Saturday, December 23, 2006

Nurse Jobs In Ministry Of Health Kuwait

Short Nurses Vacancy Info
Kuwait is small country grow up of build many sectors. In Minystry Of Health, especialy in Nursing Departement still need more nurses to be placement to many departement and Hospital,if you are nurses have experiences more than 2 years, fluent english wrote and spoke so you are litle understand arabic or even you do not understand arabic you can apply righ now to ministry of health by local exam or through by your agency ,posted your application and start to join with Kuwait Ministry Of Health (MOH)


Many benefits that they offering are including good salary, accommodation, transportation, Health Insurance, annualy leave 1 month up or depend on your balance annual leave in year, Emergency leave till 2 weeks, sick leave depend on your condition or health problem. Salary is attractive starting minimum 250 Kd - 500Kd (825 - 1650 us dollars), depend on your nursing study graduated and experiences, if you are diploma you will get starting 800 - 1000 us dollars, if you are work in clinic, if in Hospital you will be get more extra hospital salary and night shift allowance till 60-100 Kd Kd(198-330 us dollars), but if you graduated from BSN, you will get till 1650 us dollars.
If you want to get deep more information, just visit to MOH KUWAIT

Indonesian Applicants please contact to PT.Binawan Inti Utama, PT. GUNAMANDIRI PARIPURNA,

Nurses Apartment Building In KuwAiT

Thursday, December 14, 2006

What Is Hypertension?

Almost every people ever been got the headache or dizziness, felling of lightheadedness in one their life cyle sometimes we never care but if the condition take place every time, you have to pay attention to check your self. I think you must be consultation with your physician to examine your body. Headache is one out of sign and symptom from High Blood PressureThe following question, guide you to know what is The HYPERTENSION as a below:

What Is High Blood Pressure?
Blood Pressure always given as two numbers, the systolic and diastolic numbers pressures. Both are important.Ussualy they are written one above or before the other, for example,your blood pressure is 120/80 mmHg. The top or first, numbers is the systolic and the bottom, or second numbers is the diastolic, so you can says that your blood pressure is "120" over "80". Eventhough , the numbers which using to determining Hypertension is diastolic according to WHO regulation that mentioned as a classification into three stage of Hypertension:

  1. Degree 1st is the diastolic of blood pressure was 95-109 mmHg

  2. Degree 2nd is the diastolic of Blood Pressure was 110-119 mmHg

  3. Degree 3th is the diastolic of blood pressure was over than 120 mmHg

What causees high blood pressure?
Many causes of hypertension had known such as:

  1. Age. Related lead of aged of people the blood pressure so increase, this condition take place because the blood vessels become more brittle with age and also are not flexible, wall of blood vessel to become narrow, finnaly heart pump force to be strong that result in HIGH BLOOD PRESSURE .

  2. Are a man over the age of 45 or a woman over the age of 55

  3. Overweight or obese

  4. Family history, if you have family history with Hypertension, it's easily you are develope Hypertension

  5. Face high level stress. In some studies, anger, stress, hostility and other personality traits have been shown to lead to high blood pressure, so pay attention to release any stress, anger, or reduce many problems to become relaxs it will be help you from Hypertension

  6. Eat a diet high in saturated fat

  7. Smoking

  8. Eat a diet high in salt

  9. Drink more than moderate amount of alcohol

  10. Have diabetes mellitus dissease

What is worse complication of Hypertension?
Hypertension could be damage to many body part organ involves brain (Stoke), eyes (Blindess), kidneys( Kidneys Failure), heart ( Congestive Heart Failure), extremitas (plegi) if is not treated well and uncontroled regulary, so take action soon if you have been Hypertension diagnosted establish.

How is your blood pressure treated?
Hypertension treatment is not depend only medicines, the treatment must be comprenhensive including medicines, behaviour, life style. The third programs must be took action to keep your blood pressure always stabil. Several ways to keep and to manage your blood pressure stabil you have to do such a below:
  • Learn how to manage stress

  • Start eating a low-fat and low salt-diet

  • Doing routine exercises such as jogging,light sport,etc

  • Keep your weight nearly normal, or reduce your overweight to be normal

  • Take your medicines as doctor prescribed

  • Checked routine your blood pressure or if feeling severe headache,chestpain,blurred vision, numbness, dizziness

  • Avoid heavy activity to avoid overload your heart pump which will lead your blood pressure

  • If you are smoker, please quite from it, so you,ll more healthy

  • Retrain from drink alcohol or at all

  • Visit to your doctor if you have been performed all that thing above, but still have not been feeling well
  • Sunday, December 10, 2006

    Meaning Of The 1st December Of AIDS Day

    1st December is the day of AIDS day , so what will we do for. We always remember that AIDS case lead every day ,so we must be care and take action for this soon to stop spread of NEW AIDS CASE through by campaign to every body with build save behaviour from AIDS case including avoid FREE SEX, having sex with legal partner through marriage. Why we do like that, because around forty million people are living with HIV throughout the world and that number increases in every region every day.
    What can I do to support World AIDS Day?
    There are so many ways in which you can support to do to stop AIDS spreading with many ways like a following:

    1. Raise awareness of HIV and AIDS in your area, use any safety device when handle patient especialy in hospital area such as nurse, doctor, and any worker related with high risk HIV / AIDS infected

    2. Avoid Free Sex, because Free Sex may cause spreading HIV to each partner who have no HIV previously even though we have protected by condom and any ways, but even we doing like that condom is not have enaugh 100% save from HIV infected

    3. Getting your friends, family, collegues or pupil to express their felling and expand their knowledge about HIV, AIDS impact

    4. Having sex with your marriage legal partner, it's a good and best way to stop spreading AIDS case

    5. Avoid drug abbuse

    6. Lead your religion moral to secure yourself from AIDS and HIV

    The above are good ways to stop spreading AIDS to any body, so take action to campaign to many people if all of people in the worl doing together, I beleive AIDS can be reduce and stop step by step. It's our responsibilities community in the world.


    Tuesday, October 17, 2006

    H I V (Human Immunodeficiency Virus)

    Apa sih yang anda ketahui tentang HIV

    Infeksi HIV (Human Immunodeficiency Virus) adalah suatu infeksi oleh salah satu dari 2 jenis virus yang secara progresif merusak sel-sel darah putih yang disebut limfosit, menyebabkan AIDS (Acquired Immunodeficiency Syndrome) dan penyakit lainnya sebagai akibat dari gangguan kekebalan tubuh.

    Kegagalan sistem kekebalan tubuh yang mengakibatkan timbulnya 2 jenis penyakit yang jarang ditemui ini sekarang dikenal dengan AIDS.
    Kegagalan sistem kekebalan juga ditemukan pada para pengguna obat-obatan terlarang yang disuntikkan, penderita hemofilia, penerima transfusi darah dan pria biseksual.
    Beberapa waktu kemudian sindroma ini juga mulai terjadi pada heteroseksual yang bukan pengguna obat-obatan, bukan penderita hemofilia dan tidak menerima transfusi darah.
    Terdapat 2 jenis virus penyebab AIDS, yaitu HIV-1 dan HIV-2.
    HIV-1 paling banyak ditemukan di daerah barat, Eropa, Asia dan Afrika Tengah, Selatan dan Timur. HIV-2 terutama ditemukan di Afrika Barat.

    Penularan HIV terjadi melalui kontak dengan cairan tubuh yang mengandung sel terinfeksi atau partikel virus.
    Yang dimaksud dengan cairan tubuh disini adalah darah, semen, cairan vagina, cairan serebrospinal dan air susu ibu. Dalam konsentrasi yang lebih kecil, virus juga terdapat di dalam air mata, air kemihi dan air ludah.

    HIV ditularkan melalui cara-cara berikut:

    1. Hubungan seksual dengan penderita, dimana selaput lendir mulut, vagina atau rektum berhubungan langsung dengan cairan tubuh yang terkontaminasi

    2. Suntikan atau infus darah yang terkontaminasi, seperti yang terjadi pada transfusi darah, pemakaian jarum bersama-sama atau tidak sengaja tergores oleh jarum yang terkontaminasi virus HIV

    3. Pemindahan virus dari ibu yang terinfeksi kepada anaknya sebelum atau selama proses kelahiran atau melalui ASI

    Kemungkinan terinfeksi oleh HIV meningkat jika kulit atau selaput lendir robek atau rusak, seperti yang bisa terjadi pada hubungan seksual yang kasar, baik melalui vagina maupun melalui anus.
    Penelitian menunjukkan kemungkinan penularan HIV sangat tinggi pada pasangan seksual yang menderita herpes, sifilis atau penyakit menular seksual lainnya, yang mengakibatkan kerusakan pada permukaan kulit.
    Penularan juga bisa terjadi pada oral seks (hubungan seksual melalui mulut), walaupun lebih jarang.

    Virus pada penderita wanita yang sedang hamil bisa ditularkan kepada janinnya pada awal kehamilan (melalui plasenta) atau pada saat persalinan (melalui jalan lahir).
    Anak-anak yang sedang disusui oleh ibu yang terinfeksi HIV bisa tertular melalui ASI.
    Beberapa anak tertular oleh virus ini melalui penganiayaan seksual.

    HIV tidak ditularkan melalui kontak biasa atau kontak dekat yang tidak bersifat seksual di tempat bekerja, sekolah ataupun di rumah.
    Belum pernah dilaporkan kasus penularan HIV melalui batuk atau bersin penderita maupun melalui gigitan nyamuk.
    Penularan dari seorang dokter atau dokter gigi yang terinfeksi terhadap pasennya juga sangat jarang terjadi.

    Beberapa penderita menampakkan gejala yang menyerupai mononukleosis infeksiosa dalam waktu beberapa minggu setelah terinfeksi.
    Gejalanya berupa demam, ruam-ruam, pembengkakan kelenjar getah bening dan rasa tidak enak badan yang berlangsung selama 3-14 hari. Sebagian besar gejala akan menghilang, meskipun kelenjar getah bening tetap membesar.

