Practical Tips to Overcome Ovarian Cysts

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Author:Dr Dito Anurogo

What is ovarian cysts? Well, this article will discuss about the ovarian cysts that include: definition, etiology (cause), the type of normal cysts, abnormal type of cyst, clinical manifestations, diagnosis, laboratory tests, and management. Congratulations to read and understand ....

Definition
Cysts are fluid-filled sac means. Ovarian cysts (or ovarian cysts) means a fluid-filled sac, normally small, which is located in the ovaries (ovaries).

Ovarian cysts can form at any time, at the time of puberty until menopause, also during pregnancy.

Etiology (Cause)
Ovarian cysts caused by a disturbance (formation) of hormones in the hypothalamus, pituitary, and ovaries.

Cyst Type Normal
Functional cysts
This is the type of ovarian cysts are most commonly found. These cysts are derived from egg cells and the corpus luteum, coincided with the normal menstrual cycle.

Functional cysts will grow every month and will be broken in the fertile period, to release the eggs in time ready to be fertilized by sperm. After rupture, the cyst will be functional follicular cyst and will be lost during menstruation.

Functional cysts consist of: follicle cyst and corpus luteum cyst. Both of them do not bother, do not cause symptoms and may disappear itself within 6-8 weeks.

Abnormal cysts Type
I mean the word "abnormal" here is not normal, unusual, or not usually (there are, arise, arise, or occurred). Any type or form other than functional cysts cyst-cyst-is abnormal, for example:
1. Cystadenoma
Cysts are derived from the outer ovary cells. Usually benign, but can be enlarged and can cause pain.

2. Chocolate cyst (endometrioma)
Is the endometrium that is not in place. Called chocolate cysts because it contains a pile of brown-black blood.

3. Dermoid cysts
Is a cyst that contains various kinds of body parts such as skin, nails, hair, teeth and fat. These cysts can be found in both the ovary. Usually small and do not cause symptoms.

4. Endometriosis cyst
Cysts that occur because part of the endometrium that are beyond the uterus. These cysts grow along with the growth of endometrial lining every month, giving rise to severe pain, especially during menstruation and infertility.

5. Cyst hemorrhage
Is a functional cyst accompanied by bleeding that caused pain on one side of the lower abdomen.

continue Practical Tips to Overcome Ovarian Cysts2

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Tips Praktis Mengatasi Kista Ovarium

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Penulis: Dr Dito Anurogo

Apa itu kista ovarium? Nah, artikel ini akan membahas tentang kista ovarium yang meliputi: definisi, etiologi (penyebab), tipe kista normal, tipe kista abnormal, manifestasi klinis, penegakan diagnosis, pemeriksaan laboratorium, dan penatalaksanaan. Selamat membaca dan memahami…

Definisi
Kista berarti kantung yang berisi cairan. Kista ovarium (atau kista indung telur) berarti kantung berisi cairan, normalnya berukuran kecil, yang terletak di indung telur (ovarium).Kista indung telur dapat terbentuk kapan saja, pada masa pubertas sampai menopause, juga selama masa kehamilan.

Etiologi (Penyebab)
Kista ovarium disebabkan oleh gangguan (pembentukan) hormon pada hipotalamus, hipofisis, dan ovarium.

Tipe Kista Normal
Kista Fungsional
Ini merupakan jenis kista ovarium yang paling banyak ditemukan. Kista ini berasal dari sel telur dan korpus luteum, terjadi bersamaan dengan siklus menstruasi yang normal.

Kista fungsional akan tumbuh setiap bulan dan akan pecah pada masa subur, untuk melepaskan sel telur yang pada waktunya siap dibuahi oleh sperma. Setelah pecah, kista fungsional akan menjadi kista folikuler dan akan hilang saat menstruasi.

Kista fungsional terdiri dari: kista folikel dan kista korpus luteum. Keduanya tidak mengganggu, tidak menimbulkan gejala dan dapat menghilang sendiri dalam waktu 6-8 minggu.

Tipe Kista Abnormal
Maksud kata “abnormal” disini adalah tidak normal, tidak umum, atau tidak biasanya (ada, timbul, muncul, atau terjadi). Semua tipe atau bentuk kista -selain kista fungsional- adalah kista abnormal, misalnya:
1. Cystadenoma
Merupakan kista yang berasal dari bagian luar sel indung telur. Biasanya bersifat jinak, namun dapat membesar dan dapat menimbulkan nyeri.

2. Kista coklat (endometrioma)
Merupakan endometrium yang tidak pada tempatnya. Disebut kista coklat karena berisi timbunan darah yang berwarna coklat kehitaman.

3. Kista dermoid
Merupakan kista yang yang berisi berbagai jenis bagian tubuh seperti kulit, kuku, rambut, gigi dan lemak. Kista ini dapat ditemukan di kedua bagian indung telur. Biasanya berukuran kecil dan tidak menimbulkan gejala.

4. Kista endometriosis
Merupakan kista yang terjadi karena ada bagian endometrium yang berada di luar rahim. Kista ini berkembang bersamaan dengan tumbuhnya lapisan endometrium setiap bulan sehingga menimbulkan nyeri hebat, terutama saat menstruasi dan infertilitas.

5. Kista hemorrhage
Merupakan kista fungsional yang disertai perdarahan sehingga menimbulkan nyeri di salah satu sisi perut bagian bawah.

6. Kista lutein
Merupakan kista yang sering terjadi saat kehamilan. Beberapa tipe kista lutein antara lain:

a. Kista granulosa lutein
Merupakan kista yang terjadi di dalam korpus luteum ovarium yang fungsional. Kista yang timbul pada permulaan kehamilan ini dapat membesar akibat dari penimbunan darah yang berlebihan saat menstruasi dan bukan akibat dari tumor. Diameternya yang mencapai 5-6 cm menyebabkan rasa tidak enak di daerah panggul. Jika pecah, akan terjadi perdarahan di rongga perut.

