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1:06 In the name of Allah, the Most Gracious 1:07 , the Most Merciful. Peace be upon you, 1:09 and Allah's mercy and blessings, 1:11 brothers and sisters, may Allah have 1:12 mercy on you. All praise and gratitude 1:16 be to Allah, for the blessings, grace, 1:19 and guidance of Allah Subhanahu wa 1:21 ta'ala, we can gather in the Health 1:23 Room program, which hopefully enables 1:26 us to become servants who can maintain 1:29 our physical and spiritual health, and 1:31 be useful servants for this life and 1:34 the hereafter. Not forgetting, we send 1:38 prayers and greetings to our beloved, 1:40 the leader of the people, Muhammad, the 1:42 Messenger of Allah, along with our 1:44 hopes and prayers. Hopefully, we will 1:48 meet him in the moments we look forward 1:51 to the most on the Day of Judgment. 1:56 Brothers and sisters, as usual, every 1:59 Thursday, the Health Room is here and 2:01 can be watched via YouTube Rasil TV, or 2:04 listened to through local radio 2:07 stations that also broadcast us. For 2:12 this afternoon, our guest speaker is a 2:15 doctor from a hospital we are very 2:19 familiar with, right? She is Dr. Dian 2:25 Nurul Al-Amini, an ENT-Head and Neck 2:29 specialist, and she is already here 2:33 with us. Let’s greet her. Peace be 2:36 upon you, Doctor. And peace be upon you 2:39 , Ma'am. 2:40 Are you healthy and fit? Praise be to 2:42 Allah. 2:43 Praise be to Allah. 2:44 Since our topic today is ENT, 2:47 specifically, what is it about? 2:52 Maybe something with many cases that 2:54 people often wonder about. 2:57 Regarding sinusitis, Ma'am. Okay, to 3:01 learn more about sinusitis, let’s 3:04 listen to Dr. Dian’s presentation in 3:07 our Health Room today. But first, we 3:12 also want to know more about the 3:16 hospital where she works, which 3:20 hopefully is a hospital. It’s a " 3:25 Healthy House" now, isn't it, Doc? Not 3:26 just a hospital anymore. The address is 3:30 on Jalan Letjen Suprapto, Lot 13, RT 10 3:34 RW 5, in East Cempaka Putih. Yes, in 3:38 the Cempaka Putih district, located in 3:40 Central Jakarta, the Special Capital 3:43 Region, of course. And Yarsi Hospital 3:47 is a sharia hospital, a hospital that 3:51 applies Islamic religious teachings in 3:55 providing service to patients. Yarsi 3:59 Hospital is committed to applying 4:02 sharia principles in every aspect of 4:05 the services they provide. Certainly, 4:10 every patient served will receive 4:13 high-quality service. Certainly, the 4:19 quality is very high, both for Muslims 4:22 and non-Muslims, as a sharia-based 4:24 hospital that wants to be friendly and 4:27 comfortable for all visitors, God 4:30 willing. A hospital that we now better 4:34 know as a "Healthy House," right, Doc? 4:37 Well, one more addition, Dr. Dian Nurul 4:40 Al-Amini, an ENT specialist, is a 4:42 graduate of the University of Indonesia 4:45 . She completed her general 4:47 practitioner and specialist studies 4:48 there. Okay, Doc. So, can sinusitis be 4:52 cured? That is exactly our topic, right 4:55 ? Please go ahead. And don't forget, if 4:58 you want to call us at 845 151, don't 5:00 use the WA number, or we won't be able 5:03 to answer. Okay, please, Doc. Okay. 5:07 Right, perhaps I can provide a brief 5:09 overview of sinusitis. So, uh, the 5:12 sinusitis commonly known by the public 5:15 is actually, by definition, known as 5:18 rhinosinusitis. Why? Because 5:22 inflammation in the sinus cavities will 5:23 definitely involve the nasal cavity. 5:26 Because, as it happens, the drainage 5:29 pathway from the sinus cavities 5:31 themselves is in the nasal cavity. So, 5:35 by definition, rhinosinusitis is 5:38 inflammation of the sinus cavities 5:41 which is usually caused by things like 5:45 infection or allergies, and can be 5:48 caused by many other things as well. 5:53 Sinusitis is known to have several 5:55 types, you know. Based on the duration, 5:58 it can be what is called acute 6:00 sinusitis, which usually occurs for 6:02 less than 12 weeks. Then, there is 6:06 chronic sinusitis, which usually has 6:08 been occurring for more than 12 weeks. 6:12 Now, in terms of location, humans 6:15 actually have four pairs of sinus 6:19 cavities in their heads. So, sinus 6:23 cavities are spaces that are actually 6:26 in our heads. Everyone has them. Now, 6:29 what becomes the problem? It becomes a 6:31 problem when an inflammatory process 6:33 occurs there. The inflammation can 6:37 involve the sinus in the forehead area, 6:39 or frontal sinus; the sinus in the 6:42 cheek area, called the maxillary sinus; 6:44 or the sinuses in the nose area, called 6:47 the ethmoid and sphenoid sinuses. Now, 6:51 what does that inflammation usually 6:54 cause? The sinus cavity becomes filled 6:57 with fluid or sometimes can also be 6:59 filled with germs. Now, why can it be 7:02 filled with fluid? Because it usually 7:04 happens due to a blockage of the 7:06 drainage pathway of the sinus cavity. 7:08 What can cause a blockage? Many things, 7:12 for example, prolonged flu, so that the 7:14 sinus drainage pathway also gets 7:16 blocked. Then sinusitis occurs. Then, 7:20 prolonged allergies, which, since the 7:23 sinus drainage pathway is in the nasal 7:25 cavity, for example, people with 7:27 allergic rhinitis end up frequently 7:29 experiencing inflammation in the sinus 7:32 cavities, thus also resulting in 7:34 sinusitis. Then anatomical 7:37 abnormalities, for example, having a 7:39 deviated nasal septum or having 7:41 abnormalities like swollen structures 7:44 inside the nasal cavity, such as 7:46 turbinates, can also cause sinusitis. 