    Penderita bisa menunjukkan gejala-gejala infeksi HIV dalam waktu beberapa tahun sebelum terjadinya infeksi atau tumor yang khas untuk AIDS.
    Gejalanya berupa:

    1. pembengkakan kelenjar getah bening

    2. penurunan berat badan

    3. demam yang hilang-timbul

    4. perasaan tidak enak badan

    5. lelah

    6. diare berulang

    7. anemia ( Hb menjadi rendah )

    8. thrush (infeksi jamur di mulut)

    Beberapa infeksi oportunistik dan kanker merupakan ciri khas dari munculnya AIDS:
  • Thrush

  • Pertumbuhan berlebihan jamur Candida di dalam mulut, vagina atau kerongkongan, biasanya merupakan infeksi yang pertama muncul

  • Infeksi jamur vagina berulang yang sulit diobati seringkali merupakan gejala dini HIV pada wanita. Tapi infeksi seperti ini juga bisa terjadi pada wanita sehat akibat berbagai faktor seperti pil KB, antibiotik dan perubahan hormonal

  • Pneumonia pneumokistik

  • Pneumonia karena jamur Pneumocystis carinii merupakan infeksi oportunistik yang sering berulang pada penderita AIDS

  • Infeksi ini seringkali merupakan infeksi oportunistik serius yang pertama kali muncul dan sebelum ditemukan cara pengobatan dan pencegahannya, merupakan penyebab tersering dari kematian pada penderita infeksi HIV
  • Toksoplasmosis

  • Infeksi kronis oleh Toxoplasma sering terjadi sejak masa kanak-kanak, tapi gejala hanya timbul pada sekelompok kecil penderita AIDS, jika terjadi pengaktivan kembali, maka Toxoplasma bisa menyebabkan infeksi hebat, terutama di otak.
  • Tuberkulosis (TBC)

  • Tuberkulosis pada penderita infeksi HIV, lebih sering terjadi dan bersifat lebih mematikan. Mikobakterium jenis lain yaitu Mycobacterium avium, merupakan penyebab dari timbulnya demam, penurunan berat badan dan diare pada penderita tuberkulosa stadium lanjut. Tuberkulosis bisa diobati dan dicegah dengan obat-obat anti tuberkulosa yang biasa digunakan.
  • Infeksi saluran pencernaan

  • Infeksi saluran pencernaan oleh parasit Cryptosporidium sering ditemukan pada penderita AIDS. Parasit ini mungkin didapat dari makanan atau air yang tercemar, yang gejalanya seperti di bawah ini:
  • diare hebat, nyeri perut dan penurunan berat badan

  • Leukoensefalopati multifokal progresif

  • Leukoensefalopati multifokal progresif merupakan suatu infeksi virus di otak yang bisa mempengaruhi fungsi neurologis penderita, dengan gejala sebagai berikut:

    1. Gejala awal biasanya berupa hilangnya kekuatan lengan atau tungkai dan hilangnya koordinasi atau keseimbangan

    2. Dalam beberapa hari atau minggu, penderita tidak mampu berjalan dan berdiri dan biasanya beberapa bulan kemudian penderita akan meninggal

  • Infeksi oleh sitomegalovirus

  • Infeksi ulangan cenderung terjadi pada stadium lanjut dan seringkali menyerang retina mata, menyebabkan kebutaan. Pengobatan dengan obat anti-virus bisa mengendalikan sitomegalovirus.
  • Sarkoma Kaposi

  • Sarkoma Kaposi adalah suatu tumor yang tidak nyeri, berwarna merah sampai ungu, berupa bercak-bercak yang menonjol di kulit. Tumor ini terutama sering ditemukan pada pria homoseksual.
  • Kanker

  • Bisa juga terjadi kanker kelenjar getah bening (limfoma) yang mula-mula muncul di otak atau organ-organ dalam. Wanita penderita AIDS cenderung terkena kanker serviks. Pria homoseksual juga mudah terkena kanker rektum.

    Pemeriksaan yang relatif sederhana dan akurat adalah pemeriksaan darah yang disebut tes ELISA.
    Dengan pemeriksaan ini dapat dideteksi adanya antibodi terhadap HIV, hasil tes secara rutin diperkuat dengan tes yang lebih akurat.

    Jika hasil tes ELISA menunjukkan adanya infeksi HIV, maka pada contoh darah yang sama dilakukan tes ELISA ulangan untuk memastikannya.
    Jika hasil tes ELISA yang kedua juga positif, maka langkah berikutnya adalah memperkuat diagnosis dengan tes darah yang lebih akurat dan lebih mahal, yaitu tes apusan Western. Tes ini juga bisa menentukan adanya antibodi terhadap HIV, tetapi lebih spesifik daripada ELISA. Jika hasil tes Western juga positif, maka dapat dipastikan orang tersebut terinfeksi HIV.

    Pada saat ini sudah banyak obat yang bisa digunakan untuk menangani infeksi HIV:
    Nucleoside reverse transcriptase inhibitor
  • AZT (zidovudin)

  • ddI (didanosin)

  • ddC (zalsitabin)

  • d4T (stavudin

  • 3TC (lamivudin)

  • Abakavir

  • Non-nucleoside reverse transcriptase inhibitor
  • Nevirapin

  • Delavirdin

  • Efavirenz

  • Protease inhibitor
  • Saquinavir

  • Ritonavir

  • Indinavir

  • Nelfinavir

  • Semua obat-obatan tersebut ditujukan untuk mencegah reproduksi virus sehingga memperlambat progresivitas penyakit.


    Pemaparan terhadap HIV tidak selalu mengakibatkan penularan, beberapa orang yang terpapar HIV selama bertahun-tahun bisa tidak terinfeksi. Di sisi lain seseorang yang terinfeksi bisa tidak menampakkan gejala selama lebih dari 10 tahun.
    Tanpa pengobatan, infeksi HIV mempunyai resiko 1-2 % untuk menjdi AIDS pada beberapa tahun pertama. Resiko ini meningkat 5% pada setiap tahun berikutnya.

    Resiko terkena AIDS dalam 10-11 tahun setelah terinfeksi HIV mencapai 50%.
    Sebelum diketemukan obat-obat terbaru, pada akhirnya semua kasus akan menjadi AIDS.

    Program pencegahan penyebaran HIV dipusatkan terutama pada pendidikan masyarakat mengenai cara penularan HIV, dengan tujuan merubah kebiasaan orang-orang yang beresiko tinggi untuk tertular.
    Cara-cara pencegahan ini adalah:
    Untuk orang sehat
  • Abstinens (tidak melakukan hubungan seksual)

  • Seks aman (terlindung)

  • seks dengan pasangan sah (suami-istri)

  • Untuk penderita HIV positif
  • Abstinens

  • Seks aman

  • Tidak mendonorkan darah atau organ

  • Mencegah kehamilan

  • Memberitahu mitra seksualnya sebelum dan sesudah diketahui terinfeksi

  • Untuk penyalahguna obat-obatan
  • Menghentikan penggunaan suntikan bekas atau bersama-sama

  • Mengikuti program rehabilitasi

  • Untuk profesional kesehatan
  • Menggunakan sarung tangan lateks pada setiap kontak dengan cairan tubuh

  • Menggunakan jarum sekali pakai

  • Bermacam-macam vaksin sudah dicoba untuk mencegah dan memperlambat progresivitas penyakit, tapi sejauh ini belum ada yang berhasil.
    Rumah sakit biasanya tidak mengisolasi penderita HIV kecuali penderita mengidap penyakit menular seperti tuberkulosa.
    Permukaan-permukaan yang terkontaminasi HIV dengan mudah bisa dibersihkan dan disucihamakan karena virus ini rusak oleh panas dan cairan desinfektan yang biasa digunakan seperti hidrogen peroksida dan alkohol.

    Wednesday, October 11, 2006


    What is the Mesothelioma

    Mesothelioma is kind of cancer that developes in the mesothelial cells. The cells are tissue that sorround or line the lungs, hearts, and stomach. These tissues are called mesothelial cell and they become infected by inhaling of particles of dust from asbestos fibers. Mesothelioma consist of 2 type of tumors, "benign", and "malignant". The benign tumor is non-cancerous, it's doesn't cause harm and any damage to you. A malignant mesothelial cells ia called a malignant mesothelioma that usually cancerous, and usually just called "mesothelioma". the most common form pleural mesothelioma . It is known as a deadly disease because most patient die within two years of being diagnosed with the mesothelioma.

    What is cause of Mesothelioma?

    Mesothelioma is a rare cancer caused by asbestos exposure that occur many years before cancer developes. Mesothelioma takes a long time to incubate in the human body, it's happen to employs who have work in company that produce something using asbestos material, sometimes occuring twenty to thirty years after people have been exposed to asbestos .Men or woman who worked in the mining industry,shipbuilding, and contruction especially in the insulating industry during that period are now presenting themselves to the doctor's offices with symptom of the deadly disease. These exposures taking place through by inspiration with the poor safety protection or unproperly using mask protection.

    What is Mesothelioma symptom?

    The mesothelioma symptom are not very different from those associated with other lung common problem. In the early condition some patiens experience no symptom at all, so we must be know what the early symptom of mesothelioma, to doing best treatment.

    A. Pleural Mesothelioma Symptom
    Some of the symptoms of pleural mesothelioma (mesothelioma cancer in the lung lining) include are:

  • pain in the lower back or in the side of the chest

  • shortness of breath

  • a persistent cough

  • difficulty swallowing food

  • fever and sweating

  • fatigue

  • The most common and spesific symptom of pleural mesothelioma is the accumulation of fluid between lung and chest cavity. This generaly causes shortness of breath, and requires doctor to drain the fluid, that called fine-needle aspiration, to make a breathing easier and rilive chest pain.

    B.Peritoneal Mesothelioma Symptoms.

    The symptom of peritoneal mesothelioma ( abdominal mesothelioma-mesothelioma of the lining of the stomach) include are:

  • stomach pain

  • nausea and vomiting

  • weight loss

  • Like pleural mesothelioma, the symptom are also common to many minnor ailments and, therefore, may not cause a doctor to suspect mesothelioma. It's difficul to diagnosis, must be detail investigation related with hystory of work backround to ensure that the patiens indeed exposed by asbestos.