Pada wanita yang tidak hamil, kista ini menyebabkan menstruasi terlambat, diikuti perdarahan yang tidak teratur.

b. Kista theca lutein
Merupakan kista yang berisi cairan bening dan berwarna seperti jerami. Timbulnya kista ini berkaitan dengan tumor ovarium dan terapi hormon.

7. Kista polikistik ovarium
Merupakan kista yang terjadi karena kista tidak dapat pecah dan melepaskan sel telur secara kontinyu. Biasanya terjadi setiap bulan. Ovarium akan membesar karena bertumpuknya kista ini. Untuk kista polikistik ovarium yang menetap (persisten), operasi harus dilakukan untuk mengangkat kista tersebut agar tidak menimbulkan gangguan dan rasa sakit.

Kista ovarium ada yang bersifat jinak dan ganas (kanker). Biasanya kista yang berukuran kecil bersifat jinak. Kista ovarium sering ditemukan secara tidak sengaja pada pemeriksaan rutin.

Manifestasi Klinis
Manifestasi klinis kista ovarium antara lain:
1. Sering tanpa gejala.
2. Nyeri saat menstruasi.
3. Nyeri di perut bagian bawah.
4. Nyeri pada saat berhubungan badan.
5. Nyeri pada punggung terkadang menjalar sampai ke kaki.
6. Terkadang disertai nyeri saat buang air kecil dan/atau buang air besar.
7. Siklus menstruasi tidak teratur; bisa juga jumlah darah yang keluar banyak.

Adapun manifestasi klinis kanker ovarium antara lain:
1. Perubahan menstruasi.
2. Rasa sakit atau sensasi nyeri saat bersenggama (dyspareunia).
3. Gangguan pencernaan yang menetap, seperti: kembung, mual.
4. Perubahan kebiasaan buang air besar, contoh: sukar buang air besar (= sembelit, konstipasi, obstipasi)
5. Perubahan berkemih, misalnya: sering kencing.
6. Perut membesar, salah satu cirinya adalah celana terasa sesak.
7. Kehilangan selera makan atau rasa cepat kenyang (perut terasa penuh).
8. Rasa mudah capek atau rasa selalu kurang tenaga.
9. Rasa nyeri pada (tulang) punggung bawah (Low back pain).

Penegakan Diagnosis
Diagnosis kista ovarium ditegakkan melalui pemeriksaan dengan ultrasonografi atau USG (abdomen atau transvaginal), kolposkopi screening, dan pemeriksaan darah (tumor marker atau petanda tumor).

Pemeriksaan Laboratorium
Di dalam praktek, jika diperlukan dokter kandungan akan menganjurkan untuk melakukan pemeriksaan sekret (yang meliputi: Trichomonas, Candida/jamur, bakteri batang, bakteri kokus, epitel, lekosit, eritrosit, epitel, dan pH) dan hematologi, misalnya: Hb (Hemoglobin).

Penatalaksanaan
1. Observasi
Jika kista tidak menimbulkan gejala, maka cukup dimonitor (dipantau) selama 1-2 bulan, karena kista fungsional akan menghilang dengan sendirinya setelah satu atau dua siklus haid. Tindakan ini diambil jika tidak curiga ganas (kanker).

2. Operasi
Jika kista membesar, maka dilakukan tindakan pembedahan, yakni dilakukan pengambilan kista dengan tindakan laparoskopi atau laparotomi. Biasanya untuk laparoskopi Anda diperbolehkan pulang pada hari ke-3 atau ke-4, sedangkan untuk laparotomi Anda diperbolehkan pulang pada hari ke-8 atau ke-9.

3. Terapi Herbal
Berikut ini beberapa contoh resep/ramuan tumbuhan obat untuk mengatasi kista ovarium menurut Prof. H.M. Hembing Wijayakusuma:

a. 60 gram temu putih segar + 15 gram sambiloto kering atau 30 gram yang segar, direbus dengan 600 cc air hingga tersisa 300 cc, disaring, airnya diminum dua kali sehari, setiap kali minum 150 cc.

b. 30 gram daun dewa segar + 50 gram temu mangga + 5 gram daging buah mahkota dewa kering, direbus dengan 800 cc air hingga tersisa 400 cc, disaring, airnya diminum untuk dua kali sehari, setiap kali minum 200 cc.

c. 60 gram benalu yang hidup di pohon teh + 30 gram rumput mutiara atau rumput lidah ular kembang putih, direbus dengan 800 cc air hingga tersisa 400 cc, disaring, airnya diminum untuk dua kali sehari, setiap kali minum 200 cc.

Catatan: rumput lidah ular kembang putih kering dapat dibeli di toko obat tionghoa dengan nama bai hua she she cao. Untuk perebusan gunakanlah periuk tanah, panci enamel, atau panci kaca. Pilihlah salah satu resep di atas, minumlah secara teratur, dan tetap berkonsultasi ke dokter untuk memantau/ mengevaluasi hasil terapi.

sumber :website netsains.com/2009/08/tips-praktis-mengatasi-kista-ovarium/


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When wife pregnant, Husband Do not only watch2

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Education

Education has been accepted ever since man is still in the womb. His father and mother have the same obligation to provide this education. Because the seven-month-old fetus has begun to hear voices aroused around the mother's abdomen, then the parents can play something for him. Broadcast strains of holy verses of the Qur'an is a good choice. And if there was no tape recorder can be attached to the mother's abdomen, then the father and mother can turn to the Koran out loud at the mother's stomach!

