Sunday, March 20, 2011

Radioactivity

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Radioactive decay (or radioactivity) is the property of some atoms that causes them to spontaneously give off energy as particles or rays. Radioactive atoms emit ionizing radiation when they decay, meaning they have enough energy to break chemical bonds in molecules or remove tightly bound electrons from atoms, thus creating charged molecules or atoms (ions).[1]

File:Radioactive-atom.JPG
Properties


Radioactive atoms are unstable (known radionuclides). An atom is unstable (radioactive) if the forces among the particles that make up the nucleus are unbalanced--if the nucleus has an excess of internal energy. The instability of a radionuclide's nucleus may result from an excess of either neutrons or protons. An unstable nucleus will continually vibrate and contort and, sooner or later, attempt to reach stability by some combination of means:

  • Ejecting neutrons, and protons
  • Converting one to the other with the ejection of a beta particle or positron
  • Releasing the additional energy by photon (i.e., gamma ray) emission.[2]
Product

Radioactive decay occurs when the unstable nucleus emits radiation (disintegrates). The radionuclide is thereby transformed to different nuclides (often called the daughter nuclide). It will continue to decay until the forces in the nucleus are balanced. For example, as a radionuclide decays, it will become a different isotope of the same element if the number of neutrons changes and a different element altogether if the number of protons changes.


Often, when a radionuclide decays, the decay product (the new nuclide) is also radioactive. This is true for most naturally occurring radioactive materials. In order to become stable, these materials must go through many steps, becoming a series of different nuclides and giving off energy as particles or rays at each step. The series of transformations that a given radionuclide will undergo, as well as the kind of radiation it emits, are characteristic of the radionuclide. This is called a 'decay chain.'[2]

The radionuclide will undergo decay if there is a group of particles with a lower total mass that can be reached by decay or by nuclear fission (nucleus splits into smaller nuclei). All elements having an atomic number higher than 83 (the atomic number of bismuth) are radioactive. In addition, a number of elements having lower atomic numbers do have naturally occurring radioactive isotopes. Nuclear physicists have also made two synthetic elements having atomic numbers less than 83 to fill two gaps in the periodic table; both of these are radioactive


Rate


Every radioactive element or isotope decays at its own rate. The most common published statistic on the rate of decay of any radionuclide is the half-life. This is the hypothetical amount of time that must pass for half of the element or isotope to decay to its next daughter nuclide. Under normal circumstances, an isotope's half-life does not change, nor has any nuclear physicist ever produced a change in any isotope's half-life. However, the RATE Group has developed clear and convincing evidence that the half-lives of all then-naturally-occurring radioactive elements was accelerated greatly at the time of the Global Flood--and furthermore, this change might have triggered that event. (See: Accelerated decay).



Decay types

Radio nuclides of different types can be involved in several different reactions that produce radiant energy. The three main types of ionizing radiation are alpha, beta, and gamma.



1.Alpha decay- Two protons and two neutrons emitted from nucleus

2.Beta decay- A neutron emits an electron and an antineutrino and becomes a proton

3.Gamma decay- Excited nucleus releases a high-energy photon

4.Positron emission- A proton emits a positron and a neutrino and becomes a neutrino

5.Internal conversion- Excited nucleus transfers energy to an orbiting electron and ejects it

6.Proton emission- A proton is ejected from nucleus

7.Neutron emission- A neutron is ejected from nucleus

8.Electron capture- A proton combines with an orbiting electron, emits a neutrino and becomes a neutron

9.Spontaneous fission- Nucleus disintegrates into two or more random smaller nuclei and other particles

10.Cluster decay- Nucleus emits a certain type of smaller nucleus that are larger than an alpha particle

11.Double-beta decay- two neutrons emit two electrons and two antineutrons become two protons
 

Property Alpha radiation Beta radiation Gamma radiation

Symbol 42He or α 0 − 1e or β γ
Charge 2+ 1- 0
Mass 4 1/1837 0
Penetrating power Low Moderate Very high

Alpha
Alpha radiation are helium nuclei that have been emitted from a radioactive source. The Alpha particle includes two protons and two neutrons and has a 2+ charge. An alpha particle can be written as 42He or as α in nuclear equations. The atomic number of the daughter atom is reduced by 2 and its mass number is lower by 4 when an atom loses an alpha particle.[4]


For example, examine the following chemical equation. Superscripts represents the mass numbers and subscripts represents the atomic numbers.

^{238}_{ 92}\mathrm{U} \to ^{234}_{90}\mathrm{Th} + ^{4}_{2}\mathrm{He} (α emission)
 
The sum of the atomic masses of Thorium and alpha particle is equal to that of Uranium. As are the sums of the atomic numbers.[5]


Beta

There are 3 types of Beta decay: electron emission, electron capture, and positron emission. [5] During electron emission, a neutron changes into a proton with the loss of an electron. For example, 31H becomes 32He with the loss of 0-1e.