    How to diagnosis Mesothelioma?

    To diagnosis mesothelioma need several examination like generally disease as a below:
  • Psysical Examination

  • Like common disease, doctor begins the mesothelioma examination diagnosis by doing complete physical examination, and reviewing the patients medical hystory. Because mesothelioma is almost always caused by breathing in asbestos exposure so, doctor must be more detail to investigation patients suspected asbestose exposure related work experience. After performing the physical eaxam, a doctor must be have X-rays of the chest performed and also doing pulmonary fungtion test to determine if the symptoms are consistent with malignant mesothelioma.
  • CT Scan an MRI's

  • These tools allow a doctor to assess the size, location,and extend of the mesothelioma tumor in the chest or abdoment.
  • Biopsi to Diagnosis Mesothelioma

  • All of the steps described above are only preliminary of mesothelioma. If, after performing these test, a doctor suspect mesothelioma, a biopsy should be taken to confirm the mesothelioma diagnosis.
    A biopsy is the prosedure used for obtaining a tissue sample of the tumor. The two most common methods for removing tissue samples are thoracoccopy and bronchoscopy.

    A thoracoscopy is obtained by inserting a telescope-like instrument connected to video camera (thoracoscope) through a small incision in the chest. This procedure is used for diagnosis both pleural mesothelioma and pericardial mesothelioma.

    A bronchoscopy involves inserting a flexible lighted tube through the mouth into the bronchi to remove tissue in the airway. this prosedure is used for diagnosis pleural mesothelioma.

    How to treatment Mesothelioma?

    To treatment mesothelioma disease is depends on several factors, including the state of mesothelioma, the location of tumor, and the age and overall health of the patient.
    Many treatment can be performing as abelow:
  • Surgery-Removal of Malignant Mesothelioma

  • Surgical removal of the tumor and surrounding tissue may be used depending on how far the mesothelioma has spread (the stage). The more advanced the stage, the less likely that surgery will be effective in treating mesothelioma.

  • Radiation

  • radiation therapy uses high-energy x-rays to kill mesothelioma cancer cells and to shrink tumors. There are two types of radiation therapy including external radiation and Brachytherapy.
    External radiation uses machine outside the body that beams x-rays to the location of mesothelioma.
    Brachytherapy involves putting chemicals that procedure radiation directly into the site of mesothelioma cancer. This is done by inserting a thin plastic tube into the chest or abdomen. radiation therapy is also used as apalliative therapy to relieve symptoms of mesothelioma such as shortness of breath, chest pain, and internal bleeding. radiation therapy has several side effect, such as fatigue, nausea and vomiting.

  • Chemotherapy

  • Chemotherapy uses drugs to treat mesothelioma cancer. It is administered either orally (through pills) or by injecting the drugs directly into the veins (intravenously), the muscles, the chest cavity (intrapleurally), or the abdomen cavity (intraperitoneally). The goal of mesothelioma chemotherapy is for the drug to enter the bloodstream and circulate throughout the body in order to destroy the cancer cells. More information about Mesothelioma visit here OR HERE

    Sunday, September 17, 2006

    Are You Drug Addiction?

    Drug addiction can be take place to every body who use whether to legal or illegal drug. It,s makes anybody use drug and drug again to meet his or her addiction of one drug addiction cause. When you stop taking it, you may have unpleasant physical reactions.

    Many drug group such as narcotics and cocaine are cause drug addiction then are other drugs. The addiction drugs people could affect to himself or herself to doing negative social behaviour such as embarrassment, depressions, and other negative social behaviour can be do.
    Breaking drug addiction is difficult, but not impossible. You may need support from your family, relatives, close friends, doctor and other who have been stopped from drug addiction . It,ll be helpful to you. If you have high motivation to stop it, certain you will be succes to quiet from it, and you will enjoy from your life again. Freedom yourself from these drgus.

    What are signs and symptoms of drug addiction?
    Before we go to sign and symptom of drug addiction, better first if we know, what are group of drug cause adiiction . These are drugs to which you can become addicted is wide, including:
  • Canabis compound: These compound are found in marijuana and hashish

  • Central nervous System Depressant: Barbiturates and benzodiazepines are examples of central nervous system depressant. Phenobarbital, amobarbital (Amytal) and secobarbital (Seconal) are examples are barbiturates. Benzodiazepines include tranquilizers such as Diazepam (Valium), Alprazolam (Xanax), Oxazepam (Serax), Lorazepam (Ativan), Clonazepam (Klonopin)and Chlordiazepoxide (Librium).

  • Central Nervous system stimulants : This class of drugs includeamphetamines, methaphentamines,cocaine, and methylphenidate (Ritalin).

  • Designer Drugs: Synthetic compounds such as Ectasy, which has both amphetamine- like and halluginogenic effects, are include in this category.

  • Hallucinogens: Incluse the group are LSD, phencyclidine (PCP) and ketamine (special K) are examples are halucinogens. Hallucinogens effect incluceed in this category.

  • Inhalant: Glue, paint, solvent and nitrious oxide can all be used as inhalant drugs.

  • Opioids: Opioids are narcotic, painkilling drugs product naturally from opium or mada shyntetically. This class of drugs including heroin, morphine,codeine, methadone and oxycodone (Oxycontin).

  • General signs and Symptoms
    Addiction to any drug may include these general characteristics:
  • Feeling that you need the drug regulary and in some cases, many times a day.

  • Making certain that you maintain supply of the drug,

  • Failling repeatetedly in your attemps to stop using drug

  • Doing thing to obtain the drug that you normally wouldn't do, such as stealing

  • Feeling that you need the drug to deal your problems.

  • Driving or doing other activities that place you and others at risk of physical harm when you're under the influence of the drug.

  • The particular signs and symptoms of drug use dependence vary depending on the type of the drug.
    Canabis compound signs and symptoms:
  • A sense of relaxtion and happiness.

  • A heightened sense of visual, auiditory, and taste perception

  • Poor memory

  • Increase blood pressure and heart rate

  • Red eyes
  • Decrease coordination

  • Difficulty concrentration

  • Increase appetite

  • Slowed reaction time

  • Paranoid thinking

  • Central nervous system depressant: Signs and symptoms:
  • Drowsiness

  • Slurred speech

  • Lack of coordination

  • Memory impairment

  • Confusion

  • Slowed breathing and decrease blood pressure

  • Dizziness

  • Depression

  • Central nervous system stimulant: Signs and symptoms
  • Euphoria

  • Decrease appetite

  • Rapid speech

  • Irritability

  • Restlesness

  • Depression as the drug wears off

  • Nasal congestion and damage to the mocous membrane of the nose in users who snort drug

  • Imsomnia

  • Weight loss

  • Increase heart rate, blood pressure and temperature

  • Paranoida

  • Designer drug: Signs and symptoms:
    Sign and symptoms of using designer drugs vary depending on the drug. You might be able to tell that a family, member of friend is using or abusing a drug base on the physical and behavioural signs and symptoms assosiated with the drug. Ectasy produces a mild hallucinogenic effect and a feeling of euphoria. It also cause an increase heart rate, overheating, high blood pressure, kidney and liver toxicity and memory promlems.

    Hallucinogen: Signs and symptoms:
    Use of hallucinogens produce s different signs and symptoms depending on the drug. The most commond hallucinogens are LSD, PCP, and ketamine, a so-called"club drug".

    Signs and symptoms of LSD use include:
  • Hallucinations

  • Greatly impaired perception of reality, for example, interpretating input from one of your sense as another,such hearing colors.

  • Permanent mental changes in perception

  • Rapid heart rate

  • High blood pressure

  • Tremors

  • Flashbacks, a re-experince of the hallucinations, even years later

  • Signs and symptoms of PCP use include:
  • Hallucination

  • Euphoria

  • Delusions

  • Panic

  • Loss of appetite

  • Depression

  • Agresive, possible violent behaviour

  • Signs and Symptoms of ketamine use include:
  • Increase heart rate

  • Nausea and vomiting

  • Numbness

  • Impaired motor funtion

  • Loss of memory

  • Inhalants: Signs and Symptoms:
    The sign and symptom of inhalant use is vary depending on what subtance is inhaled. Some commonly inhaled subtance include glue, paint thinners, corretion fluid, felt tip marker fluid, gasoline, cleaning fluid,and household aerosol products. Whwn inhaled these products can cause brief intoxicication and a decreased feeling of inhibition. Long term use may cause seizures and damage to the brain, liver,and kidneys. Inhalants use can also cause death

    Opioids: Signs and symptoms:
  • Reduce sense of pain

  • Sedation

  • Depression
  • Confusion

  • Constipation

  • Slowed breathing
  • Needle mark (if injection drugs)

  • Source of news from

    Monday, September 11, 2006

    Obat Kuat Dan Minuman Stimulan, Amankah?

    Oh, emang kuat sih, ya, itulah penggalan kata yang seringkali dipergunakan oleh beberapa iklan obat kuat dan minuman stimulant seperti stimulant seksual, sport, meningkatkan daya tahan, menjaga agar tidak cepat lelah dan mengantuk, dan masih banyak lagi jenis lainya yang tidak jelas kemanfaatanya serta tidak adanya rekomendasi dari Badan Pengawas Obat Dan Makanan (BPOM). Terkadang memang kita tergoda dengan pengiklanan yang begitu hebat melalui berbagai media serta bintang iklan yang mempesona sehingga karena kita tertarik atau sekedar mencobanya akhirnya tergoda juga untuk membeli, tanpa pernah kita mempertimbangkan akibat samping (side effect) dari reaksi obat tersebut terhadap kesehatan diri kita. Bagi produsen, mereka terkadang tidak memperhatikan tentang effect negative dari obat-obatan yang mereka produksi, yang terpenting adalah omset penjualan meningkat dan

    untunglah yang mereka inginkan, tapi apakah mempunyai keuntungan yang signifikan buat kita juga.

