- Hermina OPI Jakabaring<\/a><\/li>
- 25 March 2024<\/li><\/ul><\/div>
Therapy Thrombolytics For Stroke Patients : Coping Emergency Medical with Fast and Effective<\/a><\/h3>
Strokes are condition a serious medical event occurred when supply blood to part brain disturbed , fine Because vessels blood blocked ( ischemic stroke ) or rupture ( hemorrhagic stroke ). Therapy thrombolytics has become breakthrough big in treatment of ischemic stroke , helps parse lump clogged blood vessels blood brain and restore Genre normal blood . This article will explain about therapy thrombolytics For Blocked stroke patients , how? method its work , benefits , and associated risks and considerations . \n\n \n\n \n Ways of working Therapy Thrombolytics \n \n\n Therapy thrombolytics , such as alteplase (also known as rtPA ), aims For parse lump blood or obstructing thrombus vessels blood brain . This is done with inject drug direct to vessels blood or through infusion intravenous . Alteplase works with activates plasminogen, which then change it become plasmin. Plasmin is an enzyme that breaks down fibrin, the main protein in lump blood , so help open vessels blocked blood . \n\n \n\n \n Benefits of Therapy Thrombolytics \n \n\n 1. Recovery Function Brain : Recovering Genre normal blood to the affected area of the brain can reduce damage associated brain with strokes and increases possibility recovery function brain . \n\n \n\n 2. Reduce Disability : Giving therapy thrombolytics in right time can reduce risk disability period length and increase prospect recovery patient . \n\n \n\n 3. Improvement Chance Survive : Handling fast with therapy thrombolytics can increase chance endure life patient after a stroke. \n\n \n\n \n Risks and Considerations \n \n\n Although therapy thrombolytics own significant benefits , there are a number of associated risks and considerations , including : \n\n \n\n - Risk Bleeding : Therapy thrombolytics can increase risk bleeding , esp bleeding in the brain . \n\n - Treatment Time : Therapy thrombolytics must given in very short time after the occurrence of a stroke for maximum effectiveness , usually within 4.5 hours after symptom onset . \n\n - Contraindications : Therapy thrombolytics Possible No in accordance For all patient , like patient with history internal bleeding , head trauma recently this , or operation big in 14 days final . \n\n \nTherapy thrombolytics has become milestone in treatment of ischemic stroke , helps reduce damage brain and improve prospect recovery patient . However , it's important For remembered that therapy This must given in very short time and have criteria special . Discuss risks and benefits therapy thrombolytics with a doctor Neurologist Specialist at Hermina OPI Hospital Jakabaring to make it decision best about stroke treatment . \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Padang<\/a><\/li>
- 14 March 2024<\/li><\/ul><\/div>
An important method to increase the chances of recovery for stroke patients<\/a><\/h3>
Stroke is a neurological deficit caused by reduced blood supply to brain tissue which leads to several medical complications. This disorder can be the result of blockage (ischemic stroke) or rupture of blood vessels (hemorrhagic stroke). Thus, brain tissue does not get enough oxygen and nutrients, so that neurological function is disrupted and can cause various complications. Hyperacute stroke is the critical period of the first 4.5 hours after a stroke which is an emergency medical condition. In this period, timely medical intervention can minimize brain damage and increase the patient's chances of recovery. \n\n What is Code Stroke? \nCode stroke is a protocol implemented in hospitals to speed up the treatment of hyperacute stroke patients. This protocol involves a multidisciplinary team working together to promptly diagnose and treat stroke patients. \n\n Purpose of Code Stroke \nSpeeds up the time to diagnosis and treatment of stroke. \nIncreases the chances of recovery for stroke patients. \nReduces the risk of disability and death from stroke. \n\n Code Stroke Steps \n\n \n Stroke code activation is carried out when a patient with suspected stroke comes to the hospital. \n Initial assessment: The code stroke team will perform a physical and neurological examination to diagnose stroke. \n Supporting examinations: Supporting examinations such as a CT scan or MRI are carried out to confirm the diagnosis and rule out other possible causes. \n Administration of thrombolytic drugs: If the patient meets the criteria, intravenous thrombolysis may be administered to dissolve the blood clot and increase the chances of recovery. \n Monitoring and treatment: The patient will be monitored and treated in the stroke intensive care unit after administration of intravenous thrombolysis. \n \n\n What is Intravenous Thrombolysis? \nIntravenous thrombolysis is a procedure of administering medication through an IV to dissolve blood clots that cause ischemic stroke. This procedure should be performed within 4.5 hours of stroke onset to maximize the patient's chances of recovery. \n\n Intravenous Thrombolysis Contraindications \nIntravenous thrombolysis should not be administered to patients with: \n\n \n History of intracranial hemorrhage \n Head trauma in the last 3 months \n Hemorrhagic stroke \n Severe hypertension (diastolic > 180 mmHg) \n Blood coagulation disorders \n Allergy to thrombolytic drugs \n \n\n Benefits of Intravenous Thrombolysis \nIntravenous thrombolysis may provide the following benefits: \n\n \n Increases the chances of recovery of neurological function \n Reduces the risk of disability \n Reduces the risk of death \n \n\n Risk of Intravenous Thrombolysis \nIntravenous thrombolysis may pose the following risks: \n\n \n Intracranial hemorrhage \n Allergic reaction \n Hypotension \n Nausea and vomiting \n The Importance of Quick Handling \n \n\n Treating hyperacute stroke within 4.5 hours is critical to maximizing the patient's chances of recovery. Code stroke and intravenous thrombolysis are two important methods to increase the chances of recovery for stroke patients. Delaying treatment can increase the risk of permanent brain damage and disability. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Kemayoran<\/a><\/li>
- 26 February 2024<\/li><\/ul><\/div>
Healthy Digital Strategy: 5 Ways to Prevent Stroke in the Age of Technology and Gadgets<\/a><\/h3>
Entering the digital age, gadgets have become an integral part of everyday life. However, ironically, with increased dependence on technology comes serious health threats, one of which is an increased risk of stroke. In this post, we will explore how maintaining a balanced use of technology can be the key to reducing the risk of stroke that can be caused by gadget addiction. \n\n 1. Identifying Signs of Gadget Addiction \n\n Many of us may not realize that we have been caught in a cycle of gadget addiction. Signs such as difficulty detaching from the screen, increased screen time, and negative impact on work or social relationships are early signals of the expansion of this problem. Knowing these signs is the first step to protecting yourself from the risk of stroke that can be caused by screen addiction. \n\n 2. Effects of Gadget Addiction on Heart Health \n\n Research shows that gadget addiction can increase the risk of heart disease and stroke. Long periods of time spent in front of a screen can lead to a lack of physical activity, increased stress, and sleep disturbances - all factors that can directly affect stroke risk. \n\n \n Maintain a Balance between Gadgets and Physical Activity \n \n\n A simple yet effective solution to reduce the risk of stroke due to gadget addiction is to set a time limit on usage. Creating time for physical activity, such as walking or cycling, can help maintain the balance and lower the risk of stroke. \n\n \n Effective Time Management Techniques \n \n\n Implementing time management techniques is key to relieving gadget addiction. Setting usage time limits, using reminder features and creating a structured schedule are practical ways to limit screen exposure and improve life balance. \n\n \n Integrating Technology for Mental Health \n \n\n Conversely, technology can also be used as a tool to improve mental health. Meditation apps, sleep trackers, and rest reminder features can help create a balanced lifestyle, reduce stress, and in turn lower the risk of stroke. \n\n In an ever-digitally connected world, maintaining a balance in technology use is a must to protect heart health and reduce stroke risk. By recognizing the signs of gadget addiction, managing usage time, and utilizing technology to improve mental health, we can create a balanced lifestyle amidst the constant flow of information. By taking these preventive measures, we not only maintain our physical health but also keep ourselves away from the risk of stroke that may arise due to gadget addiction in this modern era. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Medan<\/a><\/li>
- 19 February 2024<\/li><\/ul><\/div>
Come on, get to know the Golden Period in Stroke Management<\/a><\/h3>
Come on, get to know the Golden Period in Stroke Management \n\n Stroke can be a cause of death and can result in lifelong disability. It is possible that a stroke can also have several long-term impacts on health and life. A good way to help minimize the risk of long-term disability or death is to provide treatment during the golden hour or golden period. But what is very unfortunate, not everyone knows this. This is why quite a few stroke sufferers end up experiencing permanent disability or even losing their lives. So, what is the meaning of the golden hour or golden period in treating stroke? \n\n The meaning of the Golden Period or Golden Hour in Stroke Treatment \n\n Strokesoccurs when the blood vessels that flow to the brain area burst or become blocked. As a result, blood flow is blocked and the brain no longer gets oxygen and important nutrients to work normally. This is like a machine in the body, functional abnormalities that occur in the brain can have a negative impact on health and endanger lives. This condition can affect speaking, hearing, movement, eating, and almost all vital processes. This is why the need to carry out proper stroke treatment during the golden hour is very crucial for the lives of stroke sufferers. Golden Hour or Golden Period is a term used for the life span of stroke sufferers through treatment as soon as possible. If a stroke sufferer receives medical assistance during this period, there is a big chance that he or she can survive stroke complications. In stroke sufferers, the golden hour period is four and a half hours (4.5 hours) after a person experiences stroke symptoms. Without quick treatment during that time, stroke sufferers are very likely to experience permanent brain damage. \n\n Characteristics