MY HEART DOCTOR
176
At night Bryan was aware of his long sleep, seen around him can be seen friends asleep on the sofa and chairs in his room.
Bryan's gaze paused beside him, as Dillah fell asleep sitting and Dillah's hand contained a pocket Koran.
When Dillah finished praying, he sat beside Bryan, looking at the face of a friend who was pale yet unconscious. Dillah who always carries a pocket Koran wherever finally read the holy verses of the Koran beside Bryan.
Dillah continued to recite verses from the Koran hoping Bryan could listen in his conscious. Dillah also prayed and asked God for the friend to be immediately aware.
Bryan's companions had received lab results, and upon receiving the lab results his best friend Bryan Langu asked the doctor.
"Dok so how did it go?'' ask Dillah.
The doctor breathed rough and the doctor said that the Bryan liver was very problematic, the doctor also explained what liver disease until its stage.
"So how's doc?" ask Reno again.
"Look at the previous mas I explained what is liver disease and the gradual stage of this disease" said the doctor and doctor was silent for a moment and the doctor continued.
"Gini mas Liver disease is the term used for any disorder of the liver or liver that causes this organ to not function properly.
Well this liver is an organ that can regenerate quickly to replace damaged cells. However, if the cells are damaged enough, the function and work of the liver can be disrupted. Usually, liver function will begin to show its decline when the damage to liver cells reaches 75%. Not only can be experienced by adults, liver disease can also be experienced by children and infants." explained the doctor.
"That happens to your current friend because of the decline in liver function that generally occurs gradually. The stage of damage that occurs will follow the development of the underlying disease and how much liver tissue damage is experienced. Liver disease has a variety of types, but some of the symptoms and complaints are often similar to each other."
"Did your friend often complain of pain in the heart?" ask doctor.
"He often felt pain in that part of the dock, and he said it was just a magh pain" said Reno.
"Oh yes doc, what liver damage it is me!have the stages as the doctor said, it's what the stages are like and in Bryan it's ter!asik pepper stages are a few.? ask Dillah.
"Betul mas, to know each stage of liver tissue damage is very important to determine treatment and prevention measures for further tissue damage. Here is an explanation of each stage:
Stages 1
Liver disease or liver disease at this stage is characterized by the presence of inflammation (inflammation) in the liver cells. This condition can cause liver tissue to become soft and swollen. If not treated properly, inflammation can create permanent damage to liver tissue.
Stage 2
At this stage, the liver begins to develop fibrosis, a condition when scar tissue begins to grow to replace damaged liver tissue. The formation of scar tissue is actually a process carried out by the body to heal wounds in the liver tissue. However, the formation of fibrosis actually makes the liver can not function normally.
Stage 3
This stage is characterized by the occurrence of cirrhosis, which is severe damage to the liver due to the buildup of scar tissue in the liver. Cirrhosis is caused by liver disease that lasts for a long time. Liver cirrhosis is the final stage of liver disease. At this stage, the liver is no longer functioning properly. This condition will be characterized by the appearance of complaints and more serious symptoms.
Stage 4
At this stage, liver damage has already occurred thoroughly. This condition leads to a loss of overall liver function. This stage is also called liver failure. This condition can occur acutely or chronically.
Liver damage that has reached the final stage cannot be cured. Patients with severe liver damage generally require special treatment and care. One treatment option recommended at this stage is to do a liver transplant.
And your friend Bryan has entered stage four" said the doctor.
Jedduarr like being struck by lightning bolts snabat Bryan did not expect if Bryan all this time means painnyang felt Bryan is a liver disease not a disease !agh as he said.
"Dok, what exactly is the cause of liver disease?" ask Reno.
"The causes of liver disease are very diverse types based on the causes of gold:
Alcohol-related liver disease
Liver disease can be caused by excessive alcohol consumption. This condition is called alcohol-related liver disease. Alcohol is toxic to liver cells, especially when the liver filters alcohol from the blood. When filtered by the liver, alcohol can cause the death of liver cells.