    Itulah pertanyaan yang seharusnya kita pertimbangkan sebelum mempertimbangkan untuk membelinya. Hal yang perlu kita perhatikan adalah, telitilah oabat-oabatan penguat yang akan anda beli, apakah aman buat diri kita, apakah ada effect samping terhadap kita , apalagi bagi mereka yang mempunyai penyakit-penyakit kronik, seperti Jantung, Ginjal,Liver (hati),Diabetes,dll. Mempertimbangkan sebelum membeli adalah hal yang paling bijaksana, jangan percaya saja pada "IKLAN", atau si penjual obat, karena mereka sekedar penjual, dan terkadang tidak mau tahu dengan barang yang dijualnya. Periksalah apakah obat-obat kuat tersebut memang diijinka oleh PBOM, legal, atau belum jelas statusnya, kalau perlu tanyakan terhadap beberapa orang yang pernah memakainya, atau kalau ragu tanyakan pada dokter atau orang yang mengetahui tentang obat-obat kuat tersebut.

    Selamat memilih obat kuat, teliti sebelum membeli, gunakan obat-obatan sesuai dengan fungsinya, jangan meminum obat-obat kuat yang melebihi takaran dosis hanya ingin meningkatkan vitalitas anda.

    Sunday, September 10, 2006

    Gonore (GO)

    Gonore (GO) adalah penyakit menular seksual (PMS), yang disebabkan oleh kuman yang bernama Neisseria Gonorrhoaea yang menginfeksi lapisan dalam uretra, leher rahim, rektum (usus bagian bawah), tenggorokan maupun bagian putih mata (Gonorhoaea Conjugtiva). Gonore bisa menyebar melalui aliran darah kebagian tubuh lainya ,terutama kulit dan persendian, pada wanita, gonore bisa naik ke saluran kelamin dan menginfeksi selaput didalam panggul sehingga menimbulkan nyeri panggul dan gangguan reproduksi.


    Pada pria, gejala ini biasanya timbul setelah 2-7 hari setelah infeksi yang didapat dari pasangan seksualnya yang menderita Gonore. Gejalanya berawal dari rasa tidak nyaman pada daerah saluran kencing yang beberapa jam kemudian di ikuti rasa nyeri ketika berkemih yang disertai dengan keluarnya nanah . Penderita sering berkemih dan dan merasakan desakan berkemih, yang semakin memburuk ketika penyakit ini menjalar kebagian saluran kencing atas menyebabkan lubang penis tampak merah dan membengkak.

    Pada wanita, gejala awal dapat timbul dalam waktu 7-21 hari setelah infeksi. Pada wanita biasanya tidak menunjukkan gejala selama beberapa minggu atau bulan, dan diketahui menderita penyakit ini ketika pasangan seksualnya tertular. Jika timbul gejala, biasanya bersifat lebih ringan, namun demikian beberapa penderita menunjukkan gejala yang berat, seperti desakan untuk berkemih, nyeri ketika buang air kecil, keluarnya cairan putih dari vagina dan demam.

    Penjalaran infeksi ini bisa mencapai leher rahim, rahim, saluran telur, indung telur, uretra(saluran kencing bawah) dan rektum yang menyebabkan nyeri pinggul dalam atau nyeri ketika melakukan hubungan seksual. Pada wanita dan pria homoseksual yang melakukan hubungan seksual melalui dubur bisa menderita gonore pada usus bagian bawah. Melakukan oral sex dengan seorang penderita gonore juga dapat menyebabkan tertularnya gonore pada tenggorokan (faringitis gonocokal), yang terkadang tidak menunjukkan gejala, dan kadang gejalanya mirip seperti radang tenggorokan yang menyebabkan gangguan menelan. Gonore juga dapat menular ke mata jika cairang yang terinfeksi mengenai mata yang biasanya disebut dengan konjugtivbitis gonore. Bayi yang baru lahirpun dapat tertular gonore dari ibunya yang terjadi selama proses persalinan, yang menyebabkan pembengkkan kelopak matanya dan dari matanya mengeluarkan nanah.

    Komplikasi Gonore

    Biasanya komplikasi yang terjadi bisa mengenai persendian, yang mengakibatkan pembengkakan pada sendi dan menyebabkan nyeri sendi. Infeksi melaui aliran darah juga dapat menyebabkan bintik-bintik merah yang berisi nanah dikulit,demam rsa tidak enak pada badan atau nyeri dibeberapa persendian yang berpindah-pindah dari satu sendi ke sendi yang lainya.

    Komplikasi juga dapat menyebar ke jantung yang menyebabkan endokarditis (peradangan pada jantung), serta dapat pula menginfeksi pada lapisan hati (perihepatitis) yang menyebabkan nyeri seperti penyakit kandung empedu.


    Untuk menentuka diagnosa dapat dilakukan dengan anamnesa melalui informasi yang diberitahukan oleh penderita, apakah penderita dalam beberapa hari ini melakukan kontak sexsual dengan orang lain. Data penunjang juga biasanya dibutuhkan seperti pemeriksaan nanah penderita untuk memastikan jenis kuman yang dilakukan melalui pembiakan kuman.


    Gonore dapat diobati dengan suntikan dosis tunggal setrifiakson yang diberikan secara deep intramuskuler (melaui otot), atau dapat juga mengunakan obat-obatan oral lainya selama 1 minggu, biasanya obat yang dipilih doksisiklin.


    Mengunakan kondom dan menghindari oral seksual dengan pasangan yang tidak aman adalah cara sederhana yang dapat meminimalkan tertularnya penyakit ini, namun demikian cara pencegahan yang paling baik adalah jangan melakukan hubungan seksual dengan pasangan yang tidak resmi, MENCEGAH LEBIH BAIK DARI PADA MENGOBATI

    Sunday, September 03, 2006

    Myocardial Infacrtion

    Myocardial infarction reffers to the process by which myocardial tissue is destroyed in regions of the heart that are deprived of their blood supply after closure of the coronary artery or one of its branches, either by a trhombus or through obtruction of the vessel lumen by atherosclerosis. Arterial hypertention and diabetes are also underlying causes.
    Preventive Measures
    Epidemiological studies and observations by cardiologists reveal that there are coronary risk factors that tend to make an individual more prone to develope coronary heart disease. This information is important in the prevention of premature coronary heart disease as well as forestalling recurring episodes in patients with known atherosclerotic disease.
    These factors include as a following:
  • Hypercholesterolemia, elevated blood lipid
  • Hypertension
  • Elevated Blood Glucose (Diabetes Mellitus)
  • Obwsity
  • Habitual dietary intake of excessive calories, total fats, cholesterol, carbohydrates and salt.
  • Physical inactivity
  • CAD
  • Thrombus formation
  • Cigarette smoking
  • Positive family history
  • Symptom and Sign

    The patient with myocardial infarction is usually male, is over 40 and has arterosclerosis of coronary vessel and often arterial hypertention. However, the patient my be in his early 30's or even 20's. In typical patient, the pain start suddenly, usually over the lower sternal region and upper abdomen, and is continous more than 30 minutes with the pain character such as crushing, vise-like, griping, but it may increase steadily in severity until it become almost unbeareable.
    It is heavy vise-like pain, which may radiate to the shoulders and down the arms, usually in the left arm. Unlike the pain of true angina, it become spontaneously (not following effort, emotional upset, etc), persist for hour of days, and is releived neither by rest nor by nitrites. The palse may become very rapid, irregular, and feeble, even imperceptible , and the heart may dilate. Gallp rhythm (accentualed third heart sound making the three heart sound similar to those of galloping horse) often developes.
    The person with a severe occlusion may be in shock , his color is ashen, he break out in clammy sweat, vomiting is commond. In a few hours his temperature rises, blood presure falls to an unusually low point, the leucocyte count rises to 15,000 or 20,000 enzymes are elevated and can be correlated with the patien's clinical corse. The creatinine phosphokinase (CPK) may rise 5 to 10 times or more and is especialy diagnostic for heart muscle damage. Changes may be seen in the electrocardiogram within 2 to 12 hours (but may take as long as 72 to 96 hours). When ECG change as eleveted S-T segment and inverted T waves confim that an acute myocardial infarction. Even the ECG is normal, elevation of serum enzymes reveal that caution is indicated in the handling of the patient.
    Medical and Nursing management
    The most critical period of the patient with myocardial infarction is durinh the first 48 hours following the attack. Cardiogenic shock, ventricular fibrillatio, and cardiac arrest are common cause of sudden deaths during this time period , therefore nurse care must be do as a following actions:

    1. Acute condition, place patient in Ssemi Fowler Position, bed rest
    2. Nasal O2 to reverse as much ischemia as possible
    3. Establish a patient IV line
    4. Provide pain relief, morphine sulfate IV(given IV because after in infarction there is poor peripheral perfusion and because serum enzymes would be affected by IM injection) as doctor orderMonitor ECG and haemodinamic procedures.
    5. Administer antiarrhythmias as order.
    6. Perform complete lung/cardiovasculer assesment
    7. Monitor urine output and report output of less than 30 ml/hour; indicates decrease cardiac output.
    8. Maintain full liquid diet with gradual increase to soft; low sodium.
    9. Maintain quiet environment.
    10. Administer stool softeners as ordered to fasilitate bowel evacuation and prevent straining.
    11. Relieve associate with coronary care unit (CCU) environnment.
    12. Administer anticoagulants as order>
    13. Administer thrombolyitics (tissue -type plasminogen activator or t-pa and streptokinase) and monitor for side effects; bleeding.

