7 kesakitan perlukan perhatian segera

Selalunya penyakit yang serius didahului dengan tanda-tanda tertentu yang mudah dikenalpasti. Oleh itu, bila sudah ada rasa sakit yang luar biasa di bahagian-bahagian badan tertentu, jangan diabaikan tanda-tanda tersebut dan ambil perhatian serta tindakan segera untuk membuat pemeriksaan doktor bagi mengenalpasti penyakit yang dihidapi – mana tahu tanda-tanda tersebut mungkin menunjukkan penyakit yang serius.

Di antara rasa kesakitan luar biasa yang tiba-tiba ialah sakit kepala yang kuat – mungkin berlaku pendarahan otak atau tumor di otak; sakit dan rasa tidak selesa di bahagian dada, leher, rahang, bahu, lengan dan tangan kiri – mungkin penyakit pneumonia atau sakit jantung; sakit kuat di bahagian bawah belakang atau di antara tulang belikat – mungkin serangan sakit jantung atau masalah di abdomen/perut; sakit kuat di abdomen atau perut – mungkin apendiks pecah, batu karang di pundi hempedu atau pankreas, gastrik atau ulser perut; sakit dan bengkak di betis – mungkin terdapat salur darah beku; rasa terbakar atau rasa semut-semut/ kebas di kaki – diabetes atau kerosakan saraf.

Artikel berikut memaparkan 7 kesakitan yang tidak sepatutnya diabaikan dan memerlukan perhatian yang segera, sebelum terlambat….

7 Pains You Shouldn’t Ignore

Experts describe the types of pain that require prompt medical attention.

By Leanna Skarnulis
Reviewed by Brunilda Nazario, MD

Whoever coined the term “necessary evil” might have been thinking of pain. No one wants it, yet it’s the body’s way of getting your attention when something is wrong. You’re probably sufficiently in tune with your body to know when the pain is just a bother, perhaps the result of moving furniture a day or two before or eating that third enchilada.

You need a guide. The author consulted doctors in cardiology, internal medicine, geriatrics, and psychiatry so you’ll understand which pains you must not ignore — and why. And, of course, if in doubt, get medical attention.

No. 1: Worst Headache of Your Life

Get medical attention immediately. “If you have a cold, it could be a sinus headache,” says Sandra Fryhofer, MD, MACP, spokeswoman for the American College of Physicians. “But you could have a brain hemorrhage or brain tumor. With any pain, unless you’re sure of what caused it, get it checked out.”

Sharon Brangman, MD, FACP, spokeswoman for the American Geriatrics Society, tells WebMD that when someone says they have the worst headache of their life, “what we learned in medical training was that was a classic sign of a brain aneurysm. Go immediately to the ER.”

No. 2: Pain or Discomfort in the Chest, Throat, Jaw, Shoulder, Arm, or Abdomen

Chest pain could be pneumonia or a heart attack. But be aware that heart conditions typically appear as discomfort, not pain. “Don’t wait for pain,” says cardiologist Jerome Cohen, MD. “Heart patients talk about pressure. They’ll clench their fist and put it over their chest or say it’s like an elephant sitting on their chest.”

The discomfort associated with heart disease could also be in the upper chest, throat, jaw, left shoulder or arm, or abdomen and might be accompanied by nausea. “I’m not too much worried about the 18-year-old, but if a person has unexplained, persistent discomfort and knows they’re high risk, they shouldn’t wait,” says Cohen. “Too often people delay because they misinterpret it as [heartburn] or GI distress. Call 911 or get to an emergency room or physician’s office. If it turns out to be something else, that’s great.”

He tells the author that intermittent discomfort should be taken seriously as well. “There might be a pattern, such as discomfort related to excitement, emotional upset, or exertion. For example, if you experience it when you’re gardening, but it goes away when you sit down, that’s angina. It’s usually worse in cold or hot weather.”

“A woman’s discomfort signs can be more subtle,” says Cohen, who is director of preventive cardiology at Saint Louis University School of Medicine. “Heart disease can masquerade as GI symptoms, such as bloating, GI distress, or discomfort in the abdomen. It’s also associated with feeling tired. Risk for heart disease increases dramatically after menopause. It kills more women than men even though men are at higher risk at any age. Women and their physicians need to be on their toes.”

