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ELAGOLIX PADA ENDOMETRIOSIS Gultom, Abitmer; Simanjuntak, Erica Gilda Minawati
E-Journal Widya Kesehatan dan Lingkungan Vol. 1 No. 3 (2020)
Publisher : E-Journal Widya Kesehatan dan Lingkungan

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Abstract

Endometriosis adalah suatu kondisi peradangan yang mempengaruhi 6-10% wanita usia reproduksi, dan 50% di antaranya disertai dengan nyeri panggul kronis. Di Indonesia, ditemukan 15-25 persen wanita infertil disebabkan oleh endometriosis. Meskipun pembedahan telah menjadi cara untuk mendiagnosis dan mengobati endometriosis, pengobatan semakin penting untuk membantu mengelola gejala kronisnya. Selain kontrasepsi oral, kelas obat lain yang digunakan untuk pengobatan endometriosis secara tradisional adalah agonis Gonadotropin releasing hormone (GnRH). Elagolix, antagonis GnRH generasi kedua, belakangan ini telah dikembangkan. Elagolix dapat menekan estrogen dalam bergantung pada dosis. Dengan struktur nonpeptida, Elagolix memungkinkan digunakan secara oral dan menjadi sebuah terobosan dalam penggunaaan obat golongan agonis dan antagonis peptida GnRH. Tujuan penulisan karya ini untuk memberitahukan efikasi dari Elagolix terhadap pengobatan endometriosis. Metode yang digunakan adalah studi kepustakaan yang bersifat objektif, analitis, sistematis dengan pendekatan deskriptif eksploratif. Dapat disimpulkan bahwa Elagolix secara klinis berkhasiat pada nyeri terkait endometriosis dan siap menjadi revolusioner dalam tantangan manajemen nyeri terkait endometriosis.
Understanding Hyperemesis Gravidarum, Urinary Tract Infection, and Total Placenta Previa: Threats in Early Pregnancy Gultom, Abitmer; Rombe, Claudia Valoryn Iona; Tanggo, Christian Ronald
Jurnal KESANS : Kesehatan dan Sains Vol 4 No 9 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v4i9.375

Abstract

Introduction: Hyperemesis gravidarum is a condition of excessive vomiting during pregnancy, occurring before 20 weeks of gestation. Urinary tract infections (UTIs) involve infections affecting any part of the urinary tract, and pregnant patients are more susceptible to UTIs. Placenta previa is a condition where the placenta partially or completely covers the internal cervical os. These three conditions have significant impacts on maternal and fetal well-being, necessitating a thorough understanding of their pathophysiology, diagnosis, and appropriate management. Objective: To report a case of hyperemesis gravidarum, urinary tract infection, and total placenta previa in a 30-year-old female patient. Case Report: A 30-year-old G2P1A0 woman presented with complaints of vomiting more than 8 times per day and brownish spotting, later diagnosed with hyperemesis gravidarum, UTI, and total placenta previa. Result and Discission: Findings included ketonuria, bacteriuria, bleeding from a closed external cervical os, and ultrasound imaging showing the placenta covering the internal cervical os. Conclusion: The patient was hospitalized and received appropriate medical management.
EFIKASI DAN KEAMANAN TERAPI HIPERIMUNOGLOBULIN CYTOMEGALOVIRUS TERHADAP KEJADIAN INFEKSI KONGENITAL HUMAN CYTOMEGALOVIRUS: EFFICACY AND SAFETY OF CYTOMEGALOVIRUS HYPERIMMUNOGLOBULIN THERAPY AGAINST THE INCIDENCE OF HUMAN CYTOMEGALOVIRUSCONGENITAL INFECTION Gultom, Abitmer; Sihaloho, Karlos Berlusconi
HelFin Journal Vol. 2 No. 1 (2025): Januari
Publisher : Fakultas Vokasi Universitas Kristen Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33541/helfin.v2i1.5843

Abstract

Latar Belakang: Infeksi cytomegalovirus pada kehamilan dapat menyebabkan cmv kongenital. Terapi hyerimmunoglobulin human Cytomegalovirus (CMV) bertujuan untuk mencegah terjadinya infeksi vertikal kepada janin yang menyebabkan kongenital cmv, Oleh karena itu, penulis melakukan tinjauan literatur sistematis untuk mengetahui khasiat hyperimmunoglobulin dengan meninjau parameter hasil. Metode: Tinjauan literatur sistematis yang mengikuti pedoman Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). Hasil: Melalui pencarian data di Pubmed, Science Direct, dan Cochrane menggunakan kata kunci 'Therapy' 'Pregnancy' 'Pregnant' 'Cytomegalovirus' ‘Treatment’, didapatkan 230 artikel. Kemudian dilakukan seleksi, terdapat 52 artikel yang tereklusi, Review artikel sebanayak 43, case control studies sebanyak 30, cohort studies sebanyak 35, dan observational studies sebanyak 71 artikel, sehingga didapatkan 2 jurnal yang memnuhi kriteria iklusi. Kesimpulan sebanyak 30% dan 35,6% kejadian kongenital CMV pada kelompok ibu yang diberikan HIG, dibandingkan dengan kelompok kontrol yaitu sebesar 44%.
G2P1A0 37-38 Weeks Pregnant with Cephalopelvic Disproportion, Previous Caesarean Section Scar and Anemia: Risk Factors, Prevention and Management - Case Report Gultom, Abitmer; Vilanda Sisthaningrum, Ni Made Evina; Prihantini, Nur Nunu
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 1 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i1.469

