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Mucous Membrane Pemphigoid: A Frustrating Disabling Disease in A 15-year-old Male Akhyar, Gardenia; Izrul, Irdawaty; Nagara, Adianto Jaya
Journal La Medihealtico Vol. 5 No. 1 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i1.1078

Abstract

Mucous membrane pemphigoid (MMP) is a rare chronic autoimmune subepithelial blistering disease characterized by erosive lesions of mucous membranes and skin that typically results in scarring of at least some sites of involvement. A progressive disorder that may result in serious complications including blindness, loss of the airway, and esophageal stricture formation. Most patient experience reduced quality of life specifically with ocular symblepharon and laryngeal destruction. Case: We present a case of a 15-year-old male patient with 1 month-history of multiple tense bullae, difficulty to open the eyes, and hoarseness due to scar lesion in mucous membrane. The patient was reported to have Dermatology Life Quality Index (DLQI) of 15 which implied he had severe disability and decreased quality of life due to his illness. Patient also had symblepharone release operation done by ophthalmologist. A laryngeal reconstruction plan was also carried out by ENT doctor, but the patient couldn’t continue the treatment because of economic problem. Scarring of MMP is a significant complication in many cases. Mucous membrane pemphigoid could cause a lot of disability to the patient and decreased quality of life. Symblepharone release operation was done and laryngeal reconstruction plan was also carried out. Surgical intervention may not curable; however, it may be necessary for restoring function and improving quality of life.
Pemberian Edukasi dalam rangka Hari Stroke Sedunia Tahun 2024 sril, Asrizal A; Nikmawati, Sari; Warlem, Nilas; Izrul, Irdawaty
Abdika Sciena Vol 2 No 2 (2024): JURABDIKES Volume 2 No 2, Desember 2024
Publisher : CV. AKBAR PUTRA MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56260/jurabdikes.v2i2.180

Abstract

Hari Stroke Sedunia diperingati sebagai upaya meningkatkan kesadaran masyarakat terhadap pencegahan, penanganan, dan dampak penyakit stroke. Stroke merupakan salah satu penyebab utama kematian dan kecacatan di dunia, yang sering kali disebabkan oleh faktor risiko yang dapat dicegah, seperti hipertensi, diabetes, obesitas, dan gaya hidup tidak sehat. Oleh karena itu, edukasi kepada masyarakat menjadi langkah penting dalam menurunkan angka kejadian stroke serta meningkatkan kualitas hidup pasien pasca-stroke. Penelitian ini bertujuan untuk memberikan edukasi kepada masyarakat dalam rangka Hari Stroke Sedunia serta mengevaluasi dampaknya terhadap pemahaman dan perubahan perilaku dalam pencegahan stroke. Metode yang digunakan adalah penyuluhan kesehatan melalui seminar, media cetak, dan digital kepada kelompok sasaran yang terdiri dari individu dengan risiko tinggi stroke. Evaluasi dilakukan dengan membandingkan tingkat pengetahuan sebelum dan sesudah intervensi edukasi. Hasil penelitian menunjukkan bahwa edukasi yang diberikan secara signifikan meningkatkan pemahaman peserta mengenai faktor risiko stroke, tanda dan gejala awal, serta langkah-langkah pencegahannya. Selain itu, terjadi perubahan positif dalam kebiasaan hidup sehat, seperti peningkatan aktivitas fisik dan pola makan yang lebih baik. Dengan demikian, edukasi kesehatan dalam rangka Hari Stroke Sedunia dapat menjadi strategi efektif dalam menekan angka kejadian stroke dan meningkatkan kesadaran masyarakat tentang pentingnya pencegahan sejak dini.
THE RELATIONSHIP BETWEEN THE USE OF INJECTABLE HORMONAL CONTRACEPTION AND THE INCIDENCE OF MELASMA IN WOMEN AGE 30-50 YEARS OLD AT SURANTIAH COMMUNITY HEALTH CENTER PESISIR SELATAN 2024-2025 Primawati, Irma; Risyia, Atiqah; Izrul, Irdawaty; Deny, Fitra
Nusantara Hasana Journal Vol. 5 No. 8 (2026): Nusantara Hasana Journal, January 2026
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v5i8.1824

Abstract

Ultraviolet light exposure and hormonal imbalances have been identified as the main causes of melasma. The use of hormonal contraceptives is also suspected to be a risk factor for melasma, through an imbalance of estrogen and progesterone hormones, which triggers increased skin pigmentation. Aims of this research to determine the relationship between the use of injectable hormonal contraceptives and the incidence of melasma in women aged 30-50 years old at the Surantiah Pesisir Selatan Community Health Center in 2024-2025. This study was an observational analytic study. The accessible population was women aged 30-50 years old using 1-month and 3-month injectable contraceptives who visited the Surantiah Pesisir Selatan Community Health Center between November 2024 and July 2025. The sampling technique used was purposive sampling. Univariate data analysis was presented in the form of frequency distributions, while bivariate analysis used the chi-square test. Data processing was performed using the computerized SPSS program IBM version 25.0. The highest age was 35-39 years old, namely 18 people (26.9%), the highest use of hormonal contraceptives was injectable progestin injections (3 months), namely 46 people (68.7%), the highest incidence of melasma was mild, namely 28 people (41.8%), the highest duration of use was 1-3 years and >3 years, namely 32 people (47.8%) and there is the relationship between the use of injectable hormonal contraceptives and the incidence of melasma in women aged 30-50 years old at the Surantiah Pesisir Selatan Community Health Center in 2024-2025 (p=0.022). There is the relationship between the use of injectable hormonal contraceptives and the incidence of melasma in women age 30-50 years old at the Surantiah Pesisir Selatan Community Health Center in 2024-2025.