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Monday, October 27, 2008

This is what he say

Ingat tak entry aku pasal Pendarahan Semasa Kehamilan? Ok Dr Din menjawab persoalan semua... secara saintifik dan tepat... Bagi kamu dan kamu yang merasakan entry ini membosankan, sila abaikan dan tunggu next entry aku ok... aku nak jugak kongsi benda ni... wakakak... this is Jay's email regarding the issue...

Dear Kak Shidah,

Hello…regarding your request for my opinion about Fidah’s prob…this is the best I could do…

First of all nak cakap, this is my view based on my limited knowledge about Obstetrics & Gynaecology (Sakit puan punya field), belum abis my proper education infact next year baru sambung my 2nd part of this module. So this is basically a rough guide…

So let’s start the discussion on explaining some important terms;




Since I’m being educated at the West, I should admit, org tak berapa biasa dgn terminology melayu on pregnancy…anyway I believe the following terms merujuk kepada;

Uri = placenta + amniotic sac

Placenta = medium perantara between baby & mother…di sini pertukaran darah between 2 nyawa berlaku…

Amniotic sac = fluid that surrounds + protects the baby from injury…

Umbilicus cord = Tali pusat, boleh diumpamakan mcm wayar kepada baby…benda ni yang membawa darah, makanan kepada baby…without it fetus/baby won’t survive!

Uterus= Rahim or English name dia “womb”, hanya ada pada perempuan…kat sini lah tempat baby akan develop sehingga dilahirkan…kat dinding uterus ni la placenta akan melekat, then develop…

Pangkal Rahim = the end part of the uterus called ‘Cervix’…pernah dengar kanser pangkal rahim? in western medicine we call them “cervical cancer”…di sini la tempat placenta menempel dlm kes placenta previa…

Regarding the bleeding problem …1st kena clear either darah tu continous, atau just on one occasion jer? What I mean is adakah pendarahan tu berlaku setiap kali buang air kecil?...then was there any pain masa tu?....then fidah pernah jatuh, or injured ke of any causes?

Pendarahan fidah ni, in medicine we call it, “ antepartum haemorrhage” – atau dlm melayu pendarahan ketika pregnancy (not accurately translated but near to that)…banyak benda boleh sebabkan pendarahan tu…but since fidah kata dia punya uri dekat dgn pintu/pangkal rahim, I assume that was her doctor’s diagnosis….in medicine we call it Placenta Previa

Placenta previa - seperti yang kak Zy katakana before this…I think she already explained it clearly…basically misplacement of placenta, instead binding on uterus it binds to cervix – pangkal rahim… ini mmg masalah penting dlm field Obstetrics due to its unpredictability nature…in other words biler2 jer dia boleh effect normal pregnancy…usually it happens more than 24weeks of pregnancy…the reason being, as the pregnancy moving toward labor period (melahirkan anak), cervix tu akan mengembang & lubang akan membesar utk prepare utk kelahiran baby…then apabila jadi mcm tu lagi senang baby akan “terjatuh” dari uterus ibu…ini berbeza kalo placenta tu terletak kat bahagian atas uterus…..tp dlm kes fidah dia baru 5 months or around 21weeks of pregnancy (we use week rather than month for timing of pregnancy)… so agak pelik kes fidah ni, since my medical book defines placenta previa as such (happens after 24weeks of pregnancy)…I’m more incline to belive it was due to urinary tract infection (jankitan dlm salur kencing), but if it a confirmed finding by the doctor, it needs urgent precautions….

My advice is, don’t panic…itu paling penting…sometime the worrying is worse than the problem itself…patients & family members selalu inappropriately worry too much…they seem to forget the fact that to remain calm and relax, the best way to heal a disease/problem…fidah dah jumpa pakar, then serahkan pada doctor to manage her problem….kalo doctor pesan jgn buat kerja berat sgt please do stick to such advice…since the placenta position agak x stabil, jangan lah libatkan dlm activity yg berbahaya…kerja pun dah tak boleh sampai tengah malam…bed rest is really important!

Before leaving nak include some facts about pregnancy

1. Pregnancy is divided into 3 trimesters (weeks of pregnancy)

1st trimester – 0-14 weeks

2nd trimester – 15-28 weeks (believed to be the most sensitive period, where fetal development at its peak, fetal/baby movement should already be felt at this stage)

3rd trimester -29-42 weeks (most babies will survive if delivered around this time)

2. Normal delivery – 38-42 weeks of pregnancy

3. Preterm delivery aka premature delivery – less than 37weeks of pregnancy

4. Baby in theory on can survive, if delivered after 24weeks of pregnancy, before that period mortality is more likely to happen

OK till now,

Jay

-loves from Dublin-



The Half Blood Princess
- In your Hands, my life begins and ends-

Seriau...