of Stroke \n\n To better understand and learn the symptoms and preventive measures, the main thing you need to know is that stroke is divided into two types, namely ischemic stroke and hemorrhagic stroke. Ischemic stroke is caused by blockage or narrowing of blood vessels which leads to obstruction of blood flow. This blockage can increase due to the formation of clots or fat deposits that increasingly accumulate in the blood vessels. Meanwhile, hemorrhagic stroke is a type of stroke caused by rupture or leaking of blood vessels in the brain. This condition is caused by many things such as trauma, excessive consumption of blood thinning drugs, ischemic stroke, uncontrolled high blood pressure, and other factors. In order to more easily get a diagnosis for stroke, doctors determine a method for identifying this disorder, known as the FAST method, namely: \n\n \n F: Facial Dropping or an asymmetrical face \n A: Arm Weakness or Hands are weak or cannot be moved \n S: Speech difficulties or difficulty speaking \n T: Times which shows the patient's arrival at the hospital on time or a maximum of 4.5 hours after symptoms appear. \n \n\n Once a stroke has been identified, a very important step is to immediately carry out a brain scan with the help of a CT scan medical support tool. If the CT scan does not show any bleeding, blood clot-busting drugs can be given to dissolve the blood clot. \n\n \n\n How to Prevent Stroke \n\n On average, most strokes occur due to family health history or heredity. However, this does not mean that this health problem cannot be prevented. Here's how: \n\n \n Stay physically active by regularly exercising for at least 30 minutes \n Avoid or do not smoke at all and do not consume alcoholic beverages \n Causative risk factors such as high cholesterol, hypertension and diabetes should be identified and treated at an early stage and as soon as possible as these can be early signs of stroke. \n A healthy lifestyle helps keep the body fit and healthy. This includes adopting a healthy diet. Get enough sleep and be able to control stress well. \n \n\n Perform regular medical check-ups to anticipate stroke symptoms. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Karawang<\/a><\/li>
- 19 January 2024<\/li><\/ul><\/div>
Dont Panic! The First Thing to do when Someone has had a Stroke<\/a><\/h3>
A stroke can happen to someone at any time or location. The brain's cells gradually die after a stroke. This occurs as a result of them not receiving the oxygen and nutrition they require to survive. When others around them are unsure about what to do, individuals with this illness frequently find it difficult to ask for assistance. \n\n In order to ensure that those close to you who have suffered a stroke receive the proper care, it is crucial to understand first aid for strokes. \nThese are the actions that you can do: \n\n 1. Be mindful of both your conscious and unconscious circumstances. \n\n There are differences in stroke first aid for conscious and unconscious individuals. Assuming the victim is still awake, you may: \n\n \n Head and shoulders slightly forward when you lie on your side \n Take off your clothes to allow the victim to breathe easily. \n Give them a blanket or jacket if it's chilly to keep them warm. \n Look inside the mouth for anything that can obstruct the airway. \n Don't offer food or beverages. \n Keep an eye out and let your medical staff know about any symptoms. \n \n\n Checking the patient's breathing and heart rate is necessary if he is unconscious. To achieve this, raise your chin and slant your head back a little. Another way to make sure the patient is breathing is to put your cheek up to their mouth. \nAs soon as possible, start CPR if you are unable to feel breathing or a heartbeat. \n\n 2. Apply the FAST approach to examine symptoms. \n\n Use the following procedures to determine whether someone is having a stroke: \n\n \n Face, check the person's face to see if it feels numb, can move, or if one side of the face droops. \n arm. To accomplish this, ask the patient to raise his hand. Check to see if one arm is dropped. \n You can get him to talk by asking him to. People who have suffered a stroke often struggle to communicate and comprehend what other people are saying. \n Time gained by obtaining emergency medical attention right away. \n \n\n 3. Recognize the symptoms you are encountering. \n\n You cannot administer first aid for a stroke if you do not comprehend the symptoms you are experiencing. \nSome of the signs and symptoms of a stroke are listed below. \n\n \n queasy. \n lightheaded. \n ache. \n trouble swallowing. \n Talking is difficult. \n one side of the body paralyzed. \n impairment of vision. \n Feeling of numbness in the hands, feet, and face. \n Doubt. \n losing equilibrium. \n unconscious. \n \n\n Recognize and comprehend how to administer first assistance to a stroke victim, and take them right away to the closest medical facility. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Grand Wisata<\/a><\/li>
- 08 January 2024<\/li><\/ul><\/div>
Do you know how meningitis is transmitted and prevented?<\/a><\/h3>
