G6PD

Kekurangan Enzim G6PD 

BAYI ANDA G6PD?<<

Buat ibu- ibu yang mengalami situasi bayi, 'g6pd deficiency' bukanlah suatu yang anda perlu risaukan, Namun anda dan family cuma perlu lebih berhati- hati dalam memberikan sebarang makanan, ubatan mahupun pendedahan terhadap barang tertentu, bagi mengelakkan berlakunya 'krisis'.

Apapun, kita semestinya bersyukur kerana sekarang sudah terdapat banyak pendedahan umum dan penyelidikan bagi golongan 'g6pd defiency' ini.Malah setiap ibu yang anaknya disahkan terlibat pasti akan mendapat penerangan lebih terperinci bersama pamplet G6PD sebelum dibenarkan keluar ward.

Set Penyusuan Bagi ibu yang mempunyai anak G6PD Deficiency:

1)Vitalea + B complex + Vitamin C + Ostematrix

ATAU

2)Vitalea + B complex + Vitamin C + Ostematrix + ESP

Apa itu 'G6PD defiency'??

Pengenalan

G6PD ialah singkatan nama enzim Glucose-6-Phosphate Dehydrogenase, yang terdapat di dalam sel darah merah. Ia bertindak dalam melindungi sel darah merah daripada pecah (hemolisis) bila terdedah kepada ubat-ubat tertentu, makanan atau jangkitan.

Diagnosa

Kekurangan enzim G6PD sangat ketara di kalangan masyarakat Asia. Di negara kita, semua bayi baru lahir akan disaring untuk kekurangan enzim G6PD dengan menggunakan darah daripada tali pusat.

Kekurangan enzim ini adalah keadaan yang diwarisi melalui keturunan. Ia ditentukan oleh bahan baka yang dibawa oleh kromosom X. Oleh itu kebanyakan mereka yang mempunyai kekurangan enzim G6PD adalah kaum lelaki, manakala kaum perempuan biasanya adalah pembawa.

Ujian untuk mengesan kehadiran enzim ini adalah ujian darah yang mudah dilakukan. Pastikan anda tahu status enzim anda dan keluarga anda.

Gejala/Tanda-tanda

Kebanyakan mereka yang kekurangan enzim G6PD ini tidak mempunyai tanda-tanda khusus. Bayi baru lahir perlu diperhatikan di dalam wad untuk suatu jangka masa kerana mereka boleh mendapat penyakit kuning (jaundis) yang tinggi dengan cepat, akibat daripada hemolisis berlebihan. Bayi yang kuning (jaundice) perlu diletakkan di bawah lampu (fototerapi) untuk menurunkan tahap bilirubin dalam darah.

Tanda-tanda yang terjadi sekiranya sel darah merah pecah (hemolisis) termasuk : Akibat daripada kekurangan darah

• kelihatan pucat
• tidak bermaya (atau keletihan yang teramat)
• pening
• degupan jantung yang laju
• sukar bernafas
• sakit dada

Akibat daripada hemolisis

• jaundis (kekuningan)- boleh dilihat pada mata putih atau kulit, warna air kencing seperti air teh O atau Coca-Cola.

Jika ini berlaku, dapatkan rawatan hospital dengan segera.

Kekurangan enzim G6PD adalah untuk seumur hidup. Walaupun tiada rawatan yang boleh menghilangkannya, ia tidak membawa kesan negatif yang ketara dan tidak menjejaskan perkembangan dan tumbesaran kanak-kanak.

Ubat-ubatan dan bahan-bahan yang patut dielakkan

Bagi kanak- kanak dan orang dewasa yang kekurangan enzim G6PD, mereka perlu tahu secara mendalam mengenai keadaan ini agar dapat memahaminya dengan lebih jelas. Mereka perlu jauhi daripada terdedah kepada ubat-ubat serta bahan-bahan tertentu yang boleh menyebabkan hemolisis (senarai ubat-ubat serta bahan-bahan seperti di Rajah 1).

Hemolisis juga akan berlaku jika mereka termakan kacang parang atau menggunakan ubat gegat pada pakaian. Bahan-bahan ini patut dijauhi.

Ibu-ibu yang menyusu bayi yang kekurangan enzim G6PD digalakkan meneruskan penyusuan tetapi mereka perlu mengelakkan bahan-bahan/ubat-ubat seperti di Rajah 1 agar tidak termasuk di dalam susu ibu.

Jangkitan kuman juga boleh menyebabkan hemolisis berlaku.

Pastikan anda memaklumkan doktor anda sekiranya anda/anak anda mempunyai kekurangan enzim G6PD untuk memastikan ubat yang diterima selamat untuk anda dan tidak akan menyebabkan hemolisis berlebihan.