A beta particle can be written as 0-1e or β in nuclear equations. The superscript 0 shows that electron has very small mass compared to proton. Since its subscript is -1, the electron has negative charge.[6]

^{14}_{6}\mathrm{C} \to ^{14}_{7}\mathrm{N} + ^{ 0}_{-1}e (β emission)

Since Carbon-14 emits a beta particle, the nitrogen-14 atom has the same atomic mass number (both of their superscripts are same), but its atomic number is increased by 1. It means that it contains one more proton and one fewer neutron.

Gamma


A gamma ray is a high-energy photon emitted by a radioisotope. Sometimes, nuclei emit gamma rays with alpha or beta particles during radioactive decay as you can see in the following equation

^{230}_{ 90}\mathrm{Th} \to ^{226}_{ 88}\mathrm{Ra} + ^{4}_{2}\mathrm{He} + \gamma



Since gamma rays do not have any mass, it does not affect the atomic number or mass number of an atom. [7]
File:Alfa beta gamma radiation.png
 
Summary


Types of Radiation:

Alpha Particles Alpha particles can be shielded by a sheet of paper or by human skin. However, if radionuclides that emit alpha particles are inhaled, ingested, or enter your body through a cut in your skin, they can be very harmful.

Beta Particles Beta particles cannot be stopped by a sheet of paper. Some beta particles can be stopped by human skin, but some need a thicker shield (like wood) to stop them. Just like alpha particles, beta particles can also cause serious damage to your health if they enter your body. For example, if ingested, some radionuclides that emit beta particles might be absorbed into your bones and cause damage.

Gamma and X-Rays Gamma rays are the most penetrating of the three types of radiation listed here. Gamma rays usually accompany beta, and some alpha rays. Gamma rays will penetrate paper, skin, wood, and other substances. To protect yourself from gamma rays, you need a shield at least as thick as a concrete wall. This type of radiation causes severe damage to your internal organs. (X-rays fall into this category, but they are less penetrating than gamma rays.)

History of discovery


Radioactivity was first discovered by accident in 1896 by a French scientist, Henri Becquerel. He was experimenting with fluorescent and phosphorescent materials to help understand the properties of x-rays and their ability to expose photographic film, which had been discovered in 1895 by Wilhelm Roentgen. Upon seeing x-ray exposed film, he immediately thought of putting some phosphorescent rocks on photographic paper to see if it would darken the film in the same way.[8]

He exposed potassium uranyl sulfate to sunlight and then placed it on photographic plates wrapped in black paper.[9] As Becquerel had anticipated, the phosphorescent salts had produced an image on the film. He theorized that the uranium absorbed the sun’s energy and then emitted it as x-rays. His theories were proven false when it became overcast in Paris putting off further experiments for a couple of days. He placed the photographic plates and the uranium salt in a drawer and for some unknown reason, decided to develop the photographic plates anyway.[10] He was surprised to find a strong and clear image exposed onto the film, proving that the uranium emitted radiation without an external source of energy such as the sun. During this fortuitous sequence of events Becquerel had discovered radioactivity.[9]

Marie Curie, who was one of Becquerel's students and her husband Pierre, continued to study radiation while working in Becquerel's lab. While testing an ore of uranium (pitchblende), for its ability to turn air into a conductor of electricity, she discovered that a much more active element than uranium must exist within the ore. She named this new element polonium, and coined the term radioactivity to describe the process.[11] Henri Becquerel, Marie and Pierre Curie jointly received the Nobel Prize in physics in 1903 for their discovery of radioactivity and their other contributions in this area

Beneficial Uses of Radiation


This fact sheet covers the many beneficial uses of radiation. Topics covered include: medicine; scientific research; agriculture and food production; space exploration; naval propulsion; industrial uses; and consumer products and services. Total contribution to the national economy is also detailed Key Facts

􀂄 Modern society uses ionizing radiation, a form of energy abundant in nature, to provide hundreds of beneficial uses. Radioisotopes are both naturally occurring and man-made. They are used safely for medical
diagnosis and treatment, in common household products such as television sets and smoke alarms, to produce electricity, and in basic scientific research, manufacturing, minerals exploration, and agriculture.

􀂄 America’s digital economy and high standard of living would not be possible without radioactive materials. These materials make processes better, easier, quicker and cheaper. In some cases, no alternatives to radioactive materials exist.

􀂄 The U.S. Nuclear Regulatory Commission, together with state regulatory agencies, controls the use and handling of man-made radiation.

􀂄 Radioactive materials also provide substantial economic benefits. Worldwide, nuclear applications in industry alone including measurement gauges, smoke detectors and sterilization of medical supplie account for more than $40 billion each year.

