Wednesday, December 28, 2011

[sehat] Digest Number 16798

Milis SEHAT Group

Messages In This Digest (25 Messages)

1a.
Re: jenis kelamin From: arianyhy@gmail.com
1b.
Re: jenis kelamin From: tristanathan
1c.
Re: jenis kelamin From: chubby
2a.
Re: (Tanya) kontrasepsi From: Inta
2b.
Re: (Tanya) kontrasepsi From: Bong Mi Yun
3a.
Pesat semarang From: piep71@ymail.com
3b.
Re: Pesat semarang From: niea_152@yahoo.com
3c.
Re: Pesat semarang From: wening2007@yahoo.co.id
3d.
Re: Pesat semarang From: piep71@ymail.com
4a.
Re: Tumbuh kembang Anak From: Sativa Huang
5a.
Re: Ragu istilah : hypertropic pyrolic sinosis From: niken qinen
5b.
Re: Ragu istilah : hypertropic pyrolic sinosis From: Endah
5c.
Re: Ragu istilah : hypertropic pyrolic sinosis From: bocahparahyangan
6a.
Gandarusa, Pil KB Khusus Pria Siap Diproduksi From: F.B.Monika
6b.
Re: Gandarusa, Pil KB Khusus Pria Siap Diproduksi From: Inta
6c.
Re: Gandarusa, Pil KB Khusus Pria Siap Diproduksi From: Mei
6d.
Re: Gandarusa, Pil KB Khusus Pria Siap Diproduksi From: Agus Julianto
6e.
Re: Gandarusa, Pil KB Khusus Pria Siap Diproduksi From: angel.encis@gmail.com
7.
Ruam merah d leher From: ursula_maniez@yahoo.com
8a.
Re: Gumoh Dalam Jumlah Besar Beberapa Saat Setelah Minum ASI From: Sativa Huang
9a.
Re: Hasil lab utk ISK From: purnamawati.spak@cbn.net.id
9b.
Re: Hasil lab utk ISK From: wrdolphin@gmail.com
10a.
Re: Serving Suggestion: [sehat] Tanya hasil Screening ADB From: Bong Mi Yun
10b.
Re: Serving Suggestion: [sehat] Tanya hasil Screening ADB From: BundaRaFi
11a.
Re: Tanya hasil Screening ADB From: purnamawati.spak@cbn.net.id

Messages

1a.

Re: jenis kelamin

Posted by: "arianyhy@gmail.com" arianyhy@gmail.com   ariany_hy

Tue Dec 27, 2011 7:52 pm (PST)



Temenku ada mba...

Udah diusg hasilnya cewe... Tapi tnyt keluarnya cowo... Hehehehe akhirnya anaknya 3-3 cowo smua :)

Katanya siihh (maap... Intermezo aja) kalo usg cewe masih bisa brubah krn bisa jadi penisnya *ngumpet* ketutupan bagian2 tubuhnya yg lain..
Kalo usgnya cowo ga mgkn brubah karena dah keliatan penisnya :)

Eh tapi stuju sama mbak Nia dan mpok Cella, kunfayakun lhoo... Kl Tuhan sudah berkenan ya apapun bisa terjadi :)

Regards,
Ariany

Sent from my AXIS Worry Free BlackBerry0…3 smartphone
1b.

Re: jenis kelamin

Posted by: "tristanathan" tristanathan.amadeo@gmail.com   trinovi

Tue Dec 27, 2011 7:55 pm (PST)



>> mau tanya, klo hasil usg sudah menyebutkan jenis kelamin anak (sekarang
usia kehamilanqu 23 minggu dan hasil usg nya anakqu cowok), apa bisa ada
kemungkinan berubah pada saat lahir? <<

berubah?
pastinya gak dong mbak.. sejak awal, gak akan berubah
kalau salah liat pas usg bisa bangggeeettt :)

kalau saya dulu mbak, selalu siapin 2 nama, biar dsog udah nyebutin (walo
gak diminta) jenis kelamin janin2 saya, jadi gak kelabakan cari nama
seandainya hasil usg-nya salah

-ria-

2011/12/28 chubby <chubby_2024@yahoo.com>

> **
>
>

[Non-text portions of this message have been removed]

1c.

