impossible for him to sit out. But what about a slacker who knows how to be champion?
Could it be?When koas stase Community Health Sciences, its just 5 days before the exam, I was a traffic accident. Long story short, my left leg suffered a terrible injury, incredible pain, and swelling. My skin just peeled off a layer of epidermis area of ​​10 x 10 cm on the left instep. Can imagine how the pangs because under the epidermal layer of nerve fibers is the gathering place.After yelling at the wounds cleaned and bandaged by a nurse, my dad picked up to go home. Along the way I was silent. In my heart feel upset. Time of the accident I was daydreaming. I think there are a lot of rejection, abandonment, differences, etc.. In addition to my carelessness regret the upset, too upset because there are many papers that have not been resolved, and the extension hamlets that have not been held.Previously I was never sick. At most, fever, and even then only lasted one day. But this time really exciting experience. It was in the condition of the broken-hearted because of rejection, abandonment, and the differences, all suffering from pain in the left leg that never subsides. Every time the left foot is placed lower than the knee, it felt incredible pain. It was all the fluid in blood vessels fall into four wounds, and the feet become swollen. Therefore if you have to get out of bed, I lifted my left foot higher than the knees, and jump with the right foot. Two days later he was swollen very big, maybe 2 times the size of my right leg. So like people with filariasis (elephantiasis caused by worms). Since then I spend time in bed alone.Sleep alone, while in bed. Annoyed that never subsides. Trying his best finish paper. Tried to keep coming to the clinic to submit a report to a team of friends. They take care of any need for the exam, while I was told to go home to recover. In that position, I feel really so lazy. I should join them petrified. Can only pray that given the strength to get through this. There are five drugs that I take. An antibiotic, two anti-pain, a high dose vitamin and a drug magh. Effects of pain killer medication only lasted 6 hours, sometimes only 5 hours. I am very grateful to have a mother who patiently helped me change the bandage, bringing food to the room, and reminded to take medication.Until the day of the exam arrived at the health center, my legs still in bandages, and pain if the place is still lower than the knee. Walking on crutches help. Disasters, which I forgot to take pain killer. As soon as the clock shows the number 12 noon, the pain began to burst. Yet just as it was my turn to be tested. Direct brain clean, cling! Due to endure pain to cry and sweat, I did not learn. So yasudah lah, just a minimum investment coming exams. Then there was the following conversation between the testers and me:Doctors 1: "Ma'am Dwiena when an accident?"Me: "hehe 5 days ago Doc .."Doctors 2: "We started it. Dwiena Ma'am, I am curious why you chose to do the weighing in kindergarten? It's existing program of Pokjakal? "A doctor: "I think he took it because it fits with its POA program .. The main cause of children's school that has not come to posyandu ... "Doctors 2: "Yeah right ya Doc. Ms. Yasudah this Dwiena his report is very simple but still we luluskan. Considering it was late, yes let's Enough of this test. I just grinned as nicely as possible. There is a friend of mine who tested up to 1 hour old, I did not even answer any questions the examiner, but be passed.After the exam in the clinic, should the test again on campus. Wound in his back left leg finally dry, but still a pain if the reduced lower than the knee. While resting in bed, I remember my college physician examiners. He says, "If you are writing a mass mediated loaded, I guarantee an A". Before the accident, I've tried to go to the Sound of Freedom, but in fact there are several requirements that must be met in connection with my writing. Until the exam day arrives on campus, I have not included any of my writing kemedia mass. The night before an exam in college, comes the magazine Psychology Plus our subscriptions. Then I open the magazine, there is an article "guarantee the safety of victims of violence against women" is a wonderful picture in the column up Indonesia. As I recall, I sent this article to Psychology Plus because they do not know what else to send anything because my editor wished to send two articles. At that time I only had time to make an article. Cash, a test I was given an A.Miracle like this does not always happen, but we can strive to be our common future life. In every difficulty there is ease (Qur'an 94: 5). As Stephen Covey says, "God have a good price for each of His grants". God has a good price for each grant of prayer by him. Human task is attempted. Humans decide what they dream, God disposes permission. Difficult as any situation, until arriving at the determination, never backward. Everything there is the formula (Robbins, 2009). Sponge cake can be made by following the recipe to make cakes. So smart, then it must learn. But because God disposes permission, sometimes we do not have to always follow the recipe. Sponge cake can be obtained by purchase or be given one, so be smart to listen to the news or a story that happens to increase our insight. No one failed us, unless we ourselves are so decide.To compensate for my laziness helped prepare for the exam, the Lord brings my teammates had prepared for me. Instead, I have felt sick for hours for 12 days. Because I am well aware of the limitations, I asked the owner of all the affairs of this world, to be present in any of my efforts. Then resigned to whatever the results will he given. At that time I think, although I did not pass the exam, I still win because it has been attempted.After 12 days I was finally able to walk and even run and jump. I am thankful for my body to improve the discipline of my left leg that had broken. In general there are three phases of wound healing, namely:A. Inflammatory phase:This facilitated occur in 0-3 days. In the place of the wounded, the narrowing of blood vessels to reduce the flow of blood. Later in the damaged tissue release inflammatory mediators that cause vasodilation called Histamine in other parts causing the sensation of red, swollen, hot, and uncomfortable. After that happened last response: immune cells mobilized macrophages and polymorphs in order to protect the wound from bacteria and clean up dead cells in the injured area.2. Proliferative phase:This phase is called phase reconstruction. Occurred on days 3-24. In this phase, macrophages (one of the immune cells) stimulate the formation of fibroblasts and collagen that underlie the formation of new blood vessels. So that the granulation tissue can occur and that makes Ephitelisasi damaged tissue is replaced with new ones.3. PHASE maturation:This phase occurs on the day of the year to 24-1. This is also called the remodeling phase of restoring cuts like nothing ever happened.The drugs that I take is antiseptic and anti-pain. Furthermore, the body repair themselves who do the job of my left foot injury. If my body is lazy like me, maybe my wounds will never heal.Discipline remains a necessary condition to achieve a goal. Therefore, in accordance berdisiplinlah required field goal. If you still have many limitations to be disciplined in accordance with a prescription that is, at least berdisiplinlah to never give up to chase him. As he slowly, train yourself to be disciplined in accordance with existing prescriptions. The recipe has been discovered by people who have been through what we went through. Never be lazy to ask of them.Do not despair over all the existing limitations. Every human being has the limitations of each. God created human beings so that the limitations of each other and complement one another to love. All the limitations can be overcome while fighting. Spirit!TABLE OF CONTENTSAllah. Of 2010. Qur'an. Cv Toha Putra, Semarang.Covey, Stephen. , 2009. The 7 Habbits. Simon & Schuster Inc., HarvardDjuanda, Adi. , 2008. Dermatology and Kelamin.FKUI, Jakarta.Robbins, Tony. , 2009. Unleash The Power Within. Robbins Research International, Inc., Sandiago