Benefits of Man-Made


Radiation In the 20th century, mankind learned to use radiation to improve the quality of life. The development of nuclear technology is one of the most significant achievements of the 20th century, according to the National Academy of Engineering. Today, people use nuclear technology in nearly every field and aspect of life from medicine to manufacturing and construction, to powering common household items, to
producing electricity for one of every five U.S. homes and businesses.

Here are some of the many ways radiation benefits us all:

Medicine. According to the Society of Nuclear Medicine,

5,000 nuclear medicine centers in the United States perform nearly 18 million nuclear medicine procedures each year. These procedures prolong and improve the quality of people’s lives. Radioisotopes also are used in 100 million laboratory  tests on body fluid and tissue specimens. Today, approximately 500,000 cancer patients in the United States receive radiation treatment at some point in their therapy. Radioisotopes and X-rays aid physicians in diagnosing and treating scores of other diseases.

Nuclear medicine can evaluate the functional performance of various organs. It can do that because different organs use different specific elements more than others. For example, the thyroid uses iodine, bones take up phosphorus and muscles use a lot of potassium. In nuclear medicine, tiny amounts of a radioactive form of these elements are introduced into a patient’s body. The “radioisotopes” are picked up by specific organs, enabling a special camera to take a picture of how that organ is functioning in striking detail. For example:

􀂃 Myocardial perfusion imaging maps blood flow to the heart, allowing physicians to see whether a patient has heart disease and to determine the most effective course of treatment.

􀂃 Bone scans can detect the spread of cancer six to 18 months earlier than X-rays.

􀂃 Kidney scans are much more sensitive than X-rays or ultrasounds in fully evaluating kidney function.

􀂃 Imaging with radioactive technetium-99m can help diagnose bone infections at the earliest possible stage.

􀂃 Laboratory techniques using radioactivity can detect underactive thyroids in newborn babies, making prompt treatment possible and saving many children from mental retardation.

In higher doses, radioisotopes also help treat disease. When  former President George H.W. Bush and Mrs. Bush suffered from Graves’ disease, a thyroid condition, they were cured by drinking a form of radioactive
iodine that concentrates naturally in the thyroid and destroys in the diseased portion. This treatment is so successful that it virtually has replaced thyroid urgery.


Radioactive iodine’s widespread  use in therapy for thyroid cancer results in a lower recurrence rate than drug therapy and voids potentially fatal side effects, such as the destruction of bone marrow.

Saturday, March 12, 2011

TSUNAMI DI JEPUN EARTHQUAKE & TSUNAMI STRUCK IN DEADLY TANDEM

TSUNAMI IN JAPAN

Small tsunami hit Japan after Samoa quake


Wednesday 30th September, 03:42 PM JST

TOKYO —

Small tsunami waves caused by a powerful earthquake that hit Samoa in the Pacific Ocean reached Japan on Wednesday, officials said.

Japan’s Meteorological Agency said tsunami waves, which it described as “very weak,” were registered off the island of Hachijojima about 10 hours after the quake. The agency earlier issued a warning of a possible tsunami all along the eastern coast and said larger waves of up to about 50 centimeters could follow.

There were no reports of injuries or damage in Japan.

The quake, with a magnitude between 8.0 and 8.3, struck around dawn about 32 kilometers below the ocean floor, 190 kilometers from American Samoa, a U.S. territory.

The agency warned residents to be cautious along Japan’s eastern coast from the northern island of Hokkaido to the southern tip of Kyushu island, with the Okinawa islands to the far south also included.

Japan is about 7,600 kilometers northwest of Samoa

TOKYO — Rescuers struggled to reach survivors on Saturday morning as Japan reeled after an earthquake and a tsunami struck in deadly tandem. The 8.9-magnitude earthquake set off a devastating tsunami that sent walls of water washing over coastal cities in the north. Concerns mounted over possible radiation leaks from two nuclear plants near the earthquake zone.


Evacuees gathered on Friday in Shinjuku Central Park in Tokyo, hit hard even though it was far from the epicenter. More Photos »

The death toll from the tsunami and earthquake, the strongest ever recorded in Japan, was in the hundreds, but Japanese news media quoted government officials as saying that it would almost certainly rise to more than 1,000. About 200 to 300 bodies were found along the waterline in Sendai, a port city in northeastern Japan and the closest major city to the epicenter.

Thousands of homes were destroyed, many roads were impassable, trains and buses were not running, and power and cellphones remained down. On Saturday morning, the JR rail company said that there were three trains missing in parts of two northern prefectures.

While the loss of life and property may yet be considerable, many lives were certainly saved by Japan’s extensive disaster preparedness and strict construction codes. Japan’s economy was spared a more devastating blow because the earthquake hit far from its industrial heartland.

Japanese officials on Saturday issued broad evacuation orders for people living in the vicinity of two separate nuclear power plants that had experienced breakdowns in their cooling systems as a result of the earthquake, and they warned that small amounts of radiation could leak from both plants.

