Prof. Dr.. Dr. Heru Sundaru, Sp.PD, KAI FKUI University of Indonesia said, “cases of asthma in children in Indonesia a little higher than adults. Then asthma in children will lose some, and will appear again as an adult because the natural way “.

Asthma experts believe that asthma is a hereditary disease and most people who suffer from asthma due to allergy to a particular source of allergies (allergens). Allergens is a factor that comes from the environment.

Asthma Causes

The term cause of asthma is less accurate because until now the cause of asthma is unknown. There have been many studies conducted by experts in the field of asthma to explain the causes of asthma, but none theory or hypothesis can be accepted or agreed by all the experts.

Nevertheless a clear airway with asthma have a unique trait that is highly sensitive to various stimuli (bronchial hyperreactivity = hipereaktivitas airways). Cigarette smoke, mental stress, allergens in a normal person does not cause asthma but with asthma in this stimulation may cause an attack.

In asthma, constriction of the airways is a response to stimuli in the normal lung will not affect the respiratory tract. This narrowing can be triggered by various stimuli, such as pollen, dust, animal fur, smoke, cold air and exercise.

In an asthma attack, smooth muscle spasm of the bronchi and networking experience that covers the airways have swollen because of inflammation and the release of mucus into the airways.

This will reduce the diameter of the airways (called bronchoconstriction) and this causes narrowing of the patient must be trying hard in order to breathe.

Certain cells in the airways (particularly mast cells) allegedly responsible for the beginning of this constriction. Mast cells throughout the bronchi substances such as histamine release and causing leukotrien:

* Smooth muscle contraction
* Increased mucus formation
* Transfer of certain white blood cells into the bronchi.

Mast cell material is issued in response to something they know as a foreign object (allergens), such as pollen, fine dust contained in the home or animal fur.

But asthma can also occur in some people without a specific allergy. The same reaction occurs when the person is doing sports or being in the weather dingin.Stres and anxiety can also trigger the release of histamine and leukotrien.

Other cells (eosnofil) found in the asthmatic airways release other materials (also leukotrien), which also causes constriction of the airways.

Factor triggers asthma attacks

Triggers cause respiratory tract irritation and may cause constriction of the airways (bronchoconstriction). Triggers do not cause inflammation. Many of the medical community who consider the trigger and bronchoconstriction was an acute respiratory problem, which does not mean asthma.

The symptoms and bronchoconstriction caused by triggers occur immediately, place in a short time and more easily overcome in a short time. However, respiratory tract will react more quickly if it appears or there is inflammation.

1. Factor in patients
* Genetic Aspects
* Possible allergies
* Channels are breathing easily aroused
* Gender
* Race / ethnicity
2. Environmental factors
* The material in the room:
o house dust mites
o Animals, cockroaches
* The material in the outer room:
o Wheat flower
o Mushrooms
* Certain foods, preservatives, flavorings, food coloring
* Certain medicines
* Irritant (perfume, stimulating smells, household spray)
* Excessive emotional expression
* Cigarette smoke from active smokers and passive
* Air pollution from the outside and the room
* Respiratory tract infection
* Exercise induced asthma, those who relapse asthma when specific physical activity
* Change weather

reff: http://medicastore.com

* Cause Breast Cancer Disease

Countless breast cancer disease the most common cancer attacking women, yet men also have the possibility of having this disease with a ratio between 1 in 1000. Until now has not known for certain what causes this cancer occurs, but several factors likely are:

1. Age, disease increases breast cancer at young age and above.

2. Genetic, There are 2 types of genes (BRCA1 and BRCA2) that may be a risk. If the mother or female relatives of breast cancer, then you likely have an increased risk of breast cancer than 2 times the other women in her family did not have any patients.

3. The use of drugs, for example a woman who uses hormone replacement therapy drugs (hormone replacement therapy (HRT)) as exogenous hormones can cause increased risk of getting breast cancer.

4. Other factors suspected as the cause of breast cancer is; not married, married but no children, gave birth to their first child after age 35 years, never feed a child.

Some studies reveal that breast cancer increased in people who often deal with stress conditions (shock soul) and also for women who menstruate before age 11 under.

* Signs and Symptoms of Breast Cancer Disease

For those of you who felt a strange lump surrounding breast tissue or even one of your breasts look bigger, better consult a doctor quickly. These bumps are generally painless, ranging from small size would become huge and palpable as attached to the skin. Several cases of breast skin changes around the lump or change in the nipple.