Menigitis is one of the most serious diseases. Because, this disease has claimed the lives of two artists Olga Syahputra and Glenn Fredly. \n\n Therefore, people must understand about this disease or the symptoms of meningitis. What does meningitis look like? \n\n Caused by viruses, bacteria, and fungi, meningitis can be transmitted from one person to another. That way, you need to know through what transmission of meningitis can occur. This is important to note because transmission can occur at any time and from anyone. \n\n Definition \n\n Meningitis is an inflammation of the membranes that protect the brain and spine. \n\n What causes it? \n\n Meningitis can be caused by viruses, bacteria or fungi. In children, it is most commonly found due to TB germs. \n\n Signs and symptoms \n\n \n Severe headache and sudden high fever (a frequent early symptom) \n Changes in level of consciousness \n Neck stiffness \n Appearance of confusion \n Excessive sensitivity to light and sound \n Seizures \n Rapid pulse, irregular breathing \n Vomiting \n Difficult to wake up \n \n\n Diagnosis of meningitis \n\n As soon as there is a suspicion of meningitis from the history and physical examination, an examination should be done immediately. \n\n \n Ct scan of the head, to confirm or rule out other causes (abscess, tumor, bleeding) \n Lumbar puncture, to find the cause of meningitis through examination of cerebro-spinal fluid. \n \n\n Complications \n\n Complications are more likely to occur if treatment is given late, not completed or the patient does not experience clinical improvement after the first week of therapy. Complications that may occur are \n\n \n Ventriculitis \n Hydrocephalus \n Hemorrhage \n Shock \n Electrolyte disturbances \n \n\n \nTreatment \n\n After determining the diagnosis, the doctor will provide meningitis treatment according to the cause of meningitis, namely \n\n \n administration of antibiotics or antiviral drugs. \n Surgery is performed if there are complications from meningitis. \n \n\n Prevention \n\n \n Maintain health \n If you suffer from otitis media or tuberculosis, take the medicine given. \n Vaccinate the child completely \n \n\n \n\n The later it is realized and detected, the longer the healing process. This is because the spread of the disease virus has been widespread. \nViruses and bacteria that cause meningitis will easily spread through the bloodstream and then move to the spinal cord to the brain. \n"Many accompanying factors can cause meningitis, not only based on decreased immunity. For example, a tooth infection that is not treated immediately can spread to the brain," he explained. \nIt is said that this disease can cause death due to inflammation or inflammation that causes swelling. Then it will make the brain mass increase. \nWhen one part of the brain increases in volume, it will cause an increase in pressure on the brain or called intracranial pressure. \nOf course, the brain is the center of everything for the body. If infection with a disease spreads, it will affect the coordination center. \nTherefore, he urged that if there are unusual and persistent symptoms, the public should immediately check themselves. This is an effort to detect diseases that may be dangerous. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Grand Wisata<\/a><\/li>
- 08 January 2024<\/li><\/ul><\/div>
How to recognize the causes of epileptic seizures, symptoms and treatments<\/a><\/h3>
This disease can affect a person when there are changes or damage in the brain. As is known, there are neurons or nerve cells in the brain which are part of the nervous system. Each of these nerve cells will communicate with each other using electrical impulses. In the case of epilepsy, seizures occur when electrical impulses are generated in excess. \n\n 1. Definition \n\n Epilepsy: A brain disorder characterized by a tendency to produce continuous epileptic seizures, with neurobiological, cognitive, psychological, and social consequences. This definition requires the occurrence of at least 1 epileptic seizure. \nEpileptic seizure: A momentary onset of signs/symptoms due to abnormal and excessive neuronal activity in the brain. \n\n 2. Etiology \n\n The etiology of epilepsy can be divided into three categories, as follows: \nIdiopathic: no structural lesions in the brain or neurologic deficits. It is thought to have a genetic predisposition and is generally age-related. \nCryptogenic: considered symptomatic but the cause is unknown. These include West syndrome, Lennox-Gastaut syndrome and myoclonic epilepsy. Clinical features are consistent with diffuse encephalopathy. \nSymptomatic: epileptic seizures caused by structural abnormalities/lesions of the brain, e.g. head injury, CNS infection, congenital abnormalities, space destructive lesions, cerebral circulatory disorders, toxic (alcohol, drugs), metabolic, neurodegenerative disorders. \n\n 3. Diagnosis \n\n Pre-, greeting, and post-awakening symptoms and signs: \n\n \n Before awakening / prodomal symptoms o Physical and psychological conditions that indicate an impending awakening, such as behavioral changes, feelings of hunger, sweating, hypothermia, drowsiness, sensitivity, and others. \n During awakening/ictal: o Is there an aura, symptoms felt at the beginning of the awakening? o What is the pattern/form of awakening, ranging from eye deviation, head movement, body movement, vocalization, aumatization, movement in one or both arms and legs, tonic/clonic awakening, incontinence, tongue biting, pallor, sweating, and others. (It would be better if the family can be asked to mimic the movement of the awakening or record a video during the awakening) o Is there more than one pattern of awakening? o Is there a change in