7:50 They aren't actually direct causes, but 7:52 people with these anatomical 7:54 abnormalities have a higher risk factor 7:57 for developing sinusitis. It could also 8:00 be, for example, having a polyp in the 8:04 nasal cavity. So it easily leads to the 8:07 occurrence of sinusitis, or for example 8:09 , there is some tumor in the nasal 8:12 cavity that obstructs or blocks the 8:14 drainage pathway from the sinus cavity, 8:17 which can cause sinusitis. So, there 8:20 are many things that can cause 8:22 sinusitis. We must look for them one by 8:25 one to see what might be causing 8:27 sinusitis in a patient. Now, if you 8:31 already have sinusitis, according to 8:34 the guidelines, there are actually many 8:37 symptoms. One of the symptoms most 8:39 often complained of by patients is 8:41 usually a prolonged runny nose. 8:43 So, that discharge can come out through 8:45 the front of the nose or the back of 8:47 the nose. Thus, a patient might feel 8:49 like there is mucus flowing into their 8:51 throat, for example. Or other 8:53 complaints usually include a stuffy 8:56 nose. So, the nose can be blocked, 8:58 either on one side or both, depending 9:00 on which sinus is involved. Then there 9:04 are also additional symptoms, which 9:06 could be a disturbance in smell, or 9:09 sometimes patients even complain of 9:11 smelling a foul odor in their nose, or 9:14 there are complaints of headaches, 9:16 facial pain, cheek pain, or forehead 9:18 pain. That can also point toward 9:22 sinusitis. There can also be complaints 9:26 of fever; sometimes, if the infection 9:28 is still acute, it is accompanied by a 9:31 fever. So, how is it treated? Sinusitis 9:35 , God willing, can initially be treated 9:37 with several medications. Well, the 9:40 medications that can be given, if the 9:43 underlying cause is an infection, 9:45 usually include antibiotics. Then, 9:48 nasal sprays can also be given. Then, 9:53 if there is an underlying allergic 9:55 factor, it must be controlled, either 9:57 with nasal sprays or with anti-allergy 9:59 medication. What are the consequences 10:03 if sinusitis is not treated properly or 10:05 not managed well? The sinus cavities 10:08 are, after all, positioned very close 10:11 to the eyes and the brain. So, if it is 10:14 not treated properly, it can lead to 10:15 complications. The most frequent 10:18 complications can affect the eyes or 10:20 the brain. So, when you have sinusitis, 10:24 it is best to treat it quickly so that 10:27 it does not become an advanced disease 10:29 and cause complications. Perhaps that 10:35 is a brief explanation from me; if we 10:38 happen to make a definitive diagnosis 10:42 of rhinosinusitis, besides symptoms, 10:45 the doctor's examination can lead us 10:49 toward sinusitis. Now, one of the 10:53 important examinations to diagnose 10:55 sinusitis is actually a nasal endoscopy 10:58 . Thank God, at Yarsi Hospital, we 11:03 already have nasal endoscopy available, 11:06 and we also have several examination 11:10 packages for diagnosing sinusitis using 11:13 nasal endoscopy. From there, it will be 11:17 visible at the opening or the exit 11:19 channel of the sinus cavity if there is 11:21 mucus or pus, which serves as an 11:23 initial sign or a definitive diagnosis 11:25 of sinusitis. So, symptoms combined 11:29 with the examination. If sinusitis is 11:32 confirmed, the treatment mentioned 11:34 earlier can be carried out. 11:37 Okay. So the overview the doctor 11:40 provided has made us all, to some 11:44 percentage, understand, but hopefully, 11:47 we understand more about these sinuses. 11:51 Can we go straight to the questions, 11:53 Doctor? 11:54 Sure. Go ahead. Hmm, this is from— 11:56 wait a moment—a servant of God 12:02 regarding allergies, Doctor. Is there a 12:06 difference between sinusitis and 12:09 allergies? I mean, is the illness that 12:12 appears sinusitis or an allergy? Are 12:15 they the same? Thank you. 12:18 Okay. Right. Thank you to the servant 12:20 of God who asked. So, actually, 12:23 sinusitis is, as previously stated, 12:25 inflammation involving the sinus 12:27 cavities and the nasal cavity. 12:29 An allergy, by definition, is 12:31 inflammation mediated by a substance. 12:36 So there must be involvement of 12:38 substances that counter antibodies, or 12:41 we call it immunoglobulin A antibodies, 12:45 to mediate the occurrence of the 12:47 inflammation itself. Yes. 12:50 So, indeed, the symptoms for both are 12:53 the same. Sometimes people with 12:54 sinusitis come in with complaints of a 12:56 runny nose, 12:57 or a blocked nose. 12:59 That’s what makes it confusing, right 13:00 ? Is this a cold or allergies? Yeah. 13:03 Yeah. So, allergies themselves can 13:06 indeed be an underlying factor for 13:09 sinusitis. If allergies are prolonged 13:13 and uncontrolled, they can turn into 13:16 sinusitis. The symptoms are similar, 13:18 like a runny nose, nasal congestion, 13:21 and sometimes even headaches. But with 13:24 allergies, there are sometimes distinct 13:26 signs. 13:27 For example, with allergies, your nose 13:30 usually itches. That's why people like 13:32 to rub their noses; we call it that. Or 13:35 in medical terms, it’s a "salute sign 13:38 ," like rubbing the nose, or sometimes 13:40 there's itching in the roof of the 13:42 mouth, accompanied by itchy eyes. When 13:46 the runny nose occurs. Now, a 13:49 definitive diagnosis for allergies 13:51 should ideally be done through an 13:54 allergy test, commonly known as a skin 13:57 prick test. That's for a definitive 14:00 diagnosis of an allergy. For sinusitis, 14:03 the diagnosis is based on symptoms and 14:06 physical exams, like a nasal endoscopy 14:09 to see mucus coming from the sinus 14:11 cavities. That confirms a diagnosis of 14:15 sinusitis. As I mentioned earlier, 14:19 allergies, if prolonged and 14:20 uncontrolled, can indeed lead to 14:23 sinusitis. So, they are 14:26 actually related, between allergies and 14:30 sinusitis. 14:32 Yes. An endoscopic exam is more 14:35 definitive because it reveals 14:36 everything, right, Doc? 14:38 Yes, that's exactly right. Um this is 14:42 from Mbak Ina. Is sinusitis contagious, 14:46 and how does it spread, Mbak Nuning, 14:48 Doc? 14:49 Okay. So, sinusitis is like any other 14:52 respiratory tract infection. 14:56 The infection usually occurs in the 14:58 sinus and nasal cavities. That's part 15:00 of the upper respiratory tract. Since 15:03 that's where most of the bacteria 15:06 colonize, it can be transmitted through 15:09 things like sneezing or coughing. 