Soft voices who honed sense of beauty, stimulating the growth of brain and intelligence, also pursued is often played to the fetus.

Parturition

Husbands who are responsible will not lose any hassle and tension in preparing for the birth moment of the fetus, rather than the wife. Lots to do in her husband to prepare this critical period, such as providing labor costs, needs of the baby, maternal health recovery, to the preparation of baby aqiqah.

Furthermore, the husband was responsible for preparing the mental strength his wife to give birth. It must be remembered that this is a moment of life and death struggle for his family wife. Husband had a lot of attention, encouragement, and motivation to his wife to face this difficult time. Several ways can be taken, such as to include the wife into the training classes prenatal (prenatal education) that many held in the hospital, to accompany the birth process itself.

It is one thing that is very positive, if the husband could be present during the birth process. The presence of this man, though merely accompany, holding the hand of his wife and whispered words of consolation to his wife, will give an extra boost of mental strength for his wife. Although unable to reduce pain, but mental strength obtained wife will make it stronger from the pain, which in turn will facilitate the birth process.

Regarding her husband's involvement in the birth process that is now beginning a lot of people realize this, experts say that in addition useful for the wife, even this benefit to their own husbands. When the husband saw his wife suffered pain, weight struggle against death, the future husband will be better able to appreciate and understand the feelings of his wife. Additionally, it will grow a special feeling in the hearts of husband toward the baby, so it will be more familiarizing bond between father and son. And about the rumors that mention the negative impact that the presence of husbands at delivery to make it impotent, it's only the rare cases that may occur in one in a million husbands

source website balita-anda.com/keluarga/283.html

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When wife pregnant, Husband Do not only watch

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When a mother containing the fetus in her womb, is it true that only the mother is responsible for the survival of the fetus? Of course not. God has determined the existence of the soul of the fetus to the efforts of two people, mother and father. Berdualah God entrusts to them the message that is very heavy. Unfortunately, more fathers are less aware of their responsibilities during the period of pregnancy. The main cause, because they do not have it load directly.

Be the first nine months in the mother's womb, the fetus is actually more psychologically orphaned, for not getting the attention of his father. After the baby is born, can see the eye, can be hugged and kissed, then a growing awareness that he is a husband and father! Indeed, an awareness of late. And that loss is not only the fetus, but also his father. Here among the liabilities of the prospective father of her baby.

Physical Needs

Parents should not underestimate the factor of the physical needs of the fetus. The growth of brain cells, the quality of body and bone growth, has begun to be determined since the fetus. Do not let old people regret later, when meeting the low quality because of the growth of the baby fails to maintain the nutritional needs at this time.

In terms of quantity alone, the mother needs to eat more than usual to disubsidikan to the fetus in the womb. Not to mention the quality problems, where the food intake should contain enough protein, vitamins and other nutrients. And liabilities ayahlah to provide all the food needs of the mother for fetal growth.

Dad must be willing to provide these needs, even though it meant he had to provide quality food for his wife two times more than usual. If there is only a piece, it could not hurt his father succumb to give it to mom, because it will be useful for two people. Do not also forget to give an additional requirement of vitamins, blood booster, as well as calcium for the mother. A wise father will be diligent in controlling the diet of pregnant women, providing extra food quality and provide motivation to his wife to diligently consume these nutritious foods.

Love and Attention

Research shows, the fetus in the womb can feel the touch of loving parents who stroked her mother's stomach. He also can enjoy a gentle voice full of love that was played near his parents in the mother's abdomen. Experts say, one day after birth, the baby will more actively respond to the kind of voice that he often heard during the in utero.

Indeed, the touch of mother's love is enough to meet the needs of affection for the infant. But it is important to remember, that to be able to give full attention and affection to her fetus, the mother needs psychiatric atmosphere calm and happy. Mothers who are depressed and the stress will not be able to give attention and affection in an optimal fashion to the fetus. This is where the husband will take a big role in his wife helped maintain mental health in order to remain stable, calm, and happy. As the closest person who became soul mates for his wife, he could be a determinant of the wife's mental health.

The husband should be able to give full attention to the problem of wife's pregnancy. For example, discussing each other about the developments happening week after week, jointly seeking information about pregnancy and education of children from the print media as well as to exchange experiences, accompanied his wife during their pregnancy each month, to discuss future plans for the baby, so took a regularly stroked her belly while saying words of love.

It would be better if the husband gives special privileges to his wife during pregnancy. Is not his wife was having severe struggle for the sake of their family? The husband could pick out the privileges that support the healthy development of fetus. For example, by providing extra food nutritious, providing extra spending money, or buy as many books and magazines that contain information about pregnancy and child education.

Another important thing to remember, that in the process of pregnancy there is a change in hormone levels that can provide a major influence on most pregnant women, where their emotions become more unstable. Coupled with the physical burden that is not mild, normal if they require more attention than before pregnancy. Once the weight of burden to be borne by pregnant women, until God was pleased memfirmankannya in the holy book the Koran, the letter Luqman: 14, "... His mother was contained in a state of weak and getting weaker ...


Istri Hamil, Suami Jangan Bengong

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Ketika seorang ibu mengandung janin dalam rahimnya, benarkah hanya sang ibu yang bertanggung jawab terhadap kelangsungan hidup sang janin? Tentu tidak. Allah telah menentukan keberadaan nyawa si janin atas usaha dari dua manusia, ibu dan ayahnya. Kepada mereka berdualah Allah menitipkan amanat yang sangat berat itu. Sayangnya, lebih banyak ayah yang kurang menyadari tanggung jawabnya selama kurun waktu kehamilan tersebut. Penyebab utamanya, karena mereka tak mengalami beban itu secara langsung.