On Friday, at 2:46 p.m. Tokyo time, the quake struck. First came the roar and rumble of the temblor, shaking skyscrapers, toppling furniture and buckling highways. Then waves as high as 30 feet rushed onto shore, whisking away cars and carrying blazing buildings toward factories, fields and highways.

By Saturday morning, Japan was filled with scenes of desperation, as stranded survivors called for help and rescuers searched for people buried in the rubble. Kazushige Itabashi, an official in Natori City, one of the areas hit hardest by the tsunami, said several districts in an area near Sendai’s airport were annihilated.

Rescuers found 870 people in one elementary school on Saturday morning and were trying to reach 1,200 people in the junior high school, closer to the water. There was no electricity and no water for people in shelters. According to a newspaper, the Mainichi Shimbun, about 600 people were on the roof of a public grade school, in Sendai City. By Saturday morning, Japan’s Self-Defense Forces and firefighters had evacuated about 150 of them.

On the rooftop of Chuo Hospital in the city of Iwanuma, doctors and nurses were waving white flags and pink umbrellas, according to TV Asahi. On the floor of the roof, they wrote “Help” in English, and “Food” in Japanese. The reporter, observing the scene from a helicopter, said, “If anyone in the City Hall office is watching, please help them.”

The station also showed scenes of people stranded on a bridge, cut off by water on both sides near the mouth of the Abukuma River in Miyagi Prefecture.

People were frantically searching for their relatives. Fumiaki Yamato, 70, was in his second home in a mountain village outside of Sendai when the earthquake struck. He spoke from his car as he was driving toward Sendai trying to find the rest of his family. While it usually takes about an hour to drive to the city, parts of the road were impassable. “I’m getting worried,” he said as he pulled over to take a reporter’s call. “I don’t know how many hours it’s going to take.”

Japanese, accustomed to frequent earthquakes, were stunned by this one’s magnitude and the more than 100 aftershocks, many equivalent to major quakes.

“I never experienced such a strong earthquake in my life,” said Toshiaki Takahashi, 49, an official at Sendai City Hall. “I thought it would stop, but it just kept shaking and shaking, and getting stronger.”

Train service was shut down across central and northern Japan, including Tokyo, and air travel was severely disrupted

Tuesday, March 1, 2011

Tubersilosis...[ TB ]...Batuk Kering

Pengenalan

Apakah batuk kering?..TB

Batuk kering adalah disebabkan oleh jangkitan kuman 'tubercle bacilli'. Ia disebarkan oleh titisan udara apabila pesakit yang mempunyai kuman yang aktif batuk. Paru-paru adalah organ utama yang selalu dijangkiti. Ia juga boleh melibatkan otak, tulang, kelenjar limfa, buah pinggang dan kulit. Batuk kering yang menyerang paru-paru dikenali sebagai 'pulmonary tuberculosis'. Terdapat sebanyak 100 juta penduduk diseluruh dunia dijangkiti batuk kering dimana 8 juta mempunyai jangkitan yang aktif. Sebanyak 2 juta pesakit maut. Pada tahun 2003, sebanyak 15 912 kes batuk kering direkodkan di Malaysia dan 966 dari padanya maut.

Sejarah Program Kawalan Batuk Kering [TB]..Malaysia.

Sebelum peperangan Jepun terdapat sebuah Rumah Kebajikan (Sosial Welfare Home) yang terletak di Batu 3, Jalan Skudai, Johor Bahru (sebahagian daripada Tapak Senaman yang ada sekarang). Rumah Kebajikan Masyarakat itu asalnya adalah sebuah Rumah Sakit Otak (Mental Asylum), kemudiannya dijadikan pula Hospital Pesakit-Pesakit Batuk Kering (Tuberculosis Isolation Hospital) yang dikendalikan oleh Jabatan Perubatan.


Pada bulan Disember, 1945 sebahagian daripada bangunan itu telah diambil alih penyelenggaraannya oleh pihak B.M.A. (British Military Administration) daripada Jabatan Perubatan, dan dijadikan sebuah Pusat Bantuan dan Penerimaan (Relief and Reception Centre) di bawah kelolaan seorang Pegawai Tentera British bernama Lt. B.M. Smith. Pusat ini telah digunakan untuk menempatkan buruh-buruh paksaan yang balik daripada membina "Burma/Siam Death Railway" di Burma dan Siam (Thailand); orang-orang dari negeri jiran yang terdampar di negara ini; pengemis-pengemis dewasa dan kanak-kanak; orang-orang tua; pesakit-pesakit teruk dan orang-orang buta yang tiada tempat kediaman. Pegawai yang menjaga bantuan ketika itu adalah Dato' Awang bin Omar.