Re: jenis kelamin

Posted by: "chubby" chubby_2024@yahoo.com

Tue Dec 27, 2011 8:08 pm (PST)



nah itu dia mba,,,ud meyakinkan gitu ada penisnya,,tp bener qo kembali lagi kuasa Allah itu,,,,

________________________________
From: "arianyhy@gmail.com" <arianyhy@gmail.com>
To: sehat@yahoogroups.com
Sent: Wednesday, December 28, 2011 10:42 AM
Subject: Re: [sehat] jenis kelamin

Temenku ada mba...

Udah diusg hasilnya cewe... Tapi tnyt keluarnya cowo... Hehehehe akhirnya anaknya 3-3 cowo smua :)

Katanya siihh (maap... Intermezo aja) kalo usg cewe masih bisa brubah krn bisa jadi penisnya *ngumpet* ketutupan bagian2 tubuhnya yg lain..
Kalo usgnya cowo ga mgkn brubah karena dah keliatan penisnya :)

Eh tapi stuju sama mbak Nia dan mpok Cella, kunfayakun lhoo... Kl Tuhan sudah berkenan ya apapun bisa terjadi :)

Regards,
Ariany

Sent from my AXIS Worry Free BlackBerry® smartphone

------------------------------------

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Terima kasih & penghargaan sedalam-dalamnya kepada : HBTLaw, PT.Intiland, dan PT. Permata Bank Tbk. yang telah dan konsisten mensponsori program kami, PESAT (Program Edukasi Kesehatan Anak Untuk Orang Tua)."

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Our biggest gratitude to: HBTLaw, PT. Intiland, and PT. Permata Bank Tbk. who have consistently sponsored our program, PESAT (Program Edukasi Kesehatan Anak Untuk Orang Tua)."
"SEHAT mailing list is supported by CBN Net for Internet Access &Website.

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[Non-text portions of this message have been removed]

2a.

Re: (Tanya) kontrasepsi

Posted by: "Inta" dini.maesarinta@gmail.com

Tue Dec 27, 2011 7:53 pm (PST)



Berarti belum beredar di pasaran yah mba Monik. Coba deh aku tanya mbah gugel. Suami mau nih diminta minum ini klo ada katanya, huehehehehehehe...*azasmanfaat*

Cheers, Inta
@Intamardwityo
terkirim dari henponkuh

2b.

Re: (Tanya) kontrasepsi

Posted by: "Bong Mi Yun" bongmiyun@gmail.com   bongmiyun

Tue Dec 27, 2011 8:27 pm (PST)



Tanggalan plus kondom

Mi Yun - sol

3a.

Pesat semarang

Posted by: "piep71@ymail.com" piep71@ymail.com

Tue Dec 27, 2011 7:53 pm (PST)




Dear Dr dan SpS,
Mohon infonya dong kalau Pesat Semarang-Jawa tengah ada gak ya?
Kebetulan ada sodara yg tanya nih

Tks
Sarica
3b.

Re: Pesat semarang

Posted by: "niea_152@yahoo.com" niea_152@yahoo.com   niea_152

Tue Dec 27, 2011 7:56 pm (PST)



Bulan feb ikut pesat jogja aja mb..SOL

-nia-ibunya Razan Ragha0…3
@nieafardina
3c.

Re: Pesat semarang

Posted by: "wening2007@yahoo.co.id" wening2007@yahoo.co.id   wening2007

Tue Dec 27, 2011 7:57 pm (PST)



Ralat mba Nia...pesat 5 jogja diadainnya Maret 2012

Sol
Iin aka Wening
Sent from my BlackBerry0…3 smartphone from my hunnybunny ^_¡è
3d.

Re: Pesat semarang

Posted by: "piep71@ymail.com" piep71@ymail.com

Tue Dec 27, 2011 8:07 pm (PST)




Mba nia n mba iin,
Mohon infonya ya yg Pesat Yogya
Kalo semarang belum ada ya?


Tks
Sarica
4a.

Re: Tumbuh kembang Anak

Posted by: "Sativa Huang" sativahuang@gmail.com   sativahuang

Tue Dec 27, 2011 7:59 pm (PST)



Sama-sama Bu Agnes
Beberapa bulan terakhir, terkesan BBnya naik turun naik turun,
apakah kondisi saat timbang sama: timbangan yang dipakai, jumlah pakaian,
nappy, sudah makan/tidak.
Kalau timbangnya nggak beres, kesimpulannya juga salah.
Saya CC aja, biar bisa diprint dan diskusikan.
Selain itu, pola makan anak juga harus dicatat:
ASI/susu formula berapa?
MPASInya, menunya?

