Muhasabah Cinta

Judul : Muhasabah Cinta
Album : Muhasabah Cinta
Munsyid : edCoustic
http://liriknasyid.com

Intro  : Dm   C    F
Bb    Gm  A

Dm                                 A
Wahai Pemilik Nyawaku
Dm                                Gm
Betapa lemah diriku ini
C                           F
Berat ujian dariMu
Bb                                    A
Kupasrahkan semua padaMu

Tuhan baru kusadar
Indah nikmat sehat itu
Tak pandai aku bersyukur
Kini kuharapkan CintaMu

Reff :
Gm                                         C
Kata-kata cinta terucap indah
F                                         Bb
Mengalir berdzikir dikidung doaku
Gm                   A                           Dm
Sakit yang kurasa biar jadi penawar dosaku
Gm                                      C
Butir-butir cinta air mataku
F                                            Bb
Teringat semua yang Kau beri untukku
Gm                    A                  Bb
Ampuni khilaf dan salah selama ini ya ilahi
A                             Dm
Muhasabah cintaku

Tuhan kuatkan aku
Lindungiku dari putus asa
jika kuharus mati
Pertemukan aku denganMu

ABOUT BYPASS PROSEDURE ( CABG )

What happens after a cardiac bypass procedure?

After the cardiac bypass operation, you will spend 5 - 7 days in the hospital. You will spend the first 2 hours in an intensive-care unit (ICU). In the ICU, heart function is monitored continuously. You may need the temporary assistance of a breathing tube for a few hours after surgery. Two to three tubes in the chest drain fluid from around the heart and are usually removed 1 - 3 days after surgery. A urinary catheter in the bladder drains urine until you are able to void on your own. Intravenous lines (IV) provide fluids and medications. Nurses watch the monitors and check vital signs (pulse, temperature, breathing) constantly. When constant monitoring is no longer needed, usually within 12 - 24 hours, you will be moved to a regular or a transitional care unit. You can gradually resume activity. You may begin a cardiac rehabilitation program within a few days. The incision in the chest does not bother most people after the first 48 - 72 hours.

After surgery, it takes 4 - 6 weeks to start feeling better. It is normal during recovery to:
* Have a poor appetite -- it will take several weeks for it to return.
* Have swelling in the leg if the graft was taken from the leg. Raising the leg and wearing elastic TED hose for several weeks helps reduce swelling.
* Have difficulty sleeping at night -- this will improve.
* Have constipation.
* Have mood swings and feel depressed -- this will get better.
* Have difficulty with short-term memory or feel confused -- this also improves.

Post-operative care guidelines following a CABG procedure

Your doctor will help you determine the schedule for resuming normal activities but general post-operative care routine guidelines include:
* Strictly follow your doctor`s direction for taking all prescribed medications.
* You may be given a tight elastic support stocking to wear around your calf to help reduce swelling.
* Discomfort around the wound site is normal when sneezing and coughing.
* Watch for symptoms of infection at the wound site such as redness, drainage of pus, heat, or increasing pain.
* If you develop problems such as difficulty breathing, or a swollen and tender calf muscle, contact your surgeon or doctor immediately.
* Strictly avoid lifting, pulling or pushing heavy objects for at least six to eight weeks following your surgery.
* Eat a wide variety of fresh fruit and vegetables, wholegrain cereals and cold-water fish (such as salmon, tuna, sardines, mackerel, swordfish and sea mullet) while avoid consuming saturated fats such as those found in animal products and dairy foods.
* All activities that do not cause fatigue are permitted. You must follow your surgeon`s advise on exercise and physical fitness.
* You may resume sexual activities 4 weeks after surgery.
* Quit smoking

Wound Healing

Categories of Wound Healing

Category 1

Primary wound healing or healing by first intention occurs within hours of repairing a full-thickness surgical incision. This surgical insult results in the mortality of a minimal number of cellular constituents.

Category 2

If the wound edges are not reapproximated immediately, delayed primary wound healing transpires. This type of healing may be desired in the case of contaminated wounds. By the fourth day, phagocytosis of contaminated tissues is well underway, and the processes of epithelization, collagen deposition, and maturation are occurring. Foreign materials are walled off by macrophages that may metamorphose into epithelioid cells, which are encircled by mononuclear leukocytes, forming granulomas. Usually the wound is closed surgically at this juncture, and if the "cleansing" of the wound is incomplete, chronic inflammation can ensue, resulting in prominent scarring.

