Coronary Heart Disease

Coronary Heart Disease

The heart is the center for human blood flow system. The role of the heart is vital for responsible supply blood throughout the body that carries oxygen and nutrients. Likewise responsible exciting and CO2 from waste materials throughout the body to flow to other organs such as the lungs and kidneys.
As an organ of the body, the heart itself also has a system of organ blood flow memperdarahi heart, supplying oxygen and nutrients as energy for the cells of the heart muscle. The blood vessels in the heart are called the coronary arteries. Coronary coroneri comes from the word meaning crown, because these blood vessels surrounding the heart for the heart like a crown.
In the United States coronary heart disease (CHD) occupies the number one killer disease even beat cancer deaths. Approximately 30% of patients with CHD end in death, meaning that 1 of 3 patients with CHD will eventually die and can not be saved.

Causes of Coronary Heart

Formation of blockages in the coronary arteries by cholesterol plaque called atherosclerosis is a major cause of coronary heart disease. This blockage of the normal process takes a relatively long time to show the usual symptoms are felt, but ignored by the patient.
Someone will have CHD if one or more coronary arteries is blocked so the heart muscle will be impaired even muscle death due to lack of oxygen and nutrients.
This blockage formation process takes place starting from a young age to old age, muscle tissue clogged heart artery vessels over time will become blackish blue of oxygen deficiency and death (infarction).

Here are some risk factors that make a person susceptible to coronary heart disease, among others:

•     Suffering from Hypertension blood pressure> 140/90,
•     Suffering from Diabetes Mellitus ,
•     Obesity,
•     Low HDL cholesterol levels in the blood of <40 mg/dl,
•     Age men> 45 yr and women> 55 years,
•     Less sports activities,
•     Active Smoking.

Symptoms of CHD
CHD symptoms initially are subjective and sometimes goes away by itself, so people sometimes feel sick and need serious attention, the symptoms are as follows:

•     A lot of sweat,
•     Body feels weak,
•     Pain in the gut,
•     Sometimes dizziness to fainting (shock)
•     Heaviness in the chest,
•     Tightness and difficulty breathing,
•     The sensation of chest pain radiating to the neck to the left arm.

Chest pain is divided into two levels, namely:
Stable: Chest pain arises while doing the activity,
Unstable: Chest pain arise from time to time but does not depend on repeated and prolonged activity and even when istirahatpun sometimes arise.

Prevention and Treatment of CHD      

If you have more than one risk factor for CHD and experience one the symptoms should immediately consult a heart specialist (doctor Sp.JP) to ensure at the same precautions associated with risk factors you have, such as: lose weight, make corrections levels cholesterol, blood pressure correction, regular exercise and stop smoking.

Then look up and actively join the club that has healthy heart there are many areas throughout the hospital environment eg.
In more severe CHD may be needed heart surgery for coronary artery angioplasty engineering with a catheter such as a hose and a ring on the ring that serves to keep coronary arteries are not clogged back.

The term bypass, is one correction to the heart surgery for blocked arteries connect with the road made alternative to other blood vessels (bypass road) in order to keep the heart muscle does not get the supply of oxygen and die (infarction).

Some myths about any wrong assumption about heart disease in the community include:

•     Heart disease only occurs in obese people,
•     Heart disease occurs in the elderly,
•     Heart disease does not occur in women,
•     Heart disease is a hereditary disease,
•     Heart disease can not be prevented,
•     Heart disease always occurs suddenly,
•     Heart disease because people are often surprised.

Some of the following tips you can do for your heart health:

1. If you have a body fat or even obese, the diet is a must,
2. Weight loss of at least 5 kg will be able to make the heart work more relaxed. A study shows that about 10-15% reduction in body weight, will significantly improve heart health.
3. Do at least 25 minutes of aerobic exercise movement, or at least 4 times a week to strengthen the heart, lower blood pressure and lower cholesterol.
4. Stay away from stress and laugh. If you want to keep your heart in shape, then laugh. The body responds by lowering cortisol laughter. If low cortisol levels, associated with a decrease in blood pressure and helps boost immunity naturally Laughter can lower stress levels and avoid depression. Laughter also stimulates the production of endorphins that will make you happy.
5. Keep your body hydrated by drinking plenty of water and add 1 egg capsules of omega-3 to strengthen your heart. Eating saltwater fish is also good because it contains Omega3.

Dengue Fever

Dengue Fever is a disease caused by the dengue virus that enters the human bloods stream through the bite of a female mosquito Aedes aegypti mosquitoes suck bloods.