To Bu Ariany: Sebaiknya semua data di plot.

Salam,

2011/12/28 Agnes Nugraeni <agnes_nugre@yahoo.co.id>

> **
>
>
> Terimakasih banyak Pak Sativa,
>
> Jadi tau persis sekarang grafik bb nya Radya. Selama ini cuma plot
> awang-awang karena ga tau caranya angka-angka persentil itu muncul. Kayanya
> pr saya sekarang browsing soal failure to thrive supaya bisa punya bahan
> diskusi sama dsa besok sabtu.
>
> Salam,
> Agnes
>
>

[Non-text portions of this message have been removed]

5a.

Re: Ragu istilah : hypertropic pyrolic sinosis

Posted by: "niken qinen" nikenqinen@gmail.com   qinen_q9

Tue Dec 27, 2011 8:00 pm (PST)



Mpok Cella....
td tny sm mba gugle, tny yg benar itu: hypertrophic pyloric sinopsis

ada 2 link bacaan :

http://kidshealth.org/parent/medical/digestive/pyloric_stenosis.html

http://www.mayoclinic.com/health/pyloric-stenosis/DS00815

Copas dari Mayo:

Definisi:

Pyloric stenosis is an uncommon condition in newborns and infants that
affects the muscles of the pylorus, which is at the lower end of the
stomach. The muscles of the pylorus (pyloric sphincter) connect the stomach
and small intestine.

In pyloric stenosis, the pyloric sphincter becomes abnormally large. The
enlarged muscles block food from entering the baby's small intestine.
Pyloric stenosis can lead to forceful vomiting, dehydration and weight
loss. Babies with this condition may seem to always be hungry.

Prompt treatment of pyloric stenosis is important for preventing
complications. Pyloric stenosis can be corrected with surgery.

Test dan diagnosis:

Signs and symptoms of pyloric stenosis can mimic those of other conditions
that cause infant vomiting, including gastroesophageal reflux disease
(GERD). Your baby's doctor may use various steps to make the diagnosis:

- *Physical exam.* Your baby's doctor may feel an olive-shaped lump —
the enlarged pyloric muscle — when examining your baby's abdomen.
- *Blood tests.* The loss of electrolytes — such as sodium, potassium,
magnesium and calcium — may be a sign of continual vomiting and dehydration.
- *Ultrasound.* This test uses sound waves to create an image of your
baby's stomach.
- *Contrast X-ray.* For this test, your baby swallows a small amount of
a liquid that coats the stomach. This contrast material helps any
abnormalities show up more clearly on an X-ray.

Tatalaksana&pengobatan:

Pyloric stenosis is typically treated with a surgical procedure known as
pyloromyotomy (pie-lor-oh-my-OT-uh-me). Surgery is often scheduled on the
same day as the diagnosis. If your baby is dehydrated or has an electrolyte
imbalance, surgery will be scheduled as soon as possible after these
problems have been treated with fluid replacement.

Pyloromyotomy is done under general anesthesia. Traditionally, the
procedure was done through a small incision in the baby's right upper
abdomen or around the baby's navel. Today, however, pyloromyotomy is often
done laparoscopically. With laparoscopic surgery, a slender viewing
instrument (laparoscope) is inserted through a small incision near your
baby's navel. The laparoscope is equipped with a laser and small surgical
instruments. Recovery from the laparoscopic procedure is quicker than is
recovery from a traditional open surgery, and the procedure leaves a
smaller scar.

Before surgery, your baby may be given intravenous (IV) fluids to treat
dehydration and restore electrolytes. During the procedure, the
surgeon cutsand spreads
apart the outside layer of the thickened pyloric muscles. The inside
liningof the
pylorus is left intact. After surgery, your baby may receive IV fluids for
a few hours or until he or she can eat. Rarely, some vomiting occurs for a
few days after surgery, however.

Potential complications of surgery include bleeding and infection. If
thepyloric muscles
aren't cut completely, your baby's signs and symptoms may return.
Pyloromyotomy doesn't increase the risk of future stomach or intestinal
problems.

Most infants return home within 48 hours. Your baby's doctor may request a
follow-up visit after surgery to check on your baby's recovery.

Salam,

-Niken-

2011/12/28 <marcella.kasih@indosat.blackberry.com>

[Non-text portions of this message have been removed]

5b.

