- Hermina Ciputat<\/a><\/li>
- 27 March 2024<\/li><\/ul><\/div>
Is Snoring a Sign of Danger to Health?<\/a><\/h3>
Almost all humans have experienced snoring in their sleep. Is snoring just a bad habit or a bad sign for your health? \n\n First, we need to know what causes snoring to occur. Snoring is a sound made when air flows through the respiratory tract and through soft tissue. When it passes through soft tissue with high pressure, vibrations appear in the soft tissue. The sound produced by these vibrations is called snoring. If the throat opening is smaller, the pressure generated will be stronger, resulting in a louder snoring sound. \n\n Can snoring be a sign that there is a problem in someone's body? The answer can be yes or no. When people are tired, they usually sleep snoring, but if someone is always snoring throughout their sleep, then we need to be aware of this. This indicates that there is a problem with the person's respiratory tract; there is a narrow part along the respiratory tract so that when air goes in and out, it causes the person to snore. This is a bad sign. Of course, this will also disrupt a person's sleep cycle. \n\n Are there any tests we can do at home to distinguish between normal and abnormal snoring? \n\n There is a questionnaire that we can do at home to determine whether the snoring experienced by our family or those closest to us is normal or severe. One of the questionnaires that we can use is the Epworth Sleepiness Scale. If, after filling out the questionnaire, the number of points obtained is above 9, then this indicates that we are experiencing a sleep disorder that requires professional help. For children, we can also use a questionnaire, namely the pediatric sleep scale. \n\n Treatment of Patients with Snoring \n\n Usually, an ENT specialist will first analyze the cause of the snoring. There are several points that can be used as an assessment, such as body weight, age factors, measuring neck circumference, and gender. After that, there will be a further examination. We will take the patient to a special room, and the patient will be given a light anesthesia that causes the patient to sleep. When the patient makes snoring sounds, the doctor will look into the patient's throat with an endoscope to check which part is causing the snoring sound. it appears. \n\n Another examination is a sleep study. The patient will stay overnight in the hospital, and during sleep periods, the patient will have a device attached to his body so that it can be seen whether there are periods of not breathing during sleep. \n\n \nFor patients who are overweight, doctors will usually recommend losing weight. \nWhen a patient experiences a phase of not breathing in their sleep cycle, the doctor will recommend that the patient use a device, namely CPAP (Continuous Positive Airway Pressure), which is a device used during sleep that is in the form of a hood and will provide air pressure through a mask while sleeping. \n\n If breathing problems are caused by anatomical disorders, surgery will be performed to open the respiratory tract. \n\n Hermina friends, watch the Hermina Podcast episode "Is Snoring Dangerous in Sleep?" which discusses the dangers of snoring and the importance of quality sleep (click here). \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Ciputat<\/a><\/li>
- 05 October 2023<\/li><\/ul><\/div>
How Important is Sleep for Health?<\/a><\/h3>
We often take sleep for granted, even though sleep is a very important period in our daily lives, namely a period for rest. Sleep is a condition where our body experiences a decrease in physical activity, a decrease in mental activity, and a decrease in sensory activity which is reversible or can be awakened again. \n\n How important is sleep for our body? \n\n Sleep is very important for our body, when we sleep we think our body is not doing anything, in fact our body is in an active state. During sleep, energy storage processes occur, body repair and recovery processes occur, and brain maintenance processes even occur while we sleep. During sleep, all the events we experience, what we see and hear and learn that day will be organized by the brain to become memories in our brain. Apart from that, when we sleep, the body will also get rid of toxins and also refresh the body so it is ready to return to activity. \n\n Types of human sleep phases \n\n Sleep is divided into two phases, namely the rapid eye movement (REM) and non-rapid eye movement (Non-REM) phases. When we sleep we will close our eyes and relax the body and enter the Non-REM