NUTRITIONAL BALANCE FOR A PREGNANT WOMAN

To maintain the nutritional balance for pregnant women is very important. The condition of pregnant women is very different from those who are not pregnant. Especially in terms of daily food consumption. Because not only to fulfill nutrition for herself, but also for her fetus.  Actually, in regulating the intake or food menu, there are things that need to be noticed during pregnancy, for example:

  1. Avoid consuming canned food, excessive sweet foods, and foods that are not fresh
  2. Pregnant women should eat regularly to keep the body so that the fetus in the bladder can absorb food from his mother well
  3. Dishes are composed of nutritious and protein-rich foods
  4. Use a wide variety of nutrient-rich foods by buying and choosing fresh, fully nutritious foods (protein, fat, vitamins)
  5. Reduce the foods that contain lots of gas such as mustard, cabbage, and others
  6. Avoid smoking and drinking like alcohol and others.

Food menu for pregnant women, basically not much different from the menu before pregnancy. So there should be no difficulty in the food menu settings during pregnancy.

Sample menu of the day in pregnant women

  • Grocery Portion dish of the day type of dish
  • Rice 5 + 1 serving Morning food: 1.5 portion rice (150 gram) with fish/meat 1 medium cut (40 grams), medium soy steak 2 pieces (50 grams), 1 cup bowl
  • Vegetable 3 bowls
  • Fruit 4 pieces
  • Meat 3 pieces and fruit 1 medium cut.
  • Eating interlude: 1 cup milk and 1 medium piece of fruit
  • Lunch: 3 servings of rice (300 grams), with a side dish, vegetable, and fruit equal to morning.
  • Meat 3 pieces
  • 2 cup milk
  • Oil 5 teaspoons

Nutrition of Pregnant Women

  1. Food substances are very important for pregnant women because they work for fetal development and growth.
  2. Therefore, the need for food substances must always be met in the body of pregnant women.
  3. It is because the fetus requires nutrients for its development.

According to Dr. Tina Wardani Wisesa, pregnancy is very meaningful to women’s lives. Because it can affect the physiological and psychological conditions. During pregnancy, this will decrease appetite due to physical and physical factors that often appear early in pregnancy. To overcome this, you should eat in small quantities but often.

The food eaten should be no shortage and also the excess. However, that must have many nutrients, protein and enough vitamins and minerals that lives in the body of pregnant women. Nutrition needs will continue to increase, especially after entering the second trimester of pregnancy. Because at that moment, the growth of the fetus is very fast and the mother’s weight goes up and down quickly. In the last two months of pregnancy, the baby’s brain develops very quickly, because in this period babies need nutrients for the development of the brain and nerve tissue.

Things to watch out for, although increased appetite is to stick to a balanced diet with a balanced diet by avoiding high-calorie foods. , be avoided by pregnant women because of the possibility of carrying seeds of certain diseases or parasites that can harm the fetus.

            Things to consider in the fulfillment of pregnant women’s nutrients are:

  1. Mothers should eat regularly three times a day.
  2. The dish should be composed of nutritious food ingredients consisting of: staple food, side dishes, vegetables and fruits and drink 1 cup of milk every day.
  3. Using a variety of existing foods.
  4. Choosing a variety of fresh food.

Usefulness of food for pregnant women

1) For the growth of the fetus in the womb

2) To maintain the health and strength of the body for the mother herself

3) In order for the wounds of labor to heal quickly

4) Useful for backing up for lactation.

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TREATMENT OF CERVICAL CANCER

Cervical cancer treatment needs to be known by the public. because this will reduce the morbidity rate from the disease. All parties must prioritize early prevention more seriously than the treatment of cervical cancer. besides being more effective and healthy, prevention is also easier and cheaper without causing any risk. Cervical cancer treatment can only be done by an expert doctor, on the contrary, everyone can prevent cervical cancer.

Surgery 

There are several types of surgery for the treatment of cervical cancer. Some treatments involve the removal of the uterus (hysterectomy). This list includes some of the most common types of surgery performed on the treatment of cervical cancer.

