menyambut ultah sekolah si abang tgl 18 Juni 2010 lalu, maka sekolah membuat suatu acara. ada pertunjukan dari anak-anak PG1,PG2,PG3,KG1,KG2.
namanya juga anak-anak yang tampil, ya pasti aneka ragamlah tingkah polahnya.
lucu-lucu dan menggemaskan..
ada penampilan nyanyi alphabet dan number dr anak-anak PG2, ada penampilan tarian dinding bak dinding dari anak2 perempuan PG3, ada penampilan baca doa dr anak-anak PG2 dan PG3.
puncak penampilan adalah performance dr anak-ana KG1. mereka nampilin drama soal penebangan hutan.
yess...dramanya amat sangat singkat. mengingat banyak artis yang udh mulai mogok dan melancarkan aksi raungan alias nangis..mungkin kelamaan nunggu nampil jadi bete.
tadinya udh was-was, mengingat si abang udh mulai bete. mana dia ga pake kostum karna berperan sebagai penebang pohon. melihat kawan-kawannya pada pake kostum dia mulai ngambek.
untunglah dengan segala bujuk rayu akhirnya abang mau juga, malah amat sangat bersemangat jadinya.
begitu mulai drama para orang tua ga henti-henti terbahak-bahak melihat kelakuan anak-anak mereka. tentu saja bu nia juga. sampe keluar air mata malah..
abang jadi penebang pohon yang tega menebang pohon-pohon. adegannya sungguh lucu.
si abang datang sambil bergaya seperti raksasa dan tertawa=tawa ala raksasa juga.
semua pohon (teman-temannya yg pake kostum pohon) ditebang satu-satu..
tapi ada satu pohon yang ga langsung tumbang ketika di gergaji. adegannya makin memancing orangtua tertawa. mana si abang buat gaya-gaya sok kocak gitu. trus si unan temen abang yang berperan sebagai pohon yang susah di tebang juga pas aktingnya.
seru dah pokok'e...dan acara itu juga sebagai perpisahan si abang ama sahabat-sahabatnya disekolah. ada unan, danis, raja, sha2, sultan, malik dll.
eh...tapi tapi...sebelum selesai, uanan ama abang sempat berantem pula diatas panggung...hikss..maafin abang ya unan..
Jumat, 25 Juni 2010
Kamis, 24 Juni 2010
DBD/DHF
DBD...jenis demam yang jadi momok terutama untuk yang punya balita.
well, sebenarnya apa dan bagaimana menghadapinya??
dan apa bedanya antara Demam Dengue,DBD dan Dengue shock syndrom??
merasa perlu untuk kumpulin info mengingat juga di komplek rumah udah beberapa kali ada yang kena.
trus ingat pengalaman andinnya dara jadi penasaran ama DBD ini.
dengan info ini minimal tau gimana penanganannya supaya ga panik.
dari belajar di milis sehat ditambah hasil brosing2 dr web who, cdc,dan mayo terkumpullah info2nya,
paling enak baca dari mayo, bahasanya mudah dicerna, ga medis x..hehe..
semoga berguna ya..maaf ga sempat terjemahin.silahkan gunakan kamus atau web terjemahannya google.
Memang males bacanya kepanjangan. tapi daripada cuma fesbukan doank ga ada guna atau cuci mata di ol shop aja, kenapa ga sesekali baca hal2 penting kaya gini.
---------------------------------------------------------------------------------------------------------------------------
1. dari mayoclinic
http://www.mayoclinic.com/health/dengue-fever/DS01028
- Definition
Dengue (DENG-gay) fever is a disease — ranging from mild to severe — caused by four related viruses spread by a particular species of mosquito. Mild dengue fever causes high fever, rash, and muscle and joint pain. More-severe forms of the disease — dengue hemorrhagic fever and dengue shock syndrome — can additionally cause severe bleeding, a sudden drop in blood pressure (shock) and death.
No specific treatment for dengue fever exists, and most people recover. But if you have a severe form of the disease, you need hospital care.
Millions of cases of dengue infection occur worldwide each year. Most often, dengue fever occurs in urban areas of tropical and subtropical regions. A few cases have been reported in the United States — particularly in Texas, along the border with Mexico, and in Hawaii.
- Symptoms
Signs and symptoms of dengue fever vary, depending on the form and severity of the disease.
Dengue fever
With the mild form of the disease, you may experience some or all of these signs and symptoms:
High fever, up to 105 F (40.6 C)
A rash over most of your body, which may subside after a couple of days and then reappear
Severe headache, backache or both
Pain behind your eyes
Severe joint and muscle pain
Nausea and vomiting
Sign and symptoms usually begin about four to seven days after being bitten by a mosquito carrying a dengue virus. Mild dengue fever rarely causes death, and your symptoms will usually subside within a week after starting.