phase which is the shallow part of sleep. In this phase the muscles begin to relax, breathing begins to slow down, blood pressure decreases and begins to relax. Next we will enter the deep sleep phase where blood pressure will decrease, breathing will become more regular, muscles will become weaker and the body will become more relaxed. \n\n The next phase is the rapid eye movement (REM) phase. In this phase, we have entered deep sleep, but it turns out that our brain activity increases in this phase. In this phase the brain starts working, removing toxins, inserting memories into the brain. Or in other words, in this phase our brain is doing "housekeeping". In this phase, the heart rate usually increases, breathing starts to become irregular and blood pressure starts to rise. Apart from that, if you pay attention, our eyes are actively moving even though we are in deep sleep. In this phase dreams also appear. \n\n When we sleep, we will experience this phase repeatedly, from Non-REM to REM back again for up to 6 cycles. If during sleep we successfully go through these 6 cycles, we will sleep quality and wake up refreshed. Poor quality sleep will affect our health and mood. We will not be able to carry out activities well, such as having difficulty concentrating, being sleepy all day and having no enthusiasm for carrying out activities. \n\n Hermina friends, watch the Hermina Podcast episode “Is Snoring Dangerous in Sleep?” which discusses the dangers of snoring and the importance of quality sleep (click here). \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Kemayoran<\/a><\/li>
- 25 April 2023<\/li><\/ul><\/div>
Suddenly Asleep? You Potentially Have Narcolepsy<\/a><\/h3>
After a night of not enough sleep, most people will likely feel drowsy the next day. And if your surroundings are dark, quiet, and relaxing enough — or if your previous night of sleep was short enough — you may even nod off inadvertently. \n\n Narcolepsy is a neurological disorder that affects the brain’s ability to regulate the sleep-wake cycle. People with narcolepsy may wake up in the morning feeling well-rested, but they’re unable to sustain that alertness throughout the day. As a result, people with narcolepsy often feel excessively fatigued and frequently fall asleep during daytime hours, even when they’re engaged in conversation, work, or other activities. \n\n Narcolepsy is divided into two types. Type 1 is more common and includes a symptom called cataplexy, which causes a sudden loss of muscle tone. Type 2 is narcolepsy without cataplexy. \n\n Narcolepsy symptoms are better known and easier to define than the causes. The symptoms of narcolepsy usually begin at adolescence or early adulthood. \n\n In addition to cataplexy, they often include the following: \n\n Sleep attacks. Defined as “periods of extreme daytime sleepiness and sudden, irresistible bouts of sleep that can strike at any time,” , these common narcolepsy symptoms can last a few seconds to several minutes. \n\n Sleep paralysis. This symptom of narcolepsy is described as the temporary inability to move or speak while falling asleep or waking. Episodes are temporary and usually last no more than a few minutes, but can be disorienting and cause significant emotional distress. \n\n Sleep hallucinations. Often found to accompany sleep paralysis, sleep hallucinations (or “hypnagogic hallucinations,” as they’re also known) are images seen just before falling asleep, or while fully awake. These images are “unusually vivid, seem real, and can be frightening,” \n\n Difficulty sleeping at night. Many people with narcolepsy sleep poorly at night. They may have trouble falling and staying asleep. Vivid, scary dreams may disturb sleep.” \n\n Excessive daytime sleepiness (EDS). Calling it the narcolepsy symptom that’s “most consistently experienced by almost all individuals with narcolepsy,” EDS as an ongoing feeling of mental cloudiness, depressed mood, lack of energy and general, consistent exhaustion. \n\n Consultation with a neurologist can be as an outpatient or inpatient procedure. Patients can carry out consultations at the same time as other health tests. Undergoing a neurological disease examination is painless and safe to do. \n\n Some disorders that may occur in the nervous system and need to be consulted include: \n\n \n Disorders of the blood vessels of the brain \n Functional impairment Degenerative disease \n Pinched nerves or autoimmune disorders of the nerves \n Infections such as polio, meningitis and encephalitis \n LBP (Low Back Pain), HNP (Hernia Nucleus Pulposus / Pinched Nerve) \n \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Daan Mogot<\/a><\/li>