Jadilah selama sembilan bulan dalam kandungan ibu, janin sebenarnya lebih banyak yatim secara psikologis, karena tak mendapat perhatian dari ayahnya. Setelah si orok terlahir, dapat dilihat mata, dapat dipeluk dan dicium, barulah tumbuh kesadaran suami bahwa ia adalah seorang ayah! Sungguh, sebuah kesadaran yang terlambat. Dan yang rugi bukan saja si janin, tapi juga ayahnya. Berikut di antara kewajiban ayah terhadap calon bayinya.

Kebutuhan Fisik

Orang tua tak boleh meremehkan faktor pemenuhan kebutuhan fisik janin. Pertumbuhan sel-sel otak, kualitas pertumbuhan badan serta tulang, sudah mulai ditentukan semenjak masa janin. Jangan sampai orang tua menyesal kemudian, saat menemui rendahnya kualitas pertumbuhan bayinya gara-gara lalai mempertahankan kebutuhan gizi di masa ini.

Secara kuantitas saja, ibu perlu makan lebih banyak dari biasanya untuk disubsidikan kepada janin dalam rahim. Belum lagi masalah kualitas, di mana makanan yang masuk harus cukup kandungan protein, vitamin, serta zat-zat gizi lainnya. Dan kewajiban ayahlah untuk menyediakan semua kebutuhan pangan ibu demi pertumbuhan janin tersebut.

Ayah harus rela memberikan kebutuhan ini, walau itu berarti ia harus menyediakan makanan berkualitas bagi istrinya dua kali lebih banyak dari biasanya. Jika hanya ada sepotong, tak ada salahnya ayah mengalah untuk memberikannya kepada ibu, karena akan bermanfaat untuk dua orang. Jangan pula lupa memberikan kebutuhan tambahan vitamin, penambah darah, serta kalsium bagi ibu. Ayah yang bijaksana akan rajin mengontrol pola makan ibu hamil, menyediakan makanan ekstra berkualitas dan memberikan motivasi kepada istrinya untuk rajin mengkonsumsi makanan-makanan bergizi tersebut.

Kasih Sayang dan Perhatian

Penelitian membuktikan, janin dalam kandungan sudah bisa merasakan sentuhan kasih sayang orang tua yang mengelus perut bundanya. Ia pun dapat menikmati suara lembut penuh kasih yang diperdengarkan orang tuanya di dekat perut ibu. Para ahli mengatakan, kelak setelah lahir, bayi akan lebih aktif merespons jenis suara yang kerap ia dengar semasa dalam rahim tersebut.

Memang, sentuhan kasih sayang dari ibu sudah cukup memenuhi kebutuhan kasih sayang bagi si janin. Namun penting diingat, bahwa untuk bisa memberikan perhatian dan kasih sayang penuh kepada janinnya, si ibu membutuhkan suasana kejiwaan yang tenang dan bahagia. Ibu yang tertekan dan stres tak akan bisa memberikan perhatian dan kasih sayangnya secara optimal kepada janin. Di sinilah suami akan mengambil peran besar dalam turut menjaga kesehatan kejiwaan istrinya agar tetap stabil, tenang, dan bahagia. Sebagai orang terdekat yang menjadi belahan jiwa bagi istri, ia bisa menjadi penentu kesehatan jiwa si istri.

Suami harus bisa memberikan perhatian penuh kepada masalah kehamilan istrinya. Misalnya saling berdiskusi mengenai perkembangan yang terjadi pekan demi pekan, bersama-sama mencari informasi mengenai kehamilan dan pendidikan anak dari media cetak maupun dengan bertukar pengalaman, menemani istri memeriksakan kehamilan setiap bulan, mendiskusikan rencana-rencana ke depan bagi calon bayi, hingga menyempatkan diri secara rutin mengelus perut istrinya sambil mengucapkan kalimat kasih sayang.

Akan lebih baik jika suami memberikan hak-hak istimewa kepada istrinya semasa hamil. Bukankah istrinya sedang mengalami perjuangan berat demi keluarga mereka? Suami bisa memilihkan hak-hak istimewa yang mendukung perkembangan kesehatan janin. Misalnya, dengan memberikan makanan ekstra bergizi, memberikan uang belanja tambahan, atau membelikan sebanyak mungkin buku dan majalah yang memuat informasi mengenai kehamilan dan pendidikan anak.

Hal lain yang penting diingat, bahwa dalam proses kehamilan terjadi perubahan kadar hormon yang bisa memberikan pengaruh besar pada kebanyakan wanita hamil, di mana emosi mereka menjadi lebih labil. Ditambah lagi dengan beban fisik yang tak ringan, wajar jika mereka lebih banyak membutuhkan perhatian dibanding sebelum hamil. Begitu beratnya beban yang harus ditanggung ibu hamil, sampai Allah berkenan memfirmankannya dalam kitab suci al-Qur'an, surat Luqman:14, “...Ibunya mengandung dalam keadaan lemah dan semakin lemah...

Pendidikan

Pendidikan sudah bisa diterima manusia semenjak masih dalam kandungan. Ayah dan ibu punya kewajiban sama untuk memberikan pendidikan ini. Karena janin berusia tujuh bulan sudah mulai terangsang mendengar suara-suara di sekitar perut ibu, maka orang tua bisa memperdengarkan sesuatu untuknya. Memperdengarkan alunan ayat-ayat suci al-Qur'an adalah pilihan yang baik. Dan jika tak ada tape recorder yang bisa dilekatkan ke perut ibu, maka ayah dan ibu bisa bergantian untuk mengaji dengan suara keras di dekat perut ibu!

Suara-suara lembut yang mengasah rasa keindahan, merangsang pertumbuhan otak dan kecerdasan, juga diupayakan sering diperdengarkan kepada si janin.