Re: Ragu istilah : hypertropic pyrolic sinosis

Posted by: "Endah" endahgunawan@ymail.com

Tue Dec 27, 2011 8:01 pm (PST)



Hypertrophy pyloric stenosis
Barium meal
Silakan browse dgn keyword tsb

Endah
5c.

Re: Ragu istilah : hypertropic pyrolic sinosis

Posted by: "bocahparahyangan" bocahparahyangan@yahoo.com   bocahparahyangan

Tue Dec 27, 2011 8:08 pm (PST)



Mbak Marcella,

Istilahnya Hypertrophic Pyloric Stenosis (HPS).
Nama pemeriksaannya : Barium Meal

Kalau boleh nanya, riwayat sejak kelahirannya bagaimana? Kenapa diduga HPS?

Andi

PEDIATRIC HYPERTROPHIC PYLORIC STENOSIS www.emedicine.com

Hirschsprung wrote the first complete description of hypertrophic pyloric stenosis (HPS) in 1888. He believed the disease was congenital and represented fetal pyloric development failure. In 1907, Ramstedt described an operation to alleviate this condition. He suggested splitting the pyloric muscle and leaving it open to heal secondarily. This procedure has been used to treat infantile hypertrophic pyloric stenosis (IHPS) since that time. Although this curious disease is treated easily with surgery, its etiology remains undetermined. Hypertrophic pyloric stenosis is inherited by a multifactorial threshold model, and the generalized occurrence risk for siblings is 5-9%. Associated congenital anomalies are reported in 6-20% of patients with pyloric stenosis. A rare association with developmental delay has also been reported.[1]

Pathophysiology
HPS occurs secondary to hypertrophy and hyperplasia of the muscular layers of the pylorus, which cause a functional gastric outlet obstruction. Diffuse hypertrophy and hyperplasia of the smooth muscle of the antrum of the stomach and pylorus proper narrow the channel, which then can become easily obstructed. The antral region is elongated and thickened to as much as twice its normal size. In response to outflow obstruction and vigorous peristalsis, stomach musculature becomes uniformly hypertrophied and dilated. Gastritis may occur after prolonged stasis. Hematemesis is occasionally noted. The patient may become dehydrated as a result of vomiting and develop marked hypochloremic alkalosis.

Researchers have investigated the cause of this muscle hypertrophy for several decades. Many believe the problem is induced by the pyloric musculature failing to relax. Results of studies of pyloric muscle innervation are inconclusive, possibly showing a tendency toward fewer or more immature ganglion cells in affected individuals. Deregulation of vasoactive intestinal peptide (VIP) and nitric oxide both have been demonstrated in patients with pyloric stenosis, although whether these factors are associative or causative is unclear.

No definitive cause for hypertrophic pyloric stenosis has been found. However, various environmental and hereditary factors have been implicated. Suspected environmental factors include infantile hypergastrinemia, abnormalities in the myenteric plexus innervation, cow's milk protein allergy, and exposure to macrolide antibiotics. Hereditary factors may also play a role; hypertrophic pyloric stenosis occurs in as many as 7% of infants of affected parents. The etiology is probably multifactorial, with both genetic and environmental factors contributing. Recognition that hypertrophic pyloric stenosis is an acquired disorder and not a congenital disorder is increasing. Recently, genetic studies have identified susceptibility loci for infantile HPS and molecular studies have concluded that smooth muscle cells are not properly innervated in infantile HPS.[2]

Epidemiology
Frequency
United States
Pyloric stenosis is the most common cause of gastric outlet obstruction in infants. It is also the most common surgical cause of vomiting in infants. The prevalence of hypertrophic pyloric stenosis ranges from 1.5-4 cases per 1000 live births among whites, although it is less prevalent among blacks and Asian Americans.

Mortality/Morbidity
Operative therapy for hypertrophic pyloric stenosis has remained unchanged for nearly 100 years. Outcomes have improved through advances in early diagnosis, preoperative resuscitation, operative anesthetics, and nutritional management. Mortality may rarely result from late diagnosis, resulting in dehydration and shock. Mortality is also rare after pyloromyotomy. Wound infection occurs in fewer than 1% of patients. Perforation of the pyloric mucosa is also unusual, occurring in fewer than 3% of reported cases. Long-term sequelae from the disease or treatment are also minimal.

Race
Reported prevalence of hypertrophic pyloric stenosis among whites ranges from 1.5-4 cases 1000 live births; hypertrophic pyloric stenosis is less prevalent among blacks, Asians, and Hispanics.

