Gizi Pada Sitem Muskuloskeletal

8/19/2019 Gizi Pada Sitem Muskuloskeletal

1/45

GIZI PADA SITEMMUSKULOSKELETAL

OLEH : MAHDIAH, DCN,M.KES.


2/45

GIZI PADA MASA PERTUMBUHAN TULANG

Masa pertumu!a" ter#a$% & s'$ ( us%a

)& t!"M%s : Pertumu!a" t%"**% a$a"

+at-r/at-r 0a"* mempe"*aru!%

pertumu!a"t%"**% a$a" :

eturu"a",

/at-r asupa" "utr%s% !ar%a", /at-r at%1tas -2a!ra*a,

$a" eerapa /at-r pe"t%"* 2a%""0a.


3/45

• Pe"%"*ata" 0a"* utama pa$a t%"**% a$a"a$a2a! ter*a"tu"* pa$a pertumu!a" $a"perema"*a" tu2a"* pa"#a"*, sertae"$apa" -"e *e2at%" matr%s $a" m%"era2suta"3e 0a"* $%!as%2a". Saat

pertumu!a" tu2a"* $a" tu2a"* 2u"ame"uru", ter2e%! 2a*% %2a emampua"pr-2%/eras% se2 tu2a"* 2u"a $a" perpa$ua"-"e *e2at%" matr%s me"uru", maa

pertumu!a" tu2a"* pa"#a"* aa"teratas%, 0a"* a!%r"0a me"*a%ata"pertumu!a" a$a" me"#a$% ma"$e.


4/45

• Has%2 pe"e2%t%a" 0a"* memut%a" :

pr-te%",

a2s%um, /-s/-r,

4%tam%" A

$a" 0-$%um,

"0ata sea2% mempu"0a% e/e 2a"*su"* ter!a$appertumu!a" t%"**% a$a".

5at es%, r%-6a4%", se"*, $a" 4%tam%" A,

mempe"*aru!% "a/su maa" $a" /u"*s% eea2a"pe"0a%t a"aa"a, mempe"*aru!% %"er#a ususesar, 0a"* se3ara t%$a 2a"*su"* #u*amempe"*aru!% t%"**% a$a" a"aa"a.


5/45

NUTRISI 7ANG DIPERLUKAN PADA MASA

PERTUMBUHAN TULANG :

Ka2s%um• K-"sums% sumer a2s%um per2u $%t%"*ata" pa$a

masa pertumu!a", a"a, rema#a, e!am%2a", $a"me"0usu%.

• Ka2s%um merupaa" m%"era2 0a"* sa"*at $%utu!a"tuu! $a2am pr-ses peme"tua" tu2a"*.

• 88 9 a"$u"*a" a2s%um $% $a2am tuu! era$a $%tu2a"*. Kare"a %tu pertumu!a" tu2a"* amat se"s%t%/ter!a$ap a"$u"*a" a2s%um $a2am tuu! se3ara

ese2uru!a"• A"a #u*amemer2ua" a2s%um u"tu me2aua"

at%4%tas"0a se!ar%!ar%.


6/45

• Saat ma"us%a era"#a $easa, tu2a"*mema"* er!e"t% tumu!, tetap% aa"se2a2u

at%/. ;ar%"*a" tu2a"* se"a"t%asa erua!e"tu. Masu$"0a, #ar%"*a" terseut $apatrusa $a" #u*a $apat tumu! ema2%.

• Ta"pa "utr%s% 0a"* tepat, pr-sespeme"tua" ema2% aa" 2amat se!%"**a #ar%"*a" $a2am tu2a"* aa" sema%"me"%p%s. Tu2a"* pu" me"#a$% 2ema! $ar%atu e atu. Keura"*a" a2s%umme"*a%ata" tu2a"* $a" *%*% rapu! $a"2ema!, se!%"**a mu$a! reta $a" pata!


7/45

• Pera" a2s%um u"tu a"aa"a ere$a$e"*a" -ra"* $easa. Pa$a a"a, a2s%ummema"tu pertumu!a" tu2a"*, art%"0a tu2a"*tumu! 2e%! pa"#a"*. Se$a"*a", pa$a masaus%a )&a" $%utu!a" a2s%um $a2am #um2a!esar a*ar tu2a"* 2e%! pa$at.

