karena Anti-HAV IgM nya reaktif dengan indeks 4,62. Yang normal harusnya
<0,80.
Aku dikasih obat Hp Pro dan Cursil 70 (ini aman ga sih sebenarnya?)
Akhirnya aku memutuskan untuk tetap menyusui (sambil baca Bismillah) sambil
tetap bed rest. Abis ga tega juga ngeliat Sofya yang ngamuk kalo malam2
karena nyari ibunya.
Tadinya sempet mau nyari Gamma Globbulin itu. Tapi berhubung Bunda Wati
bilang ga usah, jadi urung deh.
Sekali lagi, terima kasih banyak atas pembelajarannya. ...
Shinta
On 2/20/07, Purnamawati
>
> Thanks Luk
> boleh nimbrung ya
> Untuk Ibu ... sebenarnya hep A itu self limiting disease ... sembuh
> sendiri ... umumnya tak fatal
> Gamma globbulin tuh mahal banget dan di Indo gak ada
> jadi gak usah aja kali ya ..
>
> kedua, nah ini yg penting seperti Ruth Amalia kemukakan
> peningkatan SGOT SGPT ... menunjukkan adanya kerusakan sel hati dan radang
> ini dalam dunia kedokteran disebut sebagai itis ... karena radangnya di hati
> maka disebut hepatitis
> TETAPI .. hepatitis belum tentu Hep A-C lho
> bisa juga hepatitis karena obat, karena obesitas dll
> JADI .... cari penyebabnya ....
>
> wati
>
> ----- Original Message -----
> From: Luluk Lely Soraya I
> To: sehat@yahoogroups. com
> Sent: Tuesday, February 20, 2007 12:20 AM
> Subject: Re: [sehat] [TANYA] Kalo fungsi hati/didiagnosa Hepatitis masih
> boleh menyusui ga? (RESEND)
>
> Dear Mbak Shinta,
>
> Saya coba bantu ya. Hasil tesnya udah keluar ?!
> Jika memang iya, saya coba bantu dari sisi masalah menyusuinya ya.
> Apapun jenis Hepatitisnya (baik itu A, B atau C), menurut WHO, CDC
> (Centers for Disease Control and
> Prevention) juga AAP semuanya menyatakan aman dan membolehkan ibu yg
> terinfeksi hepatitis utk
> menyusui bayinya. Meski dg beberapa persyaratan.
>
> Jika ibu menderita Hep A, maka ibu ditreatmenet dg gamma globulin, obat yg
>
> relatif aman meski ibu menyusui.
> Dan ibu tetap dapat menyusui bayinya.
> Jika ibu menderita HepB, terutama yg baru melahirkan, maka begitu sang
> bayi lahir harus segera
> diimunisasi pasif dg HBIG dan diberikan vaksin HepB (paling lambat 12 jam
> pertama setelah lahir).
> Jika ibu menderita HepC, menurut CDC hingga saat ini banyak updated
> penelitian yg menunjukkan bahwa HepC tidak tertransmisi ke ASI.
> Jadi tidak bermasalah ibu menyusui bayinya.
> Namun demikian virus HepC bisa tertransmisi melalui darah. Terutama jika
> puting ibu lecet.
> Utk hal ini treatmentnya khusus.
>
> Kesimpulan : Ibu yg menderita Hepatitis (jenis apapun) AMAN menyusui
> bayinya
> sesuai dg persyaratan tsb diatas.
>
> Semoga membantu.
>
> Tetap semangat ya,
> Luluk
> ============ ========= ========= =
> http://www.cdc. gov/breastfeedin g/disease/ hepatitis. htm
>
> Breastfeeding: Infectious Diseases and Specific Conditions Affecting Human
>
> Milk: Hepatitis B and C Infections
>
> Hepatitis B Virus Infection
> Is it safe for a mother infected with hepatitis B virus (HBV) to
> breastfeed
> her infant immediately after birth?
> Yes. Even before the availability of hepatitis B vaccine, HBV transmission
>
> through breastfeeding was not reported. All infants born to HBV-infected
> mothers should receive hepatitis B immune globulin and the first dose of
> hepatitis B vaccine within 12 hours of birth. The second dose of vaccine
> should be given at aged 1-2 months, and the third dose at aged 6 months.
> The
> infant should be tested after completion of the vaccine series, at aged
> 9-18
> months (generally at the next well-child visit), to determine if the
> vaccine
> worked and the infant is not infected with HBV through exposure to the
> mother's blood during the birth process. However, there is no need to
> delay
> breastfeeding until the infant is fully immunized. All mothers who
> breastfeed should take good care of their nipples to avoid cracking and
> bleeding.
> For additional information on HBV infection and pregnancy, visit CDC's
> Viral
> Hepatitis B Frequently Asked Questions.