pattern from the previous awakening o Activities of the person during the awakening, such as sleeping, awake, playing video games, micturition, and others. \n ∙Post-awakening/post-ictal: Confusion, immediate awareness, headache, sleep, restless noise, Todd's paresis. \n \n\n 4. Precipitating factors: fatigue, lack of sleep, hormonal, psychological stress, alcohol. \n5. Supportive examination: \n\n \n Electro-encephalographic examination (EEG) EEG recording is the most useful examination when a seizure is suspected to: o Help support the diagnosis o Help determine the type of seizure or syndromes of epilepsy o Help determine the prognosis o Help determine whether OAE should be given. \n Brain imaging examination Useful for detecting epileptogenic lesions in the brain. High-resolution MRI (at least 1.5 Tesla) can non-invasively diagnose various pathologic lesions such as mesial temporal sclerosis, glioma, ganglioma, cavernous malformation, DNET (dysembryoplastic neuroepithelial tumor), tuberous sclerosis.4 Functional brain imaging such as Positron Emission Tomography (PET), Single Photon Emission Computed Tomography (SPECT) and Magnetic Resonance Spectroscopy (MRS) are useful in providing additional information on the impact of metabolic changes and regional blood flow changes in the brain associated with seizures.4 The indication for neuroimaging examination (CT scan of the head or MRI of the head) in cases of seizures is when the first unprovoked seizure appears in adulthood. The purpose of neuroimaging examination in this condition is to look for structural lesions that cause seizures. CT scan of the head is preferred for emergency cases, because the examination technique is faster. On the other hand, head MRI is preferred for elective cases. In terms of sensitivity in determining lesions in elective cases. In terms of sensitivity in determining structural lesions, MRI is more sensitive than CT scan of the head. \n Laboratory examination o Hematological examination This examination includes hemoglobin, leukocyte and type count, hematocrit, platelets, peripheral blood smear, electrolytes (sodium, potassium, calcium, magnesium), blood sugar level, liver function (SGOT/SGPT), ureum, creatinine and albumin. - Initial treatment as one of the references in ruling out differential diagnosis and OAE selection - Two months after OAE administration to detect OAE side effects - Routinely repeated every year to monitor OAE side effects, or if clinical symptoms arise due to OAE side effects. \n \n\n 6. Therapy \n\n THE GOALS OF THERAPY The main goal of epilepsy therapy is to enable the person with epilepsy to live a normal life and achieve an optimal quality of life for his or her disability. The expectation is "generation-free, without side effects". To achieve this goal, several efforts are needed, including side / with minimal side effects, reducing morbidity and mortality. \n \n\n \n \n\n Sumber : Pedoman Tatalaksana Epilepsi. PERDOSSI. 2015. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Wonogiri<\/a><\/li>
- 12 December 2023<\/li><\/ul><\/div>
Deep Transcutaneous Electrical Nerve Stimulation (TENS). Carpal Tunnel Syndrome Treatment in Indonesia<\/a><\/h3>
Carpal Tunnel Syndrome (CTS) is a common disorder of the hand and wrist caused by compression of the median nerve in the wrist. In the Indonesian health context, CTS is also found significant, showing a noteworthy prevalence level. \n\n According to data from the Indonesian Ministry of Health, Carpal Tunnel Syndrome is one of the musculoskeletal disorders whose prevalence is increasing. Factors such as excessive workload, inappropriate body posture, and the use of modern technological tools can trigger an increase in CTS cases in Indonesian society. \n\n Carpal Tunnel Syndrome symptoms can range from mild to severe and often come on slowly. Common signs include tingling or numbness in the fingers, especially the index, middle, ring, and little fingers. Sufferers may also experience pain or numbness that radiates to the upper arm. \n\n In treating Carpal Tunnel Syndrome, a therapeutic method that is increasingly receiving attention is Transcutaneous Electrical Nerve Stimulation (TENS). Studies documented in various Health Journals show that the use of TENS is effective in relieving symptoms and improving the quality of life for CTS sufferers in Indonesia. \n\n TENS works by sending weak electrical impulses through electrodes placed around the affected area. At the right level, this therapy can reduce pain, and inflammation, and improve blood circulation around the wrist, having a positive effect on healing CTS. \n\n It is important to note that the increasing prevalence of CTS emphasizes the importance of a holistic treatment approach. TENS therapy can be part of a comprehensive treatment plan, along with adjustments to daily activities, ergonomics, and physiotherapy. \n\n However, before starting TENS therapy, consult a healthcare professional to assess the suitability of this method for the individual's health condition. With appropriate treatment and various integrated approaches, we can reduce the impact of Carpal Tunnel Syndrome in Indonesia and improve people's welfare. Further research is needed to explore in depth the effectiveness of TENS in the context of specific health conditions in Indonesia. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Periuk Tangerang<\/a><\/li>
- 30 November 2023<\/li><\/ul><\/div>
