Annisa's Pages

Thursday, November 21, 2013

STEVEN JOHNSON SYNDROME


Be aware of Steven Johnson Syndrome!
Written by Annisa S. Pinaremas, SST

I wish this article can help to add our knowledge. Well before we read any further, I'll tell you a story. Tepat tiga tahun yang lalu ada sebuah berita mengejutkan yaitu seorang mahasiswi fakultas hukum universitas swasta di Jakarta tiba-tiba meninggal karena penyakit kulit yang dideritanya yaitu sekujur tubuhnya melepuh. Dan berita itu telah dilupakan oleh hampir semua orang. Namun baru-baru ini tersiar kembali berita adanya penyakit kulit yang datang tiba-tiba itu. Berita paling terakhir yang tersebar berasal dari Kelurahan Tunjung, Bangkalan, Madura, Jawa Timur. Seorang anak berusia 17 tahun, setahun yang lalu mengeluh merasa gatal-gatal di sekujur tubuhnya, terutama muka dan dadanya. Dan lama-kelamaan kulitnya berubah menjadi bintik-bintik putih mirip seperti sisik ikan.

In the research that has been done, para ahli menyimpulkan bahwa dua orang di atas mengidap Steven Johnson Syndrome. Menurut Webster's New World Medical Dictionary, Steven Johnson Syndrome atau singkatnya SJS didefinisikan sebagai reaksi alergi sistemik (sistemik: menyerang keseluruhan tubuh) dengan karakteristik berupa rash atau kemerahan yang mengenai kulit dan selaput lendir, termasuk selaput lendir mulut. Penyakit ini disebabkan oleh reaksi hipersensitif (alergi) terhadap obat atau virus tertentu.

SJS termasuk salah satu penyakit kulit yang bisa menyebabkan kematian. Karena yang diserang adalah selaput lendir, SJS bisa menyebabkan komplikasi berupa radang kornea (keratitis), menyerang bagian dalam bola mata (uveitis) bahkan sampai berakibat kebutaan. SJS juga bisa menimbulkan hepatitis (radang hati), nephritis (radang ginjal), perdarahan saluran cerna, arthritis (radang sendi), dan pneumonia. Cara mengetahui bahwa seseorang terkena SJS adalah dengan mengetahui ciri utamanya. Ciri utama dari SJS adalah rash atau kemerahan kulit ini. Kemerahan ini akan timbul dalam bentuk dan ukuran yang beragam. Tempatnya bisa diseluruh tubuh. Dari wajah sampai genital. Bagian kemerahan ini kemudian akan pecah sehingga kulit bagian dalam terlihat. Ini akan menimbulkan rasa sakit dan gatal pada penderitanya.

Stevens-Johnson Syndrome is a serious, potentially life-threatening skin disease. So we have to know the cause of SJS. Obat yang mungkin dapat menimbulkan SJS berdasar penelitian yang telah dilakukan adalah  beberapa golongan antibiotik tertentu seperti Penisilin (termasuk golongannya adalah amoksisilin, ampisilin), lalu ada juga laporan reaksi SJS setelah pemakaian antibiotik golongan sulfa, dan penenang golongan barbiturat (seperti fenobarbital).

For you who a health professionals, Steven Johnson Syndrome mungkin bukanlah barang yang baru lagi. Namun bagi masyarakat luas tentunya tak banyak yang mengetahui begitu berbahanya apabila kita tidak berhati-hati ketika mengkonsumsi obat-obatan. Apalagi untuk masyarakat yang sering mengkonsumsi obat secara bebas tanpa ada pengawasan dari dokter atau yang berwenang, tentunya sekarang harus berpikir lebih panjang lagi supaya tidak sampai terserang Steven Johnson Syndrome atau SJS. So bagi kita para tenaga kesehatan jangan pernah luput dari kita untuk melakukan skin test  kepada pasien sebelum menginjeksikan antibiotic jenis apa saja, because skin tests are rapid, simple, and relatively safe. They can be very helpful in specifically identifying causes of allergies.


Wednesday, November 7, 2012

I Love Travelling



KARIMUNJAWA A PARADISE ISLAND




Do you love to dive? Do you interest to sea? This is the answer, I ll bring you to Karimunjawa Island. A Paradise island from Java. Cheap, easy and fun for you, really awesome marine park.

This is i copied from wikipedia about karimunjawa
"Karimunjawa National Park, also Karimun Jawa National Park, is a national marine park designated in the Karimunjawa archipelago, Jepara Regency, Central Java, Indonesia. It lies 80 km north west of Jepara, Central Java in the Java Sea. The national park was formally declared as Marine Protection Area in 2001. Based on popular local myth, this archipelago was discovered by Sunan Nyamplungan, the nephew of Sunan Kudus who is one of the Wali Sanga." 

Karimunjawa is also a tourist attraction popular for its white sandy beach, pristine coral reefs, challenging treks through the hills, the pilgrimage to Sunan Nyamplungan Cemetery, and the customs and traditions of the Karimunjawa community.


Karimunjawa Tour offers various marine tour package such as in Marine Education, Eco Beach Tour, Eco Diving, Diving Course and Diving Certification. Your tour whether it is for relaxing or education will be one that you'll always remember. Karimunjawa Tour will ensure that your visit in this region is entirely hassle-free, from the moment you arrive to the moment you depart.

Leave your itinerary to the experts and come away with a host of unique experiences - snorkeling in the tranquil island, eco diving at the exotic coral with coral transplantation activities, eco beach tour and exploring various types of marine ecosystem. Nobody knows the region of Karimunjawa islands like Karimunjawa Tour.


Ok guys so dont miss it, visit and come to me. I can help you as guide :D
Check my pictures bout this radise island!





My Next Destination Part 1 "BANDUNG"



Salam
Hi guys, 
This month im making plan to go Banda Aceh and Medan on Sumatera Island. It ll be sooo wonderful journey, more than 3800 km from my place in jogja. 
Before go to Medan i ll visit Bandung first, i ll look for some souvenirs for my friends in Aceh n also i get my airline from here.
Well now first let we go to Bandung!
Welcome to City of Flowers!
Bandung is the capital of West Java and Indonesia's third largest city. In colonial times, it is known as the "Paris of Java" because of its European ambience and sophistication. Bandung shared with Miami a fine legacy of Tropical Deco architecture dating from the 1920s. Bandung is also called city of flowers (kota kembang) and situated on a plateau in the beautiful Parahyangan mountains.


Bandung hosted the Asia Africa conference in 1955. Pictures in this bellow is museum of Asia-Africa Conference.


Now, Bandung is a center of higher education (for example ITBUNPADUNPAR, and other universities - see Science and Technology page), commerce, aircraft Industry, and shopping (particularly for shoes, textiles, clothing, and denims - there's even a "jeans street" in which you'll find blocks of jeans stores). Bandung is right place for shoping holic, you can find lot of things here by cheap.


The people of Bandung, sundanesse, possess an uncommon warmth along courtesy, friendliness and politeness. They have a strong sense of helping each other when in need. Moreover, the women of the Bandung region are known for their beauty. All of that makes you feel at home when you are in Bandung.



Beside those, Bandung still have many interesting place to see...
So enjoy ur journey :)) and see u on next destination!

Wassalam

Warm Regards-Annisa


Sunday, October 28, 2012

Please Welcome


Welcome to My Blog

I am sharing info about education and health as my work and travelling as my hobby :)
Now only i started, tried and learn how to create a blog.
But i hope my info can be useful and help to you all.
Thank you for visited 

Warm regards of me 

-Annisa-