• Ka2s%um $a" /-s/-r a$a2a! a$ar m%"era2susta"3e 0a"* pa2%"* a"0a ter$apat $a2amtuu!, ratarata 889 a2s%um $a"


8/45

• Asupa" a2s%um 0a"* $%a"#ura" u"tu

a"a us%a =8 ta!u" a$a2a! >&&?&& m*per !ar%. Se$a"*a", a*% a"a us%a =&=< ta!u" sea"0a =&&& m* per

!ar%"0a.• Me"urut Pau2%"e:@R%set $ar% Departeme"

Kese!ata" memapara" $ar% =& -ra"*I"$-"es%a eres%- -ste-p-r-s%s $%"%,

asupa" a2s%um 0a"* 3uup se#a $%"%erart% a"a me"au"* a2s%um 0a"*aa" $%ma"/aata"


9/45

Magnesium

Nutr%s% %"% er/u"*s% u"tu me"#a*atu2a"* tetap uat, %rama #a"tu"* sta%2,-t-t $a" /u"*s% sara/ serta me"$uu"*s%stem eea2a" tuu!.

Asupa" u"tu a"a us%a = ta!u"sea"0a


10/45

Vitamin C

%tam%" %"% mema"tu mempera%% $a"

meme"tu se2se2 $ara! mera!, tu2a"*$a" #ar%"*a", me"#a*a *us% a"a $a"memperuat pemu2u! $ara!, sertamema"tu tuu! me"0erap 5at es%.

Asupa" u"tu a"a us%a = ta!u"sea"0a => m* per !ar% $a" u"tu a"aus%a < ta!u" sea"0a )> m* per !ar%.

Sumer"0a : #amu %#% mera!, %%,ma"**a, straerr0, ;eru, "e"as


11/45

Vitamin A

%tam%" %"% mema%"a" pera" pe"t%"* $a2ampe"*2%!ata" $a" pertumu!a" tu2a"*,me2%"$u"*% tuu! $ar% %"/es%, me"%"*ata"pertumu!a" se2 $a" #ar%"*a".

Asupa" u"tu a"a us%a = ta!u" sea"0a=.&&& IU && m%r-*ram RAE'ret%"-2 a3t%4%t0eu%4a2e"tsF per !ar% $a" u"tu a"a us%a <ta!u" sea"0a =.)& IU && m%r-*ram RAEF.

Sumer"0a #us -rte2, u% #a2ar, r--2%, a0amme"ta!, pepa0a.


12/45

Vitamin D

%tam%" %"% mema"tu tuu! me"0erap m%"era2

sepert% a2s%um $a" mema"*u" *%*% serta tu2a"*0a"* uat, erpera" $a2am pe"*atura" se2 $a"pr-$us% %"su2%".

Asupa" u"tu 4%tam%" D %"% t%$a mema"$a"* us%a,

ratarata eutu!a" 4%tam%" D u"tu a"asea"0a && IU =& m%r-*ramF per !ar%.

Ber#emur mata!ar%, $a" a"0a er-2a!ra*a #u*aerma"/aat u"tu pertumu!a" tu2a"*.

Sumer"0a

u"%"* te2ur, sa2m-", ma3ere2.


13/45

• Keura"*a" 4%tam%" D $apatme"0eaa" ter#a$%"0a

$em%"era2%sas% tu2a"*, 0a"* $apatme"0eaa" pe"0a%t ricket tu2a"*e"*-F pa$a a"aa"a $a"

-ste-ma2a3%a me2u"a"0a tu2a"*Fpa$a -ra"* $easa

• Pr-ses !%2a"*"0a masa tu2a"*

sese-ra"* $%mu2a% pa$a a!%r us%a)&a" $a" aa2 &a", se$a"*a"u"tu pe"0a%t -ste-p-r-s%s pa$aa"a sa"*at #ara"* ter#a$%. Da", %2a

ter#a$% !a2 terseut $%a%ta" $e"*a"


14/45

Pr-te%":

Da2am peme"tua" tu2a"* $a" masapertumu!a" sea*a% sumer pereat 0a"*

sa"*at pe"t%"*, a"0a me"*a"$u"* asamam%"- 0a"* spes%1 m%sa2"0a pr-2%"e.

Da2am maa"a", #%a !a"0a me"*a"$u"*pr-te%" tumu!tumu!a" sa#a, asupa" *%5%

0a"* terse$%a t%$a 3uup t%"**%, ter2e%! 2a*%a"$u"*a" a$ar 20s%"e 0a"* erma"/aatu"tu pertumu!a" pe"%"*ata" t%"**% a$a"t%$a 3uup.