Hepatic impairment or non-alcoholic fatty liver disease (NAFLD)
Under normal conditions, liver cells should contain only a small amount of fat. The accumulation of fat in liver cells can cause liver disorders. Liver weakening often occurs in people who are obese.
Hepatitis
Hepatitis is a liver disease that arises due to inflammation in the liver tissue. Hepatitis can occur acutely or chronically. Hepatitis consists of several types, including hepatitis A, B, C, D, E, and autoimmune hepatitis.
Toxic hepatitis or toxic hepatitis
This condition is caused by exposure to toxic chemical compounds. The types of toxins that can cause toxic hepatitis can come from medications, dietary supplements, or other chemical substances.
Consuming or using certain drugs excessively, especially without following the advice of a doctor can cause liver disease. Some types of drugs that can cause toxic hepatitis are paracetamol, amoxicillin, isoniazid, diclofenac, fenofibrate, and phenytoin.
Liver cholestasis or cholestatic liver disease
Liver disease due to cholestasis can be caused by various things, such as disorders of the liver cells (hepatocellular cholestasis) or bile duct disorders (cholangiocellular cholestasis). Causes of cholangiocellular cholestasis include primary biliary cirrhosis, cystic fibrosis, and primary sclerosing cholangitis.
Inherited liver disease (inherited liver disease)
Liver disease is caused by genetic disorders that cause impaired liver function. The two most well-known genetic causes of liver disease are hemochromatosis and alpha-1 antitrypsin deficiency.
Liver cancer
Liver cancer is a type of cancer that starts from the liver. There are several types of liver cancer, namely hepatocellular carcinoma (HCC), hepatoblastoma, and cholangiocarcinoma. HCC is the most common type of liver cancer.
"Oh so doc, um doc if I may know what his symptoms are like doc?" ask Satria.
"As I explained at the beginning of the liver or liver is the second largest organ in the human body with a size approximately the size of a rugby ball and has two parts (lobes) right and left. The liver is located in the upper right abdomen just below the ribs. The liver has several functions in the body, including:
Produces cholesterol and proteins that function to channel fat throughout the body.
Stores sugar for energy reserves and helps maintain the balance of sugar in the blood
Digests drugs into active substances in the body, cleanses the blood of drug compounds and other toxic substances, and helps blood clotting.
Produce amino acids that make up proteins essential for fighting infection and clearing the metabolic waste of proteins that are toxic to the body.
It stores iron to form hemoglobin, the oxygen-conducting component in red blood cells and clears the rest of hemoglobin metabolism by forming and removing bilirubin
Symptoms of liver disease in each person can vary, depending on the type and cause. However, in general there are several symptoms that can arise due to liver disease, namely:
*Nausea and vomiting
*Eating appetite decreases and even disappears
*Sexual arousal (libido) decreased
*Excessive fatigueThe color of the stool turns pale or blackish
*Purine color turns dark
*Skin and eyes turn yellow or jaundice
*Skin feels itchy and bruises easily
*Silver feels painful and swollen
*Leg and leg swell
If caused by infection or inflammation of the liver tissue (hepatitis) may appear complaints or symptoms, or, such as fever or upper right abdominal pain and it seems your friend has been exposed to hepatitis and incomplete treatment so as to improve the state of the liver. "clearly from the doctor
"Oh yes doc, so this Bryan's disease can it be cured other than a transplant?" ask Yogi.
"Because your friend's liver condition is very severe there is no possibility other than a transplant. I hope you can tell the matter to her family" the doctor said with her ending the advice.
"Well Doc if that's what we'll excuse you, thank you very much." Uc Dillah represents his friends.
"Ren, have you tried to call Bryan's parents again?" ask Yogi
"Udah Gi, and they say they're on business in the country." Java Reno.
**
Dillah woke up as she felt the movement of Bryan's hand.