Dengue hemorrhagic fever
More-severe forms of the disease usually begin the same way as the mild form (dengue fever) then become worse after several days.
Dengue hemorrhagic fever — a more severe form of the disease than initial dengue fever — can cause signs and symptoms of dengue fever plus:
Significant damage to your blood and lymph vessels
A decrease in the number of blood cells that help your blood clot (platelets)
Bleeding from the nose and mouth
Bleeding under the skin, which gives the appearance of bruising
Death
Dengue shock syndrome — Dengue shock syndrome — the most severe form of the disease — may cause signs and symptoms of mild dengue fever plus:
Severe abdominal pain
Frequent vomiting
Disorientation
Fluid (plasma) leakage from blood vessels
Heavy bleeding
A sudden drop in blood pressure (shock)
Death
Severe signs and symptoms may appear after your fever has improved. In a small number of cases, people with a severe form of the disease die of it. Modern supportive hospital care decreases this risk.
When to see a doctor
If you have any signs or symptoms of dengue fever, see your doctor. If you've recently traveled to a region in which the disease is known to occur, be sure to inform your doctor.
- Treatments and drugs
No specific treatment for dengue fever exists.
For a mild form of the disease, your doctor may recommend:
1. DRINGKING PLENTY OF FLUIDS TO AVOID DEHYDRATION FROM VOMITTING AND HIGH FEVER.
2. Taking acetaminophen (Tylenol, others) to alleviate pain and reduce fever. Don't take aspirin or other nonsteroidal anti-inflammatory drugs, such as ibuprofen (Advil, Motrin, others) and naproxen sodium (Aleve, others). These can increase the risk of bleeding complications.
For a more severe form of the disease, treatment consists of:
3. Supportive care in a hospital
Intravenous (IV) fluid and electrolyte replacement
Blood pressure monitoring
Transfusion to replace blood loss
If you have any form of dengue fever, you may also be kept away from mosquitoes, to avoid transmitting the disease to others
untuk treatment #1 sengaja di tegasin, karna sebenarnya untuk menjaga supaya demam dengue tidak menjadi DBD adalah dengan menjaga asupan cairan.
----------------------------------------------------------------------------------------------------------------------------
ada lagi dapat dari WHO.
http://www.who.int/mediacentre/factsheets/fs117/en/index.html
Dengue and dengue haemorrhagic fever
- Key facts
Dengue is a mosquito-borne infection that causes a severe flu-like illness, and sometimes a potentially lethal complication called dengue haemorrhagic fever.
Global incidence of dengue has grown dramatically in recent decades.
About two fifths of the world's population are now at risk.
Dengue is found in tropical and sub-tropical climates worldwide, mostly in urban and semi-urban areas.
Dengue haemorrhagic fever is a leading cause of serious illness and death among children in some Asian countries.
There is no specific treatment for dengue, but appropriate medical care frequently saves the lives of patients with the more serious dengue haemorrhagic fever.
The only way to prevent dengue virus transmission is to combat the disease-carrying mosquitoes.
Dengue is a mosquito-borne infection that in recent decades has become a major international public health concern. Dengue is found in tropical and sub-tropical regions around the world, predominantly in urban and semi-urban areas.
Dengue haemorrhagic fever (DHF), a potentially lethal complication, was first recognized in the 1950s during dengue epidemics in the Philippines and Thailand. Today DHF affects most Asian countries and has become a leading cause of hospitalization and death among children in the region.
There are four distinct, but closely related, VIRUSES THAT CAUSES DENGUE (UDAH PASTI GA BUTUH ANTIBIOTIK UNTUK TREATMENTNYA). Recovery from infection by one provides lifelong immunity against that virus but confers only partial and transient protection against subsequent infection by the other three viruses. There is good evidence that sequential infection increases the risk of developing DHF.
- Characteristics
Dengue fever is a severe, flu-like illness that affects infants, young children and adults, but seldom causes death.
The clinical features of dengue fever vary according to the age of the patient. Infants and young children may have a fever with rash. Older children and adults may have either a mild fever or the classical incapacitating disease with abrupt onset and high fever, severe headache, pain behind the eyes, muscle and joint pains, and rash.
Dengue haemorrhagic fever (DHF) is a potentially deadly complication that is characterized by high fever, often with enlargement of the liver, and in severe cases circulatory failure. The illness often begins with a sudden rise in temperature accompanied by facial flush and other flu-like symptoms. The fever usually continues for two to seven days and can be as high as 41°C, possibly with convulsions and other complications.