15/45

Se"*:

• Se"* a$a2a! *%5% pe"t%"* 0a"* %samema"tu pertumu!a" t%"**%a$a" a"aa"a

• Keura"*a" se"* pa$a a"aa"amas%! aa" mempe"*aru!% se3ara2a"*su"* pema*%a" se2 tu2a"* $a"pr-ses $asar pr-2%/eras%.


16/45

• A"a 0a"* mem%2%% tu2a"* a% $a"ta"*a" 0a"* se!at, 0a"* $%ta"$a%

$e"*a" a"0a er*era $a" at%/,aa" mem%2%% sema"*at e2a#ar 0a"*2e%! t%"**% $%a"$%"*a" a"a 0a"*

3e"$eru"* a"0a $%am $a" t%$amem%2%% *a%ra! atau sema"*atare"a me"*a2am% masa2a! seputar*%5% $a" tu2a"*,@


17/45

Aktivitas Fisik Ke*%ata" 1s% pu" $apat mema"tu

memperuat tu2a"* a"a. Pe"%me"*ataa" a!a e"tura"*sa"*a" epa$a a"a a$a2a!

3uup mem%ara" a"a at%/er*era. Sea2%"0a, me"#a$% taat%/ $apat me"0eaa" tu2a"*

er-p-s


18/45

• A"t!-"0 : me"ama!a", sa2a! satu e"tu

ra"*sa"*a" atau st%mu2% %tu a$a2a! $e"*a"me2aua" era*a% at%4%tas atau per*eraa"tuu! 0a"* me"%"*ata" ea" pa$a tu2a"*se3ara se%ma"*. @Se!%"**a tere"tu se2se2

tu2a"* aru $ar% !as%2 st%mu2a" terseut,@ata"0a. Laua"2a! -2a!ra*a 0a"*memer%a" ea" pa$a tuu! u"tumema"tu me"st%mu2as% perema"*a"

tu2a"*. @Ber#a2a" a% sa2a! satu at%4%taspeme"tua" tu2a"* 0a"* a%, m%"ta a"ame2aua" e*%ata" %"% se2ama ?& me"%t set%ap!ar%"0a,@


19/45

• -2a!ra*a a%r, sepert% auar-% $a"ere"a"* u"tu %ut meme"tupertumu!a" tu2a"* a"a .

• are"a terut% e/et%/ u"tu me"au"*masa tu2a"*, se!%"**a tu2a"* t%$a 3epater-p-s maupu" e"*-. Ha2 %"%

$%seaa" are"a $% $a2am a%r t%$a a$a*ra4%tas% se!%"**a erat a$a" t%$amemea"% strutur tu2a"* e2aa"*.

• Kese!ata" tu2a"* ta !a"0a

mempe"*aru!% per/-rma 1s% me2a%"a" #u*a ese2uru!a" perema"*a" a"atermasu e3er$asa""0a.


20/45

Pe"0a%tpe"0a%t 0a"* era%ta"$e"*a" pertumu!a" tu2a"* :


21/45

G%5% Pa$a Pe"0a%t Oste-artr%t%s

Oste-artr%t%s a$a2a! pe"0a%tpera$a"*a" se"$% 0a"* ser%"*mu"3u2 pa$a us%a 2a"#ut. ;ara"*

$%#umpa% pa$a us%a $%aa! & ta!u"$a" 2e%! ser%"* $%#umpa% pa$a us%a$%atas ?& ta!u"


22/45

Beerapa /at-r res%- u"tu t%mu2"0a -ste-artr%t%s a"tara

2a%" a$a2a! :

=. Umur

Pre4a2e"s% $a" erat"0a -rte-artr%t%s sema%" me"%"*at$e"*a" ertama!"0a umur. Oste-artr%t%s !amp%r taper"a! pa$a a"aa"a, #ara"* pa$a umur $%aa! &ta!u" $a" ser%"* pa$a umur $%atas ?& ta!u".