    If the doctor incharge permitted to the patient for discharge, the nurse must be take responsible as a below:

    1. Teach about effects of MI, healing proces, and treatment regimen
    2. Medication regimen including name, purpose, schedule, dosage, side effects.
    3. Risk factors, with necessary lifestyle modification
    4. Dietary restrictions; low sodium; cholesterol; avoidance of caffeine
    5. Importance of participation in a progressive activity program
    6. Resumption of sexsual activity according to physician's orders(usually 4-6 weeks)
    7. Need to report the following symptom: increased persistent chest pain, dypsnea, weakness, fatigue, persisten palpitations, light-headedness
    8. Enrollment of client in cardiac rehabilitation program

    Friday, September 01, 2006

    Tip-Tip Membeli Obat Bebas

    Manusia hampir didalam hidupnya pernah menderita sakit, baik sekedar penyakit ringan maupun kronik yang harus memerlukan perawatan medis di Rumah Sakit, tetapi jika kita hanya menderita sakit ringan seperti batuk, pilek, diare ringan, demam ringan, sakit kepala ringan terkadang kita mengatasinya dengan membeli obat-obatan di toko-toko obat maupun di warung-warung obat tertentu yang tentunya dapat kita beli tanpa resep dokter atau biasanya di sebut sebagai obat bebas. Dimana obat bebas ini ada dua jenis yaitu obat bebas yang mana kemasanya ditandai dengan lingkaran hitam dengan warna hijau didalamnya, sedangkan obat bebas terbatas ditandai dengan lingkaran hitam dengan tanda biru didalamnya.
    Bagaimanakah Cara-cara memilih obat bebas utuk penyakit-penyakit yang yang kita anggap ringan tersebut?
    Memilih obat bebas memang tergantung kita dan kebiasaan atau kecocokan obat-obatan berdasarkan pengalaman yang pernah kita alami karena cocok dengan penyakit yang pernah diderita sebelumnya, namun dengan tumbuhnya perusahaan-perusaan Farmasi menjadikan macam jenis obat berkembang pesat baik jenis maupun kemesan obat. Hal ini terkadang mempersulit kita dalam memilih jenis obat bebas yang sesuai dengan tanda dan gejala, penyakit yang sedang kita derita, misalnya kita menderita batuk, tetapi jenis batuk kita tidak berdahak, karena ketidaktahuan kita akhirnya asal memilih obat batuk yang sembarangan ditambah pedagang obatnya juga tidak mengerti maka kesembuhan yang kita harapkan terkadang malah menyebabkan sakit batuk kita bertambah parah, Lalu bagaimanakah cara memilih obat bebas yang benar?
    Dibawah ini ada beberapa tip-tip cara memilih obat bebas yang perlu anda ketahui diantaranya sebagai berikut:
    Perhatikan Label
    Setiap obat bebas pasti dikemas dengan label, dimana label tersebut memuat beberapa petunjuk seperti:
    1. Nama Produk: Nama produk ini umunya berkaitan dengan merek
    2. Bahan Aktif: Adalah bahan yang berkasiat dalam sediaan obat
    3. Golongan: merupakan kategori produk seperti obat batuk, antihistamin (anti allergi), antipiretik(Penurun Panas),Antitusif (pereda batuk),dll.
    4. Kegunaan: terhadap gejala atau penyakit yang akan diobati.
    5. Peringatan: Perhatikan kapan boleh diminum, atau kapan harus dihentikan, kapan harus ke dokter, dan apa efek sampingnya, kadang-kadang jenis obat batuk mengandung antihistamin yang menyebabkan kantuk, maka hati-hati atau jangan diminum kalau anda sedang menjalankan kendaraan karena akan membahayakan anda dalam mengendarai kendaraan
    6. Aturan pemakaian: berapa banyak takaran pengunaan,atau berapa tablet dalam sehari apakah 3X1/hari, 2X1/hari, dst, bagaimana cara pengunaan, apakah diminum sebelum makan,setelah makan atau bersama dengan makan, berapa lama obat harus diminum, apakah 3 hari,4 hari dst.
    7. Informasi Lain : menyangkut cara penyimpanan, perhatikan cara penyimpanan obat gar tidak rusak, apakah harus disimpan dibawah suhu 30 derajad Celcius,atau harus disimpan didalam kulkas, atau bisa disimpan di udara bebas.Kedaluarsa: Hal ini sangat penting, jangan asal minum obat tanpa melihat masa kedaluarsa ( expire date) dari obat tersebut untuk menghindari ketidakefektifan obat maupun keracunan obat
    8. Bahan Tambahan: Adalah bahan yang ditambahkan sebagai pengikat, pewarna, penambah rasa atau aroma.

    Interaksi Obat.

    Obat merupakan bahan kimia yang memungkinkan terjadinya interaksi bila tercampur dengan bahan kimia lain seperti obat-obatan, makanan maupun minuman. Interaksi juga dapat terjadi juga dengan berbagai jenis penyakit seperti Hipertensi, jantung, Diabetes, Ginjal, dll, oleh karena itu perhatikan pada saat anda membeli obat apakan obat bebas yang anda akan minum memiliki kontraindikasi dengan penyakit yang telah anda derita seperti Diabetes, Hipertensi, dll.

    Dibawah ini ada beberapa petunjuk peringatan terhadap obat bebas umum yang harus dipakai:
  • Hindari alkohol jika mengunakan antihistamin,obat batuk yang mengandung dextromethorpan
  • Jangan gunakan pencahar jika lambung terasa nyeri, mual atau muntah.
  • Tanpa petunjuk dokter, jangan mengunakan obat pelega hidung (Nose drip) jika anda sedang dalam pengobatan Hipertensi, karena akan bereaksi menyebabkan tekanan darah tinggi anda semakin tinggi, jika deperesi, atau jika anda menderita penyakit jantung, diabetees, tiroid, maupun menderita gangguan prostat, konsultasikan dengan dokter kalau memang anda harus mengunakanya

  • Kehamilan dan menyusui

    Berhati-hatilah dalam mengkomsumsi obat pada sat anda sedang hamil, apalagi pada saat Trisemester pertama usia kehamilan, karena pada saat usia kehamilan tersebut kondisi rahim masih sangat rapuh dan janin masih daklam perkembangan yang masih lemah, karena obat yang anda konsumsi dapat menembus rahim sampai ke janin. Obat yang sangat aman untuk ibu hamil menjadi menjadi sangat berbahaya terhadap janin, maka bacalah petunjuk didalam kemasan obat apakah obat bebas tersebut boleh diminum ibu-ibu hamil, atau lebih baik konsultasikan dengan dokter anda jika anda ragu, jangan mengambil keputusan sendiri.

    Meskipun kebanyakan obat dapat keluar melalui ASI dalam kandungan atau konsentrasi yang rendah, yang dapat berefek terhadap bayi, maka dalam masa menyusui, sebaiknyya berhati-hatilah juga, lebih baik konsultasikan dengan dokter kalau memang ibu menyusui harus mengunakan obat sehubungan dengan penyakitnya.
    Hati-Hati Pengunaan Obat Bebas Buat Anak-Anak

    Usia anak-anak berbeda denga dewasa maka, berhati-hatilah jika membeli obat bebas untuk anak-anak anda, perhatikan hal-hal sebagai berikut:

    1. Bacalah label kemasan obat dengan teliti
    2. Ketahui beda antara sendok makan dengan sendok teh
    3. Hati-hati terhadap intruksi obat sebagai contoh jika pada label obat dinyatakan 2 sendok teh, lebih baik gunakan gunakan sendok takar yang yang dibawakan, bukan sendok teh yang ada yang biasa anda pakai. Demikian pula dengan sendok makan, tidak sama dengan 15 ml.
    4. Jangan mencoba memperbanyak dosis jika anak terlihat sakit parah, lebih baik konsultasilah dengan dokter jika dosis yangs sesuai pemakaian ditakaran masih belum memberikan efek yang diharapkan

    Waspadalah Terhadap Kemasan

    Beberapa hal yang harus anda perhatikan sebelum membeli obat:
  • Lihatlah kemasan maupun segel, apakah masih terlihat baik, kalau sudah rusak, segel terbuka lebih baik jangan dibeli
  • Periksalah apakah kemasan luar sama dengan kemasan didalamnya
  • Jangan membeli obat-obatan yang benar-benar anda tidak tahu cara mengunakanya
  • Jangan hanya percaya terhadap penjual obat tentang khasiat obat,karena penjual obat terkadang juga tidak peduli dengan manfaat obat itu sendiri, mereka hanya berpikir yang penting obatnya terjual
  • Jangan membeli obat-obatan yang telah berubah warnanyaLihatlah tanggal expire dari penggunaan obat, hal ini sangat penting, perhatikan sekali lagi tanggal expirenya sebelum anda bener-benar membelinya, dan jangan pernah beralasan membeli obat yang sudah expire dengan alasan harga yang murah
    Untuk tambahan informasi anda dapat juga membaca artikel di SINI

    Sunday, August 27, 2006

    Health Insurance

    Why We Need Health Insurance?

    Live is not always healthy, so we have to keep our healthy against many kind of diseases, but some time even we have protection ourself, we still getting sick. The disability or disease are health problem that we meet unexpected, unpredictable, they can come to us any time, how you will prepare anything to counter your health problem, no everybody ready to pay Hospital charge if the health problem taking place, Therefore we need Health Insurance to cover our healthy in order to protected our body from the illness.
    How To Choose Health Insurance?
    Before we are decided one Health Insurance that will be cover, we have to understanding about which Health Insurance well, reliable and what it covers. You may ask to insurance representative to explain about what benefit insurance for, and how to claim when customer getting problem, how long time must we reported to company, and many inquiry around Health Insurance. You can also ask to any customer that have been joined with Health Insurance so you can share experience which they have, because several Health Insurance some time is not reliable and have not high credibility, therefore looking Understanding about Health Insurance background is better than choose ones in order to avoid problem in the future.

    Saturday, August 26, 2006

    Prostate Cancer

    What is the prostate?

    The prostate is a small gland that only men have. It is normally about the size of a walnut. The prostate is located underneath the bladder and in front of the rectum. Because the prostate is close to the rectum, it can be felt by a doctor during a digital rectal exam (the part of a physical where the doctor inserts a gloved, lubricated finger into a man's anus). The prostate makes and stores fluid that is part of semen, and this fluid is released from a man's penis during ejaculation. The prostate is signaled to do its job by the male hormone testosterone, which can influence the behavior of the prostate gland and prostate cancer. Nerves to the penis that are important in producing and maintaining an erection run very close to the prostate. The prostate completely encircles the tube that carriers urine from the bladder to the penis, called the urethra.
    If the prostate enlarges, it can block the flow of urine from the bladder making it difficult for a man to urinate.
    What is prostate cancer?
    Prostate cancer happens when cells in the prostate begin to grow out of control and can then invade nearby tissues or spread throughout the body. Large collections of this out of control tissue are called tumors. However, some tumors are not really cancer because they cannot spread or threaten someone's life. These are called benign tumors. The tumors that can spread throughout the body or invade nearby tissues are considered cancer and are called malignant tumors. Usually, prostate cancer is very slow growing. However, sometimes it will grow quickly and spread to nearby lymph nodes. Lymph nodes are small, pea-sized pieces of tissue that filter and clean lymph, a clear liquid waste product. If prostate cancer has spread to your lymph nodes when it is diagnosed, it means that there is higher chance that it has spread to other areas of the body.