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Tuesday, March 13, 2012

                                     Learning of Diabetes 
 


I had no shoes. That's what I kept complaining about all the four months koas stase stase obsgin and children. Two of my shoe department is not functional. The one mangap, another tear. Kept by force kegawat daruratan hour guard, then sunny in the morning I came into the hospital wearing pink sneakers. Although children koas stase pink sneakers shoes that keep the ward is considered unnatural, I am grateful no one questioned my sneakers. It's just my name instantly blossom with a new nickname "the sneakers."4 months later, I welcome the holidays with a great clean clean boarding room. I was stunned. Inside the cabinet, there are 7 shoes in a shoe box 7 is 7 months at least I never open. Not only that, I also found dozens of shirts, pants stacks, etc.. It is ironic that all this time I feel short of clothes and shoes while unknowingly storing this much clothes and shoes. Instead of using what I got with my best, I even bought it again and again, and stacked them again until I forget and buy again. Apparently, I like people with diebetes. 


Let's refresh a little bit about Diabetes. What is diabetes? Diabetes is a chronic disease characterized by elevated levels of blood sugar. In summary, Diabetes can be caused by too little insulin, or because of resistance to insulin receptors, or as both (Guyton, 2004). What is insulin? Insulin is a hormone in the pancreas to include the production of blood sugar into cells.To understand diabetes, it is important to understand the normal process of food metabolism in the body. Two of the following occur after food is digested:A. Sugar into the blood vessel into blood sugar.2. The pancreas produces insulin to move blood sugar into muscle cells, the layer of fat, liver, so that could be used as fuel for all activities that take place in our bodies.People with diabetes have high blood sugar levels because the pancreas is unable to produce enough insulin, or muscle, blubber and liver cells they do not respond to insulin normally, or to both. Thus, blood sugar can not enter the cell and stack it in the bloodstream.This situation is similar to the buildup of shoes and my clothes right? Less insulin like properties "do not care, so forget" to things I've bought. Sugars that accumulate like shoes and my clothes that I wear but still not good. Not only that, there are other similarities.People with diabetes will show a few specific symptoms. For those of you who never check your blood sugar levels, if all the items below applies to you then you should begin to be vigilant:A. Age> 45 yr.2. Increased thirst and hunger, eat more often with more servings, but the weight down.3. Headache, blurred vision, and fatigue.4. Are difficult to heal wounds, frequent itching of the skin, often develop urinary tract infections, frequent urination.5. Erectile dysfunction.Increased food portions caused by the cells of organs that do not receive a supply of sugar to send hunger signals to the brain. Meanwhile, increased thirst caused by dehydration. Was triggered by dehydration due to excess sugar osmolal disturbances in blood flow. Long story short, the blood sugar very much to an increase in blood volume and blood vessels, so it was packed. To avoid blood pressure soaring, the kidneys reduce water levels in the blood to throw it through the urinary tract.Hunger and thirst constant is exactly like me are constantly buying new shoes and clothes. Not just similar but identical. Continue to buy, continue to accumulate, keep forgetting, continue to feel do not have, and continue to buy more. So on.Is Diabetes is a disease that can not be cured? The answer, depending on the type of diabetes that affects. The following are the various types of Diabetes:There are four kinds of known diabetes include:A. Type 1 diabetes: current diagnosis is usually in childhood. The body produces little or no insulin, requiring insulin injections every day for life to survive.2. Type 2 diabetes: more common than type 1 and is almost of all cases of diabetes in adulthood. The pancreas does not produce enough insulin to keep sugar levels normal, often because the body does not respond to insulin. Many people with type 2 diebetes not realize