Rajah 1 : Bahan-bahan / Ubat-ubat Tertentu Yang Boleh Menyebabkan Hemolisis

Makanan dan herba yang perlu dielakkan	Ubat yang boleh diberi dalam dos terapeutik
Kacang parang (fava beans) Ubat China Chuen Lin San Chi 13 herbs 12 herbs Ubat tradisi lain (dapatkan nasihat doktor) Bahan lain yang mesti dielakkan Ubat gegat (moth balls) Ubat nyamuk yang mengandungi pyrethium Ubat yang mesti dielakkan Acetanilide Doxorubicin Furazolidene Methylene Blue Nalidixic acid Niridazole Nitrofurantoin Phenozopyridine Primaquine Sulfamethoxazole Bactrim	Paracetamol Ascorbic acid Aspirin Chloramphenicol Chloroquine Colchicine Diphenhydramine Isoniazid Phenacetin Phenylbutazone Phenytoin Probenecid Procainamide Pyrimethamine Quinidine Streptomycin Sulfisoxazole Trimethoprim Tripelennamine Vitamin K Mefloquine

 credit myhealth

Obesity and overweight

Fact sheet N°311
Updated March 2013

---

Key facts

• Worldwide obesity has nearly doubled since 1980.
• In 2008, more than 1.4 billion adults, 20 and older, were overweight. Of these over 200 million men and nearly 300 million women were obese.
• 35% of adults aged 20 and over were overweight in 2008, and 11% were obese.
• 65% of the world's population live in countries where overweight and obesity kills more people than underweight.
• More than 40 million children under the age of five were overweight in 2011.
• Obesity is preventable.

---

What are overweight and obesity?

Overweight and obesity are defined as abnormal or excessive fat accumulation that may impair health.

Body mass index (BMI) is a simple index of weight-for-height that is commonly used to classify overweight and obesity in adults. It is defined as a person's weight in kilograms divided by the square of his height in meters (kg/m²).

The WHO definition is:

• a BMI greater than or equal to 25 is overweight
• a BMI greater than or equal to 30 is obesity.

BMI provides the most useful population-level measure of overweight and obesity as it is the same for both sexes and for all ages of adults. However, it should be considered a rough guide because it may not correspond to the same degree of fatness in different individuals.

Facts about overweight and obesity

Overweight and obesity are the fifth leading risk for global deaths. At least 2.8 million adults die each year as a result of being overweight or obese. In addition, 44% of the diabetes burden, 23% of the ischaemic heart disease burden and between 7% and 41% of certain cancer burdens are attributable to overweight and obesity.

Some WHO global estimates from 2008 follow.

• More than 1.4 billion adults, 20 and older, were overweight.
• Of these overweight adults, over 200 million men and nearly 300 million women were obese.
• Overall, more than 10% of the world’s adult population was obese.

In 2011, more than 40 million children under the age of five were overweight. Once considered a high-income country problem, overweight and obesity are now on the rise in low- and middle-income countries, particularly in urban settings. More than 30 million overweight children are living in developing countries and 10 million in developed countries.

Overweight and obesity are linked to more deaths worldwide than underweight. For example, 65% of the world's population live in countries where overweight and obesity kill more people than underweight (this includes all high-income and most middle-income countries).

What causes obesity and overweight?

The fundamental cause of obesity and overweight is an energy imbalance between calories consumed and calories expended. Globally, there has been:

• an increased intake of energy-dense foods that are high in fat; and
• an increase in physical inactivity due to the increasingly sedentary nature of many forms of work, changing modes of transportation, and increasing urbanization.

Changes in dietary and physical activity patterns are often the result of environmental and societal changes associated with development and lack of supportive policies in sectors such as health, agriculture, transport, urban planning, environment, food processing, distribution, marketing and education.

What are common health consequences of overweight and obesity?

Raised BMI is a major risk factor for noncommunicable diseases such as:

• cardiovascular diseases (mainly heart disease and stroke), which were the leading cause of death in 2008;
• diabetes;
• musculoskeletal disorders (especially osteoarthritis - a highly disabling degenerative disease of the joints);
• some cancers (endometrial, breast, and colon).

The risk for these noncommunicable diseases increases, with the increase in BMI.

Childhood obesity is associated with a higher chance of obesity, premature death and disability in adulthood. But in addition to increased future risks, obese children experience breathing difficulties, increased risk of fractures, hypertension, early markers of cardiovascular disease, insulin resistance and psychological effects.

Facing a double burden of disease

Many low- and middle-income countries are now facing a "double burden" of disease.