    Am I at risk for prostate cancer?
    Every man over the age of 45 is at risk for prostate cancer. Although prostate cancer can occasionally strike younger men, the risk of getting prostate cancer increases with age and more than 70% of men diagnosed with prostate cancer are over the age of 65. Prostate cancer is the most common cancer that men get in the United States behind skin cancer. It is estimated that there will be 189,000 new cases of prostate cancer and 30,200 deaths from prostate cancer in the year 2002 in the United States.

    Although there are several known risk factors for getting prostate cancer, no one knows exactly why one man gets it and another doesn't. Some of the most important risk factors for prostate cancer include age, ethnicity, genetics and diet. Age is generally considered the most important risk factor for prostate cancer. The incidence of prostate cancer rises quickly after the age of 60, and the majority of men will have some form of prostate cancer after the age of 80. One of the sayings about prostate cancer is that older men (over the age of 80) die with prostate cancer not from prostate cancer. This saying means that many older men have microscopic disease that doesn't shorten their life expectancy because the cancer takes a long time to grow and become clinically important. However, this saying is only a generalization; sometimes prostate cancer can grow quickly even in older patients.

    Another important risk factor for prostate cancer is ethnicity. No one knows exactly why, but prostate cancer is more common in African-American and Latino men than Caucasian men. African-American men have a 1.6 fold higher chance of getting and dying from prostate cancer than Caucasian men. Asian and Native American men have the lowest chances of getting prostate cancer. Some doctors believe that genetic differences are important in explaining the different rates of prostate cancer between different ethnic groups; however, there is some evidence that differences in diets may be the cause. When Asian men move to Western countries like the United States, their chances of getting prostate cancer rise. Men who live in the United States and Northern Europe have the highest rates of prostate cancer, while men who live in South America, Central America, Africa, and Asia all have much lower chances of developing prostate cancer.
    There is some evidence that a man's diet may affect his risk of developing prostate cancer. The most common dietary culprit implicated in raising prostate cancer risk is a high fat diet, particularly a diet high in animal fats. Also, a few studies have suggested that a diet low in vegetables causes an increased risk of prostate cancer. There are a few foods that have been implicated in decreasing prostate cancer risk: a diet high in tomatoes (lycopene) has been suggested as well as diet high in omega-3-fatty acids (oils found in fish like salmon and mackerel). Doctors and scientists aren't in full agreement as to the usefulness of eating these foods when in comes to decreasing prostate cancer risk. Diets high in selenium, vitamin D, and soy have all been suggested to decrease prostate cancer risk; but a these are currently under study and data from large trials is needed before firm recommendations can be given about their use for this purpose.
    A family history of prostate cancer increases a man's chances of developing the disease. This increase shows itself when a man has either a father or brothers (or both) with prostate cancer, and is even greater when his relatives develop prostate cancer at a young age. A variety of different genetic factors are currently being researched. Variations and mutations in certain genes may be responsible for some increases in prostate cancer rates in families. Men who carry mutations in genes known as BRCA1 or BRCA2 (these are genes implicated in breast and ovarian cancer in women) may have a 2 to 5 fold increase in prostate cancer risk. Men with high levels of testosterone or a hormone known as IGF-1 (insulin-like growth factor 1) seem to be at a higher risk for developing prostate cancer as well.
    How can I prevent prostate cancer?
    Because prostate cancer is a common disease and often has a very slow growing course, there is a lot of interest in trying to prevent prostate cancer with drugs, foods, or nutrients. Even a compound that could slow the progression of the disease could potentially decrease mortality from it. Right now, the best way to try and prevent prostate cancer is to modify the risk factors for prostate cancer that you have control over. You may want to try to eat a low fat diet that is rich in fruits and vegetables. Although certain foods, vitamins and minerals have been suggested to decrease your chances for getting prostate cancer, doctors still need more data before any particular food or supplement can be endorsed for preventing prostate cancer. Currently, there are studies looking at selenium, lycopen, vitamin A and other retinoids, vitamin D, vitamin E, and soy for prostate cancer prevention.

    There is also interest in preventing prostate cancer by using drugs. We know that hormones like testosterone can cause prostate cancers to grow and develop, so there are experiments looking at drugs that can decrease the levels of testosterone in the prostate to attempt to stop prostate cancer from forming and growing. Drugs like Flutamide and Finasteride work in this manner, and they are currently under investigation for prostate cancer prevention. Another way to decrease testosterone in the prostate is to decrease the total amount of testosterone in the body. Drugs that decrease total body testosterone have a whole host of undesirable side effects (drugs that do this are currently used to treat men who have already developed prostate cancer and will be discussed later in the treatment section), so they aren't nearly as good choices for prostate cancer prevention.

    What screening tests are available?
    Whether or not men should be screened for prostate cancer is an intensely debated issue. We know that prostate cancer usually grows very slowly, so intuitively it would make sense that we could reduce mortality from prostate cancer by picking it up early so it could be treated before it spreads. However, in order for a screening test to be fully embraced, we need to prove that picking up a disease early actually does help reduce the number of deaths. Right now, there is no good data showing that screening for prostate cancer reduces deaths from prostate cancer. There are currently very large trials on-going to see which populations of men will benefit most.

    Currently, there are two methods that physicians use to screen for prostate cancer. One of them is called a digital rectal exam (DRE). A digital rectal exam is done in your primary care physician's office. Because your prostate is so close to your rectum, your doctor can feel it by inserting a gloved, lubricated finger into your anus. Your doctor can feel if there are lumps, asymmetries, or if your prostate is enlarged. A digital rectal exam is uncomfortable, but not painful. It is a useful test, but it is not perfect because some small cancers can be missed and only the bottom and sides of the prostate can be examined in this manner. Although it isn't a perfect test, it becomes more useful when it is combined with another test called a PSA.

    A PSA (prostate specific antigen) test is a blood test that looks for a protein that the prostate makes. Normal prostate tissue makes a little bit of PSA, but prostate cancer usually makes much more. By checking to see if your PSA is elevated, your doctor can screen you for prostate cancer. The PSA test isn't perfect either, because some tumors won't elevate the PSA and some other processes (like benign prostatic hyperplasia and prostatitis) can cause it to be falsely elevated. However, the higher your PSA is, the more likely the elevation is caused by a prostate cancer. The cut-off that your doctor usually uses is 4.0 ng/ml, meaning that anything below 4.0 ng/ml is normal and anything above it is abnormal. If your PSA is elevated, or you have an abnormal digital rectal exam, then you need to get further evaluation; however, this doesn't necessarily mean that you have prostate cancer. The only way to know for sure whether or not you have cancer is to get a sample of your prostate from a biopsy.

    Both a digital rectal exam and a PSA are simple, non-invasive tests. Most physicians recommend screening for prostate cancer with these tests in men with a life expectance of 10 years or more. However, some doctors don't think screening for prostate cancer is worth doing. One of the downsides is that you may go through an extensive workup and treatment for a disease that never would have shortened your life. We know that some prostate cancers are very slow growing (often taking more than 10 years to become significant), so if your life expectancy is less than 10 years it may not be worthwhile to go through the process of screening, biopsy and treatment. The treatment options for prostate cancer are not completely benign, and all of them have the potential for side effects. However, it is difficult for physicians to determine which prostate cancers will progress versus those that will remain indolent in any individual patient. Another argument against prostate cancer screening is that it has never been proven to save lives in studies of large populations. However, many doctors think that newer treatments for early stage prostate cancers may make this argument obsolete. Data from large trials currently being carried out should help to settle this argument in the near future.

    The American Cancer Society and the American Urological Society recommend regular prostate cancer screening. The American Cancer Society recommends that men start getting annual PSAs and digital rectal exams starting at age 50, unless they are high risk (meaning they have a family history of prostate cancer or are African-American), who should begin screening at age 45. However, they mention that screening should only be carried out if your life expectancy is greater than 10 years, so men in their 80s and 90s (especially if they have other serious medical problems) should probably not be screened. The most important thing is to discuss the issue with your doctor. Decisions about screening should be individualized and reached after hearing about the potential benefits and harms of screening, biopsy and treatment.

    What are the signs of prostate cancer?
    Most early prostate cancers are detected with PSA tests or digital rectal exams before they cause any symptoms. However, more advanced prostate cancers can cause a variety of symptoms including:

    • trouble starting urination
    • urinating much more frequently than usual
    • the feeling that you can't release all of your urine
    • pain on urination or ejaculation
    • blood in your urine or semen
    • impotence
    • bone pain
    All of these symptoms can be caused by a variety of things besides prostate cancer, so experiencing them doesn't necessarily mean you have prostate cancer. When older men have problems urinating, it is usually caused by process called benign prostatic hyperplasia (BPH) which is not prostate cancer. If you experience any of these symptoms, you need to see your doctor for evaluation.