Beware of Signs and Symptoms of Stroke<\/a><\/h3>
Stroke, according to WHO, is the presence of focal or global neurological deficits due to impaired brain function that occurs suddenly, lasts > 24 hours or death, caused solely by cerebral vascular disorders, including eye and spinal cord stroke. Broadly speaking, stroke can be divided into obstruction stroke and hemorrhage stroke. Each year in Indonesia there are an estimated 550,000 new cases of stroke, and is the third leading cause of death in Indonesia after cardiovascular and cancer, and is a major cause of disability. \n\n Stroke is caused by many risk factors that are divided into modifiable (hypertension, diabetes, heart rhythm disorders and heart valve disease, blood disorders, excess cholesterol, contraceptive pills, smoking, alcohol, obesity) and non-modifiable (age, race, gender, previous stroke) risk factors. \n\n Stroke events are very important to know the signs and symptoms by patients, family, friends, and the surrounding community because stroke events are emergency events that must be immediately taken to the hospital for immediate treatment to prevent death and disability in patients. Signs and symptoms of stroke that can be recognized by the general public are abbreviated as "F.A.S.T warning sign". \n\n F.A.S.T warning sign consists of: \n\n - F = Face Drooping - Is one side of the face asymmetrical or numb? Ask the patient to smile, is the smile asymmetrical? \n\n - A = Arm Weakness - Does one side of the arm experience weakness or numbness? Ask the patient to raise both arms, does one side of the arm appear to be falling downwards? \n\n - S = Speech Difficulty - Does the patient appear to have difficulty speaking/speech slurred? \n\n - T = Time to call 911 - If 1 of the above is yes, then the patient should be taken to the nearest hospital immediately. \n\n Other signs and symptoms of stroke that should be considered besides those mentioned above are: \n\n - Sudden weakness or numbness of the face, arm or leg on one side of the body. \n\n - Sudden loss of consciousness, difficulty speaking or difficulty understanding speech and commands. \n\n - Sudden difficulty seeing in one or both eyes. \n\n - Double vision, momentary darkness, numbness around the mouth, ringing in the ears, difficulty swallowing, choking, nasal voice that occurs suddenly. \n\n - Difficulty walking, dizziness, sudden loss of balance. \n\n - Sudden onset of headache. \n\n - Sudden spraying of vomit. \n\n - Seizures. \n\n If there are symptoms and signs as mentioned above, family, friends, coworkers, and the surrounding community should immediately bring the patient to the hospital without delay, and the patient is immediately treated / referred to a neurologist so that the mortality rate and disability rate can be reduced and reduced. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Depok<\/a><\/li>
- 05 October 2023<\/li><\/ul><\/div>
Be alert: 4 causes of stroke at a young age<\/a><\/h3>
Stroke is a functional brain disorder that occurs suddenly with clinical signs and symptoms that last more than 24 hours. A stroke occurs when the blood supply to the brain is disrupted or reduced, which, if we look at the causes, can be divided into two categories: a blockage called ischemic stroke and a rupture of blood vessels called hemorrhagic stroke. \n\n We usually think that strokes only attack old people. It turns out that nowadays more and more people of productive age, even children and teenagers, are experiencing strokes. \n\n Stroke can be caused by various factors, including risk factors passed down in the family, such as hypertension or an unhealthy lifestyle. Here are some causes of stroke at a young age that you need to know: \n\n 1. Hypertension \n\n Increased blood pressure is one of the causes of stroke. High blood pressure can cause brittle blood vessel walls, which can lead to blood vessel rupture. \n\n 2. Head injury \n\n A hard enough blow to the head can form blood clots in the head. This condition can cause brain concussions and disrupt the immune system and blood cells, which can lead to stroke. \n\n 3. Sickle Cell Anemia \n\n Sickle cell anemia originates from a genetic disorder at birth, with the red blood cells being shaped like a crescent moon. This condition causes the blood vessels to lose their supply of healthy blood and oxygen to flow throughout the body. Blood and oxygen supplies that are not delivered properly, especially to the head, can cause strokes. \n\n 4. High cholesterol \n\n An increase in bad cholesterol (low density lipoprotein/LDL) in the blood can cause plaque to build up in the brain's blood vessels, which can cause atherosclerosis (blockage or narrowing of the blood vessels). This condition requires immediate treatment because it can cause strokes or other diseases. \n\n Stroke triggers in old age can be different from young people. What are the factors that can cause stroke at a young age? \n\n 1. Unhealthy Lifestyle \n\n Unhealthy lifestyles such as smoking, consuming alcohol, and using illegal drugs, apart from damaging health and lowering the immune system, can also trigger the characteristics of stroke at a young age. In addition, an unhealthy lifestyle at a young age can lead to decreased health and quality of life later in life. \n\n 2. Heart Disease \n\n If you previously had a history of heart disease, your body will be more susceptible to stroke. Heart disease such as coronary heart disease, rheumatic heart disease, or heart defects can increase the risk of having a stroke. \n\n 3. Blood Clotting Disorders \n\n Hemophilia, or a congenital disorder that can make it difficult for blood to clot, is an example of a blood clotting disorder that may occur. This condition causes a person to bleed easily. If it occurs in the brain, the person can experience a hemorrhagic stroke. \n\n Preventing strokes is an important step that can be taken to avoid experiencing them both at a young and old age. Some things you can do include living a healthy lifestyle, exercising regularly, and checking your health regularly by doing medical check-ups. Don't hesitate to consult with the nearest RSU Hermina doctors to obtain a proper diagnosis and medical treatment. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Balikpapan<\/a><\/li>
- 29 September 2023<\/li><\/ul><\/div>
Identify Red Flag Conditions In Low Back Pain ( Low Back Pain )<\/a><\/h3>
Low back pain (LBP) is pain felt in the lower back area, it can be local pain, radicular pain or a mixture of both. This pain is felt between the corners of the lowest ribs and the lower crease of the buttocks, namely in the lumbar or lumbosacral area and can be accompanied by the spread of pain towards the legs and feet (PPK Neurology, 2016) \n\n Low back pain is a symptom that can be caused by various abnormalities, both known and unknown; and is defined from its location, namely between costae XII and the buttock crease. This pain is often accompanied by pain in one or both legs and is associated with neurological symptoms in the lower extremities. This condition often occurs together with other conditions such as psychological, social and biophysical conditions so that it has an impact on the pain delivery process and the individual's pain experience (Cahya et al., JPHV 2021). \n\n Low back pain can be classified according to its onset, namely acute low back pain (< 6 weeks), subacute (6 weeks – 3 months) and chronic (> 3 months). Lower back pain can be caused by infectious conditions, degenerative conditions, neoplasms, trauma, congenital disorders, metabolic diseases, and autoimmunity. Of the various etiologies, the most common cause of lower back pain is mechanical causes such as trauma to the vertebrae, discs and surrounding soft tissue. The second biggest cause is due to degenerative processes such as osteoarthritis and osteoporosis (Cahya et al., JPHV 2021). \n\n Risk factors for lower back pain include excessive physical activity over a long period of time, stress and anxiety, lifting heavy weights regularly, being overweight and obese, and sitting for long periods of time. Based on the cause, low back pain can be divided into specific low back pain, radicular syndrome and nonspecific low back pain. The most cases in primary health facilities are nonspecific low back pain (90-95% of cases) which is often caused by mechanical disorders and degenerative conditions in the musculoskeletal system (Cahya et al., JPHV 2021). \n\n Red flags low back pain if lower back pain occurs at age under 18 years, age over 50 years, use of anticoagulants, fever, infection, malignancy, genitourinary symptoms (urinary retention or sexual dysfunction), immunocompromise, IV narcotics, history of recent actions -recently or epidural injection. (Cahya et al., JPHV 2021). \n\n Considering the various etiologies and disease burden of low back pain, it is necessary to make a correct and accurate diagnosis so that patients immediately receive therapeutic treatment appropriate to their condition (Macedonian Journal of Medical Sciences. 2021). The goal of low back pain therapy is to eliminate pain, inhibit progression and increase activity and mobility to improve the patient's function in life and the disabilities that can be caused by this condition. All therapy modalities must be based on recommendations not to do bed rest, remain active and carry out daily activities as usual (Cahya et al., JPHV 2021). \n\n Pharmacological therapy, physiotherapy or medical rehabilitation, psychiatric therapy, alternative therapy and pain intervention therapy are relevant therapeutic options. Treatment for LBP is different for each individual, not all patients show the same response to treatment, and not all pain intervention therapies will be effective for all patients. (Macedonian Journal of Medical Sciences. 2021). \n\n Signs that must be watched out for in patients with lower back pain are the presence of red flags where if there are the components that have been mentioned, the patient must get referral and therapy immediately. \n\n Hermina Balikpapan Hospital with specialist polyclinic service facilities such as Neurology, Orthopedics and Traumatology as well as Physical Medicine and Medical Rehabilitation and equipped with the necessary examination facilities (Xray, CTScan and Laboratory) can be an option to get immediate treatment regarding low back pain complaints. pain ). \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Bekasi<\/a><\/li>
- 19 September 2023<\/li><\/ul><\/div>
Beware of Low Back Pain disease that attacks young people<\/a><\/h3>