• While they continue to deal with the problems of infectious disease and under-nutrition, they are experiencing a rapid upsurge in noncommunicable disease risk factors such as obesity and overweight, particularly in urban settings.
• It is not uncommon to find under-nutrition and obesity existing side-by-side within the same country, the same community and the same household.

Children in low- and middle-income countries are more vulnerable to inadequate pre-natal, infant and young child nutrition At the same time, they are exposed to high-fat, high-sugar, high-salt, energy-dense, micronutrient-poor foods, which tend to be lower in cost but also lower in nutrient quality. These dietary patterns in conjunction with lower levels of physical activity, result in sharp increases in childhood obesity while undernutrition issues remain unsolved.

How can overweight and obesity be reduced?

Overweight and obesity, as well as their related noncommunicable diseases, are largely preventable. Supportive environments and communities are fundamental in shaping people’s choices, making the healthier choice of foods and regular physical activity the easiest choice (accessible, available and affordable), and therefore preventing obesity.

At the individual level, people can:

• limit energy intake from total fats and sugars;
• increase consumption of fruit and vegetables, as well as legumes, whole grains and nuts;
• engage in regular physical activity (60 minutes a day for children and 150 minutes per week for adults).

Individual responsibility can only have its full effect where people have access to a healthy lifestyle. Therefore, at the societal level it is important to:

• support individuals in following the recommendations above, through sustained political commitment and the collaboration of many public and private stakeholders;
• make regular physical activity and healthier dietary choices available, affordable and easily accessible to all - especially the poorest individuals.

The food industry can play a significant role in promoting healthy diets by:

• reducing the fat, sugar and salt content of processed foods;
• ensuring that healthy and nutritious choices are available and affordable to all consumers;
• practicing responsible marketing especially those aimed at children and teenagers;
• ensuring the availability of healthy food choices and supporting regular physical activity practice in the workplace.

WHO response

Adopted by the World Health Assembly in 2004, the WHO Global Strategy on Diet, Physical Activity and Health describes the actions needed to support healthy diets and regular physical activity. The Strategy calls upon all stakeholders to take action at global, regional and local levels to improve diets and physical activity patterns at the population level.

WHO has developed the 2008-2013 Action plan for the global strategy for the prevention and control of noncommunicable diseases to help the millions who are already affected cope with these lifelong illnesses and prevent secondary complications. This action plan aims to build on, the WHO Framework Convention on Tobacco Control and the WHO Global Strategy on Diet, Physical Activity and Health. The action plan provides a roadmap to establish and strengthen initiatives for the surveillance, prevention and management of NCDs.

The Political Declaration of the High Level Meeting of the United Nations General Assembly on the Prevention and Control of Noncommunicable Diseases of September 2011, recognizes the critical importance of reducing the level of exposure of individuals and populations to unhealthy diet and physical inactivity. The political declaration commits to advance the implementation of the WHO Global Strategy on Diet, Physical Activity and Health, including, where appropriate, through the introduction of policies and actions aimed at promoting healthy diets and increasing physical activity in the entire population. 

Credit WHO

Kesihatan Jantung

Krisis Pemulihan selepas Pengambilan Suplemen

Hari ini sy nak share dgn uolls..apa dia healing crisis..
Tiap kali customer yg mengambil supplemen SHAKLEE dgn sy..akan di follow up..akan diberitahu ttg HEALING CRISIS nih..
Ada juga yg smpi sebulan..dua minggu healing crisis nya.. Tp sy nasihatkan supaya bersabar..dan tetap teruskan pengambilan Supplemen SHAKLEE tersebut..

Yela kan..klu dah badan byk toksin..mestilah mcm2 akan dikeluarkan dr badan kite selepas kite consume SHAKLEE..itu maknanya, SHAKLEE tgh bekerja dlm badan anda..tindakbalasnya...
Supplemen SHAKLEE ni mengambil masa 90-120 hari untuk serasi dlm badan seseorang. Jadi, penting utk pengambilan yg konsisten...

Dan yg plg penting..sy nak ingatkan..
MINUM AIR MASAK YG BANYAK..
FAKTA; BERAT BADAN 25KG, BERSAMAAN 1 LITER AIR MASAK KENA MINUM SETIAP HARI..
bkn air manis, air bikarbonat ke..AIR MASAK tau..

Ok..jom kite baca HEALING CRISIS ni..dan kaji..adakah anda salah satunya?

 

Akhir kata, sekiranya anda berminat untuk menjadi ahli Shaklee, dan mula menjana pendapatan sehingga 5-angka dengan Shaklee bersama GROUP EXCLUSIVE tertutup di bawah bimbingan saya, anda dialu-alukan untuk menghubungi saya di talian 016-3237822 @ emailnbm_zura@yahoo.com ;) www.facebook.com/Yuyaisihat