    1. Stage I - tumor cannot be felt during a digital rectal exam; it was detected by an elevated PSA blood test or incidentally found during another prostate procedure for a benign condition.
    2. Stage II - tumor can be felt during a digital rectal exam, but it has not spread beyond the prostate and it hasn't spread to lymph nodes or other organs
    3. Stage III - tumor extends outside the prostate and can be in the seminal vesicles, but not in any other organs or lymph nodes
    4. Stage IV - tumor has spread to other organs or lymph nodes

    There are many different ways to treat prostate cancer, and you will most likely be consulting multiple types of doctors before making a final decision. Physicians are not always in agreement as to the way to proceed because there haven't been enough large trials that compare the different treatment modalities. For prostate cancer, it is important that you get a second opinion and you should talk to both urologists and radiation oncologists to hear about the benefits and risks of surgery, hormonal therapy and radiation in your particular case. If your prostate cancer has already spread at the time of diagnosis, you will also need a medical oncologist to talk about chemotherapy. The most important thing is to discuss your options and make a decision that suits your lifestyle, beliefs and values.
    Surgery is a common form of treatment for men with prostate cancer. Surgery attempts to cure prostate cancer by removing the entire prostate and getting all of the cancer out of the body. An attempt at a surgical cure for prostate cancer is usually done with early stage prostate cancers, but sometimes surgery will be used to relieve symptoms in advanced stage prostate cancers. Surgery for prostate cancer is generally felt to be equivalent to radiation for prostate cancer in terms of survival, especially in early stage, low to intermediate grade cancers. The decision to have surgery versus radiation is often made on the basis of the patient's age and health status; the two different approaches have different side effect profiles depending on the patient's age.
    The most common surgical procedure for prostate cancer is known as a radical prostatectomy. Radical prostatectomy means that the entire prostate gland is removed from around the tube that connects the bladder to the penis (the urethra). This surgery can be done in two different ways, the retropubic approach and the perineal approach. The retropubic approach means that incision in made in the lower abdomen, while the perineal approach means that the incision is made between the scrotum and the anus. Often times during a retropubic approach, the surgeon will remove some lymph nodes in the area and have them quickly examined by a pathologist for signs of cancer. If the nodes have cancer, then the surgeon will not to proceed with the operation. This is the major reason a retropubic approach is used in most surgeries today.
    Radical prostatectomies are very safe surgeries with few life threatening complications; however, there is a significant risk for other side effects. Both urinary incontinence (not being able to hold in your urine) and impotence (inability to achieve and maintain an erection) are commonly associated with this procedure. The risk for having either of these side effects increases with age; this is why younger men are often recommended to have surgery while older men are recommended to have radiation. The skill of your particular surgeon influences your chances of having these side effects during a radical prostatectomy. Talk to your surgeon about their complication rates before your operation. Sometimes, particularly with lower grade and smaller cancers, a nerve sparing prostatectomy can be performed. This type of prostatectomy can decrease the chances that you will be impotent after the procedure. However, there is always a risk and not every patient is a candidate for a nerve sparing prostatectomy. With surgery, urinary incontinence and impotence are often most severe right after the operation and get better with time. There are things that your doctors can recommend to help you with either of these problems. Talk to your urologist about your options.

    Prostate cancer commonly is treated with radiation therapy. Radiation therapy uses high energy rays (similar to x-rays) to kill cancer cells. Radiation therapy is another option besides surgery for early stage prostate cancer; and when advanced stage prostate cancer needs to be treated, it is usually done with radiation therapy. Radiation helps avoid surgery in patients who are too ill to risk having anaesthesia. Radiation is usually offered to older patients in the case of early stage prostate cancer because of its side effect profile is less than surgery in the elderly. Radiation can have impotence rates similar to surgery, but the risk of urinary incontinence is very low. Impotence develops months to years after the radiation treatment, unlike with surgery, which tends to have the side effects occur immediately. Other side effects from radiation include bladder irritation, which can cause urinary frequency and urgency as well as bladder pain, and diarrhea or rectal bleeding. Your radiation oncologist tries to limit the amount of radiation to other organs, but often the bladder and rectum can get some dosage because they are in such close proximity to the prostate.

    Radiation therapy for prostate cancer either comes from an external source (external beam radiation) or an internal source where small radioactive seeds are implanted into the patient's prostate (brachytherapy). External beam radiation therapy requires patients to come in 5 days a week for up 6-8 weeks to a radiation therapy treatment center. The treatment takes just a few minutes, and it is painless. Brachytherapy is done as a one-time insertion, in the operating room. Brachytherapy cannot be done in all patients and is usually reserved for early stage prostate cancers. Your radiation oncologist can answer questions about the utility, process, and side effects of both of these types of radiation therapy in your particular case.
    Hormonal Therapy
    Both normal prostate tissue and prostate cancers depend on male sex hormones, called androgens, to grow and replicate. Testosterone is an androgen very important to the prostate gland. Men make androgens in their testicles. One of the ways to treat prostate cancer is to remove androgens from the body, thus making the cancer shrink and then grow more slowly. There are a few different ways to remove androgens: you can remove a man's testicles (called an orchiectomy), you can give a man drugs that block the production of androgens (called LHRH agonists), you can give a man drugs that block androgen receptors (called anti-androgens) or you can give a man estrogens. Different methods of deceasing androgens are often used in the same patient: using LHRH agonists with anti-androgens can achieve what is known as a total androgen blockade. Hormone therapy can also be used in conjunction with other treatments, especially in the case of advanced stage prostate cancer being treated with radiation therapy. In that case, hormonal therapy is often given before the radiation and this is known as neoadjuvant hormonal therapy. Another use for hormones is in patients who present with metastatic disease. After a while, all prostate cancers will become resistant to hormonal therapy. However, this often takes many years and hormonal therapy can buy a lot of time in patients with extensive disease or patients who choose not to undergo surgery or radiation.

    There are a number of side effects associated with hormonal therapy. Hormonal therapy will almost universally cause impotence and the loss of your sex drive. It can also cause breast enlargement, hot flashes, and muscle and bone loss (osteoporosis). There are some things your doctors can prescribe to help with bone loss and hot flashes, but little can be done about loss of libido and impotence.

    Chemotherapy is the use of anti-cancer drugs that go throughout the entire body. Chemotherapy is prescribed by medical oncologists, who are experts at choosing appropriate regimens for particular patients. Chemotherapy for prostate cancer is generally only reserved for very advanced cancers that are no longer responsive to hormonal therapy. There are a number of chemotherapy drugs that can be used for prostate cancer, and they are often used in combinations. A common chemotherapy regimen is Mitoxantrone with Coritcosteroids; and other regimens that are becoming increasingly popular use a drug called Estramustane with drugs called Taxanes. The use of chemotherapy in prostate cancer is currently being studied and men who get chemotherapy are encouraged to talk to their doctors about experimental trials. There are advantages and disadvantages to each of the different regimens that your medical oncologist will discuss with you. Based on your own health, your personal values and wishes, and side effects you may wish to avoid, you can work with your doctors to come up with the best regimen for your lifestyle

    Cryosurgery is a somewhat experimental approach to treating prostate cancer whereby probes with liquid nitrogen are implanted into the prostate and then the tissue is frozen. This freezing kills the cancer cells, and it can be repeated multiple times if needed. However, data to date has shown that cryosurgery is not as effective as radiation and surgery for treating prostate cancer. Cryosurgery also has a variety of side effects including urinary incontinence and impotence.

    Watchful Waiting
    Some patients choose to receive no therapy for their prostate cancer in the hopes that it will grow very slowly. By avoiding any therapy, they avoid the side effects that come along with surgery, radiation, or hormones. Watchful waiting is appropriate for older men with small, low-grade tumors, and slowly rising PSAs, and multiple other medical problems. Watchful waiting can be considered in patients who have a life expectancy less than 10 years as long as the cancer isn't large or of a high grade. Men who choose to undergo watchful waiting should have PSAs and digital rectal exams done every 3-6 months, and need to be re-biopsied at some point to make sure the grade hasn't become less favorable. However, it is never really clear what change in clinical status should institute treatment. Also, if the tumor has progressed, they may no longer be eligible for curative therapy.

    Follow-up testing
    >Once a patient has been treated for prostate cancer, they need to be closely followed for a recurrence. At first, you will have follow-up visits fairly often. The longer you are free of disease, the less often you will have to go for checkups. Your doctor will tell you when he or she wants follow-up visits, PSAs and x-rays or scans depending on your case. Your doctor will also probably do digital rectal exams regularly during your office visits. It is very important that you let your doctor know about any symptoms you are experiencing and that you keep all of your follow-up appointments.

    Clinical trials are extremely important in furthering our knowledge of this disease. It is through clinical trials that we know what we do today, and many exciting new therapies are currently being tested. Talk to your doctor about participating in clinical trials in your area.

    This article is meant to give you a better understanding of prostate cancer. Use this knowledge when meeting with your physician, making treatment decisions, and continuing your search for information. You can learn more about prostate cancer on OncoLink through the related links to the left., for complete information visit to Link Here

    Monday, August 21, 2006

    Detect Your Early Breast Cancer

    Breast cancer is the second leading cause at the cancer death in women at the world. The early detection means will be help to save and easily to treatment,because if the problems was knew late cause so many difficulties cure and treatment. The early recognizing better than left it till worse and makes high cost charge for management.The following reason why, women supposed to be early recognize about their breast cancer as are:
  • Why Do The Breast SElf Exam?

  • There are many good reason for doing a breast self exam each month. One reason is that is easy to do and the more you do it, the better you will get at it. When you get to know how your breasts normally fell, you will quickly be able to fell any changed, and early detection is the key to successfull treatmen and cure.
  • When To Do Self Breast Self Exam ?
  • The best time to do breast self-exam is right after your period, when breasts are not tender or swollen, if you do not regular periods or something skip a month, do it on the some day every month.
  • Now, How To Breast Self-Exam.
    1. Lie down and put a pillow under your right shoulder. Place your right arm behind your head
    2. Use the fingers pads of your three middle fingers on your left hand to fell for lumps or thickening. Your finger pads are the top third of each finger
    3. Press firmly enough to know how your breast feels. If you,re not sure how hard to press, ask your health care provider, or try to copy the way your health care provider uses the finger pads during a breasts exam. Learn what your breast fells like most of the time. A firm ridge in the lower curve of each breast is normal
    4. Move around the breast in set a way. You can chose either the circle(on the breast), the up and down line,or the wedge. Do it the some way every time . It will be help you to make sure taht you,ve gone over the entire breast area, and to remember how your breast fells
    5. Now examine your left breast using right hand fingers pads.
    6. If you find any changes, see your doctor right away

    For adding safety:

  • You should also check your breasts while standing in front of a mirror right after you do your breast self-exam each month. See if there are any changes in the way your breasts look; dimpling of the skin, changes in the nipple, or redness or swelling. You might also want to do breast self-exam while you are in the shower . Your soapy hands will glide over the wet skin making it easy to check how your breasts feel

  • REMEMBER: A breast self-exam could save your breast and save your life. Most breast lumps are found by women themselves, but in fact, most lumps in the breast are not cancer, Be save and be sure. If you need more information abaout breast cancer visit toenter here and also come to Demo Breas self-exam

    Tuesday, August 15, 2006


    Baru-baru ini ada berita yang menarik dari Media Indonesia mengenai Vaksin PENTAYELEN, memang asing kedengaranya,tapi itu adalah vaksin tunggal yang disinyalir mampu mengantikan beberapa fungsi vaksin seperti Dipteri,Pertusis(batuk Rejan/batuk 100 hari),Hepatitis B dan Influensa tipe B. Dimana jika saat ini Vaksin yang digunakan adalah per jenis penyakit maka jika vaksin PENTAYELEN telah diluncurkan maka akan lebih efektif karena hanya sekali immunisasi saja, kelima jenis penyakit tersebut sudah dapat dicegah.