15:13 Because the droplets that spread when 15:16 someone sneezes or has sinusitis can 15:19 carry the bacteria themselves. So, it 15:24 can be from sneezing, coughing, or even 15:27 from someone touching their nose and 15:29 then touching other surfaces. If there 15:34 are bacteria in the nasal cavity due to 15:36 an active bacterial sinus infection, it 15:39 can indeed cause transmission. 15:43 Yes. So in this case, caution about 15:45 touching things 15:47 that is also 15:48 like doorknobs or other objects, is 15:50 necessary. Okay, this is a question 15:53 from Mbak Anis or Mas Anis in West 15:56 Jakarta, Doc. Can prolonged sinusitis 16:00 eventually cause nasopharyngeal cancer, 16:03 Doc? 16:05 Yes. 16:05 Okay. So, we must distinguish between 16:09 rhinosinusitis and nasopharyngeal 16:11 cancer. As we know, the cause of cancer 16:14 itself is still unknown to this day. 16:17 Yeah. Especially for the causes of 16:20 nasopharyngeal cancer. Cancer is 16:23 generally suspected to be caused by 16:25 things like gene mutations. But 16:28 sinusitis is purely an inflammation. 16:33 Well, God willing, so far there have 16:35 been no reports stating that sinusitis 16:38 itself can progress into nasopharyngeal 16:41 cancer. 16:43 So, yes, those are two different things 16:45 . Indeed, the presence of a tumor in 16:48 the nasopharyngeal area disrupts 16:50 airflow and mucociliary clearance in 16:52 the nasal cavity, which can lead to 16:54 sinusitis. Yes. But whether sinusitis 16:58 can progress into nasopharyngeal cancer 17:01 , so far, there have been no reports 17:03 specifically stating this. 17:06 So, don't worry about it. 17:09 Yes, God willing, it won't. 17:11 Okay. The next question is from Bandung 17:13 , from Ms. Nita. Doc, why do I often 17:16 have ringing in my ears? Uh, okay. 17:20 Maybe someone's talking about you. 17:22 Yes. People are gossiping about you, 17:23 ma'am. Actually, this ringing is known 17:28 in the community as tinnitus; in 17:31 medical terms, it's called tinnitus. So 17:35 , tinnitus is essentially an unwanted 17:39 sound heard by a person. Now, the 17:43 causes of tinnitus vary widely. Ranging 17:46 from ear-related causes to those 17:48 outside the ear. I mean, the ear itself 17:51 can be affected by many things. 17:54 It could be from the outer ear, middle 17:57 ear, or inner ear. So, for the ringing 18:00 itself, we have to find out where the 18:02 problem lies. If you have ringing, we 18:06 need to check one by one to see if 18:08 there's a problem with your ears. 18:11 Then, there could also be causes 18:12 outside the ear. One of them, for 18:14 example, is nasopharyngeal cancer; 18:16 sometimes one of the symptoms can be 18:18 ringing. So, the causes for ringing are 18:21 quite broad. It really needs to be 18:24 investigated to find out what 18:26 specifically is causing the ringing 18:28 through an examination, and it's best 18:31 to consult your nearest ENT specialist. 18:34 Yes. 18:36 Next is a question from Cilandak Town 18:39 Square, Doc. From Mr., or if Jorgi is a 18:43 man, from Mr. Jorgi. Doc, I want to ask 18:48 , my nose is very sensitive; even a 18:50 slight touch makes me sneeze. What do 18:52 you think is causing this, Doc? 18:55 Okay, thank you, Mr. Jorgi; a sensitive 18:59 nose where the dominant symptom is 19:03 sneezing usually suggests an allergy. 19:08 Because a typical sign of an allergy is 19:11 frequent sneezing. 19:14 Usually, an examination might be needed 19:17 to see if there are other causes or 19:19 abnormalities inside the nasal cavity. 19:23 But as for the sneezing itself, it is 19:25 indeed a typical sign of an allergy. 19:28 Sometimes we can also look at when the 19:29 sneezing happens. For example, in the 19:32 morning, at dawn, or when the air is 19:34 cold, you start sneezing. That could 19:37 also point toward an allergy, which 19:39 typically starts at night or early 19:41 morning with sneezing or a stuffy nose. 19:46 So, it's best to get it checked to see 19:47 why your nose is sensitive and to see 19:49 the condition inside your nasal cavity. 19:54 Yes, I'm trying to check our YouTube 19:56 channel. There are so many comments on 19:59 our Rasil TV YouTube. Um, someone said 20:03 they are listening, alhamdulillah. If 20:09 your nose is runny in the morning, is 20:11 it due to bacteria that can cause sinus 20:14 issues, or how is it, Doctor? 20:18 Okay. 20:19 Okay. There are still so many questions 20:20 from YouTube. Please, one by one. Yes. 20:24 So, if someone has a cold, or what 20:26 people call a runny nose, where a lot 20:28 of mucus comes out of the nasal cavity, 20:30 or as we call it, a cold. 20:33 Well, this cold is actually a body 20:35 mechanism for what? It is one of the 20:38 signs of inflammation. 20:40 Now, if it happens in the morning, it's 20:43 usually because of an allergy. It 20:45 happens because there is an allergen in 20:47 our body that is at a high level. It 20:49 reaches its peak at 4:00 AM. That is 20:53 why people with allergies have 20:54 flare-ups more often in the morning or 20:56 at dawn. Why? Because the substances in 21:01 our body, or histamine in our body, are 21:03 at their highest levels during those 21:05 hours. That is why one of the 21:08 manifestations of high allergy levels 21:11 or high histamine is in the form of a 21:14 cold, runny nose, stuffy nose, or even 21:16 sneezing frequently in the morning. So, 21:21 it should probably be checked again 21:23 whether there is an allergy or not. So, 21:27 check it again; if there is an allergy, 21:29 allergies can be controlled. 