>
> Hepatitis C Virus Infection
> Is it safe for a mother infected with hepatitis C virus (HCV) to
> breastfeed
> her infant?
> Yes. There is no documented evidence that breastfeeding spreads HCV.
> Therefore, having HCV-infection is not a contraindication to breastfeed.
> HCV
> is transmitted by infected blood, not by human breast milk. There are no
> current data to suggest that HCV is transmitted by human breast milk.
>
> Is it safe for the HCV-positive mother to breastfeed if her nipples are
> cracked and bleeding?
> Data are insufficient to say yes or no. However, HCV is spread by infected
>
> blood. Therefore, if the HCV-positive mother's nipples and/or surrounding
> areola are cracked and bleeding, she should stop nursing temporarily.
> Instead, she should consider expressing and discarding her breast milk
> until
> her nipples are healed. Once her breasts are no longer cracked or
> bleeding,
the HCV-positive mother may fully resume breastfeeding.
>
> Reference: CDC. Recommendations for prevention and control of Hepatitis C
> virus (HCV) infection and HCV-related chronic disease. MMWR, October 16,
> 1998, 47(RR-19):1- 39.
> For additional information on HCV infection and pregnancy, visit CDC's
> Viral
> Hepatitis C Frequently Asked Questions.
> ============ ========= ========= =========
> http://www.hbvadvoc ate.org/hepatiti s/hepB/Mother_ Child_FS. html
>
> Preventing Mother-to-Child Hepatitis B Infection
> Christine M. Kukka
> HBV Project Manager
> Pregnant women who have hepatitis B frequently infect their newborns. The
> concentration of hepatitis B virus (HBV) present in their blood and body
> fluids can be so high that up to 90 percent of their newborns may become
> infected due to contact with the virus in their mothers' blood and body
> fluids.
>
> Infants who are infected at birth face the highest risk of developing
> chronic or life-long hepatitis B infection because their young immune
> systems often fail to notice the viral invaders replicating in their
> livers.
> Years or even decades may pass before their immune systems finally notice
> the viral infection and try to eradicate the virus.
> But whether or not newborns born to infected mothers contract hepatitis B
> depends primarily on their mothers' viral status, and whether they are
> immediately immunized against hepatitis B. The length of labor, whether or
>
> not membranes rupture or the type of delivery (Caesarean vs. vaginal)
> apparently has little impact on mother-to-child transmission of hepatitis
> B.
> According to a report issued by the Advisory Committee on Immunization
> Practices in the Morbidity and Mortality Weekly Report, infants born to
> mothers who tested positive for both the hepatitis B surface (HBsAg) and
> "e"
> (HBeAg) antigens faced a 70 to 90 percent risk of infection, with 85 to 90
>
> percent of those infants becoming chronically infected. Infants born to
> mothers with the surface antigen and "e" antibody only faced a 31 percent
> risk of HBV infection.
> Infections acquired during infancy, while estimated to represent only 1 to
> 3
> percent of hepatitis B cases in the United States, account for 20 to 30
> percent of chronic infections, according to the Centers for Disease
> Control
> and Prevention (CDC).
> But there is good news for HBV-infected women who are pregnant or planning
>
> to become pregnant. When a baby is born to an infected mother who has the
> surface and "e" antigens, if hepatitis B immune globulin (HBIG) and the
> first dose of the hepatitis B vaccine is administered to the newborn
> within
> 12 hours of birth, the baby's risk of HBV infection is reduced to only 5
> to
> 15 percent.
> HBIG contains antibodies to the hepatitis B virus and offers immediate but
>
> short-lived protection against HBV infection. When combined with the
> hepatitis B vaccine, HBIG reduces the risk of HBV infection by an
> additional
> 5 to 10 percent. In the United States, infants born to HBV-infected
> mothers
> should receive HBIG and the first hepatitis B vaccination shot within 12
> hours of birth.
> But even if a baby does not receive HBIG, the vaccine is by itself highly
> effective in blocking HBV infection. In one study conducted in Thailand,
> 97
> babies born to HBV-infected women who had the "e" antigen received only
> the
> vaccination against hepatitis B at birth. Even without the added
> protection
> of HBIG, 82 to 86 percent of the immunized infants remained free of HBV
> infection.
> It is recommended that obstetricians should screen all pregnant women for
> hepatitis B. If a doctor is not screening a pregnant woman for hepatitis
> B,
> she should ask for the test. According to the CDC, in 1999 about 19,000
> women with chronic hepatitis B gave birth in the United States, and 1,455
> of
> their newborns became infected because they were not immunized immediately
>
> after birth.
> Infected mothers should make sure ahead of time that healthcare workers
> know
> they are infected so their newborns are immediately immunized and treated
> with HBIG.