In moderate DHF cases, all signs and symptoms abate after the fever subsides. In severe cases, the patient's condition may suddenly deteriorate after a few days of fever; the temperature drops, followed by signs of circulatory failure, and the patient may rapidly go into a critical state of shock and die within 12 to 24 hours, or quickly recover following appropriate medical treatment (see below).
- Treatment
There is no specific treatment for dengue fever.
For DHF, medical care by physicians and nurses experienced with the effects and progression of the complicating haemorrhagic fever can frequently save lives - decreasing mortality rates from more than 20% to less than 1%. MAINTENENCE OF THE PATIENTSMaintenance of the patient's circulating fluid volume is the central feature of DHF care.
- Immunization
There is no vaccine to protect against dengue. Although progress is underway, developing a vaccine against the disease - in either its mild or severe form - is challenging.
With four closely related viruses that can cause the disease, the vaccine must immunize against all four types to be effective.
There is limited understanding of how the disease typically behaves and how the virus interacts with the immune system.
There is a lack of laboratory animal models available to test immune responses to potential vaccines.
Despite these challenges, two vaccine candidates have advanced to evaluation in human subjects in countries with endemic disease, and several potential vaccines are in earlier stages of development. WHO provides technical advice and guidance to countries and private partners to support vaccine research and evaluation.
-------------------------------------------------------------------------------------------------------------------------
yang paling penting, kenali klinis anaknya. ga selalu demam disebabkan karna demam dengue. ketika anak demam, cek apa ada penyebabnya, misal: batuk pilek atau diare. kalo ada penyebabnya treatmentnya sesuai gejala. ga perlu panik buru2 cek darah. cek darah untuk DBD akan akurat setelah demam lebih dari 72 jam tanpa gejala.
kalopun ada demam tanpa gejala better cek urine rutin dulu untuk menyingkirkan kemungkinan ISK (infeksi saluran kemih).
anyway, apapun penyebabnya, ketika demam yang paling dibutuhkan adalah CAIRAN CAIRAN CAIRAN. bisa dr ASI, susu, jus buah, sup2, air putih,dsb.
satu lagi NO PANIC (reminding buat diri sendiri neh!!)
kalo ada yang mau menambahkan silahkan.
kekurangan milik saya, kesempurnaan milik ALLAH SWT..:)
well, sebenarnya apa dan bagaimana menghadapinya??
dan apa bedanya antara Demam Dengue,DBD dan Dengue shock syndrom??
merasa perlu untuk kumpulin info mengingat juga di komplek rumah udah beberapa kali ada yang kena.
trus ingat pengalaman andinnya dara jadi penasaran ama DBD ini.
dengan info ini minimal tau gimana penanganannya supaya ga panik.
dari belajar di milis sehat ditambah hasil brosing2 dr web who, cdc,dan mayo terkumpullah info2nya,
paling enak baca dari mayo, bahasanya mudah dicerna, ga medis x..hehe..
semoga berguna ya..maaf ga sempat terjemahin.silahkan gunakan kamus atau web terjemahannya google.
Memang males bacanya kepanjangan. tapi daripada cuma fesbukan doank ga ada guna atau cuci mata di ol shop aja, kenapa ga sesekali baca hal2 penting kaya gini.
---------------------------------------------------------------------------------------------------------------------------
1. dari mayoclinic
http://www.mayoclinic.com/health/dengue-fever/DS01028
- Definition
Dengue (DENG-gay) fever is a disease — ranging from mild to severe — caused by four related viruses spread by a particular species of mosquito. Mild dengue fever causes high fever, rash, and muscle and joint pain. More-severe forms of the disease — dengue hemorrhagic fever and dengue shock syndrome — can additionally cause severe bleeding, a sudden drop in blood pressure (shock) and death.
No specific treatment for dengue fever exists, and most people recover. But if you have a severe form of the disease, you need hospital care.
Millions of cases of dengue infection occur worldwide each year. Most often, dengue fever occurs in urban areas of tropical and subtropical regions. A few cases have been reported in the United States — particularly in Texas, along the border with Mexico, and in Hawaii.
- Symptoms
Signs and symptoms of dengue fever vary, depending on the form and severity of the disease.
Dengue fever
With the mild form of the disease, you may experience some or all of these signs and symptoms:
High fever, up to 105 F (40.6 C)
A rash over most of your body, which may subside after a couple of days and then reappear
Severe headache, backache or both
Pain behind your eyes
Severe joint and muscle pain
Nausea and vomiting
Sign and symptoms usually begin about four to seven days after being bitten by a mosquito carrying a dengue virus. Mild dengue fever rarely causes death, and your symptoms will usually subside within a week after starting.