21:31 It is best to go to the nearest ENT 21:34 doctor to find out if there is an 21:36 allergy or not. Yes. Someone is anxious 21:41 here, Doctor. Can sinus infections 21:44 cause death, Doctor? Well, if we talk 21:50 about death, everyone will eventually 21:53 pass away. 21:55 It's just that no one ever knows the 21:57 time. So, if it's said that way, it is 22:02 an illness, and it comes back to the 22:05 fact that a sick person can become 22:07 worse, recover, or remain ill depending 22:10 on many factors: the interaction 22:12 between their immune system, how the 22:15 surrounding environment contributes to 22:17 the disease becoming more severe, and 22:20 what we call the virulence of the germs 22:23 affecting us. 22:26 Whether they are, let's say, virulent 22:29 or not. So, it can either become more 22:33 severe or it can become milder if our 22:35 immune system is good. So, any illness 22:40 can lead to death; it can be a path to 22:43 death depending on how we manage it. 22:47 Yes. 22:48 Okay. It is unpredictable, but that is 22:52 the fact. And next, from Mr. Haryanto, 22:56 if a baby has a cold, is it a sinus 22:58 issue, Doctor? Does it mean a baby 23:01 having a cold that never stops? 23:04 Maybe they mean their child, who is 23:06 still a baby, has a cold. 23:08 It just won't stop, right? Uh-huh. 23:10 So, as I mentioned, it must be checked 23:12 one by one. Sinusitis can occur, but 23:15 usually, in babies, the sinuses aren't 23:17 fully developed yet. There are some 23:19 sinuses that only develop after the age 23:22 of 6. So, for babies, it's most likely 23:25 allergies. You might want to see if 23:29 there's an allergic factor from the 23:31 father or mother, or if there are 23:33 substances around the house or in the 23:35 environment that cause constant runny 23:37 noses. To definitively diagnose 23:41 sinusitis, an examination is needed. 23:46 So, it is best to have the baby checked 23:48 again to see why the runny nose won't 23:49 stop. Because there are many things 23:53 that can cause a runny nose. Okay, the 23:57 next one is from Pontianak. That's far, 24:00 Doc. My chest feels like it's racing 24:03 when I drink coffee. But if I don't 24:05 drink it, I get sleepy. Oh, off-topic. 24:08 But it's allowed. Thank you for the 24:10 information. Yes. Right. Coffee likely 24:15 contains caffeine, right? That triggers 24:18 the racing heart, right. Well, it's 24:22 better if it's coffee causing the 24:23 racing heart, not something else, Doc. 24:25 Now, that would be more frightening. 24:27 Okay, next question, um. There is no 24:33 name here, Sir. Maybe just click. My 24:36 ears are ringing, Doc. Why is this, Doc 24:40 ? 24:40 Well. 24:41 If we were talking about auras, no, 24:42 that's not it. 24:44 Possibly. Well, that's it. Um, it might 24:47 have been explained earlier. So, that 24:50 ringing is what we call tinnitus. The 24:53 cause can be from the ear or outside 24:56 the ear. Actually, we must check one by 25:00 one how the ear condition is. Then, are 25:03 there other causes or other symptoms 25:06 that appear along with the ringing 25:08 itself? So, um, it must be checked one 25:12 by one, how the ear is. If there is an 25:15 ear complaint, it must be addressed 25:17 first. For example, earwax can also 25:19 cause ringing complaints. So, try to 25:22 have the ears cleaned first, for 25:25 example, by an ENT doctor to have them 25:27 cleaned. Once cleaned, is there still a 25:30 ringing complaint? So, yes, it actually 25:34 must be investigated one by one, 25:36 starting from the ear, then what might 25:38 be the trigger outside the ear. 25:41 Yes. Next is from Mr. Joko Ismulanto. 25:46 Peace be upon you, Doc. May I ask? If 25:50 I've had a sinus flush (gurah), can the 25:53 sinus come back? A sinus flush. Okay. 25:56 Okay. And peace be upon you too. So, 26:00 regarding that sinus flush, as far as I 26:04 know, it's a procedure to help drain 26:07 the mucus. Yeah. 26:10 Now, sinusitis can happen due to many 26:12 things, right. It could be because of a 26:16 toothache causing sinusitis, or 26:18 allergies causing it to be prolonged. 26:21 So, sinusitis can exist, or polyps 26:23 causing sinusitis can also exist. Now, 26:26 it depends on whether the sinusitis was 26:28 actually there at the time of the flush 26:31 , that's one thing. Now, if it is 26:32 actually there 26:34 what is the underlying factor, for 26:37 instance, are there polyps or perhaps a 26:40 toothache; if the underlying factor 26:43 isn't treated, it won't heal. So, you 26:47 must first look at what the underlying 26:48 factor is. Because the procedure of ' 26:52 gurah' is actually just like a cleaning 26:54 action, clearing the sinus cavity, or 26:56 removing the contents or fluid from the 26:58 sinus cavity. That’s all. Alright, 27:03 still with the Health Room of Rasil TV 27:07 for Islam which this time presents a 27:10 discussion regarding sinusitis, which 27:13 we might only know a small percentage 27:16 about. All we know is that it’s just 27:21 a nasal disturbance. And we will 27:25 continue again with the next question 27:28 from who is it? Eva. Eva in Batam, her 27:35 question is about a sore throat, Doc. 27:38 Why am I so easily prone to getting a 27:40 sore throat? What should I avoid, Doc? 27:45 Okay, 27:46 sore throat. Thank you, Ms. Eva for 27:48 your question. So, for a sore throat or 27:52 what is known as pharyngitis, 27:55 there can actually be many causes. As I 27:59 said earlier, it is seen from the 28:02 anatomy or the underlying factors, for 28:04 example, is there an enlargement of the 28:07 tonsils? Because people with enlarged 28:11 tonsils are usually a source of 28:13 infection. So, they easily experience 28:16 recurring sore throats. The tonsils 28:18 themselves or the throat area should be 28:20 checked, that's the first thing. Then 28:22 the second is diet. How is the diet? Do 28:27 you like eating oily or spicy foods 28:29 that stimulate stomach acid production, 28:31 causing acid reflux which leads to 28:33 throat inflammation? That can also 28:38 cause recurring sore throats, or it 28:40 could also be your breathing pattern. 28:44 Many people don't realize that their 28:46 nasal cavity is actually often blocked. 28:49 So they breathe through their mouth a 28:50 lot. 28:51 Now, people who breathe through their 28:53 mouths also tend to easily experience 28:55 recurring sore throats. So, you have to 28:59 check one by one which of the factors 29:02 mentioned earlier applies to Ms. Eva. 29:05 So it must be confirmed again. Now, if 29:08 it has been found, that is what needs 29:10 to be treated. So first look at what 29:13 the sore throat is like, and whether 29:16 it’s a sore throat all the time. So 29:20 it’s best to get it checked first by 29:22 an ENT doctor to confirm what factors 29:25 are making Ms. Eva prone to sore 29:27 throats. 