Abstract

Introduction: Cephalopelvic disproportion (CPD) is a labor-related condition caused by a mismatch between fetal size and maternal pelvic capacity, resulting in obstructed labor and potential maternal-fetal complications. It may arise from pelvic contraction, excessive fetal growth, or a combination of both. Objective: This study aims to report a case of cephalopelvic disproportion with a history of previous cesarean section and anemia in a 29-year-old pregnant woman. Method: A descriptive case-report approach was used. Clinical data were collected from medical records, including patient history, physical examination, laboratory results, and obstetric management procedures. Result and Discussion: The patient, gravida 2 para 1 abortus 0, presented with abdominal tightening, visual disturbances, and a known history of narrow pelvis and previous cesarean delivery. Examination confirmed cephalopelvic disproportion with anemia. Labor progression was stagnant, indicating mechanical obstruction. Cesarean section was performed successfully, and pharmacological treatment was administered to manage anemia and postoperative recovery. Conclusion: This case illustrates the importance of early identification and multidisciplinary management of cephalopelvic disproportion in patients with previous cesarean section and anemia to prevent maternal and neonatal complications
Severe Preeclampsia and Anemia in Pregnancy: Risk Factors, Prevention, and Management – Case Report Gultom, Abitmer; Prihantini, Nur Nunu; Beding, Beatrix Melanie
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6407

Abstract

Severe preeclampsia (PE) and anemia are two common medical conditions during pregnancy that have serious impacts on maternal and fetal health. Preeclampsia is a new-onset hypertensive disorder (≥140/90 mmHg) after 20 weeks of gestation, which may be accompanied by proteinuria and organ dysfunction in the mother or uteroplacental dysfunction. If left untreated, preeclampsia can progress to eclampsia, characterized by seizures, neurological disturbances, and anincreased risk of vital organ complications, including kidney failure, pulmonary edema, and liver dysfunction. To report a case of Severe Preeclampsia and Anemia in a 29-year-old female patient. The subject was a 29-year-old G2P1A0 woman in her final trimester of pregnancy who came with the chief complaint of tightness in the abdomen, cramp-like pain, headache, and blurred vision. The patient previously had a history of uncomplicated pregnancy. A 29-year-old G2P1A0 woman presented with complaints of abdominal tightening, cramping, headache, and blurred vision, who was subsequently diagnosed with severe preeclampsia and anemia. Findings included Anemia, Leukocytosis, and Proteinuria are Present. the patient was hospitalized, underwent a caesarean section, and received appropriate medical management.
Adolescent Reproductive Health Counseling in The Framework of Stunting Prevention Suryanegara, Wiradi; Gultom, Abitmer; Simarmata, Vidi Posdo A.; Sanggu, Andriyani Risma; Reviani, Nia
AJARCDE (Asian Journal of Applied Research for Community Development and Empowerment) Vol. 8 No. 1 (2024)
Publisher : Asia Pacific Network for Sustainable Agriculture, Food and Energy (SAFE-Network)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29165/ajarcde.v8i1.379

Abstract

Adolescents/teenagers are the age group from 10 years to before the age of 18 years. Efforts to maintain adolescent health aim to prepare adolescents to become healthy, intelligent, qualified, and productive adults and to participate in maintaining, maintaining, and improving their health. Adolescent health is very important to pay attention to because, during this period, teenagers experience significant physical, psychological, and social changes. Adolescent health efforts include positive development, accident prevention, violence prevention, reproductive health, prevention and control of infectious diseases and prevention of non-communicable diseases, nutrition and physical activity, mental health, and adolescent health in crises. This community service takes the topic of reproductive health to increase participants' knowledge about reproductive health. This community service method uses an educational approach through counselling with a total of 136 participants who are students of SMPN 2 Jatigede, Ciranggem Village, Sumedang Regency, West Java. Counselling is carried out by involving resource persons who are experts in their fields. The results of the counselling showed that there was a significant increase in participants' knowledge, as indicated by the results of the post-test. Participants in the "good" category increased in number from 3 people (2.2%) at the pre-test to 98 people (72.1%) at the time. Post-test, as well as participants who had sufficient knowledge, experienced a reduction in numbers from 73 (53.7%) to the remaining 37 people (27.2%).