Jangan Sampai Cairan Empedu Jadi Batu
Selasa, 18 Januari 2011 | 10:35 WIB


KOMPAS.com - Anda sering merasakan nyeri di sekitar perut? Jika iya, boleh jadi, Anda tengah mengidap penyakit batu empedu. Penyakit batu empedu adalah mengendapnya kolesterol yang mengeras di dalam kantung empedu atau saluran kantung empedu manusia.

Tidak sedikit penderita penyakit batu empedu awalnya mengira bahwa sakit yang dideritanya hanya gangguan pencernaan biasa, seperti sakit lambung atau mag. Maklum, penyakit ini juga ditandai nyeri di bagian ulu hati. Ini terjadi lantaran pada kandung empedu, batu dapat menyebabkan peradangan yang disebut kolestitis akut.

Peradangan itu timbul karena adanya pecahan batu empedu di dalam saluran empedu yang menimbulkan rasa sakit. Batu-batu yang melalui kandung empedu dapat menyangkut di dalam hati dan saluran empedu, sehingga menghentikan aliran dari empedu ke dalam saluran pencernaan. Ada faktor lainnya yang memicu proses pembentukan batu empedu. Unsur ini bisa berupa protein yang terdapat pada cairan lendir yang dibentuk kandung empedu dalam jumlah kecil. Hal ini memungkinkan kolesterol, bilirubin, dan garam kalsium membentuk partikel seperti kristal padat.

Bentuk dan ukuran batu

Bentuk dari batu empedu bermacam-macam. Batu yang terbentuk dari kolesterol berwarna kuning dan mengkilat seperti minyak, batu yang terdiri dari pigmen bilirubin bisa berwarna hitam tetapi keras atau berwarna cokelat tua tapi rapuh. Ukurannya juga bermacam-macam. Mulai dari yang kecil hingga sebesar batu kerikil. Tapi, rata-rata berdiameter 1 cm - 2 cm.

Menurut Suhanto, Kepala Bidang Pelayanan Medis Rumahsakit Mediros, Jakarta, biasanya penyakit batu empedu menyerang kaum pria dan wanita yang berusia di atas 40 tahun. Namun begitu, Anda yang berusia di bawah 40 tahun sebaiknya juga berhati-hati. "Sebab, penyakit ini juga bisa menyerang pasien berusia 30 tahun ke atas. Penyakit ini juga tidak bergantung pada berat badan," kata dia.

Handrawan Nadesul, Konsultan Kesehatan di berbagai media, mengatakan, batu di kantung empedu terbentuk biasanya pada orang yang kelebihan kolesterol, pernah terjadi infeksi atau peradangan di kandung empedu akibat si pasien pernah menderita penyakit tifus. "Ada juga jenis kuman lain yang merangsang terbentuknya batu empedu," ajar Handrawan.

Dia menambahkan, penyakit batu empedu lebih terkenal dengan istilah 4 F, yakni female (wanita), forty (40 tahun), fat (gemuk), dan fertile (masa subur). "Orang yang terkena penyakit batu empedu biasanya berada dalam posisi dan kondisi tersebut," katanya.

Handrawan bilang, biasanya orang yang mengidap penyakit batu empedu pada awalnya tidak memiliki keluhan sakit. Ini terutama, jika batu empedu masih berukuran kecil, yakni sekitar 1 mm - 2 mm. "Keluhan baru timbul bila ukuran batu sudah besar, misalnya, 3 cm - 4 cm," katanya.

Nah, bagi Anda yang memiliki penyakit batu empedu, Handrawan menyarankan untuk segera berkonsultasi ke dokter. Pasalnya, penyakit ini bisa menyebabkan kematian pada penderitanya. "Jika batu menyumbat saluran empedu, maka penderitanya bisa terkena penyakit kuning ," katanya.

Selain itu, bila batunya sudah membesar atau melebihi ukuran kandung empedu, maka kandung empedu bisa pecah. Sehingga, cairan empedu bisa menjalar ke seluruh organ di perut. "Ini yang berbahaya dan bisa menimbulkan kematian. Karena itu, penyakit ini tidak bisa disepelekan oleh penderitanya," kata Handrawan. (Dikky Setiawan)


Alternatif Herbal Untuk Atasi Batu Empedu :
1. Minum : Kumis kucing, temulawak dan meniran. Dosis 3x1