29:30 Okay, so keep checking and rechecking, 29:33 okay. Then the next one is from Mr. 29:37 Rudi. This is also from far away, in 29:39 Banyuwangi. Doc, can a chronic ear 29:41 infection ('congekan') be cured and 29:42 become normal, Doc? 'Congek' is 29:44 different, but still under ENT. 29:46 It is still ENT, actually. Yes. 29:49 Actually, 'congek' is what laypeople 29:51 call it, or Javanese people sometimes 29:53 call it 'kopoken' or some call it 'cur' 29:55 . 29:57 It is actually an infection in the 29:59 middle ear. It usually happens because 30:02 there must be a perforated eardrum. So, 30:06 this can actually be treated, you know. 30:10 It can be treated, if it has been going 30:13 on for a long time, surgery can be 30:16 performed to patch that torn eardrum. 30:20 And technology is quite advanced now, 30:21 isn't it? 30:22 Yes. 30:23 Surgery can be done from behind the ear 30:25 , or using an endoscope as well. So, 30:28 God willing, it can be cured, because 30:30 if this chronic ear discharge continues 30:33 , your hearing will certainly decrease; 30:35 your ability to hear will be different. 30:38 Because the eardrum in the human ear 30:41 itself also functions to amplify sound. 30:44 So when it is no longer intact or there 30:47 is a tear, hearing will definitely be 30:49 reduced. So if you have complaints of 30:54 ear discharge, you can find the nearest 30:56 doctor, then get it checked to see if 30:59 it can be treated or if surgery is 31:02 needed to patch the torn eardrum. But 31:06 if treated properly, God willing, it 31:09 can recover. 31:11 Yes. So, with proper care and treatment 31:15 , hopefully with God's permission, any 31:19 health issues we experience can be 31:22 resolved, right, Doctor? 31:25 God willing. 31:26 Okay, at the top of the hour we will 31:28 take a break, you can call us at 845 31:30 1512. But if not, you can write via 31:35 WhatsApp, that's fine. Or, if you are 31:37 watching on YouTube, you can also write 31:39 in the chat there. Hmm, one next 31:42 question before we pause. During the 31:45 change of seasons, Doc, I definitely 31:48 catch a cold once a year, or when it's 31:51 winter in Arabia. How do I anticipate 31:54 this? Oh, from Ekaf in Cibubur. 31:59 Okay. So, what is it? A cold itself is 32:03 actually a bodily mechanism to protect 32:05 our body. It is a mechanism given by 32:09 God as a sign that there is an 32:11 inflammatory process, a disruptive 32:13 factor, so the manifestation can be a 32:16 cold. You have to find out when this 32:19 cold happens, whether it's because of 32:22 allergies or because of cold air. So if 32:25 it's due to cold air and you get a cold 32:28 , then the number one priority is 32:31 avoidance. Indeed, you should look for 32:35 the source of the allergy or if cold 32:37 air triggers the allergy; you can 32:39 improve your immune system and avoid 32:42 substances that cause allergies. 32:45 Like that. So, catching a cold is human 32:48 ; everyone will surely catch a cold 32:50 once or twice a year. But if it is 32:52 certain to be once a year, specifically 32:54 during the change of seasons. 32:56 Well, due to the weather changes, it 32:58 could be 33:00 something like dust or the environment. 33:03 That's why you have to look, if it's at 33:05 a specific time like that, you must 33:07 also look at the environment. What is 33:10 the environment like when the seasonal 33:12 change happens, or how is that person's 33:14 immune system? Are they exhausted, 33:17 working too much, or staying up late so 33:19 the cold appears? It could be; you have 33:22 to look at it one by one to see what 33:25 factors are likely triggering the cold 33:28 itself. 33:29 What is clear is that the immune system 33:31 must be supported by a healthy 33:33 lifestyle. If you have a cold, why do 33:37 many people say it's because of 33:39 constantly consuming ice? Well now. Is 33:43 that really true? But alright, let's 33:45 take another short break first. We are 33:49 still with Dr. Dian Nurul Al-Amini, an 33:53 ENT specialist from Yarsi Hospital. God 33:59 willing, whatever you ask regarding ENT 34:02 matters, we will hear the answers right 34:05 now. We will return after this break. 37:32 Brail TV Still with Rasil for a united 38:00 Islam on the Health Room program with 38:02 Dr. Dian, and let's move on to the 38:04 questions, Doc. Hmm, from Fauzi. Good 38:10 afternoon, Doc. I have sinusitis, which 38:12 I usually treat with antibiotics and 38:16 painkillers when it flares up. And now, 38:19 my sinusitis is recurring frequently. 38:22 I'm afraid of becoming resistant if I 38:25 keep taking antibiotics. Now, a friend 38:28 suggested that ginger can cure 38:30 sinusitis. Is this true, Doc? How do 38:33 you treat sinusitis with ginger? Thank 38:36 you. Yes. 38:38 Okay, thank you. Who was it again? 38:41 Uh, Mr. Fauzi. 38:43 Mr. Fauzi, thank you for your question. 38:46 So, actually, it must first be 38:48 confirmed whether Mr. Fauzi's sinusitis 38:51 is really sinusitis or not. So, in 38:54 other words, the diagnosis must be 38:55 confirmed first. It's best for nasal 38:58 complaints to be checked, because not 39:00 every nasal issue is definitely 39:02 sinusitis. So, it's better to go to the 39:06 nearest doctor first to confirm whether 39:08 it really is sinusitis or not. Because 39:11 if you use antibiotics without a 39:15 doctor's guidance or not according to 39:19 indications, it can cause antibiotic 39:23 resistance and other side effects. So, 39:27 my advice is to first confirm whether 39:30 it's really sinusitis or not. It's best 39:34 not to take antibiotics carelessly, 39:36 because it can cause many issues. As 39:41 for ginger, it's considered part of 39:47 traditional medicine, right? 39:54 Yes, perhaps its warmth provides a 39:58 sensation of relief for the nose, but 40:02 frankly, I have never read that ginger 40:06 can directly cure sinusitis. While the 40:11 warmth from a ginger drink might soothe 40:15 the nose, I haven't personally seen it 40:18 as a direct medical treatment. 