"Bry." call Dillah.
"Dil, I'm sorry?" her word.
"Together Bry, what exactly did Lo do Bry this way?" Dillah asked.
"Honestly, Dil, I like Mimi and I get angry when I see Lo walking her way." Bryan bluntly addressed Dillah.
deg Dillah felt heartbroken at Bryan's words.
"If you're mad at me, why'd you spill it on Bry's drink." asked Dillah again.
"Gue can't control myself Dil. I have always liked the drink, I think by drinking it I can forget the problems that exist." said Bryan.
"But that is !self-harm Lo Bry, look now lying here." said Dillah.
"Yes I know, but only in that way can I forget the problem for a moment." Bryan said to him.
"The problem does not have to be solved by sipping the illicit drink Bry, Lo has God why do not you spill everything on him, Lo have friends Bry, Lo, do you not think of us as friends Lo." said Dillah.
"Thank you guys still want to be friends with me, sometimes our problems can not be shared Dil," he said.
"If Lo can not share with us at least Lo bagink to God Lo. You are like no god." said Dillah who was a little angry with Bryan.
"I know, I was wrong" he said.
"Lo know Dil, I'm great with my art. My parents have never cared about me since I was a child. They only care about their work, they always demand I should be this, so anyway I should be the best in their eyes. What I wanted to obey but sago that they didn't follow" Bryan recounted his childhood.
"The brand works for Lo Bry. What is it that Lo doesn't want?" said Dillah.
"Yes Dil for my sake, but what if I ask for their time for me for a while never they want to fulfill it." replied Bryan sadly.
"Even now that they're busy with their world, they never care if I'm alive or dead" Bryan said, filled with disappointment.
"It's a habit to say what you're talking about" said Dillah who couldn't say anything more.
"The problem of our family is the same Bry, depending on us to respond to it" said Dillah increase Bryan if their problems are the same, equally less attention from parents.
"Yes Dil, but I can't be Lo" he said.
"It's better that Lo rest again, but I tell the nurse first, Lo infusion fluid is also less closely" said Dillah and nodding by Bryan. Dillah pressed the button on Bryan's bed.
The nurse entered Bryan's room with the doctor and the doctor examined Bryan's condition, after checking Bryan's condition the doctor asked Bryan to take his medication while the nurse changed the intravenous fluid and in the injection of antibiotics into it.
Before taking his medicine Bryan ate the porridge that Satria had bought before, even though it was cold. After taking the drug Bryan again drowsy and fell asleep.
Mimi spent her Sunday night in a video call with her parents and her boyfriend.
Mimi misses her parents, only a few days in the city of Semarang she misses her parents and finally Mimi makes a video call with her parents.
After finishing with his parents Mimi received a call from the lover and finally they continued chatting until Mimi fell asleep until the sound of adhan greeted.
As he promised a few days ago, Mimk went rough to pick up his tape order with Mbah. After dawn Mimi cleaned herself up and her boarding. Mimi did not make breakfast this morning because Mimi planned to have breakfast at the market.
Mimi walked again the day to the intersection after arriving at the Mimi stop waiting for the angkot market majors. This time Mimi did not wait long, the angkot in the overlap drove quickly and before long Mimi arrived at the market.
Because Mimi already knew the mbak's lap, Mimi went straight to the kelapak, but until there Mimk did not see there Simbah even the usual stall mbah !his trade is still empty.
"Why Mbah hasn't come yet, is Mimi parted?" mimi said softly staring at the empty field.
Mimi asked the same bude who was next to the Mbah and bude said that from last night the Mbah ndak to the market. Mimi waited for Mbah while buying the same bude lontong that was on the side.
Fifteen minutes Mimi waited for the Mbah rope had not yet arrived..
"Emm about the Mbah coming?" mumbling Mimi
Because long wait Mimi went shopping for her needs first before the Mbah arrived.
About the Mbah comes we do not continue in the Next chapter yes