dikombinasikan dengan

2.MENGHILANGKAN BATU EMPEDU SECARA ALAMIAH oleh Dr Lai Chiu-Nan
Ini telah berhasil bagi banyak orang. Apabila kejadian anda demikian juga, ayolah beritahu pada orang lain. Dr Chiu-Nan sendiri tak memungut biaya untuk informasinya ini, karena itu sebaiknya kita buat ini gratis juga.
Ganjarannya adalah bila ada orang yang karena informasi yang anda berikan menjadi sehat.
Batu empedu tak banyak dirisaukan orang, tapi sebenarnya semua perlu tahu karena kita hampir pasti mengindapnya. Apalagi karena batu empedu bisa berakhir dengan penyakit kanker. "Kanker sendiri tidak pernah muncul sebagai penyakit pertama" kata Dr Chiu-Nan.
"Umumnya ada penyakit lain yang mendahuluinya. Dalam penelitian di Tiongkok saya menemukan bacaan bahwa orang-orang yang terkena kanker biasanya ada banyak batu dalam tubuhnya.
Dalam kantung empedu hampir semua dari kita mengandung batu empedu.
Perbedaannya hanya dalam ukuran dan jumlah saja.. Gejala adanya batu empedu biasanya adalah perasaan penuh di perut ('nek, busung) sehabis makan. Rasanya kurang tuntas mencernakan makanan. Dalam kondisi parah ada tambahan rasa nyeri pada ginjal."
Bila anda menduga ada batu pada empedu anda, cobalah cara yang dianjurkan oleh Dr Chiu Nan untuk menghilangkannya secara alamiah. Pengobatan ini juga dapat dipakai bila ada keluhan gangguan hati, karena hati dan kandung empedu saling berkaitan.
Tata-cara pengobatannya adalah sebagai berikut:
1. Selama lima hari berturut-turut minumlah empat (4) gelas sari buah apel segar setiap hari, atau makanlah empat atau lima buah apel segar,
tergantung selera anda. Apel berkhasiat melembutkan batu empedu. Selama
masa ini anda boleh makan seperti biasa.
2. Pada hari ke-enam jangan makan malam. Jam 6 petang, telanlah satu sendok teh "Epsom salt" (magnesium sulfat, garam Inggris??) dengan segelas air hangat. Jam 8 malam lakukan hal yang sama. Magnesium sulfat berkhasiat membuka pembuluh-pembuluh kandung empedu. Jam 10 malam campurkan setengah cangkir minyak zaitun (atau minyak wijen) dengan setengah cangkir sari jeruk segar. Aduklah secukupnya sebelum diminum. Minyaknya melumasi batu2 untuk melancarkan keluarnyabatu empedu.
Keesokan hari Anda akan menemukan batu-batu berwarna kehijauan dalam limbah air besar anda. "Batu-batu ini biasanya mengambang," menurut Dr Chiu-Nan.
"Cobalah hitung jumlahnya. Ada yang jumlahnya 40, 50 sampai 100 batu.
Banyak sekali. Tanpa gejala apapun Anda mungkin memiliki ratusan batu yang berhasil dikeluarkan melalui metoda ini, walaupun mungkin tidak semuanya keluar.
Baik sekali apabila kita sekali-kali membersihkan kandung empedu kita.

1. Jenis Apel sebenarnya sama, cuma saya seneng yang manis... Kemaren aku makan Apel RRC yang sering diskon kalau di supermarket harga diskon per 100 gram 800-1000 (biasaya 1600)
2. Minum/makan apel selama 1 hari 4 (rata2) lima juga boleh.
3. Sebelumnya aku minum Jus asli apel. Cuma butuh waktu untuk mebuatnya.
Akhirnya selama 5 hari aku makan apel seger dari kulkas, kulitnya aku buang. Karena apel sekarang banyak yang dikasih lapisan lilin dan terkontaminasi sama pestisida... jadi aku buang kulitya, lalu aku potong kecil..dan dimasukkan ke kulkas...jadi saat kita mau makan, apelnya masih seger dan dingin.
4. Garam Inggris beli di apotik harga Rp2.500 (Tempat obat)
5. Minyak Zaitun kalau kita ke Supermarket namanya Olive Oil, harga 25-30 ribu satu botol. Di Apotek juga ada, aku beli di sana karena dekat rumah.
Guna Jeruk agar kita tidak muntah saat minum Minyak Zaitun, Jadi aduk yang rata...karena sebelumnya adukanku tidak rata...sehingga eneg, ..lalu aduk lagi biar tercampur dengan rata..karena minyak dan jeruk tidak bersatu atau Berat Jenisnya beda...

Pokoknya Subhanallah. .. 3 Dokter suruh aku Operasi... dengan treatment ini, keluar batunya.

"Orang yang hanya memikirkan diri sendiri, akan hidup sebagai orang kerdil dan mati sebagai orang kerdil. Tetapi orang yang mau memikirkan orang lain, ia akan
menjadi orang besar dan mati sebagai orang besar”. (Sayyid Qutb)

Room for Failure

Back long ago when I was a wee undergraduate lass, there was a mathematics professor at my university, let's call him Smith. I have no idea what caliber of researcher Professor Smith was back then, looking now at his citation count in Google Scholar I'm not feeling impressed, but maybe those sorts of numbers are more common for Math.

We undergraduates knew Professor Smith not for his mathematical brilliance, but for his tendency to insult people when they came to his office hours and asked questions. I.e., "How could you not know that? You're stupid." To my knowledge he was completely gender-egalitarian in doling out insults, in fact I first heard about his behavior from a male student.

Yesterday when I read Amy Chau's WSJ article, "Why Chinese Mothers are Superior", I thought back to Professor Smith. In those days we all though Professor Smith was a jerk with no social skills, a demotivator, and a poor excuse for an educator. But it occurs to me - maybe he was tough on us because he expected us to be top notch students, and thought we should be pushing ourselves harder. Maybe he came from a cultural background where calling people stupid is acceptable practice and he missed the memo that it is Not Okay in the US.