40:22 Okay. 40:25 Regardless of the information we 40:27 receive, ginger is a healthy food; it's 40:29 fine to drink it regardless of other 40:32 illnesses. 40:34 Yes. 40:35 This question is from, uh, who is it? 40:38 From Mr. Syukur. My child has sinusitis 40:43 and they say it can be treated by nasal 40:45 irrigation with NaCl. Now, here's more 40:48 information. I'm worried it might enter 40:51 the lungs, Doc. Are there any side 40:52 effects? Please provide some 40:55 information. Thank you. Nasal 40:58 irrigation with NaCl. 41:00 Yes. So, actually, sinusitis itself is 41:04 currently, even in America, uh sorry, 41:08 in, uh, England. 41:11 Nasal irrigation with NaCl is one of 41:15 the therapies to treat sinusitis. Why? 41:20 Because by washing the nose, in medical 41:23 terms, we improve the mucociliary 41:26 clearance of the nose or improve air 41:29 and mucus exchange. It improves, it 41:33 restores the nose which had experienced 41:36 sinusitis or inflammation, which caused 41:38 mucus buildup. That accumulated mucus 41:41 can be helped by the nasal irrigation 41:43 procedure to flush out the mucus. God 41:46 willing, it is safe. However, what must 41:48 be known is the method, how to wash the 41:51 nose properly and correctly. I think 41:54 there are many instructions on YouTube 41:57 now on how to wash the nose well. 42:01 You can use NaCl, or currently in 42:04 Indonesia there are already many 42:08 ready-to-use nasal irrigation fluids, 42:11 the packaging is also ready for direct 42:15 use, they can be used to wash the nose 42:18 because as mentioned earlier, it can 42:22 improve air and mucus exchange in the 42:25 nose. So, there is no need to be afraid 42:29 to do nasal irrigation, God willing, it 42:31 is safe. The important thing is to know 42:34 the proper and correct way to do it. 42:37 Maybe that's all, it seems. 42:39 Okay, this is a question from Bekasi, 42:42 from Mbak Narti. What if sinusitis is 42:47 caused by a toothache, Doc? How is the 42:51 treatment? Is it true that sinusitis 42:53 can happen because of a toothache, 42:55 maybe many patients sometimes 42:57 do not realize that 43:00 where did their sinusitis come from? It 43:04 can be from teeth because, incidentally 43:08 , some of the roots of the teeth in the 43:11 upper jaw are close to the sinus cavity 43:15 . So when there is an infection in a 43:18 tooth, it usually also causes an 43:20 infection in the sinus cavity. Now, the 43:22 characteristic of sinusitis originating 43:23 from a tooth is that the nose usually 43:25 smells bad. That's why I had to ask 43:27 again, does the nose smell with their 43:29 sinusitis? Because germs from teeth are 43:32 usually what we call anaerobic bacteria 43:34 or usually cause an odor. So, you have 43:38 to make sure again, how is the 43:39 condition of the teeth regarding the 43:41 sinusitis? So it is very possible for a 43:44 toothache to cause sinusitis. Usually, 43:46 the ones involved are the teeth in the 43:48 upper jaw. Molar or premolar teeth, or 43:52 the molars, so what about the treatment 43:56 ? Besides treating the sinusitis, the 44:00 tooth as the source of infection must 44:02 also be treated. For example, if it has 44:06 a cavity, it must undergo root canal 44:08 treatment and then be filled. If it 44:11 turns out it cannot be saved, it must 44:14 be extracted. Because if the source of 44:17 infection is not addressed, the 44:19 sinusitis will certainly not heal or it 44:21 will 44:23 recur more easily and could even cause 44:25 complications. So, it is best if it is 44:28 clear the sinusitis is due to a tooth, 44:30 the tooth must also be treated. 44:32 Yes. Infection really has an effect, 44:35 doesn't it? Okay. 44:37 Alright. Next is this from Mr. Ruri who 44:40 is in Cianjur. Doc, if sinusitis is 44:45 contagious, how does it spread and what 44:48 is the solution? Because we are in a 44:51 refugee tent, Doc. Uh-huh. 44:54 Okay, 44:54 I can hear you, thank God. 44:59 Okay, ma'am, so sinusitis is actually 45:01 part of an upper respiratory tract 45:03 infection. So, transmission usually 45:08 happens through droplets that are 45:10 spread when we sneeze or cough, or if, 45:13 for instance, you wipe a runny nose and 45:16 then touch something. That can cause 45:20 transmission. But the transmission 45:23 itself depends on many factors too. 45:24 When a person gets sick, there are many 45:26 factors involved. It's not just from 45:28 the droplets that are spread that it 45:30 can immediately cause contagion. So, to 45:33 prevent it, you can stop the droplets 45:36 themselves by wearing a mask, for 45:39 example, or washing your hands 45:41 frequently. Why? Because so the germs 45:45 that were already spread, for example 45:46 when coughing or sneezing, don't 45:48 scatter everywhere. But if they are 45:51 already on your hands, for example from 45:53 wiping your nose because of a cold, 45:55 then if you wash them thoroughly, God 45:57 willing, the germs will be gone. Now, 46:01 another important thing is actually 46:03 your immune system. So, a person gets 46:05 sick not only because of germs, but it 46:08 also depends on their body's immunity. 46:11 So 46:12 yes, the immune system factor must also 46:15 always be maintained. So boosting the 46:18 immune system is the most important 46:19 thing. Eat healthy food, 46:23 get enough rest. So, if our immune 46:27 system is good, God willing, the germs 46:29 can also be handled by our body's 46:31 defenses. 46:33 Yes. This is a question that might be 46:36 confusing many people. 46:38 Is sinusitis hereditary, Doc? 46:40 Name not mentioned. Can sinusitis be 46:43 caused by heredity? 46:45 Okay. So, to say it's directly 46:48 hereditary, actually no. Sinusitis is 46:50 actually an inflammation of the sinus 46:52 and nasal cavities. Now, look at the 46:55 underlying factors, it could be 46:57 infection, or allergies that facilitate 46:59 sinusitis, or anatomical abnormalities. 