NYERI KEPALA DAN JENISNYA


      Nyeri kepala merupakan keluhan yang sangat sering ditemukan pada anak dan remaja. Seringkali dokter merasa bingung menghadapi keluhan tersebut kemudian menyelesaikan masalah dengan melakukan pemeriksaan pencitraan dan EEG, yang sebenarnya kurang tepat karena sebagian besar menunjukkan hasil yang norma.

Epidemiologi
Data dari berbagai penelitian retrospektif menunjukkan bahwa nyeri kepala “generik” ditemukan pada 37-51% anak berumur 7 tahun, dan meningkat menjadi 57-82% anak berumur 15 tahun. Di antara semua nyeri kepala pada anak, migren dan tension-type headache (TTH) menunjukkan prevalensi paling tinggi. Prevalensi migren adalah 3% pada anak pra sekolah, 4-11% pada anak usia sekolah dasar, dan 8-23% pada anak sekolah menengah, sedangkan prevalensi TTH adalah 30-78%.


Klasifikasi nyeri kepala

Klasifikasi nyeri kepala telah diterbitkan oleh International Headache Society dengan revisi pada tahun 2005.Dalam klasifikasi tersebut, jumlah diagnosis nyeri kepala mencapai puluhan macam.
      Nyeri kepala dibedakan menjadi nyeri kepala primer yang terdiri dari migren, tension-type headache (TTH), cluster headache dan nyeri kepala sekunder yang disebabkan penyakit lain. Di antara sekian banyak jenis nyeri kepala, yang terpenting bagi dokter anak adalah migren, tension-type headache, dan nyeri kepala sekunder disebabkan infeksi intrakranial, massa intrakranial dan trauma kepala.  

  
Beberapa jenis nyeri kepala yang penting, yaitu:

1. Migren

2. Migren tanpa aura
3. Migren dengan aura
4. Benign paroxysmal vertigo
5. Sindrom periodik
6. Cyclic vomiting
7. Migren abdominal
8. Tension-type headache (TTH)
 9.
Cluster headache
10. Nyeri kepala sekunder


Artikel ini diambil dari website: IKATAN DOKTER ANAK INDONESIA (idai.or.id). Terima kasih
Baca juga artikel sejenis:
. Nyeri kepala pada remaja
. Migren pada anak dan penanganannya





Exclusive breastfeeding is breastfeeding without additional food or other beverages, it is recommended until the baby is 6 months of age. Once the baby reaches 6 months of age, it was time to give complementary feeding. Breastfeeding should continue to be given to children at least 2 years of age, could be even longer if the baby and the mother still wanted.
Preparation for the baby of course important for all parents. Nine months baby raised in the mother's womb and of course all the best will be prepared, including nutrition. Various opinions that come from family and sometimes the environment actually cause confusion or doubt, particularly the efforts of exclusive breastfeeding in infants. To realize success in breastfeeding the baby, there are some tips and tricks that can be done by the Indonesian Doctors Association (IDAI) are taken from the World Health Organization recommendations. The following tips:
1.      Convinced that breast milk is best for babies, mothers, and families.
As the baby grows and develops in the uterus, breast milk has also been prepared in accordance with the gestational age of the mother. Breast milk contains ingredients that are very easily digested and absorbed by the baby, even though premature babies. Substances contained in the breast milk is needed to support growth and development, especially in the golden period of the first 2 years of a child's life. The presence of antibodies (antibodies) also can not be found in any foods other than breast milk, so babies who were exclusively breastfed shown to be more resistant to infectious diseases.
Many advantages are also obtained for breastfeeding mothers such as the effects of natural family planning (with certain conditions; consult your obstetrician), the return of the uterus to its original size more quickly, as well as increased immunity due to increased antibody production. Breastfeeding also strengthen the inner relationship between mother and child that would be the desire of every parent.
For families, exclusive breastfeeding is certainly more economical because there are no costs to be incurred to obtain the best nutrition for babies. Plus, breastfeeding does not require special preparation tools making it more efficient and also reduces the risk of infection due to poor hygienic milk preparation.
2.      Learn the basic techniques of breastfeeding.