Sex
Pyloric stenosis has a well-known predilection for occurring more often in males than in females, with reported ratios ranging from 2:1 to 5:1. First-born male children are believed to have the highest risk of developing hypertrophic pyloric stenosis.

Age
Newborns typically develop signs of gastric outlet obstruction at 3-4 weeks. Cases of hypertrophic pyloric stenosis have been documented from the first week of life to 3 months. Approximately 95% of infantile hypertrophic pyloric stenosis cases are diagnosed in those aged 3-12 weeks. Premature infants generally develop symptoms later than full-term infants, which may lead to a delay in diagnosis.
History
Typical presentation of an infant with hypertrophic pyloric stenosis (HPS) is onset of initially nonbloody, always nonbilious vomiting at 4-8 weeks. Although vomiting may initially be infrequent, over several days it becomes more predictable, occurring at nearly every feeding. Vomiting intensity also increases until pathognomonic projectile vomiting ensues. Slight hematemesis of either bright red flecks or a coffee-ground appearance is sometimes observed.
Patients are usually not ill-looking or febrile. The baby in the early stage of the disease remains hungry and sucks vigorously after episodes of vomiting.
Prolonged delay in diagnosis can lead to dehydration, poor weight gain, malnutrition, metabolic alterations, and lethargy.
Parents often report trying several different baby formulas because they (or their physicians) assume vomiting is due to intolerance.
Physical
Careful physical examination provides a definitive diagnosis for most infants with hypertrophic pyloric stenosis. However, some of the classic signs that would lead to diagnosis may be absent due, in part, to the early diagnosis of hypertrophic pyloric stenosis.
An enlarged pylorus, classically described as an "olive," can be palpated in the right upper quadrant or epigastrium of the abdomen in 60-80% of infants.[3] In order to assess the pylorus, the patient must be calm and cooperative. A pacifier or small amount of dextrose water may help. If the stomach is distended, aspiration using a nasogastric tube is necessary. With the infant supine and the examiner on the child's left side, gently palpate the liver edge near the xiphoid process. Then displace the liver superiorly; downward palpation should reveal the pyloric olive just on or to the right of the midline. To be assured of the diagnosis, the physician should be able to roll the pylorus beneath the examining finger. The tumor (mass) is best felt after vomiting or during, or at the end of, feeding. The diagnosis is easily made if the presenting clinical features are typical, with projectile vomiting, visible peristalsis, and a palpable pyloric tumor.
When diagnosis is delayed, the infant may develop severe constipation associated with signs of dehydration, malnutrition, lethargy, and shock.
Causes
Despite numerous hypotheses, the exact etiology of HPS is not fully understood. Genetic, extrinsic and hormonal factors have been implicated. In addition, abnormalities of various components of the pyloric muscle, such as smooth muscle cells, growth factors, extracellular matrix elements, nerve and ganglion cells, neurotransmitters, and interstitial cells of Cajal, have been reported. Recently, genetic studies have identified susceptibility loci and molecular studies have concluded that smooth muscle cells are not properly innervated in this condition.[4]
Ultrasonography has become the criterion standard imaging technique for diagnosing hypertrophic pyloric stenosis. It is reliable, highly sensitive, highly specific, and easily performed. An experienced ultrasonographer increases the test's predictive value. Necessary measurements include pyloric muscle thickness and pyloric channel length. Muscle wall thickness 3 mm or greater and pyloric channel length 14 mm or greater are considered abnormal in infants younger than 30 days.
Barium upper GI (UGI) study is an effective means of diagnosing HPS when ultrasonography is not diagnostic. It should demonstrate an elongated pylorus with antral indentation from the hypertrophied muscle. The UGI may demonstrate the "double track" sign when thin tracks of barium are compressed between thickened pyloric mucosa or the "shoulder" sign when barium collects in the dilated prepyloric antrum. After UGI barium study, irrigating and removing any residual barium from the stomach is advisable to avoid aspiration.
Although UGI endoscopy would demonstrate pyloric obstruction, physicians would find it difficult to differentiate accurately between hypertrophic pyloric stenosis and pylorospasm. Endoscopy is reserved for patients with atypical clinical signs when ultrasonography and UGI studies are nondiagnostic. Endoscopic dilatation has rarely been used as a method of treatment. This treatment is not standard for hypertrophic pyloric stenosis; endoscopy should be used rarely, if ever.
http://emedicine.medscape.com/article/929829-overview

6a.