). a"%ta 2e%! ser%"* tere"a -ste-artr%t%s 2utut $a" se"$% ,$a" 2e2a% 2e%! ser%"* tere"a -ste-artr%t%s pa!a,per*e2a"*a" ta"*a" $a" 2e!er. Se3ara ee2uru!a"$%aa! > ta!u" /reue"s% -ste-artr%t%s ura"* 2e%!sama pa$a 2a% $a" a"%ta tetap% $%atas >& ta!u"

/reue"s% -ete-artr%t%s 2e%! a"0a pa$a a"%ta $ar% pa$apr%a !a2 %"% me"u"#ua" a$a"0a pera" !-rm-"a2 pa$apat-*e"es%s -ste-artr%t%s.


23/45

. Ge"et%

+at-r !ere$%ter #u*a erpera" pa$a t%mu2"0a -ste-artr%t%s

se-ra"* a"%ta $e"*a" -ste-artr%t%s pa$a se"$%se"$% %"ter/a2a"* $%sta2 ter$apat $ua a2% 2e%! ser%"* -ste-artr%t%s pa$ase"$%se"$% terseut, $a" a"aa"a"0a perempua"3e"$eru"* mempu"0a% t%*a a2% 2e%! ser%"* $ar% pa$a %u$a" a"a perempua" $ar% a"%ta ta"pa -ste-art!r%t%s.

. Suu Pre4a2e"s% $a" p-2a tere"a"0a se"$% pa$a -ste-artr%t%s

"ampa"0a ter$apat pere$aa" $%a"tara mas%"*mas%"*suu a"*sa, m%sa2"0a -ste-artr%t%s pa!a 2e%! #ara"*$%a"tara -ra"*-ra"* u2%t !%tam $a" us%a $ar% pa$a

auas%a. Oste-artr%t%s 2e%! ser%"* $%#umpa% pa$a -ra"* -ra"* Amer%a as2% $ar% pa$a -ra"* u2%t put%!.Ha2 %"%mu"*%" era%ta" $e"*a" pere$aa" 3ara !%$up maupu"pere$aa" pa$a /reue"s% e2a%"a" -"*e"%ta2 $a"pertumu!a".


24/45

>. Ke*emua"

Berat a$a" 0a"* er2e%!a" "0ata

era%ta" $e"*a" me"%"*at"0ares%- u"tu t%mu2"0a -ste-artr%t%sa% pa$a a"%ta maupu" pa$a pr%a.


25/45

Terap% :

+arma-2-*%s : Oat a"t%%"6amas%

"-"ster-%$

N-" +arma-2-*%s

=. Turu"a" BB ). O2a! Ra*a

. E$uas%


26/45

Pe"*atura" Nutr%s% Pe"$er%ta Oste-artr%t%s

D%et u"tu me"uru"a" erat a$a" pas%e" -ste-artr%t%s 0a"**emu !arus me"#a$% pr-*ram utama pe"*-ata"-ste-artr%t%s. Pe"uru"a" erat a$a" ser%"*a2% $apatme"*ura"*% t%mu2"0a e2u!a" $a" pera$a"*a".

G%5% se%ma"* 3uup e"er*%, Pr-te%", KH, 2ema serta 4%tam%"$a" m%"erra2 $%er%a" 3uupF

-me*a %sa er/u"*s% sea*a% pe"*uat art%2a*- se"$% $a"me"uru"a" rasa sa%t 0a"* $%t%mu2a" -2e! pera$a"*a"

Ome*a 0a"* merupaa" 2ema a% sa"*at erpera" $a2amme"%"*ata" pr-$us% me$%at-r $e"*a" e/e a"t%%"6amas%.Ke2-mp- -me*a 0a"* $apat $%-"sums% a$a2a! ALA, DHA,EPA. D%ma"a semua 5at %tu %sa $%$apata" pa$a a"0a

a!a" maa"a" sepert% sa2m-", maare2, e"ar%, a3a"*e$e2e, $a" m%"0a 3a"-2a.

-"sums% a2s%um $a" 4%tam%" D 0a"* 3uup. Pe"$er%tam%"%ma2 !arus me"*-"sums% a2s%um


27/45

• Maa"a" a0a a2s%um ataum%"uma" sepert% susu, e#u $a" %a"sea%"0a $%-"sums% u"tu me"#a*a

tu2a"* se!at $a" uat aF %tam%" Dsa"*at pe"t%"* u"tu mema"tupe"0erapa" a2s%um. M%"era2 pe"t%"*

2a%""0a a*% euata" tu2a"* a$a2a!/-s/-r $%am%2 sea*a% /-s/atF.%tam%" C mema%"a" pera" pe"t%"*

$a2am me"%"*ata" massa tu2a"*


28/45

Beerapa ta"ama" 0a"* te2a! $%3-a sea*a%a2ter"at%/

$a2am terap% -ste-art!r%t%s, :NANAS : me"*a"$u"* r-me2a%", suatu e"5%m

pr-te-2%t% 0a"* $%$u*a mem%2%% e/e a"t%%"6amas%$a" a"a2*et%F

;AHE : ta"ama" Harpa*-p!0tum pr-3ume"s,U"3ar%a t-me"t-sa $a" R-sa 3a"%"a.