Dengue hemorrhagic fever
More-severe forms of the disease usually begin the same way as the mild form (dengue fever) then become worse after several days.
Dengue hemorrhagic fever — a more severe form of the disease than initial dengue fever — can cause signs and symptoms of dengue fever plus:
Significant damage to your blood and lymph vessels
A decrease in the number of blood cells that help your blood clot (platelets)
Bleeding from the nose and mouth
Bleeding under the skin, which gives the appearance of bruising
Death
Dengue shock syndrome — Dengue shock syndrome — the most severe form of the disease — may cause signs and symptoms of mild dengue fever plus:
Severe abdominal pain
Frequent vomiting
Disorientation
Fluid (plasma) leakage from blood vessels
Heavy bleeding
A sudden drop in blood pressure (shock)
Death
Severe signs and symptoms may appear after your fever has improved. In a small number of cases, people with a severe form of the disease die of it. Modern supportive hospital care decreases this risk.
When to see a doctor
If you have any signs or symptoms of dengue fever, see your doctor. If you've recently traveled to a region in which the disease is known to occur, be sure to inform your doctor.
- Treatments and drugs
No specific treatment for dengue fever exists.
For a mild form of the disease, your doctor may recommend:
1. DRINGKING PLENTY OF FLUIDS TO AVOID DEHYDRATION FROM VOMITTING AND HIGH FEVER.
2. Taking acetaminophen (Tylenol, others) to alleviate pain and reduce fever. Don't take aspirin or other nonsteroidal anti-inflammatory drugs, such as ibuprofen (Advil, Motrin, others) and naproxen sodium (Aleve, others). These can increase the risk of bleeding complications.
For a more severe form of the disease, treatment consists of:
3. Supportive care in a hospital
Intravenous (IV) fluid and electrolyte replacement
Blood pressure monitoring
Transfusion to replace blood loss
If you have any form of dengue fever, you may also be kept away from mosquitoes, to avoid transmitting the disease to others
untuk treatment #1 sengaja di tegasin, karna sebenarnya untuk menjaga supaya demam dengue tidak menjadi DBD adalah dengan menjaga asupan cairan.
----------------------------------------------------------------------------------------------------------------------------
ada lagi dapat dari WHO.
http://www.who.int/mediacentre/factsheets/fs117/en/index.html
Dengue and dengue haemorrhagic fever
- Key facts
Dengue is a mosquito-borne infection that causes a severe flu-like illness, and sometimes a potentially lethal complication called dengue haemorrhagic fever.
Global incidence of dengue has grown dramatically in recent decades.
About two fifths of the world's population are now at risk.
Dengue is found in tropical and sub-tropical climates worldwide, mostly in urban and semi-urban areas.
Dengue haemorrhagic fever is a leading cause of serious illness and death among children in some Asian countries.
There is no specific treatment for dengue, but appropriate medical care frequently saves the lives of patients with the more serious dengue haemorrhagic fever.
The only way to prevent dengue virus transmission is to combat the disease-carrying mosquitoes.
Dengue is a mosquito-borne infection that in recent decades has become a major international public health concern. Dengue is found in tropical and sub-tropical regions around the world, predominantly in urban and semi-urban areas.
Dengue haemorrhagic fever (DHF), a potentially lethal complication, was first recognized in the 1950s during dengue epidemics in the Philippines and Thailand. Today DHF affects most Asian countries and has become a leading cause of hospitalization and death among children in the region.
There are four distinct, but closely related, VIRUSES THAT CAUSES DENGUE (UDAH PASTI GA BUTUH ANTIBIOTIK UNTUK TREATMENTNYA). Recovery from infection by one provides lifelong immunity against that virus but confers only partial and transient protection against subsequent infection by the other three viruses. There is good evidence that sequential infection increases the risk of developing DHF.
- Characteristics
Dengue fever is a severe, flu-like illness that affects infants, young children and adults, but seldom causes death.
The clinical features of dengue fever vary according to the age of the patient. Infants and young children may have a fever with rash. Older children and adults may have either a mild fever or the classical incapacitating disease with abrupt onset and high fever, severe headache, pain behind the eyes, muscle and joint pains, and rash.
Dengue haemorrhagic fever (DHF) is a potentially deadly complication that is characterized by high fever, often with enlargement of the liver, and in severe cases circulatory failure. The illness often begins with a sudden rise in temperature accompanied by facial flush and other flu-like symptoms. The fever usually continues for two to seven days and can be as high as 41°C, possibly with convulsions and other complications.