Modern life has made lifestyle changes, especially among young people such as Gen Z and millennials. Unhealthy lifestyles and lack of exercise have become commonplace and cause the threat of disease from the back to the waist or known as Low Back Pain, which has shifted to young people, no longer parents. Lifestyle and sitting too much while working in front of the screen make a person experience complaints of pain. The complaints caused vary, such as pain in the waist, not being able to move freely, muscle tension, dizziness and tingling.\n\n\n\nWhat is Low Back Pain?\n\nLow back pain is pain that is felt in the lower back area, between the corners of the lowest ribs and the tailbone. Pain can be local (local) or spread along the leg past the knee to the toe.\n\n\n\nCauses of Low Back Pain?\nThe cause of lower back pain can occur due to disorders/problems in one or more of the components that make up the vertebral spine, namely the body of the bones (corpus vertebrae), the bearing of the bones (intervertebral discs), the tissue that connects the bones (ligaments), the central nerves that extend from the brain (spinal cord). ), nerve roots, joints and muscles and skin tissue.\nThe spine functions to maintain the body's upright position, support body weight, function as body movement and protect body tissues.\nIn general, the causes of lower back pain are: \n\n Congenital abnormalities, such as spina bifida where one or more segments of the lumbar and sacral bones are not fused. It can also occur in people with an abnormal shape of the spine (kyphosis, lordosis or scoliosis) which over time will cause lower back pain. \nAging (degenerative) process. As a result of the aging process, there can be thinning of the discs / segments between the bones and the release of disc material which is called a hernia of the nucleus pulposus (HNP). Apart from that, the friction between the bones over a long period of time results in the formation of calcification (spondylosis). The fragility of the bone structure and its supporting tissue results in a shift in the bone structure (spondylolisthesis).\nTrauma. For example, it occurs in people who fall from a height or jump from a considerable distance, resulting in a fracture of the vertebrae. In older adults with osteoporosis (reduced bone density), even a minor injury can result in vertebral fractures.\nMechanical disorders (work factors) and habits. This is the most common cause of lower back pain. Sudden movements of the spine can cause tension in the muscles which can result in pain. Incorrect sitting and lying positions for long periods of time result in pain in the spine. Working at high vibrations is prone to lower back pain. The habit of lifting heavy weights can result in injury to the lower back.\nInflammation and infection, such as rheumatoid arthritis, ankylosing spondylitis, tuberculous spondylitis.\nTumor. Tumors of the vertebrae and spinal cord give complaints of low back pain that persists and gets worse at night.\n\n\nRisk Factors for Low Back Pain?\nAge. As you get older, lower back pain more frequent (degeneration process)\nFitness level. Often occurs in people who rarely exercise, where there is weakness in the back muscles\nFoods high in fat and carbohydrates which result in obesity thus increasing the burden on the back\nThe smoking habit can result in disruption of the food supply to the intervertebral discs.\nWork factors and habits such as lifting heavy loads, incorrect sleeping and sitting habits, working with high vibration exposure \n\n \n\n How is First Aid for Low Back Pain?\n\nIt is best to immediately see a neurologist to find out the cause of the pain. The neurologist will carry out a direct physical examination and, if necessary, other supporting examinations for indications such as:\n\nPlain x-rays (x-rays) to see abnormalities in the bones.\nAn MRI (magnetic resonance imaging) examination is needed to assess nerve structure. Nerve function examination can be carried out using electroneuromyography (ENMG). Laboratory examination for special conditions such as infection or inflammatory processes.\n\n\nRecommended Sports for Low Back Pain Sufferers?\n\nSwimming\nApart from stretching regularly, Hermina's friends can try swimming regularly. Swimming helps improve blood flow throughout the body, including to the back, making it suitable for those who have spinal pain and want to recover and increase their strength. When swimming, your back doesn't need to work hard to support your body, because the water will replace its job.\n\nBicycle\nEven though cycling in a certain position actually causes the risk of lower back injury, cycling in a certain position is beneficial for sufferers of low back pain because it is an aerobic activity, the cycling position affects the load on the spine so it is recommended to use a position with a straighter spinal posture so as to reduce the incidence of back injuries due to bicycle. \n\n \n\n Tips for Overcoming Low Back Pain?\n\nIt is important in everyday life to pay attention to ergonomic positions when working, for example the sitting position. If you work in a sitting position for longer, more than 2 hours, alternate it with light stretches on your back.\nImmediately consult a neurologist to get the right treatment.\n\n\nSome low back pain sufferers feel discomfort and pain that interferes with activities. If Hermina's friends feel these symptoms and things. You need to see a Neurologist Specialist at Hermina Hospital Bekasi for proper treatment.\n\nDownload the Halo Hermina App to make an appointment with specialist doctors at Hermina Bekasi Hospital. \n<\/p><\/div><\/div><\/div>"); $('#div_next_link').html(" <\/a><\/span>");
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