HANYA satu hembusan, kuman Tubercle Bacilli mampu berpindah dan menjangkiti ramai individu lain seterusnya 'bersarang' dalam tubuh terbabit bertahun-tahun lamanya. la diam di dalam tubuh seseorang dan menunggu masa; apabila tiba saatnya sistem imunisasi individu itu menjadi lemah antaranya akibat penyakit kencing manis. Aids, barah atau penyakit akibat merokok, kuman itu akan menyerang dan merosakkan organ penghidapnya.


Organ yang paling diminati kuman itu adalah paru-paru selain selaput otak, kelenjar leher dan tulang malah pada tahap kritikal iaitu tanpa rawatan, Tubercle Bacilli mampu menghasilkan kerosakan maksimum sehingga menyebabkan penghidapnya menemui maut.

Penyakit yang dihasilkan kuman itu pernah dikenali sebagai batuk kering di negara ini, suatu ketika dulu. la bagaimanapun digelar Tuberculosis atau Tibi dalam istilah perubatan.

Sejarah menunjukkan Tubercle Bacilli dipercayai wujud sejak 2,500 tahun Sebelum Masihi (BC) tetapi mula dikesan pakar bakteria, Dr Robert Koch pada 1882. Pada zaman awal kajian mengenainya, tibi adalah antara penyakit yang merunsingkan doktor dan ditakuti penduduk dunia. Masakan tidak, dengan sekati hembusan nafas, ia mampu menjangkiti ramai pihak malah kaedah rawatannya pula mengambil masa lama.

Ketua Institut Perubatan Respiratori (IPR), Datin Dr Aziah Ahmad Mahayiddin, berkata sejarah penyakit itu di Malaysia menyaksikan satu pertiga daripada katil di hospital seluruh negara diisi pesakit tibi, sebelum 1960.

"Menyedari kuman ini cepat merebak, kerajaan memulakan langkah kawalan dengan memperkenalkan Program Kawalan Tibi Kebangsaan (PKTK) sekitar 1960. Empat Pusat Tibi Negara (PTN) diwujudkan iaitu di Kuala Lumpur adalah Hospital Lady Tampler dan IPR, Hospital Permai di Johor dan Hospital Tanjung Rambutan di Perak.

"Antara lain PKTK menyediakan program rawatan yang lebih berstruktur dengan PTN mengawasi kewujudan kes Tibi di seluruh negara, menyediakan langkah kawalan, penyelidikan makmal dan mengasingkan pesakit sepanjang rawatan," katanya.

Penemuan ubat bagi mengatasi penyakit itu kemudian dikomersialkan manakala suntikan BCG bagi meningkatkan sistem imun badan dan mencegah serangan Tibi pada organ luar paru-paru mula diperkenalkan kepada bayi, kanak-kanak berusia tujuh dan 12 tahun.

Hasil penciptaan ubat dan program kawalan yang dilakukan, ramai pihak mula menarik nafas lega apabila statistik graf jangkitan Tibi mula menurun dan berkurangan untuk suatu tempoh lama sehinggakan penyakit batuk kering seolah-olah semakin hilang daripada ingatan penduduk.

Keadaan selesa itu berterusan sehinggalah sekitar awal 1990-an apabila penelitian mendapati statistik graf jangkitan Tibi meningkat Kembali daripada 11,778 kes setahun yang dicatatkan pada 1995, ia melonjak kepada hampir 16,000 kes setahun, tahun lalu.

Mungkin ramai tidak menyedari tetapi Tibi turut menyumbang kepada kematian kira-kira 1,500 penduduk negara ini dalam setahun dan dengan peningkatan jumlah kes, kadar kematian juga dijangka meningkat. Dr Aziah berkata, antara faktor peningkatan kes disebabkan bertambahnya jumlah penghidap HIV, kencing manis dan penyakit yang melemahkan sistem imun badan sehingga tidak mampu melawan kuman tibi selain banyaknya kawasan yang sesak dengan manusia.

"Bagaimanapun, Tibi bukanlah penyakit yang berbahaya dan mampu disembuhkan tetapi ia mudah merebak. Mungkin ada individu yang terdedah kepada bakteria Tibi tetapi tidak sakit kerana sistem imun badan mereka kuat.

"Bagi pesakit yang dijangkiti pula, dengan pengambilan ubat berterusan, mereka mampu sembuh. Berlakunya kes kematian pula disebabkan, pesakit mula mendapatkan rawatan ketika sudah pada tahap kronik selain tidak mengambil ubat mengikut jadual ditetapkan.

"Apabila mereka mengambil ubat selama dua minggu dan berasa sihat, mereka mula mengabaikannya menyebabkan bakteria itu tidak mati sebaliknya menjadi kebal terhadap ubat dan menyerang semula," katanya.

Penyakit Tibi juga dikenal pasti sebagai antara tiga penyakit berjangkit yang paling banyak direkodkan di negara ini setiap tahun selain malaria dan denggi. Tibi juga direkodkan antara penyakit berjangkit yang menyebabkan banyak kematian selain malaria, denggi dan Aids.

