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Journal : JOURNAL LA MEDIHEALTICO

Literature Review: the Effect of Ajwa Dates on Hemoglobin Levels in Perimenopause Women Cahyani, Eka Saputri Ananda; Andi Mappaware, Nasrudin; Arfah, Arni Isnaini; Irwan, Irwan; Nulanda, Mona; Yuniati, Lisa
Journal La Medihealtico Vol. 5 No. 2 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i2.1190

Abstract

Ajwa dates or often called prophet dates are types of dates that grow in Saudi Arabia / Al-Madinah Al-Munawara and have significant value in healing several diseases. The content of active substances contained in date extracts such as vitamins B1, B2, nicotinic acid, vitamin complex A, magnesium, calcium and iron which has a function to help the formation of hemoglobin. Perimenopause is an indefinite period of time that surrounds the final years of a woman's reproductive life, usually between the ages of 30-40 years when estrogen levels slowly decline causing menstrual abnormalities. The decrease in estrogen levels in perimenopausal women causes excessive blood loss so that iron deficiency anemia will occur. Objective : To determine the effect of consumption of ajwa dates (Pheonix Dactylifera L) on hemoglobin levels in perimenopausal women. Method : Literature Review with Design Narrative review. Results : Based on the results of research from several literatures that discuss the effects of giving Ajwa Dates (Phoenix Dactylifera L) before and after administration, it shows that there are differences in hemoglobin levels. Especially in perimenopausal women who are prone to iron deficiency anemia because Ajwa dates contain high iron, which increases hemoglobin levels. So it is highly recommended for consumption. Conclusion : Ajwa Dates (Phoenix Dactylifera L) can increase hemoglobin levels in perimenopausal women.
Case Report: The Effect of Ajwa Dates on Calcium Levels in Perimenopausal Women Rahma, Muftihatur; Mappaware, Nasrudin Andi; Diana, Ajar; Nulanda, Mona; Hamsah, M.; Surdam, Zulfiah
Journal La Medihealtico Vol. 5 No. 2 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i2.1265

Abstract

Perimenopause itself is defined as the permanent cessation of menstruation due to loss of ovarian activity confirmed by the onset of amenorrhea for 12 consecutive months in the absence of other pathological or physiological causes, occurring at the age of 42 years until menopause. In perimenopausal women, besides decreasing estrogen levels, there is also a decrease in calcium absorption which causes osteoporosis. Where dates contain iron, magnesium, calcium, phosphorus and potassium, but it also contains phytochemical compounds such as phytosterols and phytoestrogens. Phytoestrogens have the same structure and function as endogenous estrogens that serve to exert a major effect on women on bone remodeling and also control the timing of osteoclast apoptosis. Objective : To determine the relationship between giving ajwa dates to calcium levels in perimenopausal women. Method : Literature review with narrative review design. Results : Based on several journals that have been reviewed, it can be concluded that giving ajwa dates can inhibit the decrease in bone density in elderly women, where the active substances that play a role in this are calcium and phytoestrogens. Conclusion : Giving ajwa dates can inhibit the decrease in bone density in elderly women. Keywords : ajwa date (Phoenix dactylifera L), perimenopause, calcium.
Ureteric Injury During Hysterectomy: A Case Report Ulfa, Nura; Irianta, Trika; Hamsah, M.; A.M., Nasrudin; Fujiko, Masita; Nulanda, Mona
Journal La Medihealtico Vol. 6 No. 6 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i6.2753

Abstract

Ureteral trauma is an uncommon but serious iatrogenic complication of hysterectomy, with risk influenced by surgical indication, patient factors, and intraoperative conditions. A 50-year-old woman presented with oliguria six days after hysterectomy for uterine myoma. She had abdominal distension and mild tenderness, with laboratory findings showing impaired renal function. Ultrasonography revealed bilateral hydroureteronephrosis and intraperitoneal ascites. Emergency exploratory laparotomy identified approximately 1.5 liters of intraperitoneal urine, bilateral ureteral dilatation, and bilateral distal ureteral ligation with urine leakage. Surgical management included intraperitoneal drainage, bilateral ureteroneocystostomy, ureteral stenting, peritoneal lavage, and bladder drainage. Eight days later, the patient developed abdominal wound dehiscence and underwent bilateral ureterocutaneostomy in collaboration with a urology surgeon. At follow-up, the patient showed gradual improvement and was able to resume daily activities under regular outpatient monitoring. Management of ureteral trauma depends on the timing of diagnosis, extent of injury, and associated complications. Early recognition and appropriate surgical intervention are essential to preserve renal function and reduce morbidity. Bilateral ureteral ligation is a rare but severe complication of hysterectomy, often presenting with postoperative anuria or oliguria and requiring urgent urological management. Careful intraoperative identification of the ureters and close monitoring of urine output are critical to prevent and promptly detect ureteral injury.