No. 3: Pain in Lower Back or Between Shoulder Blades

“Most often it’s arthritis,” says Brangman, who is professor and chief of geriatrics at SUNY Upstate Medical University in Syracuse, N.Y. Other possibilities include a heart attack or abdominal problems. “One danger is aortic dissection, which can appear as either a nagging or sudden pain. People who are at risk have conditions that can change the integrity of the vessel wall. These would include high blood pressure, a history of circulation problems, smoking, and diabetes.”

No. 4: Severe Abdominal Pain

Still have your appendix? Don’t flirt with the possibility of a rupture. Gallbladder and pancreas problems, stomach ulcers, and intestinal blockages are some other possible causes of abdominal pain that need attention.

No 5: Calf Pain

One of the lesser known dangers is deep vein thrombosis (DVT), a blood clot that can occur in the leg’s deep veins. It affects 2 million Americans a year, and it can be life-threatening. “The danger is that a piece of the clot could break loose and cause pulmonary embolism[a clot in the lungs], which could be fatal,” says Fryhofer. Cancer, obesity, immobility due to prolonged bed rest or long-distance travel, pregnancy, and advanced age are among the risk factors.

“Sometimes there’s just swelling without pain,” says Brangman. “If you have swelling and pain in your calf muscles, see a doctor immediately.”

No. 6: Burning Feet or Legs

Nearly one-quarter of the 24 million Americans who have diabetes are undiagnosed, according to the American Diabetes Association. “In some people who don’t know they have diabetes, peripheral neuropathy could be one of the first signs,” says Brangman. “It’s a burning or pins-and-needles sensation in the feet or legs that can indicate nerve damage.”

No 7: Vague, Combined, or Medically Unexplained Pains

“Various painful, physical symptoms are common in depression,” says psychiatrist Thomas Wise, MD. “Patients will have vague complaints of headaches, abdominal pain, or limb pain, sometimes in combination.”

Because the pain might be chronic and not terribly debilitating, depressed people, their families, and health care professionals might dismiss the symptoms. “Furthermore, the more depressed you are, the more difficulty you have describing your feelings,” says Wise, who is the psychiatry department chairman at Inova Fairfax Hospital in Fairfax, Va. “All of this can lead the clinician astray.”

Other symptoms must be present before a diagnosis of depression can be made. “Get help when you’ve lost interest in activities, you’re unable to work or think effectively, and you can’t get along with people,” he says. “And don’t suffer silently when you’re hurting.”

He adds there’s more to depression than deterioration of the quality of life. “It has to be treated aggressively before it causes structural changes in the brain.”



Today’s Quote – 145

“The secret to creativity is knowing how to hide your sources.” ~ Albert Einstein

Petua memilih cermin mata gelap (sunglasses)

Memakai cermin mata gelap/hitam (sunglasses) bukan saja untuk mengikut trend dan fesyen semasa, tetapi yang lebih pentingnya ialah untuk melindungi mata dan tisu di sekeliling mata daripada terdedah kepada sinaran UV yang membahayakan mata secara langsung. Terlalu banyak terdedah kepada sinaran UV matahari akan menyebabkan mata cepat menjadi kabur, menyebabkan katarak atau lebih bahaya lagi boleh menyebabkan buta. Memandang permukaan air laut, salji dan atau permukaan lain yang boleh memantulkan cahaya juga adalah berbahaya kepada kesihatan mata. Oleh itu, cermin mata gelap/hitam atau sunglasses adalah perlu dipakai sebagai perlindungan kepada mata.

Sesetengah pakar mata menggalakkan penggunaan cermin mata gelap/hitam sepanjang masa berada di luar rumah, sama ada semasa memandu atau bersantai di kawasan lapang. Bagi mereka yang mempunyai cermin mata yang ada “power”, boleh ditambah “photo gray” dan “multicoated” supaya cerminnya secara automatik akan bertukar kepada warna gelap yang dapat menahan pantulan cahaya masuk ke mata. Ini terutamanya berguna semasa memandu kereta pada waktu malam bagi mengurangkan “glaring” daripada cahaya lampu kereta lain dari arah yang bertentangan.