- 31 December 2022<\/li><\/ul><\/div>
Microsleep Dangers to Health<\/a><\/h3>
\n\n Often when we are doing activities such as driving, staring at a computer screen or watching TV we feel sleepy and fall asleep in a split second. This is referred to as microsleep. What is microsleep? \n\n Microsleep is an episode of loss of consciousness or attention that lasts about a fraction of a second or 30 seconds. This usually appears when a person feels sleepy, so they fall asleep suddenly in a short time. \n\n Often in microsleep, the brain switches rapidly between sleep and wakefulness. \n\n Microsleep can occur when a person is doing monotonous activities such as staring at a TV or computer screen, driving, reading a book, etc. for a long time. \n\n A person will not realize when experiencing microsleep or will enter a sleep state. After experiencing microsleep, usually a person will wake up in a fresher condition in a short time. \n\n Signs & Causes of microsleep \n\n What are the signs of microsleep? \n\n - Suddenly startled and awakened by jolts of body and head \n\n - Not realizing what has just happened \n\n - Frequent yawning \n\n - Eyelids feel very heavy to open \n\n - Frequent blinking \n\n - If microsleep occurs while driving, the direction of the car/motorcycle goes off track without realizing it \n\n - Can't remember what happened 1-2 minutes ago \n\n - Dropped the item you're holding \n\n - Lost focus \n\n What are the causes of microsleep? \n\n - Lack of sleep \n\n time Normally adults sleep for 6-8 hours. If sleep time is insufficient, a person will still feel sleepy and experience microsleep from time to time. \n\n - Lack of quality sleep Poor quality \n\n sleep will cause the body to be dissatisfied with rest, there is a feeling of tiredness even though you have slept. This will put a person at risk of falling asleep suddenly \n\n - Risk factors for disease, such as diabetes, high blood pressure \n\n - Obesity \n\n - Depression or anxiety disorders \n\n - Use of drugs or alcohol \n\n \n\n The dangers of microsleep? \n\n If microsleep occurs when someone is driving, of course it will be a safety hazard. Microsleep can cause a driver to have an accident due to loss of consciousness while driving a vehicle. Of course, a large loss in an accident can be in the form of financial up to the loss of human life. \n\n How to prevent microsleep? \n\n 1. Adequate and quality sleep. The recommended bedtime is 7-9 hours \n\n 2. Drink coffee before driving 30 minutes before. \n\n 3. Move over the vehicle and take a short break if you feel sleepy while driving \n\n 4. If you are afraid of feeling sleepy while driving, you should not drive alone, so that you have someone to talk to while on the road. \n\n Since microsleep is linked to sleep deprivation and sleepiness, the main prevention is getting enough quality sleep. If you have difficulty getting enough sleep, please consult a doctor so that appropriate therapy can be given. \n\n \n\n \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Daan Mogot<\/a><\/li>
- 31 December 2022<\/li><\/ul><\/div>
danger of diabetes mellitus<\/a><\/h3>
\n\n Diabetes mellitus is a chronic metabolic disorder condition characterized by persistent hyperglycemia. It is caused by a lack of insulin secretion by the Langerhans beta cells of the pancreatic gland, insulin resistance, or both. \n\n Diabetes mellitus is broadly classified into three types based on causes and clinical manifestations, including type 1 diabetes mellitus (DMT1), diabetes mellitus type 2 (DMT2), and gestational diabetes (DM in pregnancy). \n\n Diabetes Mellitus Type 1 (DMT1) occurs in about 5% to 10% of DM cases, which is caused by damage to insulin-producing beta cells in the pancreas gland. This causes an absolute lack of insulin secretion. \n\n Diabetes Mellitus Type 2 (DMT2) occurs in 90% of DM cases. DMT2 is caused by a lack of response of the body's cells to insulin, or it is called insulin resistance. Diabetes mellitus is a world health problem. The International Diabetes Federation (IDF) organization estimates that there are at least 463 million people aged 20-79 years in the world who suffer from DM. Along with increasing age, the prevalence of DM also increases. Changes in lifestyle and increased obesity, the prevalence of DMT2 also increased. \n\n Gestational Diabetes Mellitus (DMG) is a condition of hyperglycemia detected during pregnancy and blood sugar levels return to normal after delivery. GDM generally