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Sabtu, 25 Desember 2010

Variolla

A. DEFINITIONS
Variola is an infectious disease in humans caused by the variola virus variola major or minor. The disease is known by its Latin name, or variola variola vera, which originates from the Latin varius, meaning "speckled", or varus, meaning "pimple".
Variola appeared on the small blood vessels in the skin and in the mouth and esophagus. In the skin, it causes a rash, and then wound with fluid. Variola major cause more serious disease with a mortality rate of 30-35%. Variola minor causes a milder disease (also known as alastrim, cottonpox, milkpox, whitepox, and Cuban itch) which causes death in 1% of sufferers. Long-term consequences of infection is variola major scars, usually on the face, which occurs in 65-85% sufferer.

B. ANATOMY PHYSIOLOGY

1) The epidermis (Kutilkula) is the outermost layer of skin, which has a thin structure with a thickness of 0.07 mm made up of several layers, among others, as follows: Stratum corneum layer of a substance which is also called horns.
a) The location is in the outer layer and is the dead skin. Epidermal tissue was prepared by 50 layers of dead cells, and will experience pengelupasansecara slowly, replaced with a new egg.
b) Stratum lusidum, which function is to "paint" the skin and hair. The more melanin produced by these cells, the skin color will become increasingly dark.
c) Stratum granulosum, which produce skin pigment, called melamine. This layer consists of living cells and is located at the bottom of the epidermal tissue.
d) Stratum germinativum, often described as living cells because this layer is the active layer splitting. The cells divide outwards to form the skin cells teluar. The cells will encourage the newly formed cells which were above the next cell will also be driven from below by newer cells again. At the same time the cells of the outermost layer of peeling and fall.

2) Network dermis has a more complicated structure than the epidermis, which consists of many layers. This network is thicker than the epidermis, which is about 2.5 mm. Dermis formed by special fibers that make it flexible, which consists of collagen, a type of protein that make up about 30% of body protein. Collagen will gradually decrease with age. That is why an old man who had a rough skin texture and wrinkles. Dermis layer lies below the epidermis layer. Dermis layer consists of the following sections. Hair follicle and surrounding structure.
a) Root hairs.
b) Blood vessels.
c) the oil glands (sebaceous glands) there are around hair roots. The existence of these oil glands to keep the hair is not dry.
d) sweat glands (glands sudorifera)
e) Nerves

C. Etiology


Poxviruses known viruses virus type 2 is almost identical but cause 2 types of variola, variola major and variola minor.

D. CLINICAL SYMPTOMS

1. Heat 6.Berwarna redness.
2. Dizziness 7.Bentol have reddish bumps.
3. No appetite
4. Diotot and bone pain
5. Skin rash

Rabu, 22 Desember 2010

Learn more about epilepsy

Epilepsy is a stacking disorder of the central nervous system (CNS) characterized by the occurrence of resurrection (seizure, fit, attact, spell) a spontaneous (Unprovoked) and periodic. Generation can be interpreted as a modification of brain function that are sudden and quick, which comes from a large group of brain cells, predominantly from the inhibition process. These changes in afferent excitation, disinhibisi, the shift of extracellular ion concentrations, voltage-gated ion-channel opening and strengthening the synchrony of neurons is very important in terms of initiation and propagation of epileptic activity generation. Neuronal activity regulated by the concentration of ions in the extracellular and intracellular space, and by movement in and out of the ions through the membranes of neurons. Not infrequently, many parents are frustrated so knowing their children suffered from epilepsy or we commonly call it epilepsy.
The view that has been developed, epilepsy is a derivative of a contagious disease and can not be cured. However, epilepsy can be cured with a total and only 1% of total persons with epilepsy in Indonesia which reduced genetic or hereditary. And early detection and treatment for persons with epilepsy, especially since the toddler is very effective cure of epilepsy in total.
Causes of epilepsy include: genetic factors / derivative (although relatively small between 5-10 per cent), abnormalities in before-after birth, head injury, meningitis, brain tumors, cerebrovascular disorders, a pool of blood / pus in the brain, or have had brain surgery. In addition, each disease or disorders that interfere with brain function can also cause seizures. Could be due to birth trauma, head trauma, brain tumor, brain inflammation, bleeding in the brain, hypoxia (lack of oxygen in tissues), electrolyte disturbances, metabolic disorders, disorders of blood peredarah, poisoning, allergies and birth defects.

How do I deal with epilepsy
<> Do not expose your children from dangerous objects potentially injure themselves
<> Loosen the clothing in the neck area, including belts
<> Place a pillow or something soft under head
<> Put him face to one side
When to call an ambulance?
<> If a child gets injured during a sudden attack
<> The child may swallow the water / liquid
<> The attack lasts longer than five minutes

It is not permissible for a child under attack:
<> Putting things in her mouth. If the child may bite his tongue during a surprise attack, inserting objects in his mouth probably is not much help. You even may be bitten, or worse, your hand instead break the teeth of the child.
<> Trying to lay the child. People, even children, miraculously has incredible muscle strength during sudden attacks. Trying to lay the child on the floor is not easy and not too good.
<> Attempting to bring the child with mouth-to-mouth rescue breathing as long as he gets a sudden attack, but the attack ended. If the attack ends, give a ventilator from mouth to mouth if the child was not breathing.
Things should not be overlooked is: Always write down emergency numbers, such as hospitals or doctors, in an easily accessible place. If the child gets a surprise attack and needs help immediately, you no longer frantically looking for him. There are several types of epilepsy. Not all types of the same medicine. It is necessary to know first, what's the first true epilepsy. Apart from a history of seizures, confirmed by EEG examination (elektroencephalography). From there it will show the type epilepsinya.
TREATMENT OF EPILEPSY
Treatment of epilepsy is a long-term treatment. Patients will be given anticonvulsant medicine to cope with seizures according to the type of attack. The use of the drug in a long time will usually cause problems in medication adherence (compliance) seta some possible side effects such as gum growth, drowsiness, hyperactivity, headaches, etc..
Healing will occur in 30-40% of children with epilepsy. Duration of treatment depends on the type of epilepsy and etiology. In mild attacks during the 2-3th enough, is that treatment can be more severe than 5th. Discontinuation of treatment should always be gradual. Surgery is often considered when treatment had no effect at all.
Treatment of spastic child will affect his intelligence. If you are late to overcome seizures in children, there is the possibility of epilepsy, or even mental keterbalakangan. Mental retardation later in life. Of this miserable condition that can last a lifetime.
Do not easily believe that drinking coffee can avoid the seizure or step. Medically, coffee is actually not bergunauntuk overcoming seizures. Coffee can actually cause the blockage of breathing when given at the time your child has seizures, which eventually led to the death.

Prevent Seizures
• High fever in children can be over in a way to give medicine for fever and fever with compress with a warm cloth (more or less heat with little body temperature) for about 15 minutes, when it reaches 38.5 degrees Celsius or more
• Do not do pengkompresan with a cold rag, because it can cause shorting in the brain (strong collision will occur due to heat only between the child's body temperature with cold pressed cloth)
• If declared epilepsy, immediately taking prescription drugs regularly
• Provide anti-seizure medication through the anus at home if a child's seizures are not likely to take medication.
• always willing febrifuge in the home such as paracetamol.