Sekitar 33 peratus daripada pesakit Aids maut disebabkan jangkitan Tibi berikutan virus HIV memusnahkan sistem imunisasi tubuh pesakit dan akhirnya bakteria Tubercle Bacilli yang ada dalam badan atau baru berjangkit, merosakkan organ badan.

Pada peringkat global pula, Tibi pernah mencetuskan kebimbangan sehingga Pertubuhan Kesihatan Sedunia (WHO) mengisytiharkan 'kecemasan global' pada 1993 dan rekod pihak itu menunjukkan hampir tiga juta penduduk dunia yang menghidap Tibi, maut setiap tahun.

Jika Malaysia mencatatkan hampir 16,000 kes penghidap Tibi baru setiap tahun, WHO mencatatkan hampir lapan juta penghidap baru, setiap tahun serta mendahului carta penyakit berjangkit yang membawa kematian.

Berbanding penduduk Malaysia, pendatang asing di negara ini hanya mencatatkan antara 10 hingga 14 peratus kes jangkitan Tibi.

Petikan: Berita Minggu
6 Ogos 2006

LAGI SEJARAH TB DUNIA & MALAYSIA..

WALAUPUN rawatan perubatan moden untuk penyakit tibi adalah yang paling berkesan dan paling murah untuk sesuatu penyakit yang boleh membawa maut, tibi masih lagi merupakan salah satu punca utama kesengsaraan dan kematian di seluruh dunia.


Tibi adalah suatu penyakit berjangkit. Ia merebak melalui udara dan titisan cecair badan daripada pesakit kepada orang lain. Kuman yang menyebabkan penyakit tibi ialah sejenis bakteria dipanggil Mycobacterium tuberculosis.

* Sejarah

Penyakit tibi diketahui wujud sejak dari tahun 8,000 sebelum Masihi di mana terdapat kesan-kesan penyakit tibi di tulang belakang mumia Firaun.

Pada tahun 460 sebelum Masihi, Hippocrates iaitu bapa perubatan telah menamakan penyakit itu sebagai pthisis.

Ibnu Sina di dalam bukunya Kanun Perubatan mengetahui bahawa tibi diumpamakan sebagai suatu penyakit yang berjangkit.

Pada kurun ke-16, tibi dikenali sebagai consumption. Di Malaysia, pada kurun ke-20 penyakit ini dikenali sebagai “batuk kering”.

Pada tahun 1950an, penyakit tibi merupakan pembunuh utama penduduk di Tanah Melayu (Malaya). Pada tahun 1961, Program Kawalan Tibi Kebangsaan ditubuhkan dan semua pesakit tibi dirujuk ke Pusat Tibi Negara di Jalan Pahang, Kuala Lumpur (sekarang dikenali sebagai Institut Perubatan Respiratori).

Pada kurun ke-19, tibi hampir memusnahkan seluruh Eropah dan Amerika. Tibi pada masa itu juga dipanggil hawar putih untuk menyamakannya dengan penyakit hawar hitam (plague) yang telah meragut banyak nyawa di benua Eropah dan Amerika pada kurun ke-18.

“Musuh” kepada kesengsaraan dan kematian manusia ini telah dikenal pasti oleh seorang ahli sains bernama Robert Koch. Beliau menemui bakteria mycobacterium tuberculosis pada 24 Mac 1883.

Mengambil sempena penemuan bakteria pada tarikh itu, 24 Mac telah dijadikan hari memperingati tibi sedunia pada tiap-tiap tahun.

Penyakit tibi tidak mengenal batasan sama ada kekayaan atau kemasyhuran seseorang. Sebagai contoh, Elanor Roosevelt iaitu bekas wanita pertama Amerika dan George Orwell, pengarang buku pada tahun 1984 telah diserang penyakit tibi. Ahli politik ke ahli falsafah, raja-raja ke orang biasa, pelukis ke paderi, doktor ke ahli muzik, semuanya pernah menghidap atau mati disebabkan oleh penyakit tibi.

* Situasi global

Pertubuhan Kesihatan Sedunia (WHO) meramalkan peningkatan penyakit tibi setiap tahun dan dianggarkan insiden tibi mencecah 12 juta sehingga tahun 2005. Satu pertiga daripada penduduk dunia dijangkiti kuman tibi dan setiap tahun, tibi membunuh hampir dua juta penduduk dunia.

* Tuberkulosis Secara Klinikal

Kuman Mycobacterium tuberculosis merebak melalui udara dan titisan daripada pengidap penyakit tibi aktif.

Selain daripada itu, penyebaran penyakit ini adalah melalui pemakanan di mana pada suatu masa dahulu semasa susu tidak dipasturkan, kuman mycobacterium bovis dari susu lembu diminum dan menyebabkan tibi di bahagian usus.  Tibi juga boleh menjangkiti seseorang di kulit secara terus jika terdapat luka yang terbuka di kulit. Walau bagaimanapun cara yang paling biasa ialah melalui udara yang tercemar dan titisan.