47:03 But perhaps those anatomical 47:05 abnormalities are what underlie the 47:07 sinusitis, for example, people with a 47:10 deviated septum have a higher risk 47:12 factor for developing sinusitis, 47:16 it could be up to four times higher 47:18 compared to people without a deviated 47:20 septum. Now, sometimes a deviated 47:23 septum is like facial anatomy, like a 47:25 father and child looking similar. So, 47:27 it could be that the shape of their 47:29 nasal cavity anatomy is also similar. 47:31 So, the child also gets runny noses 47:33 easily and then easily develops 47:34 sinusitis, for example. So, if you ask 47:38 if it's directly hereditary, God 47:40 willing, it's not. But you have to look 47:44 at the underlying factors. What are the 47:47 underlying factors of the sinusitis 47:49 itself? If the underlying factor is an 47:52 anatomical abnormality, then yes, 47:54 perhaps because the father has a 47:57 deviated septum, the child also has a 47:59 deviated septum, making them more 48:02 susceptible to sinusitis, like that. So 48:05 , if it's about heredity directly, God 48:07 willing, it’s not the case. All right 48:11 , next question. Regarding sinusitis, 48:16 the first one was about heredity. Now, 48:21 if it isn’t treated, Doc—this is 48:23 from who? Mr. Lain, right—if it 48:26 isn’t treated, what can happen, Doc? 48:31 Well, every disease, God willing, has a 48:34 cure, right? So, if it’s confirmed to 48:39 be sinusitis, it’s best to treat it 48:42 properly. If not treated, the disease 48:46 can worsen or become prolonged, then it 48:50 affects your quality of life or can 48:53 lead to complications. Sinusitis 48:57 complications can spread anywhere, to 49:00 the head or even the eyes. So, if 49:04 sinusitis is not treated properly, it 49:06 can cause complications. So, if you 49:10 already have sinusitis, it’s best to 49:12 treat and manage it well. Because if 49:17 it's not treated properly, there's a 49:19 risk of it causing complications. Yes. 49:25 Still here on Health Space with Asil. 49:30 This question was sent by Ms. Diah. Umm 49:36 where is it? Oh, no, it’s not, it's 49:42 from Ms. Reni. Ms. Reni in at 65 years 49:48 old. I used to have frequent colds 49:52 since I was young until I was 50. It 49:56 turns out since that age I often forget 50:00 , every day half an hour after prayers. 50:05 Alga, what is Alga? Oh, there’s a 50:10 call, miss. Let’s take the call first 50:12 . Hello. Assalamu'alaikum. Hello. Are 50:17 we still connected? It cut off. My 50:22 apologies. Please call back later. 845 50:24 15, earlier it said "Alga" half an hour 50:29 every day. "Alga" might be "Olga," 50:32 meaning exercise, maybe? Yeah. 50:34 Alhamdulillah, ever since I started 50:35 exercising regularly, the colds healed 50:37 on their own. I used to have sinus 50:39 issues too, Doc. This is just a story 50:42 from Ms. Yuti from Reni. Oh, not Ms. 50:46 Reni, but Reni is a place name in 50:48 Pamulang, with "Olga." Is that right, 50:51 Doc? 50:51 Yes. Yes. Yes, exercise is a basic need 50:55 of the body. 50:57 To have a healthy body, one way is to 51:01 exercise regularly. Exercise makes 51:05 people happy and also boosts immunity, 51:08 so the incidence of colds will 51:10 certainly decrease. That’s a good 51:14 habit of regular exercise so it can 51:16 actually increase your body's 51:17 resistance as well. It comes back to 51:20 that. So if you can exercise, please 51:26 exercise regularly so the body stays 51:29 healthy, and the immune system improves 51:31 . 51:34 Okay, how much time do we have left? 51:38 But let's go to the next question from 51:40 Mr. Ibrahim first. Good afternoon, Doc. 51:45 Regarding my nose problem, for 2 days 51:48 there has been a yellow liquid like 51:51 water, and if I tilt my head it usually 51:54 comes out accompanied by a slight 51:57 headache on the right side up to the 51:59 back of the neck for a short time. And 52:05 when the fluid stops, a clear mucus, 52:09 sometimes yellow, comes out on its own. 52:14 Unfortunately, this happens once every 52:16 time the fluid stops. What is the cause 52:19 of this, Doctor? Is this dangerous, or 52:23 how should I deal with it? Because I'm 52:26 afraid, Doctor, that something is wrong 52:28 with my nose. 52:29 Okay. Right, thank you, Mr. Ibrahim, 52:31 was it? If I'm not mistaken. 52:34 So, based on the symptoms described, it 52:37 is actually a cold. The cold mucus is 52:41 sometimes yellow, sometimes clear. Then 52:44 , if you bend over, there's a headache 52:48 or increased pain. So, based on the 52:52 symptoms mentioned, it could point 52:54 toward sinusitis. So it's best for Mr. 52:58 Ibrahim to see the nearest ENT 53:00 specialist. It would be even better if 53:03 an endoscopy could be performed. An 53:05 endoscopy inside the nasal cavity. What 53:07 is causing so much mucus to come out of 53:10 the nasal cavity? Is there a blockage 53:13 or inflammation there? That should be 53:16 examined first to see. But from the 53:19 symptoms described, it can also lead to 53:22 sinusitis. So, we need to take another 53:24 look and perform further examinations. 53:26 Check if there are polyps, as that is 53:29 also possible. That will be visible 53:32 during a nasal examination or an 53:35 endoscopy for more clarity. So, it's 53:39 best to go to the nearest ENT doctor to 53:41 find out. 53:43 What is causing so much mucus. So, 53:46 please go to the nearest ENT doctor if 53:49 you can. 53:51 Okay, this last one is from Mrs. Tini. 53:55 Doctor, sorry I'm late, but I want to 53:57 hear it too. What is the difference 53:59 between a common cold and sinusitis? My 54:01 cold just won't go away, Doctor. Thank 54:03 you, Ms. Nuning. Yes, you're welcome. 54:05 Okay. Yes, Ma'am, regarding the cold. A 54:09 cold is actually mucus that comes out 54:12 through the nasal cavity. A cold can 54:15 come through the front nasal cavity or 54:18 the back, what we call postnasal drip 54:21 in medical terms. So, a cold is 54:24 basically the discharge of mucus. What 54:28 we need to find is the cause, whether 54:30 it's a symptom of sinusitis or an 54:33 allergic cold. We need to see when the 54:36 cold appears. Whether it's when there 54:39 is a sinus infection or when exposed to 54:43 allergy-triggering substances, like 54:47 dust. If it happens when exposed to 54:49 dust, it's likely a dust allergy. 