Scientists say that the females mosquito Aedes aegypti need such off substances in human blood in relation to the process of maturation of their eggs.

The mosquito Aedes aegypti with special colour patterns likes zebra colored white streaks are frequently bite humans in the morning until noon. This is the reason why many childrens while playing or going to school to become vulnerable to mosquito bites vector (virus) is dengue fever. Dengue virus is divided into four types of strains that dengue type 1, 2, 3 and 4.

Dengue virus causes a disturbance in the blood vessels of the capillary and the cell-platelet clots can cause bleeding and can even lead to death.

The disease dengue hemorrhagic fever (DHF) is a regular epidemic (pandemic) and a health problem in many parts of Indonesia as a tropical country . DHF is also referred to as a disease of the tropics ( tropic Infektion )

This happens when the seasons change from rainy season to dry season or otherwise. The formation of a pool of water in various media is a fun thing for mosquitoes to lay their eggs.

The mosquito Aedes aegypti lay their eggs in stagnant water much like the leaves, tin cans, old tires and even a bath birdbath even our pets.

Symptoms of dengue disease

Symptoms of dengue disease is not typical or specific and often ambiguous or biased diagnoses occur with other symptoms of infectious diseases such as tifoid fever .

Typical symptoms such as fever, headache, muscle pain, joint pain and even nausea and vomiting. As a result, until recently often misdiagnosed.

We must be vigilant and recognize the symptoms of dengue fever, if necessary, should be strengthened by the results of the laboratory to test the patient's blood.

Symptoms of Dengue Fever

• Sudden high heat for 2-7 days,
• Body appears limp body temperature between 38ºC to 40ºC or more,
• Red spots appear on the skin surface that does not disappear when the skin stretched (not always),
• Pain in muscles and joints,
• Sometimes bleeding in the nose (nosebleeds),
• Maybe there is vomiting blood or dysentery.

If not promptly treated can become more severe and can be fatal,

• Patients will be restless,
• Cold extremities of the hands and feet (cold),
• Sweating,
• Arising bleeding from the mucous membrane of the stomach mucosa, nose, the former site of the injection, or other place
• Hematemesis or melena,
• Thrombocytopenia, decreased platelet count (not always)
• Plasma expansion is closely related to the increase in the permeability of blood vessel walls,

All of the above symptoms should be confirmed by examination of blood samples through the laboratory.

Treatment of Dengue Fever

First aid is very important and needs to be done especially for areas far from health care facilities.

Here are some things you can do as a form of first aid to patients with dengue fever are:

1. Giving to drink as much as possible.
2. Compress so the heat down.
3. Giving febrifuge.
4. If within 3 days of the fever does not go down or even up immediately brought to the hospital or clinic.
5. If you can not drink or persistent vomiting, the condition worsens, decreased consciousness or lost it must be hospitalized.

Treatment at this stage is primarily intended to address the bleeding, prevent / treat shock, control of body fluids by drinking heavily, if necessary, intravenous fluid administration.

An important key in  dealing with cases of dengue fever is to adjustment or correction fluid by focusing on body fluids.

When there is a patient lost a lot of fluid through sweat, urination, vomiting include bleeding then it is advisable to be a lot of drinking, but when it's finished fluid leakage, fluid intake should be reduced and even stopped in a specified period.

Efforts are made while increasing the nutritional intake and supplements if necessary, until our bodies are able to form antibodies against dengue virus.

Once established viral antibodies usually the patient will be more immune to dengue virus in the future.

Antibiotics usually will not give meaningful effect given the dengue virus can not be eradicated with high doses of antibiotics though.

Body temperature must be continuously monitored in order to avoid shock. Body temperature cultivated down with a cold compress and drug administration antipyretic .

Some of these tips will be useful lives so that we do not panic if there are members of our own family or even affected by dengue:

1. Immediately consult a physician if you have sudden fever,
2. Monitor the patient's body temperature every day
3. Take the patient back to the doctor if the fever lasts 3 days,
4. Rest and adequate fluid intake are two things that are very important in patients with dengue virus infection.
5. If the patient is getting weak, vomiting, difficulty eating or drinking, intravenous fluids should be done by a doctor.
6. If the laboratory results showed no signs of decreased platelets or an increase in hematocrit, the patient should be hospitalized.
7. Patients should be no shock supervised characterized by a sense of weakness, drowsiness, and fainting, while the foot was cold.

This is the end of sharing about dengue fever, hope it may be useful, thank you.