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Should Earwax Cleaned ?

The cause of the blockage in the outer ear is usually caused by earwax (cerumen). Ear canal has glands that produce earwax to protect the ear from the ingress of dust, bacteria and foreign particles that can cause damage to the ears. Normally, earwax can slowly come out of the ears or can be removed by cleaning the ears. The amount of wax produced different in each person.

Some people have ear wax production more than others. In some cases, ear wax can harden in the ear canal and cause blockage. This condition is more severe if earwax pushed in while cleaning the ear.

Therefore watch it children often insert small objects into the ear, for example: beads, earrings, rubber erasers, toys, buttons or nuts. The insects can be found in the ear canal. Usually such objects stuck then can not get out.

Symptoms of obstruction other impurities contained in the ear canal can be:

 • mild hearing loss

 • Pain in the ear

 • Itching in the ear

 • Taste full in the ear

 • ringing in the ears (tinnitus)

 • Dizziness

Foreign body in the ear can cause symptoms, such as food or insects that can cause pain and redness of the ear canal. In some cases it can even cause discharge from the ear. As a result, the hearing can be impaired.

To cope with the dirt in the ear canal, can be done by:

 •  Provision of ear drops to soften and help to get out on its own

 •  Irrigation ear canal with warm water so that the wax can get out.     However, if the pus out of the ear, perforation (a torn eardrum),
    or there is a recurrent ear infection then it can not be done 
    irrigation.

 •  Take earwax with a suction device, clamp, or special hooks.

Then how to handle the case of a blockage caused by insects?

Before it was issued, there are good insects in the ear canal is turned off or disabled, for example by using a mineral oil that flowed into the ear. This method can facilitate insect expenditure and relieve pain immediately. But in the case of children, often becomes more difficult because children often struggled. To that required general anesthesia before the process of spending insects.

The act of taking a blockage in the ear canal should be done by a doctor, so that the blockage is not pushed further and prevent injury to the ear canal. Foreign objects that get too deep will be more difficult to remove and likely to cause injury to the eardrum and ossicles in the middle ear. Once the blockage is taken, the ears will be checked again to determine whether there is an injury in it. Antibiotic ear drops medicine can be given to possible infection.

There are several ways in which to reduce the risk of blockage in the ear, for example:

• Avoid cleaning the ear by using cooton bud or fingers, because the wax can be pushed into and compacting

• Clean the ear only on the outside only

• Supervise young children to avoid the entry of foreign objects into the ear.

By: dr. Agus Multazar, M. Ked (ORL-HNS), Sp. THT-KL

When Making Plans Pregnancy , Should I Undergoing Examination of Special?

Answer: Special examination needs to be done by the mother and partner. Consult with your doctor and check your medical history in order not alarmed when entering pregnancy. As for some of the special examination which can be carried out before planning a pregnancy are:

·  Hemoglobin or hematocrit, to check for anemia symptoms
·  Rh factor, to determine whether you are Rh positive or negative
·  Titer varicella, to examine immune to chickenpox
·  Tuberculosis, if you live in an area with an outbreak of                 
    tuberculosis
· The function of the thyroid gland. The function of the thyroid 
    gland affect the pregnancy. If the mother had, ever, or even have
    a history of thyroid disorders should conduct intense 
    examination and consultation with a doctor
·  Sexually transmitted infections (STIs), is a compulsory 
    examination for women who plan to have children. If treated 
    early, the mother a small risk of transmitting diseases such as
    herpes, human papilloma virus (HPV), until the baby is born
    with HIV.

In addition to the type of checks, the third inspection was done by Mother is mandatory TORCH Screening. Anyone who needs it? Toxoplasmosis titer required by those who have a cat or a hobby eating raw food (sashimi).

Rubella titer, is required to check immunity to rubella infection. Remember, babies are born with rubella infection threatened blind, deaf, to suffer brain damage.

Hepatitis B examination is necessary for you that includes high risk. For example pregnant women work as nurses or have never been immunized against hepatitis B.

While antibodies cytomegalovirus (CMV) to determine whether maternal immune to the virus or not.

The best advice: if the results showed the presence of health problems that require medication, make sure mothers get the right treatment before attempting to conceive.

Oleh: dr. Budijanto Chandra SpOG

Fasting During Pregnancy

Fasting during pregnancy, can?

Yes, as long as willing to meet the nutrition and calories needed during pregnancy to boost the development and growth of the baby.

Some tips fasting for pregnant women include:

• When dawn. Eat a balanced diet that has a composition that is 50% carbohydrate, 30% protein, 10-20 percent fat.
• When breaking. After evening prayers, eat larger portions, but do not overdo it so as to make the stomach feel full. To meet the current needs of the hungry in the evening, try to eat a little before bed.
• During fasting. Mothers should reduce physical activity that is too tiring, and do not hold fast if you have nausea and vomiting and weakness.

But there are things to consider before that pregnant women undergo fasting, fasting is not recommended during the first trimester of pregnancy disorders accompanied by nausea and vomiting, vomiting. For feared her fetus could be malnourished.

It can be said, the benefits of fasting for pregnant women are able to prevent disease caused by excessive eating. For pregnant women and fetuses, excess food nutrition can lead to obesity and degenerative diseases in the mother and fetus.

Another benefit of fasting for pregnant women that can rid the body of toxins and impurities or also called detoxification, which can limit their intake of calories into the body, resulting in antioxidant enzymes that clean up toxic substances in the body.

Mothers should also know that not only fasting, prayer tarawih done during Ramadan after breaking also has the benefit of helping to process food in the body's metabolism. If the calculation is done with calorie counter, the number of calories burned during tarawih prayers at 200 calories.

Oleh: Dr. dr. Imam Rasjdi, SpOG (K) Onk