Proses Kelahiran

Suami yang bertanggung jawab pun tak akan kalah repot dan tegangnya dalam mempersiapkan saat-saat kelahiran janin, dibanding sang istri. Banyak sekali yang harus dilakukan suami untuk mempersiapkan masa genting ini, seperti menyediakan biaya persalinan, kebutuhan hidup calon bayi, pemulihan kesehatan ibu, hingga persiapan aqiqah calon bayi.

Selanjutnya, suami pun bertanggung jawab mempersiapkan kekuatan mental istri untuk melahirkan. Harus diingat bahwa ini adalah saat perjuangan hidup dan mati istri bagi keluarganya. Suami harus banyak memberikan perhatian, dorongan, serta motivasi kepada istrinya menghadapi masa sulit ini. Beberapa cara bisa ditempuh, seperti mengikutkan istri ke dalam kelas pelatihan pranatal (pendidikan pra kelahiran) yang banyak diselenggarakan di rumah sakit, hingga turut menemani proses kelahiran itu sendiri.

Adalah satu hal yang sangat positif, jika suami bisa ikut hadir saat proses kelahiran. Kehadiran suami ini, walau sekadar menemani, memegang tangan istri dan membisikkan kata-kata penghibur kepada istri, akan memberikan dorongan kekuatan mental ekstra bagi istri. Walaupun tak dapat mengurangi rasa sakit, namun kekuatan mental yang diperoleh istri akan membuatnya lebih kuat menahan sakit, yang pada akhirnya akan mempermudah proses kelahiran.

Mengenai keterlibatan suami pada proses kelahiran yang sekarang mulai banyak disadari orang ini, para ahli mengatakan bahwa selain bermanfaat untuk istri, inipun bermanfaat bagi suami sendiri. Ketika suami menyaksikan kesakitan yang diderita istri, perjuangan beratnya melawan maut, maka kelak suami akan lebih mampu menghargai dan memahami perasaan istrinya. Selain itu akan tumbuh perasaan khusus dalam hati suami terhadap sang bayi, sehingga akan lebih mengakrabkan ikatan batin antara ayah dan anak. Dan tentang rumor dampak negatif yang menyebutkan bahwa kehadiran suami saat kelahiran dapat membuatnya impoten, itu hanya kasus langka yang mungkin terjadi pada satu dari sejuta suami

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Skinny CHILD VS HEALTHY CHILDREN3

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TIP fatten AGENCY CHILDREN

To make skinny kids become fat, so depending on the cause. If because of illness, yes, the disease must be cured first. Generally, after recovering from illness, his appetite will improve so that he could not difficult to eat. "After that give good nutrition for gaining weight," explained Aryono.
If the child is thin not because of disease, then to make it fat, by analyzing the diet meals. Of course with a menu balanced nutrition. Are the daily food intake has fulfilled the requirements according to age and activity. "If children, including active, by itself, the food intake should be greater in quantity." Well, if her weight never increased mean intake did not meet their needs.
Actually, to achieve ideal body weight according to age was determined by the quantity and quality of food. Besides diet, feeding schedule and way too powerful gift. In terms of diet, for example, babies 0-6 months exclusively breastfed, the age of 6 months of starting supplementary food such as milk porridge, rice strain teams, ages 9 months of rice mushy / solid food. "In over 1 year has been like an adult food but still soft and did not stimulate as much pepper or chili."
In terms of feeding schedule must be considered is time. Remember, Mom, child stomach empty every 3-4 hours. Because it is usually feeding about 7 times a day consisting of solid foods 3 times and the rest milk for children ages 1 year upwards. "So do not just because obese children would then be forced to eat every hour, but not time to eat. That, is not it, even so not in accordance with the physiological or normal functioning of the digestive state."

The way the provision is also important in the sense of the word, children should not be forced. For example, in children 6-9 months period, critical period in which children learn to coordinate the muscles of swallowing and chewing. So that when introduced
solid food, in all these ages sometimes dilepeh / vomited again. Well, parents often interpret that the child would not eat or did not like the food. Though not really skilled. Because parents worried, hastily given a liquid-liquid food only. Long become a habit. "If dilepeh, leave it alone and try again."

GRANT OF VITAMIN
Besides macronutrient, such as carbohydrates, proteins, and fats, in the development of the child also needed micronutrients such as vitamins and minerals. "When children are healthy skinny has access to food that meets nutritional balanced rules certainly do not need to be given vitamins anymore," explained Aryono. Because vitamin needed by children with a diet that did not meet the rules of balanced nutrition, no appetite, who is ill or recovering from an illness.
This giving is expected to meet the needs of vitamins and also children, so your appetite. "But even given vitamins, skinny child because of illness, during his illness was not treated, it is still not good appetite." So, Bu-Pak, vitamins were not stimulating appetite or appetite enhancer, but increase your appetite if the child vitamin deficiency.
Well, excessive vitamin intake is also not good, lo. Such fat-soluble vitamins, vitamins A, D, and E are processed in the liver. If the excessive burden on the liver. Except for water-soluble vitamins such as vitamin C. If the excess will be issued in the urine.
Therefore, parents should be wise in providing vitamins for her baby.
(Nakita),
source website parenting.co.id/ forum

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Skinny CHILD VS HEALTHY CHILDREN2

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NUTRITION FACTORS
When that happens is a thin child with body weight did not rise and rise, of course, can be said to be healthy and not. Therefore we must look for the cause, because non-nutritional factors or nutrients. Nutritional factors, eg, the mother felt it was sufficient to give the intake of nutritious food. Both quantity and quality in accordance with a menu that contains balanced nutrition: carbohydrates, proteins, fats, vitamins and minerals. Having analyzed the intake of
diet was given quantity is still less than demand. And every month a child's weight should always be rising. As a rough benchmark can be used as follows: children aged one year three times the weight of birth weight. Age 2 years is approximately 4 times the birth weight. So, if the baby is born with weight of 3 kg, the weight at age 1 year and 9 kg at the age of 2 years to be 12 kg. More specifically, three babies
The first month of weight increase between 600 gr-1000 gr. So each week rose 150-250 gr. Then 3 months both rose about 600-700 grams per month. Three third month about 400-500 grams. Three fourth month of 300-400 grams. Above one year, roughly 1-3 years the increase is about 250 grams or a quarter of a kilogram per month.