54:52 Okay, let's take a call first. Peace be 54:54 upon you. 54:55 And peace be upon you, Ma'am. 54:56 Hello. 54:57 Hello, Ma'am. Peace be upon you. 54:59 Did it cut off again? 55:00 It's there. Peace be upon you. 55:02 And peace be upon you and God's mercy 55:03 and blessings. 55:04 Go ahead. Who am I speaking with? Where 55:06 are you from? It's Mr. Asrif from Depok 55:08 , Ma'am. 55:09 Okay, go ahead. 55:10 Yes. Hello, Doctor. 55:14 Yes. Peace be upon you. Peace be upon 55:18 you too, Ma'am. Doctor, uh, I'm Mr. 55:21 Hasrif from Depok, I'm 72 years old. 55:25 Yes. 55:26 Yes. This has been going on for over 10 55:29 years. Ever since 10 years ago, I've 55:30 had frequent cramps. If I grip 55:33 something a bit too hard, my fingers 55:35 cramp, and when I'm sleeping, sometimes 55:37 my calves and thighs cramp, Ma'am. And 55:41 I went to the doctor and was given 55:43 mecobalamin, uh, it does disappear 55:45 sometimes, but then it comes back often 55:48 . What do you think is the cause, Doc? 55:52 Thank you, Doc. 55:53 Right, please go ahead, Doc. Even 55:55 though it's outside our topic. 55:58 Actually, uh, this is outside my 56:01 capacity as an ENT doctor. But, cramps 56:04 have many causes, don't they? Is it a 56:07 muscle issue, a bone problem, or an 56:10 issue with blood flow to the hands or 56:14 the leg muscles I mentioned earlier? 56:18 It's best if you get it checked by an 56:21 orthopedic doctor or an internist 56:23 because cramps can also be caused by, 56:25 for example, low potassium levels in 56:27 the blood. So, it's best to get it 56:31 checked by a nearby doctor first, maybe 56:34 a general practitioner, and from there, 56:36 it can be determined where to look 56:39 further. Whether you need to see an 56:42 orthopedic doctor, an internist, or a 56:44 neurologist. For example, if there's a 56:47 nerve issue. So, yes, it's best to see 56:50 a doctor first to be sure. 56:53 Alright, Mr. Asrif, I hope it can be 56:55 resolved soon. And before we finish, 56:59 Doc, there's a question after COVID hit 57:02 Indonesia. This is funny, from [time] 57:06 to [time], if I work without rest, the 57:09 fluid in my nose just keeps flowing. 57:12 But as soon as I rest, it disappears. 57:15 Is this sinusitis, Doc? Yes, please go 57:18 ahead, Doc. 57:19 Yes. Well, is that [time] in the 57:22 afternoon or what? Or what time. 57:24 Yes, from [time] to [time], or maybe 57:26 from [time] in the morning until [time] 57:28 at work. 57:28 That's the thing. Because, as I said, 57:31 if it tends to happen in the morning 57:33 with a lot of mucus in the nose, 57:35 for instance, like a cold. Well, that's 57:37 likely pointing towards an allergy. So, 57:40 it needs to be checked because if the 57:43 cold appears when staying up late or 57:46 whatever, at [time] in the morning, uh, 57:49 it could be signs of allergies, so 57:51 check that first. Because if it's 57:54 sinusitis, it's best to confirm it with 57:56 further examination by scoping into the 57:58 nasal cavity to see if there is indeed 58:00 pus in the sinus cavity. So, if there 58:03 is indeed pus in the sinus cavity, it 58:06 can be confirmed as sinusitis. But if 58:09 there isn't any, it must be looked at 58:11 again, or perhaps it's an allergy. If 58:14 it is an allergy, then we look at what 58:17 the allergen is. Whether in the work 58:20 environment, during those hours, there 58:22 are many substances that trigger the 58:24 allergy. Well, I think you should 58:28 double-check that, Sir. So, what about 58:31 the details or what other symptoms 58:34 might be there? Is there any itching in 58:37 the nose or itching in the eyes? It 58:40 could be an allergy, but to confirm 58:43 sinusitis, you need additional exams 58:45 and a nasal examination first. 58:49 Alright, Doctor, could you perhaps 58:51 summarize our discussion on sinusitis 58:53 today? 58:54 Okay. Very well. So, sinusitis is a 58:57 disease that is quite common in the 58:59 community. It is often mistaken for 59:03 allergic rhinitis. You should get 59:07 examined to confirm whether or not it 59:09 is sinusitis. An important examination 59:13 is the nasal endoscopy. Now, this 59:16 sinusitis can be treated and cured with 59:19 medication. So, don't be afraid to seek 59:24 treatment, as not all sinusitis cases 59:26 require immediate surgery. Some can be 59:30 treated, but if not treated properly, 59:33 sinusitis can lead to complications. So 59:38 , if you have symptoms pointing toward 59:41 sinusitis, you should immediately find 59:43 the nearest ENT specialist, preferably 59:46 at a hospital that has nasal endoscopy 59:48 facilities to confirm if it is indeed 59:51 sinusitis. I think that's all. Alright, 59:57 thank you to Dr. Dian Nurul Ala Amini, 1:00:01 ENT head and neck specialist, for 1:00:05 helping us understand more about 1:00:08 sinusitis. Hopefully, Dr. Dian from 1:00:13 Yarsi Hospital will be willing to join 1:00:15 us again sometime to discuss ENT 1:00:18 matters. But, brothers and sisters, 1:00:20 before we conclude, there is some 1:00:22 information that needs to be shared. 1:00:26 You are invited to the Radio 1:00:28 Silaturahim Quran Recitation Gathering, 1:00:31 which God willing, will be held on 1:00:34 Sunday, December 18, 2022, from 8:30 to 1:00:37 11:00 AM Western Indonesian Time. It 1:00:42 will be held at the Silaturahim Mosque 1:00:44 on Jalan Kalimanggis, Jatiarya Jati, 1:00:47 Bekasi City, with Sheikh Kholil Ibrahim 1:00:50 . Whoever takes a path in search of 1:00:54 knowledge, Allah Subhanahu wa Ta'ala 1:00:56 will make easy for him the path to 1:00:58 Paradise. Hadith narrated by Muslim. 1:01:00 God willing. For those of you who have 1:01:02 time this Sunday, please come. Once 1:01:05 again, Dr. Dian, thank you very much 1:01:07 for your presence today. Hopefully, we 1:01:10 can all better look after ourselves and 1:01:12 our families regarding our health. 1:01:14 Billahi taufik wal hidayah. 1:01:16 Wasalamualaikum warahmatullah 1:01:18 wabarakatuh. 