When confidence in breastfeeding is established, then the first step would be breastfeeding easier and lighter. Furthermore, mothers can learn a few things that can help make breastfeeding go smoothly.
Consider the condition of the mother, baby, and breast health.
Conditions mother is sick, tired, or lack of confidence can interfere with exclusive breastfeeding. Make sure the mother is in good health and provide family support entirely on the mother to breast feed exclusively. Healthy breast normally feels comfortable and will increase confidence that the mother's milk production more smoothly. Doubts can arise when a mother feels her breasts problematic, for example, are not prominent nipples or breasts are too small. To get rid of any doubt, the mother and family should know the process of breast milk production and expenditure.
Early initiation of breastfeeding and rooming
Early initiation of breastfeeding (IMD) and rooming is another attempt to do exclusive breastfeeding for the success of the program. Mothers and babies can undergo if both IMD in shape. Perform skin contact between mother and baby as soon as possible by putting the baby in the mother's chest immediately after birth for at least 1 hour.
Rooming-in is the process of infant care with the mother in the same room after childbirth. It is necessary that the mother can breastfeed whenever the baby wants. Rooming-in will also help mothers achieve optimal psychological conditions to be successful breastfeeding.
Correct positioning and attachment
Find the most comfortable position for breastfeeding mothers. Embrace your baby as close as possible and expose the baby to the breast with a straight body position. Baby's whole body should be facing the mother's chest and abdomen, not only his face. Baby's ears will appear parallel to the shoulders and nose close to the breast. Excitatory reflex suction the baby by touching the corner of her lips. When the baby's mouth is wide open, enter the black area around the nipple (areola) as much as possible into the baby's mouth. Good attachment will occur when the baby's mouth is wide open with the upper and lower lip folded out. Infant feeding is said to be effective when he slowly sucking, rounded cheeks, and occasionally stopped to swallow milk.

3.      Evaluation of growth and development of the baby and give solid foods from the age of 6 months What if the baby cries and the mother constantly worry whether enough milk? Remember, not only because of the baby crying hungry. Babies will cry when he feels uncomfortable (too hot, cold, pain), lonely, to be picked up, and so forth. Breast milk can be considered if the baby urinate 6 times or more a day. Periodically consult the baby to the nearest health services. When the weight gain according to age, it proved enough breast milk to the baby's mother. In addition to growth, do not forget to always assess the development of the baby.



Many harmful substances circulating in Baby Care Products
The Washington Post launch of the existence of hazardous substances harmful to health are contained in half a child more special shampoo products on the market.
Washington Post cites the results of a survey conducted by a medical laboratory, and the results confirmed the presence of traces of chemicals that can cause cancer known company specialized in products of children, such as Alformalheid and dioxins which cause cancer cells.
Earlier this year the company announced a special product of the child has removed much of the chemical from baby care products that do not cause pain in the eyes, foam soap and even fragrances used for baby's skin from their products. Washington Post warns parents to be more careful with the security of their child care products.
Before buy baby care products, it is worth examining the label to ensure the product is completely safe. Here is a list of hazardous materials that could be there in baby care products:
Hydrogenated Cottonseed Oil 
Although it sounds natural, made ​​from cottonseed oil cottonseed, actually contain harmful chemicals such as mercury, arsenic, lead and pesticides. All of it, according to the Environmental Working Group, entered into the cotton seed for planting, where farmers use pesticides and other chemicals to eradicate pests.

Sodium Stearoyl Lactylate
Be careful if you read the ingredients on the product label. Although derived from conventional vegetable oils such as soybean or palm oil, sodium stearoyl lactylate suspected as a trigger irritation to the baby's skin that causes skin redness and itching if overused.
Benzoic Acid
In some tests, Benzoic Acid or Acid Benzoate is proven secure in the industry standard, but in fact in contact with baby's skin, benzoic acid can cause allergies and irritation. Additionally, if stored too long, benzoic acid can be transformed into benzene which is carcinogenic or cancer-causing.

Cetearyl Alcohol
Environmental Working Group set cetearyl alcohol as irritants. In addition, if inhaled or exposed to the eye, cetearyl alcohol can also harm
Perfume
Body fragrance scented baby powder and milk is fun, but if you want to give your baby other fragrances should select a totally natural, like from flowers. Because the use of any perfume in infants can lead to allergies, dermatitis, and respiratory disorders.

Source: www.eramuslim.com dan www.life.viva.co.id
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