Well, if it turns out every month weight did not go up or go up but do not satisfy the nutrient input must be re-evaluated taking into account also their physical activity. Is it enough to anticipate the excess activity. "But with a record of healthy children or no disease. For if their activities while the input of excess calories, or just barely enough, it is not enough calories stored to
increase the weight. "
Indeed there are certain periods in which the child is active, such as the age of one year, children would not go. In these children should be given extra calories. So if the child is active and skinny but no underlying disease, the intake of food that must be analyzed.
For healthy children who eat too thin in terms of nothing in particular. The food remains with balanced nutrition in accordance with their age group only the number of calories tailored to the needs according to age. Except for sick children. For example, a child is sick then given a soft heat. If diarrhea were given an easily absorbed / digested.

DISEASE FACTORS
Meanwhile there is also an unhealthy skinny child. According Aryono, usually because there is an underlying disease. As a result children would not eat / anorexia. In Indonesia, some diseases that can cause children emaciated from not eating, among others, is an infection such as lung infection (TB), urinary tract infections, parasitic infections and others. "During his illness is not cured then the equipment to be skinny, because food intake is less because the child no appetite. With so her weight did not go up and ride."
Usually children are not healthy skinny because there are diseases that melatarinya will look like a pale, lethargic, fever, no appetite and body weight did not want to ride-ride. But if the disease is cured, automatically became a child's appetite improved. Thus the weight will increase.

NOT THEIR
What is clear, thin child is not transcription factors, lo. In contrast to obese children, according to research results, if both parents then 70 percent of obese children at risk of overweight. If only one parent is obese then 40
percent of children at risk of overweight. Conversely, if both parents do not grease the child at risk of 70-10 percent fat.
That does not apply in children thin. Unless the height issue that affected both parents. This height can create the appearance of the child appears thin or not. When both parents and children was high so high that look thin. But, it could be, lo, both parents of high but short children. Now, if then his son often sick, yes, so it looks thin. "
Likewise with birth weight. Not that if the low birth weight and will make future child so thin. Normal birth weight is usually around 2.5 4 kg. Same growth speed as growth curve. Meanwhile, the low birth weight divided in two ways, namely because of age less pregnancy / gestational age premature and therefore sufficient, such as 39 weeks but low fetal weight, eg 2 kg, it is said dismatur or an intra-uterine growth retardation in the womb.
Well, babies are usually development dismatur weight will catch up. Because he's actually normal but experiencing intrauterine growth retardation in the womb. Precisely after the babies born this dismatur greedy
and can achieve weight like a normal baby weight. While that was born prematurely, with very low birth weight, eg 1 1.5 kg of using different growth curves. It could be any further weight gain may not like a normal child's weight. Well, ma'am, sir, once we know the formula weight of children no longer compare comparing the weight of children with a neighbor's child, yes.

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Skinny CHILD VS HEALTHY CHILDREN

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Thin does not always mean unhealthy, really. Only, we must know the cause why he looks older kurus.Orang where, hell, who could calm-calm only if her son looked thin. Certainly, efforts were made for the child's parents can be fat. Because, he considered obese children, right, a healthy sign. Indeed, recognized Aryono Hendarto, MD, a pediatrician from the Division of Nutrition and Metabolic Section of Child Health, Dr. Cipto Mangunkusumo, often there are mistakes of perception of the parents. "Child health is synonymous with the ideal body fat." And, of course not. "Due to an exaggeration or deficiency would not either. Normally, an appropriate weight age and height."

TERMS CHILDREN thin

Physically, according Aryono, the child is said to lean not only on the basis of body weight but also height. There are two important things that cause children called thin;

1) Thin as underweight according to age, while her height according to age or less according to age.
2) Thin because of her height is over by age while the weight is according to age.

Well, healthy according to WHO criteria include physical and mental health. "Son of a second thin healthy can be said, if the criteria of soundness was rarely sick. While the first child says skinny is not healthy because of her weight and even height was less or not suitable according to age," said Aryono, who also practice in RSIA Hermina Jatinegara.

In principle, continued Aryono, although thin, the child's weight should be increased every month according to age. "Well, the problem is if the child was emaciated weighing up and ride. It must be sought the cause. Can be due to intake
less nutrition, excessive activity of the child despite adequate intake and may also be because there are diseases that melatarinya so that food intake is less. "

WHETHER thin PARAMETER

Weight loss is one of the parameters of a child's growth, in addition to height factor. Therefore there are term growth and development in children. Growing up means growing larger cells and the fireworks mean
increasing function of mature cells. "Well, if the child does not fit with skinny weight ideal weight according to age, it says its growth is not good," explained Aryono.

Clearly, the ideal weight of a child has range. The default for boys and girls also differ. Usually girls have a lower body weight than boys. To measure body weight is generally in Indonesia using a parameter that is adapted from the American NCHS (National Center for Health Statistics). There is also a use count of the Ministry of Health for national consumption, the KMS (Card Towards Healthy). Well, this parameter can be seen on the ideal weight of a child according to age and gender. "When the child's weight through the standard 100 percent then said to overweight and above 120 percent is called obesity, whereas if you weigh less than 80 percent ideal body weight is said to malnourished children and its manifestations are looked thin," explained Aryono.