Gandarusa, Pil KB Khusus Pria Siap Diproduksi

Posted by: "F.B.Monika" f_monika_b@yahoo.com   f_monika_b

Tue Dec 27, 2011 8:02 pm (PST)



Berhubung banyak yg penasaran (asumsi saya hehe) saya posting yah :

SURABAYA, KOMPAS.com - Gandarusa, pil antihamil khusus untuk pria telah siap produksi. Tablet atau pil KB pria ini sudah terbukti sangat ampuh mencegah kehamilan pada sang istri.

Adalah dosen farmasi Universitas Airlangga (Unair), Bambang Prayogo, yang berhasil mengambil ekstrak daun gandarusa (gendarussa vulgaris nee). Dengan memanfaatkan daun tumbuhan ini, Bambang telah mengujikan kepada ratusan pasangan usia subur.

"Mereka adalah para aseptor keluarga berencana. Setelah kita ujicobakan, berhasil. Gandarusa memang bisa mencegah pembuahan pada pasangan. Bahkan, para pria mengaku makin jantan," ucap Bambang di kampusnya beberapa waktu lalu.

Rektor Unair Prof Fasich sangat mengapresiasi temuan ini. Fasich menyatakan terus mendukung dan telah memfasilitasi produksi pil gandarusa dengan pihak ketiga."Tahun ini, pil KB khusus pria gandarusa siap diproduksi," jelas Fasich, Senin (5/9/2011).

Bambang kini telah dipercaya Badan Koordinator Keluarga Berencana Nasional (BKKBN). Lembaga pemerintah ini siap menampung seluruh pil ekstrak gandarusa hasil ciptaan Bambang.

Bahkan PT Indo Farma, salah satu produsen obat terbesar, juga sudah menyekesaikan uji klinis dan siap memproduksi secara massal. "BKKBN, PT Indo Farma, dan Unair sudah meneken MoU," tambah Fasich.

Ekstrak daun gandarusa temuan Wakil Dekan III Fakultas Farmasi Unair tersebut telah meyakinkan dunia kesehatan. Karena telah menjadi kontasepsi sakti bagi pria ini, kini tanaman gandarusa terus dibudidayakan di wilayah-wilayah di Jatim. Seperti di Mojokerto, Jombang, Pasuruan, dan daerah lain.

http://m.kompas.com/news/read/2011/09/06/07221549/Gandarusa.Pil.KB.Khusus
F.B.Monika
6b.

Re: Gandarusa, Pil KB Khusus Pria Siap Diproduksi

Posted by: "Inta" dini.maesarinta@gmail.com

Tue Dec 27, 2011 8:03 pm (PST)



Ma kasiiiiiiih mba Monik,

Langsung save dan fwd ke suami.

Cheers, Inta
@Intamardwityo
terkirim dari henponkuh

6c.

Re: Gandarusa, Pil KB Khusus Pria Siap Diproduksi

Posted by: "Mei" meiree2605@yahoo.com   meiree2605

Tue Dec 27, 2011 8:28 pm (PST)



Cihuuyyyy... Ma kasihhh mb monikkk
Kayaknya mantap ambil keputusan yg ini aja deh, hahaha...

*Ikutan mb inta, lsg save+fwd suami =D sambil kegirangan, ga takut+bingung lg deh, wkwkwkkk...


cheers ˆ⌣ˆ
- Mei -

Sent from Mei®iBerry smartphone
6d.

Re: Gandarusa, Pil KB Khusus Pria Siap Diproduksi

Posted by: "Agus Julianto" first.arasy@yahoo.com   first.arasy

Tue Dec 27, 2011 8:29 pm (PST)



Namanya kaya mall di jaksel
Gandarusa city

powered by windows7mobile

6e.

Re: Gandarusa, Pil KB Khusus Pria Siap Diproduksi

Posted by: "angel.encis@gmail.com" angel.encis@gmail.com   indahlife

Tue Dec 27, 2011 8:30 pm (PST)



Itu mah gandaria city,pak erteh OOT

Angel
Emaknya encis n twinnies inside

7.