though is in a state of emergency. Increased risk of type 2 diabetes in obese and lazy to exercise.3. Gestational diabetes: increased blood glucose levels during pregnancy in women but not both type 1 diabetes or type 2. After delivery of blood sugar will return to normal by itself.4. Diabetes insipidus: Is a condition when the kidneys are not able to retain water for the absorption of blood back to the time filter is dirty. Maintaining the water is regulated by antidiuretic hormone (ADH), which is also called vasopressin. Not due to insulin deficiency.Diabetes is very closely related to insulin is diabetes type 1 and type 2; be because the body is unable to respond to insulin, or because the pancreas does not produce insulin. Insulin is a hormone in the production of the pancreas to move blood sugar into cells. Once the blood sugar into cells, it is converted into energy for daily activities.On type I diabetes, there was a genetic disorder that causes the pancreas produces no insulin. His handling of the intra cutaneous insulin injection (in the skin layer) of individual doses.Whereas in type II diabetes, the pancreas produces little insulin only (eg pancreatitis) or unable to respond to insulin (eg obesity, HDL <35mg/dL, and the elderly). Therefore, in addition to the handling of type II diabetes was accompanied by a drug, it is more likely to be treated with: lose weight, lower carbohydrate and sugar intake, increase fruits and vegetables and regular exercise to increase HDL levels. We recommend that patients with type II diabetes are obese (overweight by weight) lose weight by eating foods with reduced calories. Reduction in calories is needed 15-20% of the calories / day according to the formula Bennedict Harris. That can be calculated by the following formula:BMR / day = (66 + (13.7 X wt in kg) + (5 X ht in cm) - (6.8 X age in years)) x activityBMR = Body Metabolism Rate (kcal)Activity according to the formula Harris Bennedict:A. Activity had little or no exercise = BMR / day x 1.22. Light activity with exercise 1-3 days / week = BMR / day x 13753. High activity with sport 3-5hari/minggu = BMR / day x 1:554. Many activities with vigorous exercise 6-7hari/minggu = BMR / day x 17255. Activity is very heavy with very heavy exercise = BMR / day x 1.9For example, one male office workers age 40 with limited exercise 102kg weight and 170cm high caloric needs (66 + (1397.4) + (850) - (272)) x 1375 = 2806.925 kcal / day. So he had to reduce 561kilo calories / day (no dinner, no snacking, and drinking sweet) to achieve ideal body weight.Thus the above, then the diabetes is inspiring me about diet and wasteful. Waste (Extravagant) in the Oxford English Dictionary (2001) means action or claim exceed reasonable limits. In Public Health Sciences, waste is classified as inefficient actions. Efficient is often associated with effectiveness. An effective action is not necessarily efficient. But action is not effective, it is definitely not efficient. That means that no effective action is mere vanity. Such as excessive blood glucose levels, but the body is unable to use it.Wastage not only involve money, but also labor and time. In the Qur'an Sura Asr (meaning: for the period) taught five cases before the five cases, namely: healthy before the sick, the rich before the poor, young before old, narrow the field before, and life before death. Then it would be wonderful if we use good health, wealth, time, opportunity and life we ​​have now before it's all gone. If the pursuit of purpose in life is to be happy, then it would be wonderful if we are not happy alone. The futility of going away by itself, when we used to share our happiness with the people around us who are less happy.Since childhood, unconsciously Indonesian children are taught to avoid the simple vanity. For example, with the slogan "good base industrious, frugal rich base" in the book Civics, or with children's songs "bung bing bang" by Point Puspa (± 1987), the song "Ilir-Ilir" masterpiece of Sunan Kalijaga (± 1470), also the song "By the Time" by Raihan (2001). For the sake of living a more effective and efficient, I'll stop buying things that I do not use, and began distributing my goods are excessive in people who are more needy. In this way, the circle of the futility of diabetes have ended my life.