  • Cryosurgery: A metal probe cooled with liquid nitrogen is inserted into the vagina and cervix. This method can kill abnormal cells by freezing them. Cryosurgery is used to treat cervical cancer that exists only in the cervix (stage 0), not invasive cancer that has spread beyond the cervix.
  • Laser Surgery: This method uses laser light to burn cells or remove a small part of the uterine cell tissue to be studied. whereas for the treatment of pre-invasive (stage 0) cervical cancer must use the laser surgery method.
  • Konishi: This method by removing a piece of cone tissue from the cervix. Cutting using a scalpel, laser or thin wire in heat by electricity. This approach is usually effective for finding or treating early-stage cervical cancer (stage 0 or 1).
  • Simple hysterectomy
  1. The way this method works is to straighten the uterus, but not close the nearby tissue.
  2. Without lifting the vaginal and pelvic lymph nodes.
  3. Then remove the uterus by surgery on the front of the stomach or through the vagina.
  4. After this surgery, a woman cannot become pregnant.
  5. Hysterectomy is effective for treating several stages of early cervical cancer (stage 1) and treating pre-cancerous stage cancer (stage 0) if cancer cells are found on the edge of the conization boundary.
  • Radical hysterectomy and pelvic lymph node dissection
  1. In this surgery, the surgeon will remove the entire uterus, the nearby tissue, the upper vagina that restricts the cervix, and several lymph nodes in the pelvic area.
  2. This method of surgery is usually by cutting the front of the stomach, not through the vagina.

Trachelectomy

  1. Radical trachelectomy procedures allow young women with early-stage cancer to get back to health and still be able to have children.
  2. This method involves removing the cervix and the upper part of the vagina, then placing it on a pocket-shaped suture that acts as the opening of the cervix in the uterus.
  3. Lymph nodes nearby are also removed. This method of surgery is usually by cutting through the vagina or stomach.
  4. After this operation, some women can experience a long-term pregnancy and give birth to a healthy baby through caesar surgery.
  5. The risk of cancer recurrence after treatment is quite low.

After this surgery, some women may experience long-term pregnancy and give birth to healthy babies through caesar surgery. The risk of recurrence of cancer after treatment is quite low.

Pelent Orientation

  1. In addition to taking all the organs and tissues of the vagina and stomach, this type of surgery also involves removing the bladder, vagina, rectum, and most of the large intestine.
  2. This operation is usually to treat cervical cancer that recurs after previous treatment.
  3. This is a radical operation. However, women who have run this operation can still live happily and productively.

Radiotherapy

  1. In the treatment of cervical cancer, the determination of radiotherapy is through external radiation whose application is along with low-dose chemotherapy.
  2. For this type of internal radiation treatment, radioactive material is inserted into the cylinder inside the vagina.
  3. Sometimes, this radioactive material is placed into a thin needle that is inserted directly into the tumor

Chemotherapy

  1. Chemotherapy is the use of drugs to kill cancer cells.
  2. Usually the administration of this drug by infusion into a vein or by mouth.
  3. After the drug enters the bloodstream, it will spread throughout the body.
  4. Sometimes, there are several drugs that are applied at one time.

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Malnutrition In Children Under 5 Years

Malnutrition is still prevalent in developing countries such as Indonesia. For children under 5 years of age, it will greatly affect their physical growth and development. Therefore, it is necessary to have an integral effort to overcome malnutrition.

Children who are poorly geared for growth and developmental nutrition are inhibited than children who have sufficient nutritional intake. For example, growth includes height, weight Children under 5 years low, brain development, the level of intelligence and psychic are also low and susceptible to infection.

Causes of the malnutrition

Many things that cause the malnutrition in Children under 5 years. These factors are as follows:

  • Economic factors. Parents Children under 5 years old are unable to provide good nutrition due to cost issues.
  • Educational factors. Limited knowledge of good nutritional intake can lead to errors in child feeding. Parents may provide food intake to children in large quantities but without regard to the nutritional content in the food.
  • Environmental factors. If a family lives in an environment that is less attention to nutrition intake, it does not close the possibility of families participating in the habits surrounding environment.
  • According to Dwijayanti (2011: 7), less nutrition can also be caused by (1) Inability to metabolize nutrients. (2) Inability to get the appropriate nutrients from food. (3) Acceleration of excretion of nutrients from the body.
  • Pain or disease that increases the body’s need for nutrients.

Balance Menu For Children under 5 years

            A balanced nutritional intake for children under 5 years is very necessary. Not good if the nutritional intake is less or excessive, it is necessary to balance it tailored to the needs.