Ruam merah d leher

Posted by: "ursula_maniez@yahoo.com" ursula_maniez@yahoo.com   ursula_maniez

Tue Dec 27, 2011 8:06 pm (PST)



Dear SPs
Saya nanya lg bolehkaaa?
Sudah hmpir sminggu d pangkal leher sblah kiri Ichi mncul ruam2 merah. Awalx sy pkir biang kringat aja jd tdk ada yg sy lakukan aplg Ichi jg ga rewel atopun garuk2.
3hr lalu oma-nya tunjukin tyt dah meluas areal ruam dan merah serta tebal. Sy lgsg googling tp kok ga ada gmbr yg sama ya? Brikut ciri2 si ruam:
- berupa titik2 sperti biang kringat. Areal-nya skrg udah mlai meluas turun k dada.
- tdak bernanah, tapi kering dan teraba kasar serta tebal.
Ichi sampai saat ini ga garuk2 sih, ga ada demam tp sjak kmarin mlai timbul lg d pangkal leher sebelah kanan.
Krn ga nemu di mayo n milissehat akhrx sy bw ke dokter umum terdekat (krn dah mlm bget, DSA dah ga buka). Sama dokter d blg biang keringat yg infeksi. Cm d suruh ksih bedak salicyl n bs d kompres NaCL tp dia ga bukakan resep.
Smalam sy k DSA dkat rumah. Tdak ada diagnosa jelas. Tp bliau cm menegaskan bukan DA n bkan impetigo. D bukakan resep NaCL dan salep Desolex N, Sanexon (ga jelas bacanya apa), sama puyer (ga jelas bacanya tp kata apoteker anti alergi).
Sy blm tebus obat2nya.
Mohon bantuannya kira2 ruam ini apa dan apakah obat2annya dah cocok?
Makasiiiiihh

Ursula

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8a.

Re: Gumoh Dalam Jumlah Besar Beberapa Saat Setelah Minum ASI

Posted by: "Sativa Huang" sativahuang@gmail.com   sativahuang

Tue Dec 27, 2011 8:09 pm (PST)



Dear all,
Ikutan sharing...

Berapa lama menyusui sekali?
BAB bayi gimana? tekstur, warna?

Ada kemungkinan bayi terlalu kenyang, sehingga muntah.
Mengenai forceful let-down dan over supply, bisa dibaca berikut ini:

Forceful Let-down (Milk Ejection Reflex) & Oversupply
http://kellymom.com/bf/supply/fast-letdown.html

Salam,

9a.

Re: Hasil lab utk ISK

Posted by: "purnamawati.spak@cbn.net.id" purnamawati.spak@cbn.net.id

Tue Dec 27, 2011 8:23 pm (PST)



Dear Windy

1 dan 2. Sepertinya cocok dg isk
Diskusikan dg dsa
Biasanya sih pakai AB yg sensitif - trimetoprim

3. Oh berarti saya salah
Saya pikir anakmu yg hasil nya adb ternyata itu anak wuri ya

Anakmu hb normal
Zat besi normal
Tapi sel darah merahnya kecil2
Diskusikan dg dsa mu kemungkinan thalassemia trait
Baca di arsip banyak
Mg lau juga ada

Wati
Patient Safety, first

9b.

Re: Hasil lab utk ISK

Posted by: "wrdolphin@gmail.com" wrdolphin@gmail.com   wr_dolphin

Tue Dec 27, 2011 8:34 pm (PST)



Dear bunda Wati,

Terima kasih untuk responsnya, akan saya diskusikan dengan dsanya. Saya akan baca ttg thalassemia trait.

Big hugs
Windy

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10a.

Re: Serving Suggestion: [sehat] Tanya hasil Screening ADB

Posted by: "Bong Mi Yun" bongmiyun@gmail.com   bongmiyun

Tue Dec 27, 2011 8:26 pm (PST)



Resep rawon :

Barusan ketik buat si Mpok sekalian deh aku share

Resep Rawon:
Bahan:
1/2 kg daging pinggiran has (klo aku pake sengkel tanpa lemak,lebih empuk)
3 lombok merah yg sudah dibuang bijinya (klo aku pake banyak dan ngga
buang biji)
1 potong terasi
6 bawang merah
garam secukupnya
2 sendok teh ketumbar
seiris jahe
1 ruas kunyit
2 batang sereh
seiris lengkuas
3 butir kluwek (klo aku pake banyak bisa 5-6 biji)
1 butir asam bakar (sebesar biji kemiri - aku ngga pake ini)
3 lbr daun jeruk purut
Minyak untuk menumis
Sedikit gula jawa.