> To be fully protected, it is very important that babies must receive all
> three hepatitis B immunization shots. The second shot is administered two
> months after the first, and the third is administered about four months
> later.
> Because of concerns about a mercury-based vaccine preservative called
> thimerosal, some parents unfortunately postponed immunizing their children
>
> against hepatitis B. However, today there is a thimerosal-free hepatitis B
>
> vaccine available and this immunization has repeatedly been found to be
> extremely safe.
> The vaccine was recommended for all infants and unimmunized children and
> adolescents in 1991 by the CDC and the American Academy of Pediatrics.
> Since
> then, more than 86 million doses of hepatitis B vaccine have been given to
>
> children in the United States.
> HBV-infected mothers can safely breastfeed their infants, according to the
>
> CDC. While the surface antigen - the outer coating of the virus - is found
>
> in breastmilk, there are no intact viruses in breastmilk that can infect
> infants. Studies have shown that breast-fed infants who were immunized
> immediately after birth were not at increased risk of HBV infection when
> compared to infants who were not breast-fed.
> Immunization of newborns has been very successful in the United States in
> reducing hepatitis B. Hepatitis B infections have declined by two-thirds
> during the past decade due to routine childhood vaccination. CDC officials
>
> say the overall number of hepatitis B cases dropped 67 percent between
> 1990
> and 2002, with the greatest decrease - 89 percent - in the
> newborn-to-19- year-old age group.
> For more information about hepatitis B immunization, visit the following
> websites.
> Centers for Disease Control and Prevention website on hepatitis B
> immunization: http://www.cdc. gov/ncidod/ diseases/
> hepatitis/b/ factvax.htm
> Immunization Action Coalition provides extensive information on all
> childhood immunizations, including hepatitis B.
> http://www.immunize .org
> National Network for Immunization Safety provides up-to-date,
> science-based
> information about immunization.
> http://www.immuniza tioninfo. org
> American Academy of Pediatrics, an organization of 57,000 pediatricians,
> issues recommendations to ensure childhood health and safety.
> http://www.aap. org
> ============ ========= ========= ===
>
> http://www.babycent er.com/refcap/ baby/babybreastf eed/8684. html?print= Y&submit. x=89&submit. y=10
>
> Breastfeeding and hepatitis
>
> Reviewed by Kathleen Huggins, R.N.
> March 2005
>
> Condition
> Hepatitis A (HAV), B (HBV), and C (HCV)
>
> The potential problem
> Because hepatitis is a viral infection, many women worry about
> transmitting
> the illness through their breast milk. The various strains of hepatitis,
> all
> of which infect the liver, cause symptoms that range from mild to severe.
>
> Hepatitis A (HAV), also known as infectious hepatitis, is a short-term
> illness with mild symptoms such as loss of appetite, fever, fatigue, and
> nausea. It's transmitted through contact with infected blood or bowel
> movements.
>
> Hepatitis B (HBV), also called serum hepatitis, is spread through contact
> with saliva, mucus, blood, and other body fluids, as well as through
> contaminated foods, and sexual activity. It can produce symptoms similar
> to
> but longer-lasting than those of HAV. It may lead to chronic liver disease
>
> or even be fatal.
>
> Hepatitis C (HCV) is spread through infected blood or needles, or sexual
> contact. The illness often begins as a slight but nagging infection with
> flulike symptoms that eventually may result in liver cancer.
>
> Can I breastfeed?
> In general, yes. Hepatitis A can be treated with gamma globulin, a
> medication that's safe to take if you're breastfeeding. If you had
> hepatitis
> A in the past and successfully treated it, breastfeeding is fine.
>
> Hepatitis B has been found in breast milk. However, because a baby is
> likely
> to have been exposed to the virus during pregnancy or delivery, and is
> immunized at birth, researchers say that infected mothers can safely nurse
>
> from the start.
>
> Hepatitis C doesn't appear to be a risk for babies who are breastfed by
> infected mothers. According to the Centers for Disease Control (CDC),
> breastfeeding does not spread HCV. If HCV is making a nursing mother feel
> ill, however, breastfeeding may be too taxing.
>
> Solution
> Immediately after birth - and again at 2 and 6 months - a baby born to an
> HBV-infected mom should be fully immunized against the virus.
>
> If you're HCV-positive, your symptoms may make you feel quite tired, and
> you
> may be inclined to stop nursing. Breastfeeding experts recommend that you
> continue to nurse, though, because it requires less effort on your part
> than
> trying to pump or express milk (especially if you can have someone bring
> the
> baby to you) and because the benefits to your baby are so great. If your
> nipples are cracked or bleeding, however, the CDC recommends that you
> consider abstaining from nursing because HCV can be transmitted through
> blood. In that case, you'd probably have to supplement with formula until
> your nipples healed.
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