In moderate DHF cases, all signs and symptoms abate after the fever subsides. In severe cases, the patient's condition may suddenly deteriorate after a few days of fever; the temperature drops, followed by signs of circulatory failure, and the patient may rapidly go into a critical state of shock and die within 12 to 24 hours, or quickly recover following appropriate medical treatment (see below).
- Treatment
There is no specific treatment for dengue fever.
For DHF, medical care by physicians and nurses experienced with the effects and progression of the complicating haemorrhagic fever can frequently save lives - decreasing mortality rates from more than 20% to less than 1%. MAINTENENCE OF THE PATIENTSMaintenance of the patient's circulating fluid volume is the central feature of DHF care.
- Immunization
There is no vaccine to protect against dengue. Although progress is underway, developing a vaccine against the disease - in either its mild or severe form - is challenging.
With four closely related viruses that can cause the disease, the vaccine must immunize against all four types to be effective.
There is limited understanding of how the disease typically behaves and how the virus interacts with the immune system.
There is a lack of laboratory animal models available to test immune responses to potential vaccines.
Despite these challenges, two vaccine candidates have advanced to evaluation in human subjects in countries with endemic disease, and several potential vaccines are in earlier stages of development. WHO provides technical advice and guidance to countries and private partners to support vaccine research and evaluation.
-------------------------------------------------------------------------------------------------------------------------
yang paling penting, kenali klinis anaknya. ga selalu demam disebabkan karna demam dengue. ketika anak demam, cek apa ada penyebabnya, misal: batuk pilek atau diare. kalo ada penyebabnya treatmentnya sesuai gejala. ga perlu panik buru2 cek darah. cek darah untuk DBD akan akurat setelah demam lebih dari 72 jam tanpa gejala.
kalopun ada demam tanpa gejala better cek urine rutin dulu untuk menyingkirkan kemungkinan ISK (infeksi saluran kemih).
anyway, apapun penyebabnya, ketika demam yang paling dibutuhkan adalah CAIRAN CAIRAN CAIRAN. bisa dr ASI, susu, jus buah, sup2, air putih,dsb.
satu lagi NO PANIC (reminding buat diri sendiri neh!!)
kalo ada yang mau menambahkan silahkan.
kekurangan milik saya, kesempurnaan milik ALLAH SWT..:)
sekolah buat razan
tanggal 18 Juni 2010 merupakan hari terakhir abang sekolah di Little Bee n Friends School..
sedih seh sebenarnya harus ambil keputusan untuk ga nerusin abang sekolah disana, tapi sepertinya biaya sekolahnya udah ga parents frenly lagi (baca: untuk bu nia dan pak heru...hehehe) jadi ya dengan berat hati abang cuma 1 tahun aja disana.
sebenarnya seneng liat abang sekolah disana. dia bener2 hepi.
punya banyak temen baru, dan dapat bu guru yang baik ati..Bu Nana..
tapi yang namanya sekolah apalagi playgroup gitu ga nutup kemungkinan kalo ada kebiasaan2 buruk dari teman2 lainnya yang bakal dicontoh.
belum lagi virus penyakit yang pingpong..siiggghhh
but, over all, bu nia puaslah udah pernah nyekolahin si abang disitu.
pernah rasain ikutan field trip ke Museum Aceh..sumpe de kalo ga karna ikut field trip seumur2 tinggal di Banda Aceh belum pernah masuk ke museum aceh...:D
field trip ke pelabuhan, ke bandara, ke kolam renang, keliling lingkungan di sekolah.
belum lagi seseruan di acara FamGath akhir tahun 2009 lalu di Taman Tepi Laut.
hobi mukul abang sebenarnya udah mulai ilang, tapi akhir2 ini suka muncul lagi, gara2
ada salah satu temennya yang suka mukul dan suka ucapin kata2 yang ga baik..
akhirnya nutup episode sekolah di LBnF, abang ikutan tampil di acara wisuda murid KG2 sekaligus ultah sekolah. abang ikut tampil di drama penebangan pohon dan berperan sebagai penebang...xixi...sumpe lucu2 bener anak2 itu...:D
well...berhubung tahun ini usia abang baru 4 tahun, bu nia dan pak heru sepakat untuk "mencutikan" dulu abang dr aktifitas sekolah selama setaun ini, dan taun depan baru masuk ke TK. untuk TK nya udah dihunting...dan waktunya masih panjang juga.
biar aja dia muak dulu stay at home...hahahaha...
pengalaman melahirkan ragha
tadinya mo re-write pengalaman giving birth nya ragha, tapi koq ya malas.
ini juga udah lamaaaaa ga update residen, jadi ya kopas aja tulisn bu nia di milis sehat.
semoga memberi manfaat..hepi reading
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Dear all,
akhirnya bs share juga.
makasih banyak buat k'hilda yg udh woro2 di milis dan buat semua sps dan para dokter yg udah ucapin selamat dan yg terpenting dapat kiriman doa dari semua untuk anak ke2 kami M.RAGHASYAH PATALA TSAQIF (ragha).
sebelumnya mohon maaf kalo sharenya kepanjangan dan rada lebay. aseli kangen ama milis. udh lama rasanya ga nyebur ke milis.