Ta"ama" -at %"% $%eta!u% mampu mema"tume"*atas% e2u!a"e2u!a" 0a"* $%a2am% -2e!pe"$er%ta -ste-artr%t%s. Ga2at-2%p%$ 0a"*

tera"$u"* $% $a2am estra r-sa 3a"%"a %"% terut%me"*!amat m%*ras% se2 $ara! put%! e $a2am se"$%se!%"**a $apat me"*ura"*% ter#a$%"0a pr-sespera$a"*a" $a" erusaa" se"$%.


29/45

G%5% Pa$a Pe"$er%ta G-ut

•

GOUT a$a2a! pe"0a%t $% ma"a ter#a$%pe"umpua" asam urat $a2am tuu! se3araer2e%!a", a% a%at pr-$us% 0a"* me"%"*at,pemua"*a""0a me2a2u% *%"#a2 0a"* me"uru",atau a%at pe"%"*ata" asupa" maa"a" a0a

pur%". G-ut ter#a$% et%a 3a%ra" tuu! sa"*at #e"u! aa" asam urat are"a a$ar"0a 0a"*t%"**%. G-ut $%ta"$a% $e"*a" sera"*a" eru2a"*$ar% art!r%t%s pera$a"*a" se"$%F 0a"* aut,

a$a"*a$a"* $%serta% peme"tua" r%sta2"atr%um urat esar 0a"* $%"amaa" t-p!us,$e/-rm%tas erusaa"F se"$% se3ara r-"%s, $a"3e$era pa$a *%"#a2.


30/45

• Pur%" a$a2a! sa2a! satu se"0aa

asa -r*a"% 0a"* me"0usu" asam"u2eat asam %"t% $ar% se2F $a"termasu $a2am e2-mp- asamam%"-, u"sur peme"tu pr-te%".


31/45

+at-r r%s%- 0a"* me"0eaa" -ra"* tersera"* pe"0a%t asamurat a$a2a!

=. p-2a maa",

). e*emua", $a". suu a"*sa.

D% $u"%a, suu a"*sa 0a"* pa2%"* t%"**% pre4a2e"s%"0a pa$a-ra"* Ma-r% $% Austra2%a. Pre4a2e"s% -ra"* Ma-r% tersera"*pe"0a%t asam urat t%"**% sea2%, se$a"*a" $% I"$-"es%a

pre4a2e"s% tert%"**% pa$a pe"$u$u pa"ta% $a" 0a"* pa2%"* t%"**%$% $aera! Ma"a$-M%"a!asa are"a e%asaa" atau p-2a maa"%a" $a" me"*-"sums% a2-!-2.

A2-!-2 me"0eaa" pemua"*a" asam urat 2eat ur%"e %tu %ut

erura"* se!%"**a asam urat"0a tetap erta!a" $% $a2am$ara!. K-"sums% %a" 2aut 0a"* t%"**% #u*a me"*a%ata" asamurat.


32/45

Pengaturan Nutrisi Penerita G!ut

• K-"tr-2 maa"a" 0a"* $%-"sums% D%et Re"$a! Pur%"F

•

Set%ap !ar% 2e%! ura"* ?&&=&&& m* pur%" masume2a2u% maa"a" 0a"* %ta maa". U"tu $%et re"$a!pur%" a$ar pur%" $a2am maa"a" !arus er%sara"tara =)& =>& m* $a2am se!ar%.

• e3uupa" a2-r%, pr-te%", m%"era2 $a" 4%tam%" $a2am

maa"a" set%ap !ar% !arus tetap $%#a*a.• Da2am $%et %"% #um2a! ar-!%$rat $a" 3a%ra" !arus

3uup t%"**% are"a $apat mema"tu pr-sespe"*e2uara" asam urat $ar% tuu!. Se$a"*a"a"$u"*a" 2ema sea%"0a seatas me"3uup%

eutu!a" se!ar%!ar% are"a 2ema $apatme"*!amat pr-ses pe"*e2uara" asam urat.


