dr. Samuel Pola Karta Sembiring Dokter umum lulusan Fakultas Kedokteran Universitas Sumatera Utara. Menyelesaikan studi pendidikan dokter pada tahun 2015. Tertarik dengan ilmu kedokteran dan bidang IT. Pernah mengabdi di RSUD Arga Makmur Bengkulu Utara dan bekerja di RSU Martha Friska Medan. Saat ini penulis sedang menjalani residensi Ilmu Bedah di Universitas Padjadjaran.

Konsultasi#358: Bentol-bentol di dalam Tenggorokan

27 sec read

Mau tanya, di dalam tenggorokan saya ada semacam bentol-bentol di belakang amandel. Dan kadang hilang dan ada lagi. Saya pernah merokok dan vape namun sekarang sudah berhenti. Saya lihat tenggorokan kakak saya juga sama, dia seorang perokok juga.

Waktu saya cek darah, hasilnya sehat saja. Bentol-bentol gak ada rasa sakit, mengganjal. Rasanya normal aja.

Jawab:

Selamat siang. Fotonya ada kah mas?

Karena bisa jadi itu hanyalah tonjolan-tonjolan mukosa dalam rongga mulut. Dan itu masih dalam batas normal.

Jika tidak ada keluhan seperti gangguan menelan atau nyeri menelan atau tampak benjolan di leher, maka hal itu bisa diabaikan. Tetap jaga kebersihan rongga mulut dengan rajin berkumur (berkumur dengan betadine kumur lebih dianjurkan), serta mengonsumsi makanan dan minuman yang tidak terlalu dingin dan tidak terlalu panas.

Semoga bermanfaat, terima kasih.

dr. Samuel Pola Karta Sembiring Dokter umum lulusan Fakultas Kedokteran Universitas Sumatera Utara. Menyelesaikan studi pendidikan dokter pada tahun 2015. Tertarik dengan ilmu kedokteran dan bidang IT. Pernah mengabdi di RSUD Arga Makmur Bengkulu Utara dan bekerja di RSU Martha Friska Medan. Saat ini penulis sedang menjalani residensi Ilmu Bedah di Universitas Padjadjaran.

Cara Menghitung Ankle to Brachial Index

Cara menghitung Ankle Brachial Index ABI adalah pengukuran untuk menilai tekanan/perfusi ke distal/ekstremitas inferior. Ukur tekanan darah lengan atas terlebih dahulu. Kemudian pilih tekanan...
dr. Samuel Pola Karta Sembiring
15 sec read

32 Replies to “Konsultasi#358: Bentol-bentol di dalam Tenggorokan”

  1. As properly as targeting your front delts, the barbell overhead press will also
    hit your pecs, traps and mid-back. You May simply be doing three sets of this exercise, with a focus on eccentric reps.
    But then we throw in a burn out set to completely annihilate the
    shoulders. If you do should do the job your self,
    make it quick then get back underneath the bar. Now pump out another 10 reps.

    Then carry out one other 50% weight drop and rep out with a ultimate 10 reps.
    That means that your ultimate two units may have you
    doing 30 reps per set. That will be sure that every single muscle fiber is on hearth
    by the time you walk away from the incline bench.

    We can beat back age-related muscle loss, termed sarcopenia, with train that options
    a combo of cardio and power training. The transverse abdominis can be strengthened via resistance training.

    When it’s sturdy, we will shield ourselves from falls or other mishaps,
    and enhance our type and skill to do the activities we love.
    Analysis exhibits that energy coaching can enhance and prolong EPOC, particularly when it’s done as part of a HIIT exercise.
    And no matter your gender, you’re not going to get
    a “bulked-up” bodybuilder look with no severe fitness and diet program
    specialized for that purpose. Gaining solid weight may be rather difficult for some folks whether or not it’s in the type of fats or muscle.

    Now, there can be a few totally different causes for this however to keep it
    easy, a quick metabolism, small appetite, and
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    This mass gainer also boasts high-quality carbohydrates
    whereas also being rich in BCAAs, creatine, and glutamine.

    Hyper Achieve Mass is a high-calorie mass gainer
    with over 1345 calories per serving developed to optimise muscle growth and enhance muscle
    protein synthesis. Consuming sufficient calories and protein helps with muscle recovery and progress after a exercise.

    For others, the health club is needed to mentally prepare them for a exercise (plus,
    there is normally a wider range of exercise gear available).

    Perform a set till close to failure with a given weight, then instantly lower the load and rep once
    more to failure. By eating irregularly, the
    metabolism slows down, making it easier to eat with a caloric surplus.
    Though training for one will enhance the opposite, you probably can take steps to focus on one over the opposite.