Growing up, I was lucky to have parents who did not flip out when I got a low grade, and teachers who were always respectful and kind towards me. I did hear tales of some people whose parents would flip out when they failed a test, and I do wonder what effect that has on the developing mind. Does it lead students to cheat? Commit acts of self-harm when they fail? Drop out of school entirely? (I have no doubt it is a major contributor to grade-grubbing).

We seem to stress measured, quantifiable success both in education and in science - receiving high scores, publishing positive results. But I really wish there was more room for (and encouragement of) failure. I wish more stories were told about how a lot of good science comes out of making mistakes, or how a lot of brilliant thinkers flunked out of school.

Once I gave a talk and a young student came up to me and said, "Thank you so much for telling us about the mistakes you made in your research. I've never seen anyone do that before." I was astonished. It just always seemed like the honest thing to do.

New blog design

Happy Sunday,
hope you enjoy the new blog design as much as I do. I've added some facebook/twitter buttons as well to make things easier for those of you already sharing, thanks btw. Looking for the next blog to be up Tuesday.

The gift of declining service

On reflection, I feel like I should clarify yesterday's post a bit. I was mostly targeting the post toward early-career researchers (ECRs). I think a well-established researcher is in a great position to take on lots of service tasks, and at my current institution that is most certainly how things are done. This division of labor ideally frees the ECRs to focus almost exclusively on doing their research, which I think they should definitely take advantage of.

The problem is, as an ECR it can often be difficult to know in advance which service tasks will help one further their research agenda and which ones will just be distractors. One example of this is paper reviewing. The first time an ECR gets a request to a review a paper it's really exciting and flattering, particularly when it's a high-profile publication venue or high-profile editor/PC member sending the invitation. If the ECR is really new to the research world, they may not yet know what they are and are not interested in, they may not yet know the literature. It's also a great way to keep up with the field. So frequently saying yes to review requests is often extremely helpful at first. As the ECR progresses in their career they start to begin to improve at filtering the good papers from the bad; however, they may not have learned to start declining the bad ones. Bad papers often take longer to review than good ones, especially as an ECR who thinks they need to also copy edit the whole thing.

Conference organization is another example. At first, the ECR is flattered to be invited to help with conference organization. Great way to meet people, to network, etc. But then hours, and hours, and hours go by. Weeks and weeks of time sending emails, preparing budgets, booking rooms, doing all of these things that have absolutely nothing directly related to one's current research. In my experience doing this when I was an ECR, the very best thing that happened was that maybe three more people knew my name. It was fantastic to help out all the people I helped, but it did not help my research career. Who knows, maybe three years from now someone will say, "Oh, yeah, Ada! Didn't she order tables for our conference banquet three years ago? What a sport - let's nominate her for best paper award!", but I rather doubt it.

Mostly, as an ECR, you want to take advantage of this remarkable gift senior researchers are giving you - a chance to do uninterrupted research. A chance to present at and enjoy international conferences without having to do anything remarkable other than show up. It's hard to just accept this gift - you want to give something back. But the best way to give back as an ECR is to publish some kickass results. This makes everyone in your management chain look good, it makes your institution look good, it makes your funding agency look good, and it makes your research community look good. That's how you can best "give back" at this stage.

I'm not suggesting one says "no" to every service request - certainly many tasks are fun, rewarding, and worth doing. But it's ok to consider these requests carefully before accepting, and viewing them with a bit of a selfish eye for how a particular activity might be useful to you in the long run research-wise. For example, I know of people who do CS Education research and can turn outreach events into data gathering exercises, or HCI people who turn administrative meetings into studies of workflow and technology use. (Maybe this is harder if you're, say, a Compilers gal, but you never know). Anyway, it's just good to keep these things in mind, particularly for the tasks that suck up a lot of your time.

The Word is No

This article in IHE reminded me of an important point I'd like to emphasize in this here blog:

If you are interested in a research career

And someone asks you do something that does not directly help your research career

Just say No!

This is yet another critical survival skill that often goes unmentioned. Sometimes it is difficult to tell what helps your research career and what doesn't, but in the end, it's going to be the quality and quantity of your publications. Occasionally service to your community may give you a slight edge in the review process, but in general it's unlikely to make much of a difference. (While good writing may compensate for mediocre research, I've yet to see service do the same thing).

I think a lot of people are afraid that if they don't say "Yes" to everything people will think poorly of them. In my experience this has not been the case. In fact, if anything, it reflects that one is a mature researcher who knows their limits and can manage their time well.

Research takes time - uninterrupted blocks of time where you can think, write, and do. If you are interrupted frequently it's hard to gain traction while at the office and tempting to procrastinate. But the "work at night/weekends" solution has its own set of distractions that also make finding uninterrupted blocks of time difficult (housework, family, blogging :-), pets).

To help learn to say oh-nay, I will share one of my favorite Sesame Street videos, in all its 1980s splendor: