air susu ibu
TRANSCRIPT
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Air Susu IbuAir Susu Ibu & &
Tumbuh Tumbuh KembangKembang
Prof.Muzief Munir ,SpAKProf.Muzief Munir ,SpAKBagian Ilmu Kesehatan AnakBagian Ilmu Kesehatan Anak
FK UsaktiFK Usakti
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PERAN ASIPERAN ASINilai Ekonomi Family Planning Nilai Ekonomi Family Planning
Anti Infeksi Kesehatan Ibu Anti Infeksi Kesehatan Ibu
MenyusuiMenyusui Mother-Child Mother-Child
BondingBonding NutrienNutrien Ransangan PsikososialRansangan Psikososial
Tumbuh KembangTumbuh Kembang
Kulalitas HidupKulalitas Hidup
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Volume Air Susu IbuVolume Air Susu Ibu Negeri/Penulis Volume ASI ( CC )Negeri/Penulis Volume ASI ( CC ) < 6 bln 6–12 bln 12-24 bln< 6 bln 6–12 bln 12-24 bln Afrika Afrika Senecal (1973) Senecal (1973) 583-659 583-659 648-685 738-702648-685 738-702
AsiaAsia ( Jeliffe,1978 ) ( Jeliffe,1978 ) 500-700 400-600 300-500500-700 400-600 300-500
IndonesiaIndonesia ( Blankhart,1968 ) ( Blankhart,1968 ) 400-820400-820 360-520 190-450360-520 190-450
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Anti Infeksi dlm ASI Anti Infeksi dlm ASI 1. Fraksi Imunoglobulin1. Fraksi Imunoglobulin a. Serum Imunoglobulina. Serum Imunoglobulin IgG,IgM dan IgAIgG,IgM dan IgA b. Secretory Immunoglobulin : b. Secretory Immunoglobulin : SIgASIgA
. Non-Immunoglobulin. Non-Immunoglobulin a. Seluler ( Lekosit,limfosit )a. Seluler ( Lekosit,limfosit ) b. Non-Selularb. Non-Selular - Lisozim- Lisozim - Laktoferin- Laktoferin - Faktor Bifidus ------- Pertumbuhan - Faktor Bifidus ------- Pertumbuhan
Kuman Kuman LaktobasilusLaktobasilus - Residu Karbohidrat ( Glikoprotein - Residu Karbohidrat ( Glikoprotein Oligosakarida )Oligosakarida ) 22
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ASI & Kematian BayiASI & Kematian Bayi
05
101520253035404550
Neonatus 3 bulan 6 bulan
ASIASI+FormFormula
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ASI & GIZIASI & GIZIKomposisi ASIKomposisi ASI
Protein : 1.1.gr/100 ccProtein : 1.1.gr/100 cc
Lemak : 3.8 gr/100 ccLemak : 3.8 gr/100 cc
CH (Laktosa): 7 gr/100 ccCH (Laktosa): 7 gr/100 cc
Mineral : 0.2 gr/100 ccMineral : 0.2 gr/100 cc
Kalori : 67 kcal/100 ccKalori : 67 kcal/100 cc
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Air Susu MamaliaAir Susu MamaliaSpesies Protein Laktosa Lemak Mineral Spesies Protein Laktosa Lemak Mineral (gr/100cc)(gr/100cc)Manusia 0.9-1.1 7 3.8 0.2Manusia 0.9-1.1 7 3.8 0.2Sapi 3.4 4.8 3.7 0.7Sapi 3.4 4.8 3.7 0.7Kuda 2.5 6.2 1.9 0.5 Kuda 2.5 6.2 1.9 0.5 Kambing 2.9 4.1 4.5 0.8Kambing 2.9 4.1 4.5 0.8Beri-Beri 5.5 4.8 7.4 1Beri-Beri 5.5 4.8 7.4 1Tikus 12 3 15 2 Tikus 12 3 15 2 Orang Utan 1.5 6 3.5 0.2Orang Utan 1.5 6 3.5 0.2
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Fraksi Protein Air SusuFraksi Protein Air Susu
Casein WheyCasein Whey (Gr/100 cc )(Gr/100 cc )
Air Susu Ibu 0.4 0.6Air Susu Ibu 0.4 0.6
Orang Utan 1.1 0.4Orang Utan 1.1 0.4
Sapi 2.72 (80%) 0.68 (20%)Sapi 2.72 (80%) 0.68 (20%)
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Gizi Ibu & Kualitas Asi Gizi Ibu & Kualitas Asi
Gizi Baik Gizi BurukGizi Baik Gizi Buruk
Protein 1.1 1.06Protein 1.1 1.06( Gr/100 cc ) 1.16 1.35( Gr/100 cc ) 1.16 1.35 1.09 1.301.09 1.30 Laktosa 6.8 7.51 Laktosa 6.8 7.51 6.95 7.106.95 7.10 6.65 6.56.65 6.5 Lemak 4.78 4.42Lemak 4.78 4.42 4.43 4.054.43 4.05 4.5 3.424.5 3.42
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ASI ( Sumber Kalori )ASI ( Sumber Kalori )
Umur Prosentase Umur Prosentase
0 – 6 bln 100% dari kebutuhan0 – 6 bln 100% dari kebutuhan
6-12 bln 75% ( ? )6-12 bln 75% ( ? )
1-2 Thn 52% ( ? )1-2 Thn 52% ( ? )
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Colostrum & Mature Colostrum & Mature MilkMilk
Colostrum Colostrum Mature Mature MilkMilk
Asam Amino Esensial Asam Amino Esensial ( 1-5 hari)( 1-5 hari) ( mg ) ( mg )( mg ) ( mg ) Arginin 126 51Arginin 126 51Histidin 57 23Histidin 57 23Isoleusin 121 86Isoleusin 121 86Leusin 221 161Leusin 221 161Lysin 163 79Lysin 163 79Methionin 33 23Methionin 33 23Phenil alanin 105 64Phenil alanin 105 64Threonin 148 62Threonin 148 62
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Asam Amino Esensial Asam Amino Esensial ASIASI ASI kaya asam amino esensial (45%)ASI kaya asam amino esensial (45%) Histidin Histidin IsoleusinIsoleusin LeusinLeusin LysinLysin Methionin Methionin Neonatus Neonatus PhenilalaninPhenilalanin ThreoninThreonin ValinValin TriptofanTriptofan Cystin Cystin Taurin Taurin PrematurPrematur
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Antibacterial & BreastmilkAntibacterial & Breastmilk
Colostrum Mature MilkColostrum Mature Milk Gizi Baik Gizi buruk Gizi Baik Gizi BurukGizi Baik Gizi buruk Gizi Baik Gizi BurukIgA 335,9 374.3 119.6 118.1IgA 335,9 374.3 119.6 118.1( mg/100 cc)( mg/100 cc)IgG 5.9 5.3 2.9 5.8IgG 5.9 5.3 2.9 5.8( gr/100 cc )( gr/100 cc )IgM 17.1 15.3 2.9 5.8IgM 17.1 15.3 2.9 5.8( gr/100cc)( gr/100cc)Lysozim 14.2 16.4 24.8 23.3Lysozim 14.2 16.4 24.8 23.3( mg/100 cc )( mg/100 cc )Laktoferin 420 520 250 270Laktoferin 420 520 250 270( mg/100 cc )( mg/100 cc )
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Status Gizi – Usia Status Gizi – Usia PenyapihanPenyapihan
Kelompok UmurKelompok Umur Status giziStatus gizi > 80% 60-80% <60%> 80% 60-80% <60%
0 – 6 bn 39% 57% 4%0 – 6 bn 39% 57% 4%
6 – 12 bln 46% 54% -6 – 12 bln 46% 54% -
> 12 bln 65.9% 29.6% 0.7%> 12 bln 65.9% 29.6% 0.7%
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Problematik MenyusuiProblematik Menyusui1.1. Ibu Sakit Menular : HIVIbu Sakit Menular : HIV Hepatitis BHepatitis B TBCTBC2.2. Ibu Narkoba atau PerokokIbu Narkoba atau Perokok3.3. Anatomi Putting SusuAnatomi Putting Susu4.4. Ibu Bekerja Ibu Bekerja 5.5. Kepercayaan : Ibu hamil tidak boleh Kepercayaan : Ibu hamil tidak boleh
menyusuimenyusui
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Breast Feeding and Infant-Mother Breast Feeding and Infant-Mother BondingBonding
11. Sentuhan /Dekapan ibu. Sentuhan /Dekapan ibu 2. Eye to Eye Contact2. Eye to Eye Contact 3. Odor3. Odor 4. Heat4. Heat 5. Bacterial Flora of GI tract5. Bacterial Flora of GI tract
Growth & DevelopmentGrowth & Development
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Beberapa Persyaratan Susu FormulaBeberapa Persyaratan Susu Formula
1.1. Densitas Kalori sekitar 67 cal/100 ccDensitas Kalori sekitar 67 cal/100 cc2.2. Osmolaritas sekitar 300 mosml dan Osmolaritas sekitar 300 mosml dan tidak boleh lebih dari 400 mosmltidak boleh lebih dari 400 mosml3. Protein sekurang-kurangnya 1.8 gr/dl3. Protein sekurang-kurangnya 1.8 gr/dl dan tidak boleh lebih dari 4.5 grdan tidak boleh lebih dari 4.5 gr4. Lemak mensuplai sekurang-kurangnya 30%4. Lemak mensuplai sekurang-kurangnya 30% dan tidak boleh lebih dari 57% kebutuhandan tidak boleh lebih dari 57% kebutuhan kalori dan 2.7% asam lemak esensialkalori dan 2.7% asam lemak esensial
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The Risk of Bottle The Risk of Bottle FeedingFeeding1.1. Higher infant mortality ratesHigher infant mortality rates2.2. DiarrhoeaDiarrhoea3.3. Upper Respiratory InfectionUpper Respiratory Infection4.4. NEC ( Necrotising Enterocolitis )NEC ( Necrotising Enterocolitis )5.5. Allergic Reaction – CMEPAllergic Reaction – CMEP
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