occurs in the second or third trimester of pregnancy. Women with DMG have a higher risk of developing type 2 diabetes mellitus later in life. DMG can be exacerbated by hypertension, preeclampsia, and hydramnios. The fetus in the womb is at risk of having an increase in body weight and size, called macrosomia (big baby) or congenital abnormalities. Even after birth, babies can experience respiratory distress syndrome (respiratory distress syndrome) or obesity later in life. \n\n RISK FACTORS \n\n \n \n Obesity \n \n \n Lack of physical activity \n \n \n High-calorie diet \n \n \n Genetic (having a family member with DM) \n \n \n History of hypertension \n \n \n Having previous gestational diabetes mellitus \n \n \n History of giving birth to a macrosomic baby (> 4,000 grams) in a previous pregnancy \n \n \n\n People with diabetes mellitus can experience classic symptoms, such as polyuria (frequent urination), polydipsia (frequently thirsty), polyphagia (frequently or quickly feel hungry), and weight loss. \n\n In addition, other symptoms can include blurred vision, tingling in the hands or feet, fatigue, wounds that take a long time to heal, and/or bacterial or fungal infections. \n\n The diagnosis of diabetes mellitus is carried out by examining blood sugar levels. Diagnostic criteria for diabetes mellitus include: \n\n \n \n Fasting blood glucose level >126 mg/dl. Fasting blood sugar is taken after the patient has fasted (no caloric intake) for at least 8 hours. \n \n \n Plasma glucose level >200 mg/dl 2 hours after Oral Glucose Tolerance Test (OGTT) with 75 gram glucose load. \n \n \n Blood glucose level >200 mg/dl accompanied by classic symptoms. \n \n \n Examination of HbA1c levels >6.5%. This examination can show blood glucose levels in the last 2 to 3 months. \n \n \n\n Diabetes screening is indicated in asymptomatic adults if \n\n \n \n blood pressure is more than 135/80 mmHg \n \n \n Overweight or has at least one or more risk factors (genetic with DM, BP >140/90 mmHg, HDL level <35mg/dL, and/or triglyceride levels) >250mg/dL) \n \n \n The American Diabetes Association (ADA) recommends screening at age 35 in the absence of the above criteria. \n \n \n\n CAUSES OF COMPLICATIONS \n\n Uncontrolled persistent hyperglycemia can cause various complications, both acute and chronic. Diabetes mellitus is one of the causes of cardiovascular disease (CVD), blindness, kidney failure, and limb amputation. In addition, acute complications in people with diabetes mellitus include hypoglycemia, hyperglycemia crisis (diabetic ketoacidosis and hyperglycemia hyperosmolar state) and diabetic hyperglycemic state. coma. Chronic complications in microvascular, consisting of nephropathy, neuropathy, and retinopathy. In large blood vessels (macrovascular) such as coronary heart disease (CHD), peripheral artery disease (PAD), and cerebrovascular disease. \n\n \n\n TREATMENT \n\n The most basic treatment for DMT1 and DMT2 is diet and exercisepatterns. \n\n Dietary settings adjust to the calorie needs needed by people with diabetes mellitus. The high prevalence of consumption of sweet foods and drinks can play a role in the occurrence of diabetes mellitus.recommendeddiet is a diet low in saturated fat, refined carbohydrates, high in fiber and unsaturated fat. \n\n Physical activity adjusts to the body's ability, combined with food intake. People with diabetes mellitus must be physically active, which can be done like aerobic exercise for 90 to 150 minutes per week, or other moderate intensity activities. In people with DMT2 who are obese, the target is weight loss to an ideal body weight and controlled blood sugar. \n\n The first line of medical therapy for people with diabetes mellitus is metformin. Apart from metformin, other therapies such as sulfonylureas, dipeptidyl peptidase-4 (DPP-4) inhibitors. Glucagon-like peptide-1 (GLP-I) receptor agonists, Sodium-glucose co-transporter-2 (SGLT2) inhibitors, pioglitazone, in patients with liver disorders can use alpha-glucosidase inhibitors, and insulin. People with diabetes mellitus need to monitor blood sugar levels regularly. At least once every 6 months it is necessary to evaluate treatment and lifestyle modifications. It is expected that people with diabetes mellitus can live a healthy life and the disease can be controlled. \n\n \n<\/p><\/div><\/div><\/div>"); $('#div_next_link').html(" <\/span>");
- 31 December 2022<\/li><\/ul><\/div>
- 31 December 2022<\/li><\/ul><\/div>
- 25 April 2023<\/li><\/ul><\/div>
- 05 October 2023<\/li><\/ul><\/div>
- 27 March 2024<\/li><\/ul><\/div>