    It’s received twice as many calories per gram than carbohydrates or protein, so it’s an incredibly environment
    friendly vitality supply for adding mass. Even though you’ll gain body mass extra slowly, you’ll placed on relatively much less physique fat as a
    operate of muscle mass gain. Mass gainers also are not a good idea in case you are
    skinny and looking to acquire weight, but don’t really train much.
    HMB might assist improve muscle mass in people who discover themselves beginning
    a weight training program, but it seems to be much less efficient for these
    with coaching expertise. Nonetheless, a 2016 study involving males who practiced resistance coaching suggests consuming a weight
    gainer complement will not be effective for increasing lean mass.
    For the devoted athlete able to step beyond strange results, the Hormonal Mass Builder
    Stack represents the nuclear option for excessive mass and strength growth.

    “If you might have issues putting on muscle, your physique actually needs extra time to recuperate than someone who puts on muscle very easily,” he says.
    Four days in the health club with three
    days of rest would possibly just do the trick. Analysis means that those
    coaching to realize muscle ought to eat 1.4–2 grams of protein per kg of physique weight per day.
    To build new muscle tissue, your major instruments for increasing your body’s rate of protein synthesis are performing resistance training and getting adequate quantities of protein and overall vitamins.
    This course of of accelerating your muscle mass is named
    muscle hypertrophy, and it’s a major aim of
    resistance coaching. Added muscle mass will enhance the definition of your muscle tissue,
    enhance your lean physique mass, and add bulk and dimension to your frame in all the right places.

    According to science, it appears men and women have a reasonably related response to resistance coaching.

    Thus, indicating that a robust bench does equate to a
    giant chest in lots of circumstances. Incline dumbbell presses put more emphasis on the
    clavicular head of the pecs and work several different secondary muscles as well.
    That Is because of the added shoulder flexion of this motion. The primary purpose for starting with this
    exercise is to prioritize the upper chest. This is commonly the lagging portion of the chest in most people.

    Nonetheless, I’ll further focus on exercise order afterward in this article.
    There are two kinds of muscular hypertrophy, often recognized as myofibrillar hypertrophy and sarcoplasmic hypertrophy.

    The following chart offers a fundamental instance of the distinction between coaching for
    hypertrophy and coaching for power utilizing the same
    train. To train for either, differ your intensity and reps so
    you’ll find a way to reach the perfect number of
    sets. Rest intervals range between energy and hypertrophy training.

    Quantity load refers again to the mixed amount of weight, repetitions, and sets of your workouts.

    Other elements of muscular energy embody changes in muscle tissues and the cross-sectional area (CSA), which is sometimes referred
    to as muscle measurement. Neuromuscular adaptation is a key
    side of increasing muscular energy. This means your nervous system learns to
    speak higher along with your muscle tissue to supply movement and pressure.

    The actuality is there is probably not an exact rep amount to try
    for across all kinds of lifts and people variations will
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    Anticipate expert-backed workouts, nutrition recommendation, the most
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    What they discovered is that as you elevated the number of units performed per
    train from 1 set all the best way up to 5 sets, the
    variety of non-responders decreased. And I’m optimistic that this is the case for a
    lot of of you as nicely. So that will help you out, I’ll present you how to avoid these crucial errors
    by going through step-by-step the method to arrange
    your plan to pack on 10lbs of muscle as a hardgainer.
    I initially thought that I was a lost cause as a thin hardgainer.
    In actuality, though, I was really simply making a couple of
    key errors with my plan.
    On the flip side, should you eat too many carbs and just sit around being fairly inactive, some
    of these carbs would possibly end up as body fat. That’s why you must eat fewer carbs on days you don’t train. While you want them to grow on days you’re employed
    out, your need for them goes down significantly on days whenever you don’t hit the iron. Hyper Gain Mass
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    With over energy per serving, this high calorie shake supplies sufficient power to promote muscle mass, energy, and dimension.
    By learning to focus your depth all through every motion, research suggests you can enhance muscle exercise and support more muscle growth (25).
    Fret not, for MH have the solution to your dull mass gain part
    meal plans with the 15 best meals to realize weight. Now, lifting weights isn’t wasted if you don’t eat extra protein than the common particular person,
    however if you need to build muscle quick, upping your protein consumption presents vital
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    Some individuals need even more, and others can get by on less,
    but in general, 7–9 hours is ideal for somebody looking to build muscle fast.
    When you complement with creatine, you enhance your stores of phosphocreatine.
    That helps your physique produce more of a high-energy molecule referred to
    as ATP.
    That’s as a result of your body fats proportion in relation to your muscle mass
    higher displays your overall well-being than just weight or BMI.
    Including forms of resistance coaching into your train routine, like pushups and planks, can improve your health and maintain you feeling agile
    and ready throughout the years. If weight loss is your
    aim, gaining muscle may help you look leaner, burn more vitality both during and after train,
    and prevent muscle loss sooner or later. As for the third point, it’s best to eat when you’re relaxed
    and not on the run where distractions and stress can inhibit your meal
    consumption. Designate a few totally different instances throughout the day to sit
    down down and luxuriate in your meals which is an efficient habit for sustaining a constant
    consuming schedule.
    However, in ladies, the association between whole protein consumption and muscle mass trusted bodily
    activity. Particularly, to gain muscle, you need
    to devour more protein than your physique breaks down through
    natural processes. When used alongside resistance training, creatine can also have favorable results on bone density.