Namun begitu, jenis warna yang dipilih untuk cermin mata ini hendaklah sesuai. Contohnya, warna gelap kelabu, kehijauan atau kecoklatan adalah lebih sesuai kerana warna ini tidak banyak mengubah warna asal.

Semasa memilih cermin mata gelap/hitam di kedai, pastikan baca labelnya dan pilihlah cermin gelap yang boleh memberi perlindungan 99% atau 100% daripada sinaran UVB dan UVA, atau lebih baik lagi gunakan cermin gelap yang boleh memberi perlindungan daripada sinaran UV yang sedikit (UV400).

Artikel berikut memuatkan perincian tentang kaedah memilih cermin mata gelap/hitam untuk kesihatan mata kita….

How to Pick Good Sunglasses

Here’s tips for choosing shades that will protect your eyes from the sun’s harmful effects.

By Shelley Levitt
Reviewed by Laura J. Martin, MD

Sunglasses can give you instant James Dean cool, Audrey Hepburn glamour, or the rock star hipness of Bono. But they are much more than a fashion accessory.

Sunglasses are an essential tool in safeguarding the health of your eyes and the surrounding tissue.

Here’s what you need to know about what sunglasses can do for you (apart from style) and how to choose them.

Eye on UV Risks

Just as the sun’s ultraviolet (UV) rays can damage skin, they can also harm the lens and cornea of the eyes.

UV radiation increases your odds of getting cataracts, which cloud the eye’s lens and lead to diminished eyesight. It has also been linked to macular degeneration, a treatable, but incurable disease of the macula, a part of the retina that is essential for sharp vision.

Other UV-related eye problems are pterygium and pingueculum. A pterygium occurs when the conjunctiva, the tissue that lays over the white of the eye, grows into the cornea. A pingueculum is a yellowish bump of tissue on the white of the eye.

Sunlight that bounces off highly reflective surfaces such as snow, water, sand, or pavement can be especially dangerous.

Photokeratitis is a corneal sunburn that’s also known as snow blindness. As the name suggests, skiers and snowboarders are particularly vulnerable to this temporary but acutely painful condition. “In photokeratitis, tiny blisters form on the surface of the cornea,” says Gail Royal, MD, an ophthalmologist in Myrtle Beach, S.C. “It’s a condition that will generally resolve on its own with proper medical treatment, but it’s uncomfortable enough to spoil your vacation.”

Sunglasses play a vital role in shielding the fragile tissue around the eye, says W. Lee Ball Jr., OD, an optometrist at Harvard Medical School’s Beth Israel Deaconess Medical Center. “This skin, including the eyelid itself, is very thin and vulnerable to skin cancer, and that’s especially troubling since dermatologists are reporting an epidemic in all types of skin cancer,” Ball says.

Royal, who includes a review of proper sunglass use during patient visits, admits she sometimes appeals to her patients’ vanity.

“I’ll point out that sunglasses will protect not just against basal cell and squamous cell carcinomas and melanoma,” she says, “but also against the formation of wrinkles like crow’s feet and the unsightly thickening of the skin that can sometimes be caused by UV exposure.”

Make Sunglasses a Daily Habit

Like sunscreen, sunglasses should be worn whenever you’re outdoors, year round.

“Just as we’ve learned that you can get a really nasty sunburn on an overcast, hazy day, you’re exposing your eyes to damaging UV rays on these days, too,” Royal says.

Sunglasses are especially important for children, says Peter Kehoe, OD, an Illinois optometrist who specializes in children’ vision.

“UV eye damage is cumulative over a lifetime,” Kehoe says, “so it’s important to make wearing sunglasses a habit early in life. What’s more, children’s eyes are especially vulnerable because they’re still developing.”

Protecting your eyes from the sun begins with picking the right pair of sunglasses. Here’s advice from eye care experts.