Category 3

A third type of healing is known as secondary healing or healing by secondary intention. In this type of healing, a full-thickness wound is allowed to close and heal. Secondary healing results in an inflammatory response that is more intense than with primary wound healing. In addition, a larger quantity of granulomatous tissue is fabricated because of the need for wound closure. Secondary healing results in pronounced contraction of wounds. Fibroblastic differentiation into myofibroblasts, which resemble contractile smooth muscle, is believed to contribute to wound contraction. These myofibroblasts are maximally present in the wound from the 10th-21st days.

Category 4

Epithelization is the process by which epithelial cells migrate and replicate via mitosis and traverse the wound. This occurs as part of the phases of wound healing, which are discussed in Sequence of Events in Wound Healing. In wounds that are partial thickness, involving only the epidermis and superficial dermis, epithelization is the predominant method by which healing occurs. Wound contracture is not a common component of this process if only the epidermis or epidermis and superficial dermis are involved.

ACUT CORONARY SINDROM

Unstable angina pectoris (UAP), NSTEMI, and STEMI: What separates?
Unstable AnginaCausing things: • thrombus partially or intermittent that occlude coronary arteries 
Signs and Symptoms • Pain with or without the propagation of the arms, neck, back, or epigastric region 
• Shortness of breath, diaphoresis, nausea, mild headache, tachycardia, tachypnea, hypotension or hypertension, decreased arterial oxygen saturation (SaO2) and heart rhythm abnormalities • There is at rest or with activity; intolerance of activity 
Diagnostics • ST-segment depression or T wave inversion on electrocardiography • cardiac biomarkers (CK, MB, Trop I, Trop T) does not rise.  
Treatments • Oxygen to maintain the level of oxygen saturation more than 90% (SpO2> 90%) •Nitroglycerin or morphine to control pain • b-blockers, angiotensin-converting enzyme inhibitors, statins (started on admission and continued long-term), clopidogrel (Plavix), unfractionated heparin or lowmolecular-weight heparin, and glycoprotein IIb / IIIa inhibitors

Non-ST-Segment Elevation Myocardial infarction (NSTEMI) 
That which causes • thrombus partially or intermittent that occlude coronary arteries  
Signs and Symptoms • Pain with or without radiation to arm, neck, back, or epigastric region • Shortness of breath, diaphoresis, nausea, mild headache, tachycardia, tachypnea, hypotension or hypertension, decreased arterial oxygen saturation (SaO2) and rhythm disorders • There is at rest or with activity; activity intolerance• long in duration and more severe than unstable angina.
Diagnostic Findings • ST-segment depression or T wave inversion on electrocardiography • cardiac biomarker rise
Treatments • Oxygen to maintain the level of SaO2 at> 90% • Nitroglycerin or morphine to control pain • b-blockers, angiotensin-converting enzyme inhibitors, statins ( started on admission and continued long-term), clopidogrel (Plavix), unfractionated heparin or lowmolecular-weight heparin, and glycoprotein IIb / IIIa inhibitors • heart catheterization and possible percutaneous coronary intervention in patients with ongoing chest pain, hemodynamic instability, or increased risk of clinical worsening
Unstable angina, myocardial non-ST-segment MI (NSTEMI) and ST-segment myocardial infarction (STEMI) differ in relation to the duration, severity, and treatment, but those differences can be difficult to remember.

ST-Segment Elevation MyocardialInfarction (STEMI)
Things Cause • Obstruction of total coronary artery thrombusSigns and Symptoms• Pain with or without radiation to arm, neck, back, or epigastric region• Shortness of breath, diaphoresis, nausea, mild headache, tachycardia, tachypnea, hypotensionor hypertension, decreased arterial oxygen saturation (SaO2), and rhythm disorders• There is at rest or activity; limited activity• Length in duration and more severe than unstable angina (irreversible tissue damage[Infarction] occur if perfusion is not refundable) 
Diagnostic Findings • ST-segment elevation or new left bundlebranch block on electrocardiography• Elevated cardiac biomarkers 
Treatments • Oxygen to maintain the level of SaO2 at> 90%• Nitroglycerin or morphine to control pain• b-blockers, angiotensin-converting enzyme inhibitors, statins (started on admission andcontinued long-term), clopidogrel (Plavix), unfractionated heparin or LWMH• percutaneous coronary intervention within 90 minutes of medical evaluation• fibrinolytic therapy within 30 minutes of medical evaluation
(Anderson JL, et al. Circulation 2007; 116 (7): e148-e304; Hazinski MF, et al., Editors. Handbook of emergency cardiovascular care for healthcare providers. Dallas:American Heart Association, 2008.)