    One research found that older adults who consumed 150–170 grams of fish for lunch twice every week for 10 weeks significantly
    increased muscle mass and energy compared to
    baseline. Rooster breast is a versatile source of protein that
    can allow you to construct and strengthen your muscular tissues.
    A 3-ounce serving of grilled hen supplies 25.9 grams of protein, making
    it a superb choice for muscle health. That pump is tangible, real-time biofeedback to let you know that blood is flowing to your muscle cells, beginning a series of events that stimulates protein synthesis.

    Perhaps that’s why it’s straightforward to miss how necessary
    good vitamin is in the mass-building equation. When you select to eat, say, chicken as an alternative
    of ice cream, there’s no instant muscle gratification—no pump to maintain you motivated.

    There are 10 acute coaching variables, however there are 5 key variables to contemplate for hypertrophy and strength.
    For instance, the authors note that training only one leg for
    a time frame may lead to increased power within the other, whereas hypertrophy solely occurs in the skilled leg.
    A 2018 evaluate found that strength coaching might have
    extra total advantages due to the role of the central
    nervous system and the way this affects the entire physique.
    Restricted research focuses on the benefits of selecting one specific
    sort of resistance training as a substitute of the other.
    Training for hypertrophy means you’re looking to improve
    the bodily measurement of your muscular tissues.
    This is a measure of how rapidly the carbohydrates are absorbed
    into your physique and turned into sugar in your bloodstream.
    A rush of sugar after an enormous meal is not wholesome; over time it can trigger metabolic syndrome and finally even kind
    two diabetes.
    Nevertheless, your coaching should embrace compound and
    isolation movementsfor one of the best long-term fitness results.

    You ought to hardly ever have more than “two reps in the tank” by the end of a
    set if your aim is constructing muscle. To put it simply,
    relying in your measurement, your muscles could develop more with decrease
    reps utilizing heavy weights or with high reps using lighter weights.

    However, one of many best-tasting mass gainers shakes I’ve
    taken for an prolonged time period. Dymatize says this supplement is good for “hard gainers,” which describes individuals who
    don’t have the metabolism or the time to construct main muscle mass.
    This chocolate-flavored product could appeal to individuals wanting to realize weight and add important nutritional
    vitamins and minerals to their food plan. The protein-to-carbohydrate
    ratio is 1 to 5, so it may not go properly with people who want extra
    protein and fewer energy. Right Here, we provide
    the best workouts to add to your forearm exercises to not solely construct huge forearms but in addition improve
    your grip power. For all these workouts, attempt including chalk for additional activation. By the time you move on to your 4th train, your deltoids
    are already going to be firing on account of deadlifts and bench presses.

    You can prepare far less than another person however end up
    getting dramatically higher results by simply dialing in your
    nutrition. Now, I truly have designed these with the “optimal” volume, but inside every PDF, I also clarify how you can minimize it all the way down to the minimalist quantity we talked about earlier if you wished to keep away from wasting much more time.
    You in all probability won’t be able to do as many reps as you can through the previous set, but you must definitely be ready to get more than a few.
    Whereas another examine changed three normal units with 1 normal
    set followed by four drop sets.

    References:

    what steroids do female bodybuilders use (https://u.to/KGHYGQ)

  2. It’s also sensible to avoid high-fat diets that may additional disrupt cholesterol levels.
    Lastly, keep away from prolonged use to reduce the chance of long-term injury to your body.
    One of the core results of Anavar is its capability to promote muscle growth.
    Anavar works by rising protein synthesis within the muscle tissue, which helps people in building muscle tissue with out gaining excess fats.
    Additionally, Anavar enhances nitrogen retention within the muscular tissues, which is central to muscle restore and progress.

    Drug interactions may change how your medicines work or enhance your
    threat for critical side effects. Hold a listing
    of all of the products you employ (including prescription/nonprescription medicine and herbal products)
    and share it together with your physician and pharmacist.
    Do not begin, stop, or change the dosage of any medicines
    with out your physician’s approval. Nausea, vomiting,
    headache, pores and skin shade modifications,
    increased/decreased sexual interest, oily pores and skin, hair
    loss, and zits may happen. If any of those effects final or get worse, inform your doctor or pharmacist promptly.