However, Aryono remind, that the weights should be associated with age and height. For example, the daughter of 12 months weighing 7.2 kg and height 72 cm. While the average weight girls aged 12 months approximately 9.6 kg. So the child's weight is 75 percent of the average weight of his age. This means the child including malnutrition. But, judging from his height then; 72 cm (height of children): 74 cm (height should be) x 100 percent, then the height is 98 percent of ideal height. This means that when viewed from a good height then the child including good nutrition. "Interpretation is the child experiencing acute malnutrition, because less weight to the average weight of his age, but his height is still good. But if her height is said to have taken part hampered the chronic malnutrition that usually reflects poor nutrition, which means that malnutrition has been going on in a long time, "explained Aryono

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ANAK KURUS VS ANAK SEHAT2

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FAKTOR NUTRISI
Bila yang terjadi adalah anak kurus dengan berat badan yang tak naik-naik, tentu saja bisa dikatakan sehat dan bisa juga tidak. Karena itu harus dicari penyebabnya; karena faktor nutrisi atau non nutrisi. Faktor nutrisi, misal,sang ibu merasa sudah cukup memberi asupan makanan yang bergizi. Kuantitas dan kualitasnya baik sesuai dengan menu gizi seimbang yang mengandung; karbohidrat, protein, lemak, vitamin dan mineral. Setelah dianalisis asupan
dietnya ternyata yang diberikan kuantitasnya masih kurang dari kebutuhan. Padahal setiap bulan seorang anak beratnya harus selalu ada kenaikan. Secara kasar dapat dipakai patokan sebagai berikut; anak umur setahun beratnya tiga kali berat badan lahir. Umur 2 tahun kira-kira 4 kali berat badan lahir. Jadi, kalau bayi lahir dengan berat badan 3 kg maka pada usia 1 tahun beratnya 9 kg dan pada usia 2 tahun jadi 12 kg. Lebih spesifik lagi, bayi 3
bulan pertama kenaikan beratnya antara 600 gr-1000 gr. Jadi per minggunya naik 150-250 gr. Kemudian 3 bulan kedua naik sekitar 600-700 gram per bulan. Tiga bulan ketiga sekitar 400-500 gr. Tiga bulan keempat 300-400 gram. Di atas satu tahun, 1-3 tahun kira-kira kenaikannya sekitar 250 gram atau seperempat kilogram per bulan.

Nah, kalau ternyata setiap bulan berat badannya tak naik atau naik tapi tak memuaskan maka harus dievaluasi kembali masukan nutrisinya dengan memperhitungkan pula aktivitas fisiknya. Apakah sudah cukup untuk mengantisipasi kelebihan aktivitasnya. "Namun dengan catatan anaknya sehat atau tak ada penyakit. Karena kalau aktivitasnya berlebih sementara masukan kalorinya cukup atau pas-pasan, maka kalorinya tak cukup disimpan untuk
menaikkan berat badannya."
Memang ada periode-periode tertentu di mana anak sedang aktif, seperti usia satu tahun, anak mau bisa jalan. Pada anak-anak ini harus diberi tambahan kalori. Jadi kalau anak kurus tapi aktif dan tak ada penyakit yang mendasarinya maka asupan makanannya itu yang harus dianalisis.
Untuk anak sehat yang kurus dalam hal makan pun tak ada yang khusus. Makanannya tetap dengan gizi seimbang sesuai dengan kelompok umurnya hanya jumlah kalorinya disesuaikan dengan kebutuhan menurut umur. Kecuali untuk anak sakit. Misalnya, anak sakit panas maka diberi yang lunak. Kalau diare diberi yang mudah diserap/dicerna.

FAKTOR PENYAKIT
Sementara itu ada juga anak kurus yang tak sehat. Menurut Aryono, biasanya karena terdapat penyakit yang mendasarinya. Akibatnya anak tak mau makan/anoreksia. Di Indonesia beberapa penyakit yang dapat menyebabkan anak kurus akibat tak mau makan antara lain adalah infeksi seperti infeksi paru-paru (TBC), infeksi saluran kemih, infeksi parasit dan lain-lain. "Selama penyakitnya tak disembuhkan maka tetap akan kurus, sebab asupan makannya kurang karena anak tak nafsu makan. Dengan begitu berat badannya pun tak naik-naik."
Biasanya anak kurus yang tak sehat karena ada penyakit yang melatarinya akan tampak seperti pucat, lesu, demam, tak nafsu makan dan berat badan pun tak mau naik-naik. Tapi bila penyakitnya disembuhkan, otomatis nafsu makan anak pun jadi membaik. Dengan demikian berat badan pun akan bertambah.

