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Mukhlis Imanto
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Hubungan Otitis Media Akut Dengan Riwayat Infeksi Saluran Pernapasan Atas Pada Anak Lidya Angelina Purba; Mukhlis Imanto; Dian Isti angraini
Medula Vol 10 No 4 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i4.145

Abstract

Children are very susceptible to Acute Otitis Media (AOM) because the anatomical shape of the eustachian tube is shorter, more flexible and more horizontal than adult. Two thirds of all children have an episode of acute otitis media in the first 3 years of life. Upper Respiratory Tract Infection (ARI) is one of the most common risk factors for causing acute otitis media (AOM) in children. This is because the inflammatory process that occurs in ARI causes damage to mucocilia, goblet cells, and mucus glands in the epithelium of the nasopharynx and middle ear. Children aged under 5 years will usually experience upper respiratory tract infections of two to seven episodes per year. Children who have frequent episodes of ARI are more likely to experience episodes of AOM. his is also in line with repeated episodes of ARI against the risk of AOM recurrence. Recurrent ARI is an ARI that occurs at least four times a year. Therefore, the diagnosis and management of ARI in children as early as possible must be done properly, so that the incidence of ARI in children does not progress to AOM. The causes of otitis media are multifactorial, the anatomical variation of the eutachian tube, and the invasive ability of the pathogen compared to the human's immune system. The diagnosis of otitis media can be confirmed by fulfilling 3 criteria: sudden appearance of the disease, found signs of effusion (known fluid) in the middle ear, found signs of middle ear inflammation.
Hubungan Rinitis Alergi Dengan Rinosinusitis Kronik Zhafran Ramadhan Lumbantobing; Mukhlis Imanto
Medula Vol 10 No 4 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i4.168

Abstract

Chronic rhinosinusitis is an inflammatory and infectious disease of the paranasal sinuses with the characteristics of 5 major symptoms that have occurred for at least 12 weeks: nasal congestion, pain or pressure on the face, nasal obstruction, the presence of secretions in the nose anterior and posterior, and loss of smell. Allergic rhinitis is the most common predisposing factor for chronic rhinosinusitis because it is associated with obstruction of sinus ostium due to mucosal edema. As many as 50% - 84% of patients with chronic rhinosinusitis have a history of atopy to dust, fungi and allergies to animal hair and an increase in serum specific IgE antibodies and peripheral eosinophils associated with the onset of symptoms of chronic rhinosinusitis. In chronic rhinosinusitis patients with allergic rhinitis, hypersensitivity reaction occur and an increase in the number of inflammatory mediators such as histamine, proinflammatory cytokines such as interleukins, TNF-α (tumor necrosis factor), GM-CSF (granulocyte-macrophage colony stimulating factor) is more in the nasal mucosa compared with chronic rhinosinusitis patients without allergic rhinitis. All these inflammatory mediators will then lead to increased vascular permeability and hypersecretion of the mucus glands. The inflammatory process caused by allergic rhinitis will cause blockage of the ostiomeatal complex, impaired mucocilliary clearance, and impaired ciliary function resulting in paranasal sinus obstruction which will lead to chronic rhinosinusitis. It is very important for patients with allergic rhinitis to be managed properly both pharmacologically and non-pharmacologically in order to help prevent the occurrence of chronic rhinosinusitis.
Hubungan Tonsilektomi Dengan Kualitas Hidup Pada Anak Di Rumah Sakit Detasemen Kesehatan Tentara Bandar Lampung Tahun 2018 Abimanyu Darmawan; Mukhlis Imanto
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.v12i3.387

Abstract

Chronic tonsillitis is an inflammatory disease of the tonsils that often occurs in children. The action taken in chronic tonsillitis is tonsillectomy. Given the tonsils as a body defense system is still a matter of controversy among experts. Chronic tonsillitis that has been done with tonsillectomy will affect the quality of life. Quality of  life consists of emotions, social, school, and physical. The aim of this study is to determine the relationship of tonsillectomy with quality of life in children. The design used in this study was observational analytic with a case control approach. Data collected by analyzing medical records and distributing questionnaires to 44 children aged 5-12 years. Sampling methods done by purposive sampling. The research instrument used was Pediatric Quality of Life Inventory (PedsQL). Data were analyzed with chi square. Most of tonsillectomy patients have good quality of life with a percentage of 77,3% compared to those without tonsillectomy with a percentage of 31,8%. Tonsillectomy was statistically related with quality of life in children at the Hospital Detasemen Kesehatan Tentara Bandar Lampung with p value = 0,006 (p<0,05). Based on this study, we can conclude that there was a relationship between tonsillectomy and quality of life in children at the Hospital Detasemen Kesehatan Tentara  Bandar lampung in 2018. Chronic tonsillitis is an inflammatory disease of the tonsils that often occurs in children. The action taken in chronic tonsillitis is tonsillectomy. Given the tonsils as a body defense system is still a matter of controversy among experts. Chronic tonsillitis that has been done with tonsillectomy will affect the quality of life. Quality of  life consists of emotions, social, school, and physical. The aim of this study is to determine the relationship of tonsillectomy with quality of life in children. The design used in this study was observational analytic with a case control approach. Data collected by analyzing medical records and distributing questionnaires to 44 children aged 5-12 years. Sampling methods done by purposive sampling. The research instrument used was Pediatric Quality of Life Inventory (PedsQL). Data were analyzed with chi square. Most of tonsillectomy patients have good quality of life with a percentage of 77,3% compared to those without tonsillectomy with a percentage of 31,8%. Tonsillectomy was statistically related with quality of life in children at the Hospital Detasemen Kesehatan Tentara Bandar Lampung with p value = 0,006 (p<0,05). Based on this study, we can conclude that there was a relationship between tonsillectomy and quality of life in children at the Hospital Detasemen Kesehatan Tentara  Bandar lampung in 2018.
Co-Authors Abimanyu Darmawan Dian Isti Angraini Lidya Angelina Purba Zhafran Ramadhan Lumbantobing