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All Journal Medula JK Unila (Jurnal Kedokteran Universitas Lampung) Jurnal Kesehatan Amanah JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Ade Yonata
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Agriculture, Biological Sciences & Forestry Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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Journal : Medula

 1 
COVID-19 pada Kehamilan: Apakah berbahaya? Hanifa Salma Ramadhani; Nurul Islamy; Ade Yonata
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.74

Abstract

Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) which spread rapidly throughout the world. These health emergencies, especially deadly in vulnerable populations and communities where health care providers are not adequately prepared to manage this infection. Pregnant women and fetuses represent high-risk populations in this pandemic. Study this article compiled using the literature review method, derived from journals and books resulting from literature searching from search engines (Google and Google Scholar) and electronic source of database (PubMed). There are 37 references reviewed in this article review. A challenge in treating pregnant patients affected by SARS-CoV-2. The explanation in the review of this article is to present a discussion of COVID-19 in pregnancy, intrauterine transmission, and fetal complications in the mother. Fetal health is something that must be taken into consideration during labor In addition, it needs to be focused on the safety of health workers in treating COVID-19 patients. COVID-19 in pregnancy is dangerous for mothers and infants, mothers with COVID-19 have clinical airway symptoms that will aggravate the state of pregnancy, for infants if intrauterine transmission occurs, COVID-19 in infants will cause ARDS (acute respiratory distress syndrome) so endangering lives. The clinical characteristics of pregnant women with COVID-19 are similar to non-pregnant adults. Fetal and neonatal outcomes appear to be good in some cases, but available data only cover pregnant women infected in the third trimester.
Hipertensi Kronis Superimposed Preeklampsia dengan Impending Eklampsia dan Partial HELLP Syndrome Dila Aulia; Nurul Islamy; Ade Yonata
Medula Vol 10 No 2 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i2.79

Abstract

Hypertension in pregnancy is defined as systolic blood pressure of 140 mmHg or more or diastolic blood pressure of 90 mmHg or more. Preeclampsia is a new onset hypertension (blood pressure> 140 mmHg systolic and / or> 90 mmHg diastolic) after 20 weeks and proteinuria or in the absence of proteinuria. Chronic hypertension with superimposed preeclampsia is a chronic hypertension sufferer who has preeclampsia. Ten million women worldwide experience preeclampsia every year. Of these cases, 7,600 pregnant women die each year due to preeclampsia and related hypertension disorders. Preeclampsia accompanied by prodomal sign is called impending eclampsia. HELLP syndrome is a collection of symptoms that include hemolysis, elevated liver enzymes, and platelet counts that are less than the lower limit. The method used is a case report with analysis of primary data obtained from symptoms, physical examination and laboratory examination showing hemoglobin 11.2 g / dL, platelets 156,000 / µL, lactate dehydrogenase (LDH): 687 / µL and urine examination showed 500 mg results / dL. Ultrasonography (USG) on 26 October 2019 obtained a single live fetal head presentation, 26-27 weeks gestation, fetal weight 976 grams, congenital hydrocephalus abnormalities, sufficient amniotic fluid. Ultrasound on 04/10/2019 found a single fetus alive head presentation, 30 weeks gestation, congenital hydrocephalus abnormalities, normal membranes. There are risk factors associated with the onset of preeclampsia in these patients, namely a history of hypertension, old age, and BMI. In this case expectative management was chosen because in patients with preterm pregnancy <34 weeks.
G4P3A0 Hamil 30 Minggu Belum Inpartu dengan Partus Prematurus Imminens dan Ketuban Pecah Dini Putu A.L Amrita Kirana; Nurul Islamy; Ade Yonata
Medula Vol 10 No 3 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i3.94

Abstract

Imminent preterm is the presence of a threat in pregnancy with emergence signs in 20 weeks-37 weeks. Preterm premature rupture of membrane is rupture of chorioamniotic membrane before the onset of childbirth and occurs in gestational age less than 37 weeks.. This study is a case report. A 34 years old woman with preterm pregnancy come with complained of the release of amniotic fluid that is odorless and can not be held from seven hours before entering hospital and accompanied by two days before entering hospital. It is accompanied by pain that intermitently radiating to the waist but still rare. From physical examination found moderate sick in general condition, compos mentis, BP 120/70mmHg, pulse 100 x/min, respiratory rate 20 x/min, temperature 36,6oC. General examination within normal limits. In obstetric examination found that fundus uteri is 3 finger under proccesus xiphoideus (26 cm), his (+) 2x in 10 minutes duration 10-12 seconds, fetal heart rate 144 x/min. In inspekulo examination found that portio is livid, OUE closed, amniotic fluid (+) not active, erosion/laseration/polip (-), lakmus (+) red to blue. Vaginal toucher not performed in this patient. The diagnosis are G4P3A0 in 30 weeks pregnancy, not inpartu yet, with imminent preterm and premature rupture of membrane. Patient planned conservative therapy such as observation of his, fetal heart rate, and vital signs mother, IVFD RL gtt x x/min, dexamethasone 2x10 mg, nifedipine 4x10 mg, cefadroxil 2x500mg.
Faktor Risiko Kejadian Stroke di Usia Produktif Rizky Agung Purnomo; Ade Yonata; Intanri Kurniati
Medula Vol 12 No 3 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i3.456