When the lump started to grow, then cause pain (pain) when pressed. If you feel pain in the breast and nipple that does not go away, you should immediately consult a medical. The nipple into the contract, which was pink and finally become brown and even the existence of edema (swelling) around the nipple is one strong sign of breast cancer. Another thing is the frequency of discharge from the nipple when not nursing your baby.

* Diagnosis of Breast Cancer Disease

Breast cancer can be ascertained by taking samples of breast tissue that has action biopsy. In this way will know what kind of growth experienced by cells, whether the tumor is benign or malignant tumors (cancer).

* Type of Breast cancer

Through the examination of the call with mammograms, so this type of breast cancer can be categorized in two parts, namely:

1. Non-invasive breast cancer, cancer that occurs in the bag (tube) milk (link between the alveoli (milk producing glands) and nipples). In the language of medicine called ‘ductal carcinoma in situ “(DCIS), in which the cancer has not spread to the outside of the network milk bag.

2. Invasive breast cancer, cancer that has spread out the bag of milk and attack the surrounding tissue may even lead to the spread (metastase) such other body gets lympa and other glands through the blood circulation.

* Handling and Breast Cancer Medicine

Handling and treatment of breast cancer depends on the type and stage experienced by the patient. Generally known someone new breast cancer after stepped-up stadium severe enough, this is due to a lack of knowledge or shame, so too late for medicine to pathology was examined at hand.

1. Surgery, in the known breast cancer early so surgery was the right thing. The doctor will remove the lump and a small area surrounding the then replace it with another muscle tissue (lumpectomy). Broadly speaking, there are 3 surgery or breast cancer surgery among others;

- Radical Mastectomy, the surgical removal of part of the breast (lumpectomy). This operation is always followed by the provision of radiotherapy. Lumpectomy is usually recommended in patients with large tumor less than 2 cm and located on the edge of the breast.
- Total Mastectomy, the surgical removal of the entire breast, but not the glands in the armpit.
- Modified Radical Mastectomy, the surgical removal of the entire breast, breast tissue in the sternum, collarbone and ribs, and lump around the armpit.

2. Radiotherapy (radiation), the irradiation process in the affected area of cancer using X-rays and gamma rays are aimed at killing cancer cells remaining in the breast after surgery. These actions have bad effects as the body becomes weak, decreased appetite, skin color around the black breast, as well as hemoglobin and leukocytes tended to decline as a result of radiation.

3. Hormone Therapy, This is known as ‘anti-estrogen Therapy’ that the system works memblock ability of estrogen hormone in menstimulus breast cancer development.

4. Chemotherapy, This is the process of providing medicine in the form of anti-cancer pills or capsules or liquid through the infusion aimed at killing cancer cells. This system is expected to reach the target in the treatment of cancer that may have spread gets another body. The impact of the patients experienced chemoterapy nausea and vomiting and hair loss due to the influence of drugs given during chemotherapy.

5. Herceptin treatment, is known biological therapy effective against HER2-positive in women who have breast cancer stage II, III and IV with the spread of cancernya cells.

* Breast Cancer Prevention

For those of you who feel there are things that look different in the breast, get it checked out to the doctor not to be late. For example the next enlargement, the surrounding breast lump, pain constantly on the nipple and so on as the information signs and symptoms of breast above.

Other actions you can do is to avoid obesity, Eat less fat, try lots of foods containing vitamin A and C, do not eat too much of marinated and smoked, exercise regularly, and check-up breasts since the age of 30 years on a regular basis

The size I use to detect the cause of this depression is writing an article from Dzulfikar Zacky. Here are three common causes of depression are explained by Zacky:

1. Psychology. Paranoid personality type and pessimists are prone to depression than those with other personality types.
2. High stress. Most people suffering from depression at the time through the tough times like losing a family member, broke up with girlfriend, lost jobs, environmental pressures and not all that bad.
3. Chemicals and drugs. Various chemicals such as alcohol can cause symptoms of depression, especially if the use of alcohol is already under addiction.

Both short-and long cycles, both showing irregularities in metabolism and hormonal system. The impact is similar, ie be more difficult to become pregnant. In the short cycle, women experience “unovulasi” because the egg is not too ripe so hard to be fertilized. In the long cycle, it indicates the egg cell is rarely produced or women experience infertility long enough. If the eggs are rarely produced by means of conception will be very rare. In fact, menstruation is a sign that women are fertile.