*PRENATAL
tgl 26 mar hari jumat kontrol ke dsog masuk 39w. BB bayi udh naik drastis sktr 3,1kg dr minggu sblmnya 2,7kg. alhamdulillah. kepala tetap udh dibawah tp sayangnya blm jg msk ke jalan lahir. sempat nanya jg ke milis soal kontraksi yg ga muncul2. pdhl jalan pagi rajin dijabanin. ngepel tangan tiap hari, nyuci piring sambil jongkok jg sanggup aja dikerjain (pdhl nyupir adalah kerjaan yg paling disebelin..hehe). mulai resah dan gelisah. takut kalo sc lagi. dr hsl usg itu dokter kasi waktu 1 minggu lagi dan disuru kontrol balik tgl 1 apr. hari senin mulai ngerasa gerakan bayi sedikit berkurang. sorenya telpon ke tempat praktek buat daftar hari rabu. ternyata dari hsl usg terakhir itu air ketuban udh mulai berkurang, bayi kelilit pusar lagi sebanyak 2lilitan. menurut dsog hal ini yg bikin bayi ga bs turun ke jalan lahir..Ya Allah..kenapa harus selalu begini ya??
akhirnya tanpa basa basi lagi dokter tanya kapan bisa dibuka(sc maksudnya). kami minta hari minggu aja, krna mikir razan bs dititip dirumah kakakku. tp dokter ga setuju. kelamaan katanya, diusulin hari jumat. diskusi dadakan ma suami ditempat, akhirnya kita putusin besoknya terus sc. biar suami jg ga perlu ijin kelamaan krn dpt long wiken dan razan pun bs diurusin ama kakakku yg kerja.
pulang dr dokter kita langsung ke rumkit pilihan untuk ambil kamar untuk besoknya. sambil gitu sempat diskusi sekali lagi ama pihak rumkit. alhamdulillah prosedur NB yg sc sesuai ama keinginan. ga pake disinar kalo bayi ga kuning.
*HARI H
sesuai anjuran dokter jam 8.30 pagi aku udh mulai puasa hingga 5 jam kedepan. krna sc dijadwalkan jam 1.30.
jam 10 diantar suami ke rumkit . sejujurnya sutris. soalnya ga berharap hrs sc lg. beberapa perawat dan bidan silih berganti masuk ke kamar buat ngontrol kondisi aku. untungnya mereka ramah2 dan bersahabat sekali. cuma yg berat adalah melawan rasa lapar yg begitu luar biasa.
jam 1 siang aku masuk ke ruang bersalin, untuk persiapan sblm sc. akunya berusaha sok tenang pdhl udh dag dig dug. bidannya kayanya tau. berulang2 dia nenangin aku sambil urut2 tangan aku. liat jarum infus udh sutris, pas mau dipasang keteter jg ampe aku mnta dipasang abs di bius aja. bidannya nanya apa mau nt dipasang ama perawat pria..APAA?? koq ada perawat cowok ntar? kata mereka kebetulan yg kena dinas ya rekan pria nya itu. yasud, dgn menahan nyeri (lebayy) aku merelakan saat itu jg dipasangi keteter.
ternyata jadwal molor. jam 2 kurang aku baru masuk ke ruang sc. tambah lemes pas tau tim nya cuma ada 3 orang wanita dan 5 orang pria..ampun dije..rada parno kebanyakan pria. akhirnya dsog dtg jam 2.10 dan aku langsung dibius. beda ama pas sc razan dl, jarak dibius ama bedah sekitar 15 menit. ini cm 5 menit. dengan perut yg udh kosong dan efek bius, 5 menit abis di bius aku langsung mual. belum lagi bayinya dikeluarin aku udh muntah. tapi yg bikin kaget, begitu dsog belah blio menjerit: "ya ampun nia, dinding rahimnya udh tipis coba nunggu lagi ampe minggu bs koyak ni. ini rambut anaknya udh keliatan."