Look for Complete UVA/UVB Protection

Choose sunglasses that provide full protection against ultraviolet light. Look for a label or a sticker that says one or more of the following:

* Lenses block 99% or 100% of UVB and UVA rays

* Lenses meet ANSI Z80.3 blocking requirements. (This refers to standards set by the American National Standards Institute.)

* UV 400 protection. (These block light rays with wavelengths up to 400 nanometers, which means that your eyes are shielded from even the tiniest UV rays.)

Choose the Right Hue

The coating that blocks UV radiation is clear, so a darker lens isn’t necessarily more effective than a lighter one. But hue does play an important role in color perception.

Yellow or rose tinted lenses can make it difficult to distinguish changes in traffic lights. Gray, green, and brown lenses minimize color distortion, and are a better choice when you’ll be behind the wheel.

Opt for Polarized Lenses If You Spend a Lot of Time on Water

Polarized lenses reduce glare by filtering out the reflected sunlight that bounces off surfaces like water or pavement. They’re a good option for boaters or water skiers, and they can cut down on glare from flat, smooth surfaces like road pavement or the hoods of cars.

The downside: It can be difficult to read your cell phone, GPS device, or a liquid-crystal display on a dashboard or ATM machine with polarized lenses.

Be aware that polarization has nothing to do with UV protection. So check the label to make sure the sunglasses provide full UV filtering.

Consider the Quality of the Lenses

Eye care experts agree that price isn’t a gauge of UV protection. But very inexpensive sunglasses are likely to contain lenses that are stamped out of a mold rather than ground and polished, and that can affect optical quality.

“Consistency is a concern with lower-priced glasses,” says Kehoe, a past president of the American Optometric Association. “You might find one pair that offers great clarity and another that’s the very same brand and model and highly distorted.”

To test optical quality, the FDA suggests focusing on a vertical edge or line. Move your head back and forth, allowing your eyes to sweep across the lens. “If there is any wiggle in the line,” the FDA guidelines say, “then the lenses may have an optical defect and you should choose another pair.”

Bigger is Better

Wraparound sunglasses offer the broadest protection against UV damage because they block more of the light that hits your eyes from the sides.

Sunglasses with large lenses and wide temples provide the next-best protection.

“Large lenses cover a wider area of skin so there’s a decreased window for UV penetration,” says Royal. “Sunglasses that come down to your cheekbones are a good choice.”

Think Jackie O’s iconic oversized glasses rather than John Lennon’s small, round shades.

Fit Matters

Sunglass frames should fit snugly on your nose and ears without pinching or rubbing. To prevent light from hitting your eyes from overhead, choose a pair that fits close to your face around the brow area, but not so close that your eyelashes are hitting the lenses, Royal says.

Whether you opt for high-priced designer sunglasses or a more affordable pair you find at your drugstore, you can easily find sunglasses that are flattering and functional. And protecting your eye health is one sunglass trend that will never go out of style.


Nasihat – 37

“Janganlah engkau menuntut imbuhan atas amal perbuatanmu, baik keduniaan maupun keakhiratan. Janganlah kamu mencari nikmat, carilah Zat yang memberimu nikmat. Carilah tetangga sebelum mendapatkan rumah. Dialah Zat yang mewujudkan segala sesuatu, Zat yang mengaturkannya dan yang wujud sesudah segala sesuatu.

Saudaraku, Janganlah kamu termasuk golongan orang2 yang apabila diberi nasihat, tidak mahu menerima, dan jika mendengar nasihat tidak mahu mengamalkannya. Ketahuilah, bahawa agamamu akan hilang disebabkan empat perkara:

1. Kamu tidak mengamalkan apa yang telah kamu ketahui.
2. Kamu mengamalkan apa yang tidak kamu ketahui.
3. Kamu tidak mahu berusaha mengetahui apa yang tidak kamu ketahui,
sehingga tetap bodoh.
4. Kamu melarang manusia untuk berusaha mengetahui apa yang mereka tidak

~ Syeikh Abdul Qadir Al-Jailani

Petikan Buku: Al-Fath Ar-Rabbani (Hakikat Pengabdian).

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