Korang nak tahu tak? Tak mo tahu pun aku nak bagi tahu! Muahahah.... Aku selalu gune jalan ni tuk balik... and everytime aku lalu jalan ni and especially kalau stop kat sini... aku jadi seriau... jom tengok kenapa....

Korang ingat kenapa? Muahahah.... rasa2 ada apa kat flyover ni?Ermmm buat suspen ajoooo... mungkinkah ada hantu? wow!

Dapat lihat dengan jelas tak?

Heheh tahu aku seriau apa? Tiap kali aku berhenti kat bawah flyover ni aku bayangkan kereta jatuh dari atas... bole? hahahah larikkkssssss

Ini bukan dugaan... tapi betul aku selalu takut kot2 ada kereta, motor, lori jatuh dr atas.... esh minta la jauhkan?


The Half Blood Princess
- In your Hands, my life begins and ends-

Shoping tuk Rayyan and Petom (bkn nama sebenar)

Ibu :- Along ambik gamba....
Aku:- Gambar apa?

Mak aku kuarkan plastik dlm bilik dan lambakkan baju2 ni kat ruang tamu...

Kan... mak aku ni over... hahaha... ambik gambar tuk apa yek? heheheh
Aku :- Nak ambik gamba tuk apa?

Sajer je aku tanya ok!Hahaha kaco dia...sambil duduk tengok barang yang dia susun.
Ibu :- Letak la kat blog... ~ kan... my mom is very the over ok!
Aku :- aaaa Blog? Blog siapa? ~ Akak saja bikin hati dia panas
Ibu :- Blog kita ar.... ~ wahhh tetiba jadi blog kita pulakkan?
Aku :- Bila aku ada share dengan ko? ~ agak kasar jawapan aku,kan? Tapi ni gurau2 je.... terus mak aku gelak
Ibu :- Alaaaa kitakan anak beranak? ~Ngeh...ngeh...ngeh

Ok aku sajer je gurau2... mmg kalau mak aku tak suruh pun, aku sure masuk sendiri,kan?

Baju tuk Rayyan dengan Petom (bukan nama sebenar anak kak Zy) and For Angah Infomation Petom suggested by Abang Us... buruk yek angah...nasib anak Fuad nama sedap di dengar... hahah. Macam aku mention dlm previous post, usia kandungan Zy dengan Pidah tak banyak beza. So mak aku ni beli tuk cucu dia beli sama satu tuk Petom... heheh. Ada jugak melekat nama budak ni le ZY.... kijammmmm

Sampai juru jual tu tanya mak aku.... "Dapat cucu kembar ke mak cik?" mak aku yang poyo ni dia senyum je la... Vangga... mak bapak lain2... kembar ke benda...

Ok tuk tatapan Zy... sila nangis sambil gigit-gigit jari anda... tak pun meraung2 sambil2 tumbuk dada laki hang....


Tadaaaaa... nasib baik sorg perempuan sorg lelaki...kalau sama dah tertukar da...

Ni nak citer kejadian di Giant Klang... hahah mmg lawat mak aku ni... mulai sekarang kalau shopping, jauhkan dia dari babies department ok! Dia dah nampak stokin baby, 3 pasang RM 4.99 dia dah rambang mata... padahal dah beli dah stokin. Ni alasan dia, tuk jalan2... so tebal sikit bla...bla...bla... ok aku layankan.... dia paksa aku cari dua2 serupa!!! Gue rasa nak smack down je.... nasib dia mak ok! Setengah jam oooo kat situ... dah mula nak pikir jahat oooo nak tukar stokin yang lain so dpt sama...last2 dpt jugak... jeng...jeng...jeng

Cute tak? sila jwab cute!!! penat ooo aku pilih!!!

Mak aku sibuk tanya aku... dah update ke? Dah tunjuk dengan Kak Zy? Ayoooo bagi la suprisekan? Anyway mak aku ni, beli barang baby macam esok je diorg nak bersalin... ni misi nak buat barut dengan bengkong( tah apa-apa jelah...aku pun tak tahu apa benda tu) tuk Pidah dengan ZY... so yang menjadi mangsa keadaan ialah akak....minggu ni masing2 Bz... tengok bulan 11 ni... dia mula seret aku gi cari kain... hahaha... and kena ikut oooo apa dia nak...kang dia jalan kaki lagi.... siapa susah? Akak yang susah dik!!!!

...Mangsa keadaan...

The Half Blood Princess
- In your Hands, my life begins and ends-