    Kita tentunya berharap semoga dengan diketemukanya vaksin gabungan tersebut bermanfaat buat kita semua terutama bagi yang mempunyai anak-anak balita,karena jika dulu vaksinasi dilakukan sampai lima kali disamping balita merasa kesakitan,trauma dengan suntikan,maka PENTAYELEN mampu menjadi sahabat sekali saja buat para balita serta ibu-ibupun akan merasa senang karena balitanya hanya disuntik sekali saja.
    Vaksin tersebut akan diluncurkan pada tahun 2007 mendatang, kata Bpk. Marzuki Abdullah, Direktur Utama ,PT Bio Farma. Rencanaya Pembuatan vaksin tersebut akan dikerjakan di Indonesia oleh PT Bio Farma bekerja sama dengan Perusahan dari Belanda . Dari pihak Indonesia, yang dalam hal ini PT Bio Farma hanya menyediakan fasilitas dan sumber daya manusia (SDM), sedangkan tenaga ahlinya akan didatangkan dari Belanda.

    Untuk launching perdana kapasitas produksinya tergantung dari kebutuhan pemerintah,serta rencananya akan juga di ekspor ke negara-negara Asia dan Afrika, yang memang negara-negara tersebut masih membutuhkan vaksinasi, untuk dalam negeri vaksin tersebut akan didistribusikan ke 10 propinsi yang memerlukan vaksinasi.

    Marilah kita tunggu hadirnya si "VAKSIN MULTIFUNGSI INI", sahabat anak Balita Anda.
    (berita disadur dari Media Indonesia On-line "13/8/06",dengan gaya penyampaian bahasa yang berbeda,tanpa menguransi maksud dan tujuan dari penulis media indonesia :Eriez)

    Sunday, August 13, 2006


    Inner health is a very important subject because 95% of life threatening diseases starts inside our bodies where we can't see what is happening. By ignoring symptoms we often allow the problem to increase until treatment become difficult or, in the worst cases, impossible. It is also true that one hour of prevention is far better than one year of treatment, therefore recognize your self when getting any abnormal condition especially to the Diabetes Mellitus.

    What is Diabetes?

    In the rural people called Diabetes is more over blood sugar is the blood flow, but in medical term Diabetes is condition associated with abnormality high level of glucose (sugar) in the blood (hyperglycemia).
    Normally blood glucose level stay within narrow limit throughout the day was 4 to 7mmol/l before meal and will be increase till to less than 10mmol/l 90 minute after a meal, and around 8mmol/l at the bedtime.

    Diabetes mellitus is a chronic hereditary disorder of carbohydrate ,protein, and fat metabolism . It is characterized by lack of insulin activity and the ability to regulate blood glucose level, resulting hyperglycemia and glucosuria. There are two types of Diabetes mellitus:
    1. In type 1 diabetes, which usually starts in childhood or adolescence, the pancreas stop making insulin altogether. It is also called Insulin Dependent Diabetes Mellitus(IDDM).
    2. In type 2 diabetes, which starts in adulthood (and in some teenagers, mainly after 40 years of age), the body still makes some insulin , but it doesn't make enough insulin,or the body can't use it properly. It also called Non-Insulin Dependent Diabetes Mellitus (NIDDM).
    Insulin deficiency may be due to abnormality of beta cell function in the manufacture or release of insulin ,autoimmunity factors ,insensitivity of body cell to insulin or the excessive demands for insulin in obesity ,pregnancy, periods of extreme stressor infection.

    Glucose increases in the blood (hyperglycemia) ,because without insulin it can't be converted to glycogen or cross cell membranes. The conversion of fat and protein to glucose energy will occur.
    This fault fat metabolism produces ketone bodies ,acetone, and low blood pH (metabolic acidosis). Hyperglycemia in a severe state causes ketoacidosis and diabetic coma.

    Symptom and Causes
    • Glycosuria (sugar in urine) : Excess glucose in the blood ultimately results in high levels of glucose being present of the urine
    • Polyuria (excessive urinary output and dehydration) : This increase of urine output ,which leads to dehydration and increase thirst.
    • Polydipsia (excessive thirst ) : to counter of dehydration makes the body need lot of water
    • Polyphagia ( excessive hunger) : Loss of calorie (glucose excreted) and cell starvation makes the body need much of energy that supplied by ate over
    • Weight loss : Causes by calorie loss via urine (urine glucose),cell starvation, catabolism of stored fat and protein
    • Drowsiness,fatigue : Lack of energy from absence of glucose in cell, CNS (Central Nervous System),depression of ketone bodies, metabolism acidosis
    • Electrolyte losses : Loss of electrolyte such as NA+,K+,Ca++,CL-,depletion with polyuria and increasing of acidosis
    • Acidosis(metabolic) : Causes ketone bodies are acidic. Excessive H+ ions (Low pH) overwhelm and lower HCO3
    • Kussmaul breathing (air hunger rapid,deep breathing) : Causes respiratory compensation which lowers carbonic acid "blow off" CO2 in acidosis state ,Acetone odor on breath may be present.
    Diagnosis test
    The blood studies measure the body's ability to clear excessive glucose from the blood in the fasting state or after an increased load. Usually test to FBS (Fasting Blood Sugar),2 hour Post Prandial Blood Sugar (PPBS),and also GTT ( Glucose Tolerance Test) should be done.

    Diabetes Complication
    A key of diabetes treatment is to prevent complications because, over time, diabetes can damage the heart, blood vessels ,eyes, kidneys, and nerves, although the person may not know damage is taking place. Complications are most likely to occur in someone who has had diabetes for many years.
    If uncontrolled for many years ,diabetes mellitus can lead to more serious health problems as a below:
    1. Heart Disease
    2. Heart disease is the most common life-threatening disease linked to diabetes, and experts say diabetes doubles a person's risk of developing heart disease .In heart disease ,deposit of fat and cholesterol build-up in the arteries that supply the heart with blood. If this build-up blocks blood from getting to the heart a potentially fatal heart attack can occur.

    3. Kidney Disease
    4. People with diabetes are also more likely to develop kidney disease (nephropathy) or kidney failure than the other people.

    5. Eye Problems
    6. Diabetes can effect the eyes in several ways. Frequently, the effect are temporary and can be corrected with better diabetes control. However, long-term diabetes can cause changes in the eyes that threaten vision as cause by the blood vessel damage whitin the eyes (retinopathy).
      Diabetes also may affect the function of the nerves that control eyesight causing blurred vision. Cataract and glaucoma are eye disease that occur more frequently in the people with diabetes.

    7. Diabetic retinopathy
    8. Retinopathy a disease of retina, the light sensing tissue at the back of the eye, is a common concern among people with diabetes. Diabetes retinopathy damages the tiny vessels that supply the retina with blood.

    9. Legs and Feet
    10. Leg and foot problems can arise in the people with diabetes due to changes in blood vessel and nerves in these areas. Peripheral vascular disease is condition in the which blood vessel become narrowed by fatty deposits ,reducing blood supply to the legs and feet. Diabetes also can dull the sensitivity of nerves . Someone with this condition, called peripheral neuropathy ,might not notice a sore spot caused by tight shoes or pressure from walking. If ignored, the sore can become infected, and because circulation blood is poor, may be affect to slow healing ability even can makes gangrene if there is no good treatment will be go to amputation.

    11. Other effects of Diabetic Neuropathy
    12. Someone who has had diabetes for some years and has other complications, may find that spells of indigestion or diarrhea are common. Diabetes also can affect the nerves that control penile erection in the men ,which can cause impotence that show up gradually ,without any loss of desire for sex.

    13. Skin and Oral Infections
    14. People with diabetes are more likely to develop infections, like boils and ulcers, than the average person. Women with diabetes may develop vaginal infection more often then the other women.

    15. Emergencies
    Someone whose blood glucose has become too low may feel nervous, shaky, and weak. The person may sweat, feel hungry, and have a headache. Severe hypoglycemia can cause loss of consciousness .A person with hypoglycemia who begins too feel weak and shaky should eat or drink something with sugar in immediately, like orange juice . If the person is unconscious, he or she should be taken to a hospital emergency room right way.

    Very high glucose levels cause symptom that are hard to ignore . Frequent urination and excessive thirst .However, in someone who is elderly or in poor health these symptoms may go unnoticed. Without treatment a person with high blood glucose level or hyperglycemia can lose fluids ,become weak, confuse and even unconscious . Breathing will be shallow and the pulse rapid. The person's lips and tongue will be dry, and his or her hands and feet will be cool. If the condition is taking place, a doctor should be called immediately.

    The opposite of high blood glucose ,very low blood glucose or hypoglycemia ,is also dangerous. Hypoglycemia can occur when someone hasn't eaten enough to balance the effects of insulin or medicine. Prolonged, strenuous exercise in someone taking oral diabetes drugs or insulin also can cause hypoglycemia ,as can alcohol.