These menstrual irregularities also make it difficult to find any mother fertile and did not. Should, if regular menstruation, fertile period can be found easily. For example, if the 30-day cycle, the fertile period is expected 16 days after the first day of menstruation. In contrast to the long and short cycles, it’s hard to calculate fertile period because there is no formula that can be used.

However, she did not need to be discouraged. Because, with the sophistication of modern medicine, this can be overcome. Later the doctor will help the mother find what the cause, and then given an appropriate solution. Of course cooperation is needed more intense between mothers and couples with a doctor. Hopefully with therapy can be made as soon pregnant mothers.

Causes & Solutions

Many of the causes why the length of the menstrual cycle or vice versa, short. However, the handling of cases with menstrual cycle is not normal, not based on a long or short menstrual cycle, but based on the abnormalities found. Handling done by physicians based on the cause.

* Function Hormones Bothered

Menstruation is closely related to the regulated hormone system in the brain, precisely in the pituitary gland. This hormonal system will send a signal to the ovaries to produce eggs. If this regulatory system is interrupted, the automatic menstrual cycle would be disrupted.

Handling:

If there is a lack of hormones, you can include a lack of these hormones (eg, lack of the hormone estrogen, the hormone estrogen can be added). If there are excess hormones, the administration made certain that the hormone levels returned to normal (eg, levels of the hormone prolactin excess may be reduced by giving certain drugs). If there are hormonal imbalance, then added another hormone to be more balanced.

* Systemic disorders

There are mothers whose bodies are fat or thin. This can affect the menstrual cycle because the system in the body metabolism does not work properly. Or the mother suffering from diabetes, will also affect the mother’s metabolic system so that menstrual cycles were irregular.

Handling:

To overcome the problem of fat or thin so that the system is improved metabolism by regulating the proper diet. Mom can go on a diet with guidance from an expert in order intake in accordance with the needs of the body. As for diabetics blood sugar levels or blood insulin levels in the high that can cause menstrual cycle, administration of drugs or drug antidiabetik insulin sensitizer “can improve the return to normal menstrual cycles and even improve the chance for pregnancy.

* Stress

Stress should not be taken lightly because it will disturb the system in the body’s metabolism. It could be because of stress, the mother became easily tired, losing weight dramatically, even sick, so disturbed metabolism. When disturbed metabolism, menstrual cycle, too distracted.

Handling:

Stress can cause changes in menstrual cycle is a severe psychological stress as a very great sadness (parent or spouse or child dies), or a stressful life as life in prison women. Great mental stress can increase cortisol hormone, or CRH, which may disrupt production of reproductive hormones. To overcome this problem is to cope with stress through therapy itself is conducted by experts. If the stress can be overcome, can be a normal menstrual cycle.

* Gland Goitre

Disruption of thyroid function / thyroid can also cause irregular menstrual cycles had. Interference could be the thyroid gland producing too high (hyperthyroid) or too low (hypothyroidism). Because the hormonal system of the body part affected.

Handling:

If thyroid hormone is too high it is necessary to add drugs to the thyroid production decreases, and vice versa if thyroid hormone is too low it is necessary to add drugs to the thyroid hormone back to normal. The point of production must be in accordance with the gland body needs.

* Hormones Prolactin Overstated

In breastfeeding mothers, prolaktinnya hormone production is high enough. The hormone prolactin is often a mother never menstruated because this hormone levels suppress maternal fertility. In this case no problem, it is very good to provide opportunities for mothers to maintain their reproductive organs. Conversely, if you’re not breastfeeding, the hormone prolactin can also be high, usually caused by abnormalities in the pituitary gland located in the head.

Handling:

Production of excessive hormone prolactin can be caused by a great psychological stress or because there is a tumor on the pituitary gland produces more of the hormone prolactin. To suppress the production of excess hormone prolactin may be prescribed alone, or if necessary may do surgery to remove a tumor in the pituitary gland.

FOCUS On WANT PREGNANT

Many women are upset, menstrual cycle disorders to have a child prevented. Not only mothers who do not have children, mothers who have children can experience it. In this case the handling of the menstrual cycle that do not normally always notice whether the patient is still hoping to get pregnant or not. If you still want to get pregnant, then the treatment should be focused on efforts to help the patient become pregnant. If the patient does not want to become pregnant again, it is enough to regulate the handling menstrual cycle only.