Balanced Menu for Children under 5 years according to  Asfuah (2010: 136) namely:

  • Sugar and Salt. Consumption of salt for Children under 5 years no more than 1/6 of the maximum number of adults a day or less than 1 gram. Pay attention to food Children under 5 years old mothers because the adult food is not necessarily suitable for him. Sometimes the mother’s food is too much salt or sugar, or even contain preservatives or artificial coloring.
  • Eating Portion. The child’s meal portion is also different from that of an adult. They need nutritious food sources of complete nutrients in smaller amounts but often.
  • Energy and Nutrition Requirement. Food ingredients of energy sources such as carbohydrates, proteins, fats and vitamins, minerals and fiber must be consumed by children every day. Make arrangements for all of these nutritional sources in the daily menu.
  • Growing Milk. Milk as one source of calcium is also important to consume Children under 5 years. At least Children under 5 years need 350 ml / 12 ounces per day. Milk growth is a complete milk nutrition that is able to meet the nutritional needs of children aged 12 months and over.

Nutrition Management Effort

Nutrition Management Effort for Children under 5 years is very important. Because :

1. The consequences of eating difficulties will obviously affect the nutritional state of a child.

2. So needed an effort to overcome this difficulty in eating. It may take practice, medication, psychological approaches, and other ways.

3. The characteristics of eating patterns Children under 5 years is difficult to eat, the appetite often changes, get bored quickly to eat while sitting need to play games.

            Nutrition management can be done in various ways, namely:

  • Develop good eating habits. Children are introduced early with diverse and well-nourished foods and regular diet.
  • Create a fun eating atmosphere.
  • Avoid foods that are too oily, junk food, preservatives.
  • Tell about good eating.

Conclusion

            From the above discussion, it can be concluded as follows:

  • Children under 5 years need a balanced nutrition intake because age Children under 5 years is a nutritious age. 
  • Good nutrition will affect both the growth and development of children under 5 years such as height and weight.
  • Malnutrition (less nutrient intake) can reduce the growth and development of Children under 5 years.
  • Food menu selection is balanced by taking into account the nutritional content present in it and avoiding the preserved foods.
  • The food menu needs to meet the healthy nutrients of the perfect 5 ie carbohydrates, proteins, fats, vitamins, and minerals.

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THE IMPORTANCE OF NUTRITION FOR PREGNANCY

Young women need to understand the importance of nutrition for pregnancy. Especially those who are planning a pregnancy. So that the pregnancy is healthy and gives birth to a healthy baby too.

Understanding Nutrition

Nutrition is a process by which organisms use food normally consumed through digestion, absorption, transport, storage, metabolism and discharge of substances not used to sustain life. Growth and normal function of the organs, and produce energy.

Not a single type of food contains all the nutrients, which can make a person to live healthy, grow and productive. Therefore, everyone needs to consume a variety of foods, except infants aged 1-4 months who simply consume breast milk only. For infants aged 1-4 months, breast milk is the only single food that is important in the process of growing baby fair and healthy.

Diverse Foods

Consuming diverse foods is very beneficial for health, especially in pregnant women. Foods that are diverse are foods that contain many nutrients needed both quality and quantity. In the event of a deficiency in the completeness of a nutritional apparatus in the type of food will be supplemented by similar nutrients from other foods, so that diverse foods will ensure the adequacy of sources of energy substances, builders and regulators for pregnant women and fetus in the womb.

Balance Food and Nutrition for Pregnant Women

Food and nutrition is a balance diet that contains enough carbonhydrate and fat as a source of energy, protein as a source of builders, and vitamins and minerals as regulatory substances. Nutritional needs will increase during pregnancy, but not all nutritional needs increase.

   Basically the food menu in pregnant women is not much different from the menu before pregnancy. Therefore, it is expected that there is no difficulty in the menu settings during pregnancy. During pregnancy, expectant mothers need more nutrients in women who are not pregnant, because the food of pregnant women is needed for themselves and the fetus in it, if the fetal limited mother’s food will still absorb the mother’s food supply so that the mother becomes thin, weak, pale, broken teeth, hair loss and others (Purwita Sari, 2009).

Important Noticed

  1. Similarly, when eating a mother is less, fetal growth will be affected.
  2. Especially if the mother’s nutritional status in the period before pregnancy has been bad as well or malnutrision.
  3. This situation will result an abortion, LBW, preterm birth or even a born baby will die.
  4. At the time of delivery may result in prolonged labor, bleeding, infection, and other difficulties that may require surgery.
  5. Conversely, excessive food will lead to excessive weight gain, large babies, and can also lead to the occurrence of preeclampsy (toxicity of pregnancy).
  6. And if you eat less mother, then repaired after the baby born deficiency that is experienced when in the womb can not be completely repaired.