Abstract

Stroke is a disorder due to focal or global brain function disorders that occur triggered by cerebrovascular disorders. Stroke is characterized by paralysis of the face or limbs, difficulty speaking, decreased consciousness, and visual disturbances. Stroke is the number 2 cause of death in the world, which is about 6 million deaths every year. Recently, stroke does not only occur in the elderly population, but also in the productive age. This article is a literature compiled to analyze the risk factors associated with the incidence of stroke in productive age. The references used are articles published between 2016-2022. There are 4 main risk factors for stroke in productive age, namely hypertension, diabetes mellitus, dyslipidemia, and lifestyle. Each factor plays a role in increasing the risk of stroke with its own mechanism. There is no difference between stroke risk factors in the productive age and the general population.
Hipotensi Intradialitik pada Pasien Gagal Ginjal Kronik Ghina Nisrina Nurfatin; Ade Yonata; Ety Apriliana
Medula Vol 13 No 3 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i3.663

Abstract

Chronic renal failure is a disease defined as kidney damage or an estimated glomerular filtration rate (eGFR) of less than 60 ml/min/1.73 m2 and persisting for 3 months or more. Chronic kidney disease is irreversible and often requires hemodialysis as a treatment. As many as 10% of people in the world have chronic kidney failure. More than 2 million people receive therapy with dialysis or hemodialysis and kidney transplants. Hemodialysis is a kidney replacement therapy that is carried out by flowing the patient's blood into a dialyser. This therapy is considered effective in reducing mortality due to chronic kidney failure. However, various complications can also be caused by the use of this hemodialysis device, one of which is intradialytic hypotension. Intradialysis hypotension will cause a decrease in tissue perfusion. This decrease in tissue perfusion will lead to reduced blood supply to the periphery, heart, kidneys, and even the brain. Preventive measures are the best method of avoiding intradialytic hypotension. This complication must be avoided and managed immediately because it can cause damage to vital organs which can be fatal to the body.
Hipertensi pada Diabetes Melitus: Patofisiologi dan Faktor Risiko Vania Widyadhari Damayanti; Ade Yonata; Evi Kurniawaty
Medula Vol 13 No 7 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i7.896

Abstract

Hypertension is a disease that commonly occurs in diabetes mellitus patients. There are 40 to 80 percent of DM patients who suffer from hypertension. Hypertension in diabetes mellitus increases the risk of cardiovascular complications. Even though there have been many studies that have proven that reducing blood pressure in diabetes mellitus patients has an effect on reducing the risk of cardiovascular complications, research shows that only 48 percent of the population can achieve a blood pressure target of less than 130/80 mmHg. The pathophysiology of hypertension in DM can be associated with a sedentary lifestyle, excess calorie intake, insulin resistance, dysregulation of the autonomic nervous system, premature vascular aging, increased intravascular volume, renal dysfunction, renin-angiotensin-aldosterone-system (RAAS), innate and acquired immunity, as well as environmental and socio-economic factors. Risk factors for hypertension in diabetes mellitus include age, gender, education, marital status, blood type, total cholesterol levels, HDL levels, LDL levels, triglyceride levels, smoking habits, employment, physical activity, body mass index, heredity of hypertension, DM heredity, and duration of suffering from DM, and blood glucose levels.
Co-Authors Anggraeni Janar Wulan Astriani Rahayu Dafa Rafiqi Akbar Dila Aulia Ety Apriliana Evi Kurniawaty Farida Hakim Lamuhammad Ghina Nisrina Nurfatin Hanifa Salma Ramadhani Intanri Kurniati Liana Sidharti Lukman Pura Maya Ganda Ratna Mohammad Syahrezki Nayarani Humaira Nurul Islamy Nurul Islamy Putu A.L Amrita Kirana Putu Ristyaning Ayu Rinaldy, Dino Rizki Hanriko Rizky Agung Purnomo Soraya Rahmanisa Susianti Susianti Tri Umiana Soleha Vania Widyadhari Damayanti Yvonne Yolanda Fransiska