cara membuat:
Daging dipotong kecil-kecil (kalo aku potong gede2 kayak rawon
setan),rebus dengan api kecil yg dibubuhi sedikit garam.
Bumbu2 kecuali lengkuas, daun jeruk dan sereh digerus (kalo aku
diblender food processor biar cepet), lengkuas dan sereh digeprek.
Tumis bumbu dgn sedikit minyak sampai harum baunya lalu masukan kedalam
rebusan daging. Didihkan, kecilkan apinya, masak terus sampai dagingnya
empuk, bubuhi asam bakar (aku ngga pake). Masak beberapa saat lagi lalu
angkat, lalu angkat, sajikan panas dgn nasi putih. Sebagai pelengkap
sediakan sambal toge, perkedel, telur pindang dan kerupuk udang.

Tips:
Pilih kluwek yang seger (ini susah kasih taunya gimana krn aku pake
indera penciuman suami - maklum aku ngga tau kluwek itu apa sebelumnya)
Mengenai rasanya, kalo kurang gurih atau asin dimainin di gula dan
garamnya.

Resep baso sapi:
1 kg daging paha belakang
100 gram bawang merah
100 gram bawang putih
garam secukupnya
gula secukupnya
4 butir putih telur
300 gram tepung sagu
merica secukupnya
kuah kaldu sapi (dari rebusan tulang sapi)
1/2 sendok teh soda kue (aku ngga pake)

Pelengkap:
Caisim dan toge secukupnya
Bawang merah goreng
daun seledri
Sambal (kalo doyan)
Kecap manis (kalo doyan)

Cara membuat:
Daging di freezer sampai 1/2 beku terus digiling pake food processor
sampai bener2 halus.. (enak kalo pake magimix - ngga punya krn muahal bgt)
Duo bawang di kupas, iris halus terus digoreng sampai kering., terus di
blender sampai halus. campur dgn daging yg tadi digiling,ditambah
merica, gula dan garam.
Pecahkan telor ambil putihnya saja terus campur ke adonan terus digiling
lagi tambahkan baking soda terakhir tambahkan tepung sagu blender terus
sampai halus dan kalis.

Setelah kalis, ambil dan masukin kewadah, taroh di kulkas (bukan freezer
ya), simpan selama kurang lebih 6 jam.

Untuk masaknya:
Didihkan kuah kaldu ditambah dgn sedikit garam (sesuai selera). Setelah
mendidih cemplungin bulatan baso (adonan yg tadi disimpan 6 jam
dibulet-buletin pake tangan, ditelunjuk dan jempol seperti diremes2...
hadoohh bahasanya, mudah2an mengerti ya hahaha...) setelah mengapung,
angkat.. sebagian simpan di freezer sebagian dimasak pake caisim dan
toge. Dikasih bawang goreng plus seledri.. maknyussssss.

Tips:
Cari daging sapi tanpa lemak ya bener2 tanpa lemak, paling bagus kalo
baru kelar dipotong dan masih anget.

Resep yg lain biasanya aku nyontek di internet dimodifikasi sesuai
selera hehehe..

Regards,
Mi Yun

10b.

Re: Serving Suggestion: [sehat] Tanya hasil Screening ADB

Posted by: "BundaRaFi" depiya@yahoo.com   depiya

Tue Dec 27, 2011 8:33 pm (PST)




Yang resep bakso:
Daging di freezer sampai 1/2 beku terus digiling pake food processor
sampai bener2 halus.. --> kenapa harus difreezer dulu ya? *maklum newbie :)


Cheers,
BundaRaraFiyya

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11a.

Re: Tanya hasil Screening ADB

Posted by: "purnamawati.spak@cbn.net.id" purnamawati.spak@cbn.net.id

Tue Dec 27, 2011 8:38 pm (PST)



Dear Wuri

Dari 2 hari yl mau nimbrung tapi ketlisut terus

Setuju dg SP dan dr Anto
Defisiensi besi

Saya usul:
1. Tambahkan zat besi 3 mg/kg bb, saat perut kosong
Selama 2-3 bulan

2. Pasca terapi, ulang lab
Kalau semua sudah bagus, tapi cadangan masih mepet (sudah normal) biasanya dilanjutkan 2 bulan lagi utk menambah deposito nya

3. Kalau semua bagus tapi mcv masih rendah, pikirkan hb analisis utk menyingkirkan trait thalassemia

4. atau konsultasi ke dr pustika amalia

Cmiiw

Wati
Patient Safety, first

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