    The commonest dosage can vary from 20mgs up to 80mgs for males per day, and for females a dosage is as
    much as 15mgs per day. Anavar (Var, Var 15) was first developed in 1962 by pharmaceutical
    giants G.D. Searle & Co (Now Pfizer) and was
    sold in the Usa and the Netherlands beneath the Anavar trade name.
    It is a DHT derived anabolic steroid, much like Masteron and Winstrol.

    Clenbuterol’s fat-burning results could be attributed to its highly effective effects on the central nervous
    system (CNS). Testosterone undecanoate is the exception to this rule, the place dietary
    fats improves absorption. Pharmaceutical-grade Anavar has
    been leaked onto the black market by way of special connections.
    This may be in the type of knowing somebody who formulates oxandrolone,
    understanding a health care provider who can prescribe it, or someone who has been prescribed it.

    Many are inclined to assume all anabolic steroids should yield a set of specific effects at a selected fee of power,
    however actuality tells us various steroids carry various results and purposes.

    Anavar is with out query an extremely useful anabolic steroid,
    but in order to appreciate its advantages we should understand it.

    Anavar is a DHT spinoff anabolic steroid, falling beneath the household of DHT derived anabolic steroids.
    It also contains a modification at the 2nd carbon of the primary cycloalkane
    ring, whereby the 2nd carbon is removed and changed with an Oxygen atom.
    It is that this modification that’s believed to
    increase the anabolic energy of the hormone compared to its mother or father hormone DHT.
    It can also be used to alleviate bone ache
    because of bone loss (osteoporosis).
    Anavar is a kind of anabolic steroid, a drug that helps construct muscle
    and enhance strength. Its generic name is oxandrolone, and it was initially developed to assist people
    recover from weight loss because of surgery, infections, or main burns.
    Not Like another steroids, Anavar steroid is known for its capacity to
    assist construct lean muscle with out causing lots
    of water retention. This makes it in style not
    just for medical use but additionally amongst athletes and
    bodybuilders looking to enhance their efficiency and look.
    Masculinization remains to be attainable if doses larger than 10 mg a day are utilized.
    Research have reported girls experiencing virilization effects when receiving excessive doses of 0.a hundred twenty five mg per kg (13) constantly for a year.

    Anavar is a by-product of dihydrotestosterone; thus,
    there is no conversion to DHT via the 5-alpha reductase enzyme.
    Consequently, Anavar has mild androgenic properties and unwanted effects.
    The greater the dosage and the longer the cycle, the higher the chance
    of side effects. Anavar suppresses endogenous testosterone, which isn’t simply problematic for men; testosterone remains an important hormone for girls as nicely.

    An important factor to think about when planning your Anavar
    stack is the numerous good thing about its lack of water retention as a end
    result of it doesn’t convert to estrogen. You can use this by
    stacking it with different compounds that don’t aromatize, like Trenbolone and Masteron. Such a
    stack can effectively have you not having to consider fluid retention in any respect until you determine to take a higher dose of testosterone within the stack.
    This is just a easy instance cycle for girls utilizing Anavar and mixing it with other high quality compounds.

    Anavar is fascinating for fats loss, so your food regimen shall be a high
    priority when using this steroid, and it will make or break your outcomes irrespective of how efficient Anavar is as
    a steroid. 100mg of testosterone enanthate weekly for 12 weeks is sufficient to
    support the traditional function of the hormone. By limiting testosterone on this cycle, Anavar is left to tackle
    the primary anabolic position, bringing about lean gains and unimaginable fat
    loss and toning throughout the cycle.
    Oxandrolone is also utilized in people who can not gain or maintain a wholesome weight for unknown medical causes.
    Dr. O’Connor has over 20 years of experience treating men and
    women with a historical past of anabolic steroid, SARM, and PED use.

    He has been a board-certified MD since 2005 and provides steering on hurt discount methodologies.
    In terms of food choice, principally clear food choices must be consumed, together with unrefined carbohydrates and unsaturated fats.
    Wholesome meals that aren’t high in sodium will inhibit water
    retention, including to the dry and defined look that Anavar encourages.
    Calorie consumption ought to be tailor-made to a user’s aims when cycling Anavar.

    This enhance in strength, mixed with muscle preservation and fat loss, makes Anavar a go-to option for many athletes and bodybuilders.
    Like all steroids, though, Anavar can set off myriad side
    effects and adverse outcomes. Anavar represents one of the popular oral anabolic
    steroids of all time, and that is largely as a end result of its
    well-tolerated nature. This is one of the few anabolic steroids that can be utilized safely by men and women, and it’s also some of
    the side effect friendly. Nevertheless, in some circles Anavar is tremendously
    underappreciated because of its mild nature, but this
    is generally as a end result of unrealistic expectations.

    References:

    immediate effects Of Steroids

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