33/45

"a#an makanan $ang tiak %!&e#

i%erikanG-2-"*a" A: Maa"a" 0a"* me"*a"$u"*

pur%" t%"**% =>&


34/45

Ba!a" Maa"a" 0a"* $%atas%-"sums%"0a

G-2-"*a" B: Maa"a" 0a"*me"*a"$u"* pur%" se$a"* >&=>&m*'=&& *ram maa"a"F a$a2a! %a"0a"* t%$a termasu *-2-"*a" A,

$a*%"* sap%, era"*era"*a",a3a"*a3a"*a" er%"*, ema"*-2, a0am, aspara*us, u"3%s,

#amur, $au" s%"*-"*, $au" pepa0a,a"*u"*.


35/45

Ba!a" Maa"a" Beas $%er%a".

G-2-"*a" C:

Maa"a" 0a"* me"*a"$u"* pur%"2e%! r%"*a"

&>& m*'=&&*ram maa"a"F a$a2a!e#u, susu, te2ur, sa0ura" 2a%", ua!ua!a".


36/45

G%5% Pa$a Pe"0a%t Oste-p-r-s%s

• Oste-p-r-s%s atau ara $%e"a2 $e"*a"

tu2a"* er-p-s, $apat ter#• a$% #%a ter2a2u a"0a 5at m%"era2

ter!%2a"* $ar% era"*a tu2a"*. Tu2a"*emu$%a" me"#a$% rapu! $a" 2e%! mu$a!

pata!. Pata! tu2a"* 0a"* pa2%"* umuma$a2a! tu2a"* p%"**u2, tu2a"* e2aa"*$a" tu2a"* per*e2a"*a" ta"*a".


37/45

Fakt!r 'isik! Oste!(!r!sis

• )anita

Oste-p-r-s%s 2e%! a"0a ter#a$% pa$a a"%ta. Ha2%"% $%seaa" pe"*aru! !-rm-" estr-*e" 0a"*mu2a% me"uru" a$ar"0a $a2am tuu! se#a us%a> ta!u". Se2a%" %tu, a"%ta pu" me"*a2am%me"-pause 0a"* $apat ter#a$% pa$a us%a > ta!u".

• UsiaSe%r%"* $e"*a" pertama!a" us%a, /u"*s% -r*a"tuu! #ustru me"uru". Pa$a us%a J> ta!u",a"%ta mem%2%% r%s%- ) a2% 2%pat $%a"$%"*a" pr%a

$a2am me"*a2am% e!%2a"*a" tu2a"* traeu2arare"a pr-ses pe"uaa", pe"0erapa" a2s%umme"uru" $a" /u"*s% !-rm-" parat%r-%$ me"%"*at.


38/45

• a2s%um pa2%"* a"0a terua"* terua"*et%a masa me"struas%. B%2a a2s%um 0a"*terua"* terseut t%$a ter*a"t%a" se*era

sesua% eutu!a""0a, maa p-te"s%ter#a$%"0a -ste-p-r-s%s sema%" esar.

• pr-*ram $%et ta"pa %m%"*a" a!2% "utr%s%%asa"0a $e"*a" semara"* me"*!%"$ar%

-"sums% susu $e"*a" a2asa" me"*!%"$ar%asupa" 2ema er2e%!a"


39/45

• 'as*SukuRas #u*a memuat pere$aa" $%ma"a ras u2%t put%!atau eturu"a" as%a mem%2%% r%s%- teresar. Ha2 %"%

$%seaa" se3ara umum -"sums% a2s%um a"%taas%a re"$a!. Sa2a! satu a2asa""0a a$a2a! se%tar 8&9%"t-2era"s% 2at-sa $a" me"*!%"$ar% pr-$u $ar%!ea". Pr%a $a" a"%ta u2%t !%tam $a" !%spa"%mem%2%% r%s%- 0a"* s%*"%1a" mes%pu" re"$a!.

• Keturunan Penerita !ste!(!r!sis ;%a a$a a"**-ta e2uar*a 0a"* me"$er%ta-ste-p-r-s%s, maa er!at%!at%2a!. Oste-p-r-s%s

me"0era"* pe"$er%ta $e"*a" arater%st% tu2a"*terte"tu. Sepert% esamaa" peraaa" $a" e"tutu2a"* tuu!. Itu art%"0a $a2am *ar%s e2uar*a past%pu"0a strutur *e"et% tu2a"* 0a"* sama.