Seseorang yang terdedah kepada udara yang tercemar dengan kuman tibi akan menghidu kuman ke dalam saluran pernafasan melalui hidung, mulut, larinks dan kuman boleh hinggap di mana-mana sahaja bahagian tersebut.

Kuman tibi akan melalui salur pernafasan dan menghinggap di bahagian atas paru-paru (selalunya paru-paru sebelah kanan). Seseorang yang mempunyai sistem daya tahan (imuniti) yang baik boleh melawan kuman tibi ini secara semula jadi. Jangkitan kuman tibi kali pertama juga boleh diatasi dengan tidak memakan apa-apa ubat.

Bagi mereka yang sistem daya tahan badannya rendah (immunocompromised/immunosuppressed), mereka tidak terdaya untuk berbuat demikian . Mereka ini boleh mendapat jangkitan yang terus menular ke dalam salur darah dan limfa atau kedua-duanya sekali. Ini dipanggil tibi primer (Primary Tuberculosis).

Bagi mereka dengan sistem imuniti yang baik, mungkin terdapat 20 peratus kuman tibi hidup secara dorman (tidak aktif) di dalam klasifikasi granuloma (calcified granuloma). Jika pada suatu masa sistem daya tahan badan golongan ini terjejas, kuman-kuman yang dorman itu boleh membiak semula secara aktif dan menyebabkan jangkitan tibi aktif semula (reactivation tibi).

Proses yang berlaku ialah pembentukan granuloma, radang paru-paru dan kaviti-kaviti (lubang-lubang) di dalam paru-paru. Kuman tibi membiak secara aktif di dalam kaviti-kaviti sehingga berjuta-juta kuman berkembang dan apabila pesakit batuk, bercakap atau bersin, berjuta-juta kuman dikeluarkan ke udara seterusnya mencemari udara.


* Rawatan

Rawatan tibi melibatkan pengubatan dikenali sebagai Short Course Chemotherapy (SCC) selama enam hingga sembilan bulan.

Pada dua bulan pertama, iaitu dipanggil fasa intensif, pesakit mengambil ubat pada setiap hari. Pada bulan seterusnya, pesakit mengambil ubat dua hingga tiga kali seminggu yang dipanggil continous atau maintenance therapy.

Pemberian ubat adalah secara DOTS (Directly Observed Therapy Short Course). DOTS adalah kaedah rawatan yang mempunyai lima cabang.

Salah satu cabang DOTS ialah pesakit dimestikan memakan (menelan) ubat di hadapan pemberi rawatan atau di hadapan seseorang yang boleh dipercayai seperti anggota kesihatan, ibu, isteri, ketua kampung dan sebagainya.

Buku rawatan mesti ditandatangani. Ini adalah penting kerana rawatan tibi mengambil masa berbulan-bulan dan pesakit mesti dipastikan memakan ubat tanpa putus. Jika tidak, penyakit boleh datang semula dan kemungkinan kuman tibi akan menjadi rentan (membentuk ketahanan) kepada ubat tibi.


Tanda dan Gejala

Apakah gejala batuk kering?

■Batuk berpanjangan selama 2 minggu atau lebih

■Batuk berdarah

■Demam dan berpeluh pada waktu petang atau malam

■Hilang selera makan atau turun berat badan

■Sakit dada semasa batuk atau bernafas secara dalam

■Mudah letih dan lemah

Apakah perlu saya lakukan sekiranya mempunyai tanda-tanda dan gejala tersebut?

Sekiranya ada, anda perlu dapatkan pemeriksaan:

■Ujian kahak yang dilakukan di klinik kesihatan atau hospital

■X-ray dada

Pengesahan penyakit dan rawatan batuk kering terdapat di mana-mana klinik kesihatan dan hospital kerajaan.

Komplikasi

Adakah batuk kering merbahaya?

Sekiranya tidak dikesan, ia boleh merebak ke otak, tulang, kelenjar limfa, buah pinggang dan kulit. Ahli keluarga dan orang berdekatan dengan pesakit adalah dinasihatkan untuk mendapatkan pemeriksaan lanjut.

Rawatan

Adakah batuk kering boleh sembuh dan apa rawatannya?

Ya, ia boleh sembuh. Rawatan batuk kering di Malaysia menggunakan sistem DOTS (Directly Observed Treatment Short course)yang diiktiraf oleh World Health Organization. Ia bermaksud ubat diambil dibawah pengawasan petugas kesihatan dalam tempoh tertentu.

■Rawatan perlu diambil selama 6 bulan

■Ubat hendaklah diambil dibawah pengawasan petugas kesihatan terlatih sepanjang rawatan

■Rawatan harian untuk 2 bulan pertama diikuti 2 kali seminggu selama 4 bulan

■Sekiranya rawatan diikuti sepenuhnya pesakit dapat sembuh

Pencegahan

Bagaimana saya boleh mencegah batuk kering?