reference

http://tips-ol.blogspot.com
http://agen-gamat.biz
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Monday, March 12, 2012

Milk enlightened world 
 


Children who are its small body usually smart. We often hear this phrase. This idea evolved from school, to college, and to the professional level. Honestly, I often meet friends who are physically quite mini, but it turned out very well in academic achievement. Excel in a fast thinking, straightforward in expressing an opinion, and incredibly creative. Is this a certainty?Wait a minute. Small and smart body problem I will discuss later.Intelligence is one of the foundations of the enlightenment. Mentioned in the Qur'an, when Allah sent Prophet Sulaeman choose between science and wealth, the Prophet Sulaeman choose to master the science. Deliver the science turns out to be king with power unmatched by any of the kings before him and the kings after him. Name worldwide as King Solomon, who later became a legend not fade against time.Almost every one of us agree that intelligence is a powerful force. No wonder the nation's mission Indoneisa insert "the intellectual life of the nation" in the opening of the 45 Constitution. An attractive, intelligent never scaled genetically. Children can have normal intelligence although born of two parents who are mentally retarded. There is no particular interest in any hemisphere that consists of intelligent people. Then the real Where did intelligence come from?The answer is: Smartphones come from stimulation.Intelligence is not a miracle. He can at present be real. Unfortunately, there are still many people who miss one of our most important stase stimulate human intelligence, that is when the baby is still breastfeeding.I want to tell you a bit of my experience as a child stase koas. At that time I was doing a follow up of health in infants aged 2 months to do surgery is planned urakus umbilical. When I asked if the baby were exclusively breastfed usually every 2 hours or not, the young mother replied, "It was important feeding you? It can be replaced with canned milk. Moreover tired if you have the right nursing every 2 hours. If nursing is too long, the child might grow into a spoiled child. "Not just one time I faced this question. There is another more interesting. On a sunny morning a new patient into the ward of events. Infants aged one month of looking weak, with a loud belly bulge, no bowel movements and a high fever for 3 days. Investigate a investigate, it turns out the baby is being fed a banana just four days ago. After doing some physical examination, investigation, and consultation with a pediatrician, the baby in the diagnosis of constipation due meteorismus bananas. The fear is meteorismus develops into ileus (which can only be treated with surgery) and sepsis (lethal infection). Parents refused to refer patients to a hospital that is more adequate because the cost of tripping. Thanks to baby this one patient, koas on duty day and night do not sleep day and night to monitor the development of this poor baby.Koas not a lack of sleep I want to emphasize here. I want to emphasize is, the mother who gave him a banana saying "So that baby grow up, so I give it a banana. After all, the baby, too. Bananas do appear more dense than milk, do not expect to turn out this way. ". He did not know that the baby has not been able to digest a banana.All kinds of growth processes that occur in our daily life is like a baby's growth may be the children. To be experts in every field, we need to repay the step by step and complete the terms in order to level up. To become a pianist, it must learn to play piano dlu. To have the desired form of muscle, it must be practiced with discipline and hard work in the gym. To become a junior high school students must pass the exam SD. To be healthy toddlers, babies should be nutritionally balanced by discipline. Each stage in the natural must be passed by fulfilling its terms.Terms of optimal stimulation of human intelligence is not impaired brain growth. In infants, this is largely determined by proper nutrition.According to the theory followed by many studies, brain cells grow most rapidly during pregnancy until the age of 5 years. Moment that the "Golden Period". At the age of 5 years, brain weight has reached 90% by weight of the adult brain. At this period the Golden appropriate nutrition and stimulation of the surrounding environment can be very decisive. In 2001 the World Health Organization / World Health Organization states that exclusive breastfeeding for first six months of life babies are the best. Thus, the previous provisions (that exclusive breastfeeding was quite four months) is no longer valid. Exclusive breastfeeding for 6 months every 2 hours is the best food for babies.Human babies are not miniature adults. Every organ system in infants ranging from the immune system, sensory system, respiratory system, digestive system, muscular system, etc. are not as perfect as adults. For example, in the digestive system, the baby can digest milk just because new baby has the enzyme renin. Although other enzymes are also present, but the number is still very little enzyme and its regulatory system is not perfect. In addition, the strength of the baby's bowel movements are still weak, so he was not able to digest solid food.The infant immune system is also not perfect. Therefore, the provision of complementary foods (solids) at the age of less than 6 months same as opening the gateway entrance dg various types of germs. Not to mention if it is not served hygienically. Recent research results of researchers in Indonesia showed that babies who get solid foods before he turned 6 bl, more stricken with diarrhea, constipation, colds, and hotter than infants who were exclusively breastfed only.
 