40/45

• Li+e St$&e

Kurang Ka&sium

;%a a2s%um tuu! ura"* maa tuu! aa"me"*e2uara" !-rm-" 0a"* aa" me"*am%2 a2s%um$ar% a*%a" tuu! 2a%", termasu 0a"* a$a $% tu2a"*.

K!nsumsi aging mera# an minuman %ers!a,are"a e$ua"0a me"*a"$u"* /-s/-r 0a"*

mera"*sa"* peme"tua" !-rma" parat!0r-%$,pe"0ea pe2epasa" a2s%um $ar% $a2am $ara!.

Minuman %erka+ein an %era&k!#!&.M%"uma" era/e%" sepert% -p% $a" a2-!-2 #u*a

$apat me"%mu2a" tu2a"* er-p-s, rapu! $a" rusa.


41/45

Aktivitas ,sik rena#a"%ta 0a"* ma2as er*era atau-2a!ra*a aa" ter!amat pr-ses

-ste-2as"0a pr-ses peme"tua"massa tu2a"*F. Se2a%" %tu epa$ata"massa tu2a"* aa" erura"*.

Sema%" a"0a *era $a" -2a!ra*amaa -t-t aa" mema3u tu2a"*u"tu meme"tu massa.


42/45

• Mer!k!k Per-- sa"*at re"ta" tere"a -ste-p-r-s%s, are"a 5at "%-t%" $%$a2am"0a memper3epat pe"0erapa" tu2a"*, "%-t%" #u*amemuat a$ar $a" at%4%tas !-rm-" estr-*e" $a2am tuu!erura"* se!%"**a susu"a"susu"a" se2 tu2a"* t%$a uat $a2amme"*!a$ap% pr-ses pe2apua".D%samp%"* %tu, r-- #u*a memuat pe"*!%sap"0a %same"*a2am% !%perte"s%, pe"0a%t #a"tu"*, $a" tersumat"0a a2%ra"

$ara! e se2uru! tuu!. Ka2au $ara! su$a! tersumat, maapr-ses peme"tua" tu2a"* su2%t ter#a$%. ;a$%, "%-t%" #e2asme"0eaa" -ste-p-r-s%s a% se3ara 2a"*su"* t%$a 2a"*su"*.Saat mas%! erus%a mu$a, e/e "%-t%" pa$a tu2a"* mema"* t%$aaa" terasa are"a pr-ses peme"tu tu2a"* mas%! terus ter#a$%.Namu", saat me2eat% umur >, e/e r-- pa$a tu2a"* aa"

mu2a% terasa, are"a pr-ses peme"tua" pa$a umur terseutsu$a! er!e"t%.


43/45

Tu-uan Diet

=. Mema"tu me"3e*a! ter#a$%"0a -ste-p-r-s%s

). Mema"tu me"*ura"*% erapu!a" masa tu2a"*

2e%! 2a"#ut

. A*ar $apat me2aua" peer#aa" se!ar%!ar% sepert%

%asa"0a


44/45

Pe"*atura" Maa"a" Pe"$er%ta Oste-p-r-s%s:

=. Gu"aa" maa"a" 0a"* a0a aa" a2s%um $a" sumer 4%tam%" D.Sumer susu, sar%$e2e uu, re-", ter%, u$a"* er%"*, sar$e",a0am, e#u

). Cuup pr-te%" Pr-te%" !ea"% : Ia" ter%, %a" sar$e", u$a"* re-"er%"*, te2ur.Sumer pr-te%" "aat% : Ka3a"*a3a"*a" $a" !as%2 -2a!a""0asepert% ta!u, tempe, -"3-m $a" sea*a%"0a

. Lema 3uup:

. K-"sums% sa0ur $a" ua! $a2am #um2a! 3uup. Sumer : sa0ura"!%#au

>. Me"*!%"$ar% -"sums% a2-!-2

?. B%2a ter2a2u *emu, #um2a! a2-r% $%atas%

Pemesa"a" D%et : D%et T%"**% Ka2s%um


45/45

Terima

Kasi#

Gizi Pada Sitem Muskuloskeletal

Documents

Transcript of Gizi Pada Sitem Muskuloskeletal