Terdapat beberapa cara pencegahan:

i.Suntikan BCG dapat melindungi kanak-kanak daripada batuk kering. Ia diberikan semasa bayi dan murid darjah 1 sekiranya tiada parut suntikan.

ii.Mendapat rawatan segera sekiranya batuk berpanjangan selama 2 minggu atau lebih.

iii.Ahli keluarga dan orang berdekatan dengan pesakit dinasihatkan mendapat pemeriksaan lanjut.

iv.Pastikan rumah anda menerima cahaya matahari secukupnya kerana ia dapat membunuh bakteria di udara.

v.Membuka tingkap rumah untuk pengudaraan yang baik

vi.Amalkan gaya hidup sihat dan pemakanan yang seimbang.

Kumpulan sokongan

■Sila rujuk pejabat kesihatan terdekat untuk sebarang pertanyaan

■The Malaysian Association for The Prevention of TB (MAPTB) atau Persatuan TB Tempatan

Laman web untuk maklumat lanjutan :

•http://www.who.int/tb/en/

•http://www.stoptb.org/

SALAH FAHAM MENGENAI BATUK KERING & PENYAKIT  [TB]

SINARIO YANG BOLEH DI KONGSI BERSAMA..?

As'salammualaikum..

Hari nie terdetik di hati aku nak share something dengan u all.. Suatu pengamalam yang sangat mengerikan dalam hidup aku.. Kisahnya begini 3 tahun yang lepas aku pernah mengalami batuk yang berpanjangan.. Dari berminggu sehinggalah berbulan tapi still tak ok.. Ubat batuk jangan cakap la dari ubat yang jenis sirap , pil sehinggalah petua-petua orang lame semuanya aku cuba tapi tetap mengecewakan.Sehinggalah sampai satu tahap tue aku dah mula batuk berdarah..OMG! what happen to me.. Bila dah semakin teruk aku pun pergi la jumpa doktor..Alhamdulillah lega hati bila doktor beritahu aku just batuk biasa je.. Kena kurangkan makanan berminyak , ais batu dan banyakkan minum air suam..

Aku cuba la ikut nasihat doktor tapi batuk aku still berlarutan yang pelik sepanjang aku batuk tak ada sedikit pun mengeluarkan kahak.. Bonda dah semakin risau coz kalau dengar pada bunyi batuk aku nie macam batuk kering.. So atas nasihat keluarga aku dapatkan pula rawatan di hospital.. Tapi malangnya keputusanya tetap sama just batuk biasa.. Orang kata batuk paling lame pun 100 hari tapi kalau dah makan berbulan batuk apa pulak tue...

So bila batuk aku nie dah semakin kerap mengeluarkan darah aku jadi semakin cemas.. Efect juga pada kerja mane taknya bile sekali batuk mesti sakit dada dan nafas pun tercungap-cungap je.. Bila dah tak tahan aku ambil keputusan untuk berubat secara kampung.. Berjumpa la aku dengan seorang ustaz nie yang pernah menetap di Mekah selama berbelas tahun..Apa yang ustaz tue beritahu sangat mengejutkan aku..Ya allah aku kena santau...Aku tak pernah bermusuh mahupun menyakiti hati siapa-siapa pun tapi kenapa aku jadi mangsa ilmu hitam nie..

Bila dah di jelaskan barulah aku faham rupa-rupanya santau yang aku kena nie bukan la di hantar oleh orang tetapi aku tersalah pilih kedai makan..Mungkin orang dengki dengan kedai makan tue jadi pelangganya pun turut terkena tempiasnya.. Alhamdulillah selepas berubat segala darah-darah kotar dalam badan aku dapat di keluarkan dengan cara memuntahkanya.. Selepas pada tue batuk aku beransur-ansur pulih.. Kalau kena pun just batuk-batuk biasa je selepas seminggu dua sembuh la..Tapi ...

Selepas demam hari tue aku mula batuk-batuk balik sehinggalah ke hari nie.. Batuk tidak berkahak dan cuma ada masa-masa je akan batuk.. Aku mula risau takut kejadian lame berulang..Bukan apa menurut kata ustaz tue dulu orang yang terkena santau nie tidak di benarkan memakan makanan yang berbisa seperti nenas , rebung dan cuka tapi baru-baru nie aku ada makan gulai rebung sebab mengidam sangat.. Lepas pada tue batuk aku makin menjadi-jadi tapi nasib baik la tak berdarah.. Makan ubat batuk pun tak berkesan .. aduh risau sangat.. Kalau korang ada pape petua yang dapat menyembuhkan batuk nie please kongsi dengan aku.. SEKIAN CERITA DARI ORANG YANG MUNGKIN SALAH FAHAM MENGENAI PENYAKIT..TB.?