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Selasa, 26 Oktober 2010

MALNUTRITION


CHAPTER I


A. BACKGROUND

Problem gizi emerges as result of resilience problem of food level of household ( ability obtains food for all its(the anggotan ), health problem, poorness, generalization, and job(activity opportunity. This time problem gizi experiences mushroom growth, Malnutrition still surround disease and chlid death, though often miss from attention. situation of Health of gizi depended from level of consumption that is quality of dish containing all requirement of body. Effect [of] health of gizi which is good not, hence arising nutritional disease, generally at child of balita suffered from ugly gizi. Relation between sufficiency of gizi and infection disease is very tightly reciprocal causality. Various trouble disease gizi and ugly gizi as a result not the good of mutu/jumlah food which unmatched to requirement of body masing - masing people. Problem gizi initialy is considered to be health problem which can only be overcome with therapy medis/kedokteran. But, then is realized that symptom klinis gizi is less which many found medical doctor simply is critical have been end level from with refer to other process preceding it. Influence gizi to development of chlid mental. This thing is referring to the stop of growth of brain cell happened at chlid suffering trouble gizi at the age of very young even in content. Various factor which indirectly pushs the happening of trouble gizi especially at balita. Ignorance would the relation of food and health, ugly prejudice to certain food-stuff, existence of kebiasaan/pantangan harming, abundant hobby to certain food type, limitation of production of family, and birth distance which meeting.

B. PROBLEM IDENTIFICATION

Problem - ugly gizi problem which we know can groan its(the khusu whosoever balita and chlid - child of with criteria certain age. Problem gizi intrinsically is public health problem, but its(the penanggulangan cannot be done with medical approach and just health service but from other approach. Here writer identifies ugly gizi in the form of cause - ugly gizi cause, kwashiorkor, marasmus, maramus - kwashiorkor, asupan gizi, malnutrition of primary and secondary, step of therapy, and number of ugly gizi patient data.

C. PURPOSE OF

Intention of writing of this presentation handing out is wish to advise to thing public - the any kind of becoming scope from ugly gizi problem, adds knowledge for public that broader of her horizon about ugly gizi, informs number of degradations of ugly gizi patient from the year 2004 - 2007, gives picture that is pathological clear of ugly gizi, nor forgets to add student value, etc. which able to affect is positive for writer and readers.




CHAPTER II
THEORY

A. THEORY REVIEW
Gizi is an organism process applies food consumed normally through digestion process, imbibition, transportation, storage, metabolism, and matter expenditure - matter that is is not applied to maintain life, growth and normal function from organ - organ and yields energy. Effect lacking of gizi, hence nutrient deposit at body is applied to fulfill requirement if this situation take place stripper hence nutrient deposit would [used up/finished] and finally happened network decline. At the moment people can be told malnutrition. someone PIECE who ugly gizi disebakan by the low of consumption of energy and protein in food one day - day. In general patient KEP comes from family having production low, label - label klinis ugly gizi can become a real important indicator to know someone suffers ugly gizi. There are some disease relating to gizi that is nutritional disease is more ( obesity ), ugly gizi ( malnutrition ), metabolic wafting, food poisoning, etc. Ugly gizi trouble depicts a situation of pathologis happened as result of ketidaksesuaian/tidak fufilled it between nutrients entering kedalam body with requirement of nutrient body would within relative of stripper. Nutrition is a special science branch studies relation between food which we eat and body health. Good health not happened because there are change which in the form of lacking of certain food matter ( deficiencies ) or excessive. Mental defect generally include;covers protein, carbohydrate, vitamin, and mineral. While excess generally include;covers consumption of fat, protein, and sugar. To reach condition of child of perlu/cukup gizi must pay attention to x'self hygiene and environmental and does good activity like sport, etc.. Unfavourable consumption quality and its(the amount will give condition of health of gizi kurang/defisiensi. situation of Health of gizi public depend on level of consumption determined by quality and dish amount. Nutritional disease in Indonesia especially pertained into group of deficiency disease that is often is attributed to infection which able to relate to trouble gizi. Deficiencies gizi is beginning of from trouble system immune pursuing reaction of imunologis. Trouble gizi and infection often is each other cooperate will give prognosis which worse. There is various a real nutrients influences condition of man health. Health problem of gizi dapa arises in the form of disease with high storey.

B. PROBLEM SOLUTION

During the year this many health disasters has knocking over this nation. Starts from dengue, polio and malnutrition ailment that is enough surprising. Ugly gizi patient case always increases in a number of areas. Ugly gizi case generally befalls balita with reasoning of light economics. How the many babies and children which had wrestled with hunger and grief since they are borne. The root cause ugly gizi case in Indonesia seems to because economic problem or less knowledge. Poorness and disability of old fellow provides nourishment for its(the chlid becomes the root cause the increasing of ugly gizi victim in Indonesia, poorness triggers case Gizi Buruk. situation of this ugly gizi in klinis divided to become 3 type: Kwashiorkor, Marasmus, and Kwashiorkor-Marasmus. Third condition of this patologis generally happened at children in developing countries staying in age spread [shall] no longer suckle.
KWASHIORKOR

• Kwashiorkor marking covers

• oedema in all body, especially at foot/feet back,

• circular face and sembab,

• melancholy sight,

• change of mental status: sissy, rewel, sometime apathy,

• hair is having colour auburn, matt, and easy to be abstracted,

• muscles minimizes, observed especially when standing and sitting,

• brown red pock at skin, black alterable and flakes

• refuses all food types ( anorexia)

• often is accompanied anaemia, diarrhoea, and infection.