BUKAN TURUNAN
Yang jelas, anak kurus bukan faktor turunan, lo. Berbeda dengan anak gemuk; menurut hasil penelitian, kalau kedua orang tuanya gemuk maka 70 persen anaknya berisiko gemuk. Bila hanya salah satu orang tua yang gemuk maka 40
persen anak berisiko gemuk. Sedangkan bila kedua orang tuanya tak gemuk maka anak berisiko 7-10 persen gemuk.
Hal itu tak berlaku pada anak kurus. Kecuali masalah tinggi badan yang dipengaruhi kedua orang tuanya. Tinggi badan ini bisa membuat penampilan anak tersebut tampak kurus atau tidak. Bila kedua orang tuanya tinggi dan anaknya pun tinggi sehingga tampak kurus. Tapi, bisa juga, lo, kedua orang tuanya tinggi tapi anaknya pendek. Nah, kalau kemudian anaknya sering sakit, ya, jadi tampak kurus."
Begitupun dengan berat badan lahir. Bukan berarti bila berat lahirnya rendah lalu akan membuat kelak anak jadi kurus. Berat badan lahir normal biasanya sekitar 2,5 ­ 4 kg. Kecepatan tumbuh kembangnya sama sesuai kurva tumbuh kembang. Sedangkan, pada berat badan lahir rendah dibedakan dalam dua hal, yaitu karena umur kehamilannya kurang/prematur dan karena umur kehamilan cukup, semisal 39 minggu tapi berat badan janin rendah, misal 2 kg, maka dikatakan dismatur atau mengalami retardasi pertumbuhan intra uterin dalam rahim.
Nah, bayi yang dismatur biasanya perkembangan berat badannya akan mengejar ketinggalannya. Karena sebetulnya dia normal tapi mengalami hambatan pertumbuhan dalam rahim. Justru setelah lahir bayi-bayi dismatur ini rakus
dan bisa mencapai berat badan seperti berat badan bayi normal. Sedangkan yang lahir prematur, dengan berat badan lahir sangat rendah, misal 1 ­ 1,5 kg tentu memakai kurva perkembangan yang berbeda. Bisa jadi kenaikan berat badan selanjutnya pun mungkin tak seperti berat badan anak normal. Nah, Bu-Pak, setelah kita tahu rumusan berat badan anak jangan lagi membandingkan-bandingkan berat badan anak dengan anak tetangga, ya.

KIAT MENGGEMUKKAN BADAN ANAK
Untuk membuat anak kurus menjadi gemuk, sangat tergantung penyebabnya. Bila lantaran penyakit, ya, harus disembuhkan dulu penyakitnya. Umumnya setelah sembuh dari penyakit, nafsu makannya akan membaik sehingga ia tak sulit makan. "Setelah itu berilah nutrisi yang baik agar berat badannya bertambah," terang Aryono.
Bila anak kurus bukan lantaran penyakit, maka untuk membuatnya menjadi gemuk dilakukan dengan menganalisis diet makannya. Tentu dengan menu gizi seimbang. Apakah asupan makannya sehari-hari sudah memenuhi kebutuhan sesuai umur dan aktivitasnya. "Jika anaknya termasuk aktif, dengan sendirinya maka asupan makanannya harus lebih banyak secara kuantitas." Nah, bila berat badannya tak kunjung naik berarti asupannya tak memenuhi kebutuhannya.
Sebetulnya untuk mencapai berat badan ideal sesuai umur sangat ditentukan oleh kuantitas dan kualitas makanan. Disamping itu pola makan, jadwal pemberian makan dan cara pemberiannya pun berpengaruh. Dalam hal pola makan, misalnya, bayi 0-6 bulan diberikan ASI eksklusif, usia 6 bulan mulai makanan tambahan spt bubur susu, nasi tim saring, usia 9 bulan nasi lembek/makanan padat. "Di atas 1 tahun sudah seperti makanan orang dewasa tapi masih lembek dan tak merangsang seperti banyak lada atau cabe."
Dalam hal jadwal makan harus diperhatikan waktunya. Ingat, Bu, perut anak kosong setiap 3-4 jam. Karena itu biasanya pemberian makan sekitar 7 kali sehari yang terdiri 3 kali makanan padat dan selebihnya susu untuk anak usia 1 tahun ke atas. "Jadi jangan mentang-mentang mau anak gemuk lalu dipaksa makan setiap jam, padahal belum waktunya makan. Itu, kan, malah jadi tak sesuai dengan fisiologis atau keadaan fungsi normal pencernaannya."

Cara pemberian juga penting dalam arti kata, anak tak boleh dipaksa . Misal, pada anak periode 6-9 bulan, periode kritis di mana anak belajar mengkoordinasi otot-otot menelan dan mengunyah. Sehingga bila diperkenalkan
makanan padat, pada umur-umur sekian kadang dilepeh/dimuntahkan kembali. Nah, orang tua sering menginterpretasikan bahwa si anak tak mau makan atau tak senang makanannya. Padahal sebetulnya belum terampil. Karena orang tua cemas, buru-buru diberikan makanan yang cair-cair saja. Lama-lama jadi kebiasaan. "Kalau dilepeh, biarkan saja dan dicoba lagi."

PEMBERIAN VITAMIN
Selain makronutrien, seperti karbohidrat, protein, dan lemak, dalam tumbuh kembang anak dibutuhkan juga mikronutrien seperti vitamin dan mineral. "Bila anak kurus yang sehat sudah mendapatkan makanan yang memenuhi kaidah gizi seimbang tentu tak perlu diberikan vitamin lagi," jelas Aryono. Sebab vitamin dibutuhkan oleh anak dengan pola makan yang tak memenuhi kaidah gizi seimbang, tak nafsu makan, yang sedang sakit atau yang baru sembuh dari suatu penyakit.
Pemberian ini diharapkan bisa memenuhi kebutuhan vitaminnya dan juga anak jadi nafsu makan. "Tapi meski diberikan vitamin, anak kurus karena penyakit, selama penyakitnya itu tak diobati maka tetap saja nafsu makannya kurang baik." Jadi, Bu-Pak, vitamin itu bukan perangsang nafsu makan atau penambah nafsu makan, tapi meningkatkan nafsu makan kalau anak itu kekurangan vitamin.
Nah, konsumsi vitamin yang berlebih juga tak baik, lo. Semisal vitamin yang larut dalam lemak; vitamin A, D, dan E yang diolah dalam hati. Bila berlebihan akan membebani kerja hati. Kecuali vitamin yang larut dalam air seperti vitamin C. Jika kelebihan akan dikeluarkan dalam air seni.
Karena itu, orang tua harus bijak dalam memberikan vitamin buat buah hatinya.
(Nakita),
sumber website parenting.co.id/forum


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