At the age of 7 months, babies should be given its complementary foods such as soft porridge, bananas, water, etc.. Because at this age babies have been able to digest than breast milk, and because the baby will experience tremendous growth faster then require additional nutrients is more than just milk.If adequate nutrition for infants, the baby's immune system will become stronger and grow as they should so that the baby is growing healthily. A healthy baby will experience a more optimal brain growth rather than a sick baby. Thus, the stimulation of intelligence that goes along with good nutrition will run the freeway.Stimulation at the age of the Golden Period begins from the womb to life long. At the beginning of life in the womb, with the sound of classical music, talking, doing activities together, etc. can stimulate the brain which is rapidly growing form of learning circuits easier than doing it as adults.Many young mothers to maximize the time the child to follow a variety of tutoring to catch up during this golden period. Do not forget, that children, especially between the ages of 1-5 years is needed for playing time. Imam Ratrioso a psychologist to straighten an overview of the golden age was the child that the child does not necessarily loaded with 1000 pages of books and various health supplements. Which is more important is the quality of our care. Why?"Since the golden age is a time where children learn about character lines, attitude, intellect, emotions, and moral human being is formed. The better the quality of parenting, and good means more learning pathways that form in the brain "replied the Imam.That is why when we read the biography of great men of the world, from the prophets to ordinary people, we shall find the facts that are not uniform on the origins and social backgrounds. Some are of family and a good environment, and there of the situation and environmental conditions at all uncomfortable.However, every human being has a general similarity in the development of self-termed by experts as a "learning" (a tradition of learning). Learning is an effort for someone to light the fire of genius.One of my life teacher mentioned that there were three human factors into a genius. First, as taught by God directly from the womb. Secondly, being instructed by God indirectly through good parenting from adults around them. Third, being instructed by God indirectly through bitter experience in his life.Certainly we never know where our children belong to this class later. Therefore, the most important thing for parents is to be constantly lit the fire of genius, or stimulate the formation of a variety of learning pathways in the brain, rather like a basket filled with consumerism (insert various courses, taking all kinds of nutritional supplements, etc.). And it's all determined by the pattern of education and quality care.Well, now we go back to the agency relationship is there a small and smart. The answer is: could be yes, could not.Perhaps because of its small body during childhood, but it lacks carbohydrates to absorb more protein. Although the terms are not impaired brain growth is nutrition, but it's all back to how the learning pathways in the brain is formed. If a child is malnourished, the other members of the body will succumb and give it all a little nutrition to the brain. For the benefit of the brain. Then exclusive breastfeeding is important not dunk? Remains very, very important.Stimulation can be done at any time (even though earlier is better). However, exclusive breastfeeding 0-6 months of age is provided so that the baby has the most vital energy for the growth of brain cells and other cells. Besides efforts to stimulate and vitamins than anything, exclusive breastfeeding is the most appropriate business, most efficient, most efficacious and provide opportunities for the establishment of children's intelligence.The conclusion of this paper is, 0-6 months old baby requires only breastmilk from his mother. Milk only. With exclusive breastfeeding baby to be healthy, the growth of brain cells well, so the greater the chance of becoming intelligent.Let us now Budayakan exclusive breastfeeding =)


 
reference

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