*IMD
pas ragha lahir, dsa udh mau lgsg IMD, tp krna aku udh lemes krn beberapa x muntah akhirnya ditunda. ragha dibawa keruang bersalin (disebelah ruang sc). ga lama dsa balik lagi ama bidan sambil gendong ragha dan mau coba IMD. memang ga IMD murni dan ragha jg langsung diarahin ke puting karna ga bs ditempelin lama di dada, soalnya dsog kerjanya juga diperut atas. ditambah akunya yg udh lemes. tp liat reaksinya ragha udh bersyukur jg. bidan jg lapor kalo ragha udh di suntik Hep B, polio tetes, vit K, ama salep AB mata.
10 menit sebelum selesai mendadak aku menggigil hebat. dokter anastesi panik. perawat menggosok2 lengan aku. AC udh dimatiin semua tp tetap menggigil. trus dokter anastesi suntikin obat ke infus, sayangnya aku ga sempat nanyain obat apa. yg aku ingat abis obat disuntik dokter langsung meres2 botol infusnya supaya cairan infus cepet masuk ke badan. sc selesai tp aku msh menggigil. selimut tebal dan kain 3 lapis ga ngaruh. didorong ke kama yg jg ga jauh dr ruang operasi aku msh menggigil. setelah di dlm kamar beberapa waktu barulah kondisi mulai stabil. dsa dan bidan yg udh nunggu kondisi aku langsung diajak IMD lagi..hehe..jgn kumplen ya..bagi aku ini tetep IMD, mengingat razan dl 6jam abs lahir br bs dikasi mimik.
begitu ragha ditempelin ke dada wuiihhh dia langsung "ganas" cari2. bener2 ga nyangka bs liat sendiri dia merangkak nyari puting. kiri kanan blm ada tujuan yg jelas. dsa seneng banget liat reaksinya. dan cm 30 menit ragha bisa "nyosor". kata bidannya termasuk cepat. biasa yg IMD lama2 bs ampe 1 jam. dan kami sempat ketipu. ragha tu udh merangkak ke kanan. kirain udh mau nyaplok PD kanan, ternyata dia belok arah dan langsung ke kiri..subhanallah...luar biasa memang..
setelah ragha berhasil mimik langsung ditidurin disamping aku. rumkitnya ga sediain kamar bayi jd totally rooming in.
*POST NATAL
sepanjang hari itu sambl baring aku bs nyusui ragha. hanya karna infus di kanan, kalo mau mimik di kanan harus ada yg megangin.
Jum'at sore dsog kontrol. aku ngeluh perut aku terasa kembung. buang angin jg udh susah sejak siang lepas infus. belum lagi perban yg menempel erat bikin nyeri. aku diresepin Omeprazole, non flamin, ama cepik. kata dokter aku udh bs pulang. cm aku mau nunggu dsa visit sekali lagi bsk paginya. malam itu, kembung di perut semakin hebat. jam 9 barulah datang perawat bawain obat2an. sayangnya aku ga bs dan ga sempat jg buat brsoing soal obat2annya. dsog cm jelasin omeprazole untuk kembung, non flamin untuk anti infeksi, dan cepik AB. kata dsog karna kmrn aku sempat menggigil jd bs jd ada infeksi..??
jujur dilema, antara sangsi ama penjelasan dokter ama ingat menggigilnya itu. jd terpaksa semua diminum..(pe-er buat nyari kandungan obat2annya, thx buat mb ria yg udh mau bantuin gugling).
*@ HOME
hari ke-4 puser ragha puput. kecepatan rasanya. mengingat razan dl ampe 10 hari. tp kata bidan yg bantuin mandiin malah bgs, berarti pusernya selalu terawat baik. tp di hari ke 4 itu muncul jaundice. aq ga panik. nyadar ini krna ragha sempat kurang mimik sehari sebelumnya. karna kelelahan aku sempat bablas ketiduran. blm lagi D kanan sempat bengkak dan putingnya jd lecet. eh, jadinya kena mastitis. lengkap sudah. jd parno kalo mau nyusui ragha di kanan. kesimpulan bodoh aku ragha breastfeeding jaundice. observasi ketat. dan melawan rasa sakit pas ragha mimik dr PD kanan.
ragha mulai malas bangun. pipis aja ga nangis. dikitik2 anteng aja.
hari ke 10 kontrol pertama ke dsa. kuningn udh mulai berkurang. tp BB blm naik. msh 2,8kg. dsa blg msh ada waktu toleransi ampe hari ke 14 untuk kuningnya. blio encourage banget untuk tetep kasi asi. malah blio blg kalo ibu coba2 kasi susu formula silahkan hadapi saya. trus blio jelasin panjang lebar soal jaundice ini. intinya asupan asi tetep utama dan harus dipersering. oya, karna ragha blm di cek gol darah pas lahir dsa rujuk saat itu jg tes gol darah buat nyingkirin kuning krna beda gol darah.