   Maternal food before and during pregnancy plays an important role in the availability of essential fatty acids in fatty tissue deposits of the mother. Type of fatty acids such as:

  1. Omega 3 fatty acids, linoleic fatty acids, consisting of eikosapentaenoate (EPA) and decosahecaquenoic acid (DHA). Omega 3 fatty acids in pregnant and lactating mothers affect the membrane of nerve cells, affecting brain function for growth and development of placenta and fetus. Also preventing asterosklerosis and coronary heart disease.
  2. Omega-6 fatty acids, linol fatty acids (LNAs), which in the body are converted to arachidonic fatty acids that help to grow and fetal babies as well as the fetal skin of mothers, fetuses and infants.

WHO’s News

  1. Maternal pregnancy should provide essential nutrients for the growth of children and themselves.
  2. Nutritional needs in pregnant women are receiving much attention from various committees across the country.
  3. In the developing countries including Indonesia, nutritional problems are still a major health problem and are the cause of maternal mortality during childbirth.
  4. Likewise during pregnancy, malnutrition becomes the most dangerous moment in her life.

Some negative facts

  1. In rural areas many pregnant women with malnutrition about 23%. 
  2. In general causes of malnutrition in pregnant women is to consume food that is not met by the recommended nutritional requirements.
  3. Also the distance of pregnancy and childbirth are too close.
  4. Pregnant women with low education level and less knowledge will cause maternal mortality to be high.

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Cervical Cancer, Symptoms And Prevention

Cervical cancer is now one of a dangerous problem for a woman that causes a serious impact on life. In the early stages often there is often no sign – a sign that is typical but, sometimes found symptoms.

  1. The symptoms of Cervical Cancer as follows;
  • Whitish or dilute liquid out of the vagina.
  • Bleeding after copulation which then continues to be an abnormal bleeding.
  • An occurrence of bleeding after menopause.
  • In the Inpansif phase can exit fluid yellow – yellow, smelly and can be mixed with blood.
  • Anemia symptoms arise in the event of Chronic bleeding.
  • Arising pain Pelvis or lower abdomen if there is pelvic inflammation.
  • At the advanced stage, the body becomes emaciated because of malnutrition, edema of the foot, irritation of the bladder and the lower rectum (rectum).

The Cervical Cancer is one of the most dangerous 

Like another cancer, this type of cancer also undergoes spread (metastasis). Cervical Cancer spread there are three kinds, namely:

  1. Through the Lymph vessels (lymphogen) Towards other lymph nodes.
  2. Through a blood vessel (hematogen).
  3. Direct spread to the parametrium, uterine corpus, vagina, bladder.
  1. Cervical Cancer Stage

Determination of stadium in cervical cancer patients is very important. This is related to the type of treatment and recovery prospects that will be done. Staging of cervical cancer as follows:

            Stadium Description

  • 0 : Cervical cancer stage 0 can be called carcinoma in situ. Abnormal cells are found only in the lining of the cervix.
  • I : Cancer is found only in the cervix.
  • II : Cancer that has spread beyond the cervix, but does not spread to the pelvic wall or the lower third of the vagina.
  • III : Cancer that has spread to the lower third of the vagina. It may have spread to the pelvic wall and or has caused the kidney to malfunction.
  • IV : Cancer has spread of the bladder, rectum, or other body parts such as the lungs, bones, and liver.
  1. C. Prevention of Cervical Cancer
  2. Cervical cancer can be prevented by screening called PAP SMEAR and this screening is very effective because the examination is easy to do, fast and no pain. Screening aims to determine the existence (cancer) with a microscope.
  3. Now also been found Vaccine to prevent cervical cancer, even This vaccine can be given to girls from the age of 10 years. By doing this Vaccination prevention can be done, and for women who are active or have sexual intercourse must routinely perform PAP SMEAR or Visual Inspection.
  4. Have a healthy diet, rich in vegetables, cereals to stimulate the immune system.
  5. Avoid smoking.
  6. Avoid sex before marriage or at a very young age.
  7. Avoid having sex with many partners.
  8. Perform intimate organ cleaning or known as Vagina toilet.