MARASMUS

Marasmic case or heavy malnutrition because less carbohydrately is accompanied hand and swelling foot/feet, bay window, hair shaped moulted and broken, skin trouble. In general patient seems to weakening often is carried on the back, rewel and many weeping. At continuation stadium of chlid seen apathetic or decline awareness.
There is also other marking is:

* Its(the body weight is less than 60% normal chlid weight as of its(the age.

* Skin seen drought, cool and lax.

* Among others has hair which is easy moulted.

* Uppermost stand-out bones.

* Often suffers diarrhoea or constipation.

* Blood pressure tends to low compared to normal chlid, with haemoglobin rate that is also lower than its(the semesti.

* chlid seen very thin, remains prepacked bone of skin,

* face like old fellow, sissy, rewel, concave stomach, and wrinkle skin


MARASMIK-KWASHIORKOR

This disease is aliance from marasmus and kwashirkor with accompanying symptom aliance.

* Patient body weight only shift in number 60% from normal weight. Typical symptom both the disease seems to be explain, like oedema, hair disparity, disparity of skin etcetera.

* Body contains more dilutions, because the lessen of fat and muscle.

* Potassium in body declines is drastic causing causes trouble metabolic like trouble at kidney and pancreas.

* Other mineral in body also experiences trouble, like the increasing of sodium rate and phosphorus inorganik and lowering of magnesium rate.

Symptom klinis Kwashiorkor-Marasmus none other than combination from symptoms each the disease.

UGLY GIZI CAUSE

The root cause gizi is less and ugly gizi not one. There is many!. First cause is nature factor. In general famous soil;land;ground as trop. which rainfall minim. Sometime its(the rainfall many but in a real brief range of times. As a result, the rain do not become blessing but delivering floods disaster. But, a few years lately there is no rain becomes drought kerontang! Corn crop which is family economics supporter at the same time as everyday food of public?people fails harvested. As a result, many farmers is including children, especially who live in area pelosok, eats any kind of for the shake of living. Worryed of gizi which less and even ugly will make worse growth of physical and function of brains. If this happened, this children future ascertained to very dusky and rough.Second cause is humanitarian factor that is coming from socio-cultural of local public. Most farmer public haves the character of ' dimensional one,' namely public which hardly depend on one livings only. Many people plants food ' as enough ' his(its is only, mean the enough yield to take care of one families until a period of the next crop. Has not there are their agricultural produce conducting idea to for the shake of meraup advantage or for the shake of increasing family earnings. Existence of culture ' alternative ' that is exploiting house yard to plant vegetables for the shake of supporting basic necessities.
Third cause still shifting humanitarian problem but more this relates to structural problem, that is lack of attention of government. Public?People relationship pattern and government still be vertical not only eliminating public?people social control to the functionaries, but also opens access to grind and un-justice and, riskiest, creates obsession to fertilize corruption culture. Of course not all government officers and functionary like that!. Out side of that of all likely publics requires associate that they to comprehend individual rights and their social rights as citizens.

STEP OF THERAPY

Therapy at patient MEP of course must be adapted for its(the level. Patient is less gizi light stadium, its(the example, overcome with repair gizi. In one day this children must get protein input around 2-3 grams or equivalent with 100-150 Kkal. Step of handling must be based on cause and possibility that its(the billows. While therapy of MEP weight tends to more complexly because each accompanying disease must be cured one per one. Patient also better be taken care of in hospital for your kind attention medical fully. In line with therapy of disease penyerta and also its(the infection, status gizi the chlid always is improve;repaired so recovers. Cures situation of its(the gizi by the way of curing disease penyerta, improvement of level gizi, and prevents symptom or relapsing from

CHAPTER III


A. CONCLUSION

There is 4 factor surrounding KKP that is : problem social, economics, biology, and area. Poorness of one of determinant social - economics, be root of no food, place of residence which berjejalan, and indisposed and disability access health facility. Malnutrition still surround disease and chlid death. Less protein caloriely in fact having opportunity permeates whosoever, especially baby and chlid tumbuh-kembang which is. Marasmus often infects having age new baby less than 1 year, whereas kwashiorkor tends to groans after they are having age 18 months. Assessment of status gizi public requires policy guarantying every member of public to get square meal number of and its(the qualities. Gizi obtained a chlid through consumption of food every day. Sufficiency of nutrient haves an in with health and intellegence of anakKasus ugly gizi is not disease type coming abrupt off hand. But because chronical process always cumulative and becomes kronik when reaching its(the top. Deficiencies problem gizi especially KKP becomes attention because various researchs of menunjukan existence of long-term effects to growth and development of man brain.
B. SUGGESTION

Ketidakseriusan stand-out government when handling of ugly gizi case come late service handling ought to of health is done when [by] ugly gizi patient has not reached phase to endanger. After ugly gizi case of merebak then governmental conducts action ( serious ). Governmental serious doesn't mean anything if is not supported society itself. Because, behavior of public which has culturalized till now is, suffering from children unable to get attention of old fellow. The children only fed to be patch up, without bothering about rate gizi in food given. More than anything else if supply of family food have been thin. Without careful data and information and complete better don't untimely concludes that existence of identical ugly gizi with poorness.And ought to the mothers strives thing best for its(the chlid which later the chlid can help the mother. mother doesn't easy to surender facing altogether that, I am sure will surely there are its(the way out.









BIBLIOGRAPHY


*Arisman. 2004. Gizi Dalam Daur Kehidupan Buku Ajar Ilmu Gizi. Jakarta : Medical Book EGC.

*Dawn, Ibnu, cs 2001. Assessment of Status Gizi. Jakarta : Medical Book EGC.

*Moehji, Sjahmien. 1999. Nutrition. Jakarta : Bhratara.

*Santoso, Soegeng, Ranti, Anne Lies. 2004. Health and Gizi. Jakarta : Rineka Cipta.
*www.dinkes-dki.go.id
*www.depkes.go.id

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