trus aku tanya ke dsa," dok, kalo beda gol darah bukannya dr lahir udh kuning. kuning patologis kan dok?". dokter jawab: "iya. tp meski skrg fisiologis tetap hrs waspada". mm...berusaha mengingat2 yg udh pernah dibaca2. sambil gt aku langsung ke lab rumkit. dan alhamdulllah ragha sama gol darahnya ama aku yaitu O. sebenarnya abs lahir aku mnta langsung di tes gol darah, kata perawat hari terakhir aja. cm pas mau pulang aku malah lupa. krna tes gol darah blm menjadi prosedur manajeman NB di kota aku. ujung2nya meski blio pro asi dan enak diajak diskusi, rasanya ga afdhol kalo ga kasi oleh2 ya.
ragha diresepin puyer isinya luminal ama satu lagi obatnya kaya mises kt dsa kasinya pake air. emang dijelasin efek dr luminal anaknya bakal tdr terus. aku tanya kalo tdr terus gmn mau kejar mimiknya. jawab dokter" gpp, ini saya kasi dosis paling kecil cm 5ml"..sighhh...
obat yg kaya mises buat ilangin kuningnya..hehehe...abs nulis resep dan kelar, perawat langsung ambl resep buat dibawa ke apotik. di luar ruang praktek aku kejar perawat trus aku blg, tebusnya bs ntar aja ga soalnya ponakan yg antar perlu cepat. muka perawatnya rada ga enak. masih berusaha maksa dgn janji ga bakal lama. tp aku berkeras mau langsung pulang. dan rasanya males untuk kontrol lagi di hari ke 14 ke dsa untuk cek kuningnya. di hari ke 19 ini, kuningnya udh hampir hilang. apalagi dpt penguatan dr mb ade klo BF jaundice bs sampe 30 hari. trus ditambah cerita mb lia, kalo kei jg pernah kuning ampe 14 hari. jd makin tenang.
cuma yg msih jadi pemikiran BB nya ragha di hari ke 16 blm ada kenaikan jg. kebetulan dkt rmh ada polindes. jd numpang nimbang. BAB dan BAK jg bagus. asupan nutrisiku jg udh ditingkatin lagi, cm memang agak lelah krn abs melahirkan ga ada ART. cm ada yg bantu cuci kain ragha ama setrika. apa pengaruh ya?
kalo pun ragha cm dpt foremilk bukannya BB tetep bs naik meski dikiiiitt banget??
ini msh mantau terus. dan nunggu hari selasa ini mau bawa ragha ke puskesmas untuk BCG. pas di rumkit petugasnya ga ada yg mau krna pada ga tega katanya suntik imunisasi BCG. thx buat mb nia n mb dina buat share soal asinya.
menurut dsa bs jd BB nya ga naik karna asi ku kurang begizi. jadinya dia mimik lama2. yg bener itu kalo mimik 15menitan trus dia tdr kekenyangan. bukan mimik kanan kiri bergantian terus2an. kemaren memang smpt gt. ragha kalo mimik panjang sesinya. kiri kana gantian bs 2x. tp tdrnya jg jd lama. makanya aku sempat bablas jg ketiduran pas tengah malam.
skrg udh mulai mimik dr sebelah PD trus terkulai kekenyangan. kalo dipompa foremilknya aja ga encer. jd agak binun aja ama masalah ini.
oiya, sejak hari ke 9 puser ragha suka agak berdarah. pdhl pusernya udh mau msk. dan abs puput jg ga ada masalah apa2. cm pas ke dsa lupa ditanyain. kayamya kalo ragha nangis kekencengan juga suka berdarah. ini jg lagi dipantau ketat. kalo ada yg pernah ngalamin mohon dishare ya..
huaaa...sharenya jd curcol yg kepanjangan ya...maap banget buat yg pake kuota. gini ni kalo hasrat nulis kependam..belum lagi sejak bbrpa waktu pake mode nomail. kangen berat ama milis.
oiya, mau ucapin terima kasih juga buat teman2 yg udh cek kondisi kami sekeluarga pas gempa di aceh 14 apr lalu. what a great sehat family dah pokoknya..:)
semoga share yg lebay ini ada secuil manfaat. yg penting sblm hamil n melahirkan kumpulin ilmu banyak2nya. lebih penting drpd persiapan baby stuffs.
salam hangat
