Imtiyaz

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Saya tengah survey nak beli bengkung untuk dipakai masa pantang nanti. Ada yang bagus untuk direkemenkan. Masa pantangkan SI dulu, saya guna yang maksedara punya. Lepas saya pakai, sepupu punya turn pulak. Sebelum saya pun ada sepupu lain yang dah guna. Baru-baru ni tanya, dah ke mana perginya. Dah bergenerasi bengkung tu berbakti. Dah lusuh pun. Tapi sedap pakai sebab dah banyak kali basuh kot. Dia lembut je. Senang dipakai. Jenis bertali yang bersilang zigzag macam gambar kat bawah ni.Saya pakai sendiri je sambil berbaring.Kalau emergency nak ke toilet pun tak susah. Takyah bukak sampai habis..Selak ke atas sikit je.

Saya bincang dengan husband, beli baru la. Boleh pakai untuk anak ke-2, ke-3, ke-4 dan seterusnya....wahh !!. Cuma tu la, taktau yang mana best. Jenis velcro macam bengkungmodern tu ok tak ? Tapi saya lagi prefer tali sebab rasa macam kejap sikit

Sembang dengan kawan baru-baru ni, dia kata, dia punya, mak dia buatkan.amik kain yang dah pakai . Dia punya bengkung , mak dia amik kain baju sekolah dulu. Sebab lagi banyak kali basuh, lagi lembut dan sejuk. Wah..gigihnya cari baju sekolah lama.Tak dapat saya bayang macamana mak dia buat.

Beberapa gambar bengkung yang ada di pasaran

Sahabat-sahabat pakai yang jenis mana ye ? Kongsilah...

Last Saturday morning, again, I went to see the dentist to follow up on last week case.

Alhamdulillah, I have recovered from my bad toothache and hopefully this will be my last visit.
I told some of my friend when I got back to office last week. More -ve feedbacks than +ve i received with regards to the service at the dental. Not only them the same, story came from my papa. For me, as long as as I can recover, then should be fine. Each of them have their favourite dental and recommended to me. Some even sugest me not to follow up and change dental.

Without further elaboration on my friends feedback, I just went to follow up. Since i am ok now, I just want to make sure for the final round that my teeth are healthy. The dentist asked me few questions and everything was ok. I thought it end there. But she recommended me to have another round of cleaning. Me at the time rasa macam serba salah. Yelah baru baring tak sampai seminit, bila dah ok, actualy boleh balik dah. but I think for them is a waste. That is why they propose to clean it. Me, just agreed ( even dalam hati, tak payah pun tak apa sebab last week dah cuci).

After cleaned,still my gum bleeding a bit. You know what's next. Ada gigi yang nak kena tampal pulak.She gave me a mirror and showed the affected tooth. I don't feel macam ada lubang, but who I am to judge it.She can't do it right away as the gum is still bleeding. So next week I have to come again. ( Masa ni baru teringat cerita kawan-kawan and papa).

I just told them that I will be buzy next week and shall call them back to set an appointment after checking my scheduler. The charge for the cuci gigi was RM60

We'll see how lahh..

Do you have your own reusable shopping bag ? I know Hanz got lots of it , right Hanz ! You can read about Hanz Green Living Way here and here

Just to remind you, if happen you shop in Penang, please bring your own shopping bag. Ohhh..do you aware that we have started implementing “ No Plastic Bag on Monday Campaign” since last year 2009 ?

Normally people will choose to shop during weekend, right. So on Monday less people shopping except me ( normally shopping grocery on Monday during my lunch break). So the reusable bag is always in my car . This is a good start even though Penangites try to avoid shopping on Monday. Maybe the state government doesn’t want to rush in this campaign. So we started with Monday .

I admire people who always bring their shopping bag. Nowadays, shopping bag does not look like cheap plastic bag. Sometimes hardly can recognize it between shopping bag and our handbag with variety of design and attractive color. I wish I can snap few pictures of my own reusable shopping bags. I have different size for different purpose. The biggest I have is from TE*CO ( for grocery shopping purpose). My friend saw me holding it once at office and he said

" Hidayah, the bag is bigger than you lah" .

Same goes to cashier who always ask the customer whether you need a bag or not even is not during campaign days. I just experienced this last Friday. Is not a “ No plastic bag Day” and still he asked me do I need a plastic bag or not after paying the bill. They really put their heart into this. .

During previous Career Fair (the entry was here), my company also distributed this kind of bag to the visitor as souvenir, but the small one la..Jadilah..Ramai yang dapat masa tu kata, wah..boleh bawak p shopping ni..


After a year of pilot run, now state government confident enough to prolong the campaign for 3 days. Monday, Tuesday and Wednesday.

Look at what our dear CM said commented about this decision below in The Star 3 Jan 2010 :

“I know that this decision will not please every one especially plastic bag manufacturers, but we are ready to accept criticisms.

“The state government also expects to lose its popularity. However, for the sake of our children and grandchildren, we are willing to face such risks,” he said

Me as a Penangites is happy and always welcome such campaign. Not to say I am 100% ready for NO PLASTIC BAG as we have been living with plastic bag for so long. Plastic bag gotten from any mall or shop is really useful to me. But slowly I am educating myself to appreciate nature more and to always remember actually we borrow this world from our next generation. So make sure to take a good care of it , thus our grandchildren can live healthily and safely later . Hope with this small effort beside BF-ing and CD-ing, I can contribute to Natural Living as the Way of Life.

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Article taken from TheStar Online:

Penang to use iron fist in no-plastic bag campaign
By MANJIT KAUR and TAN SIN CHOW

After the entry about my toothache yesterday, this morning, I decided to see dentist. Ya..my last visit was in Dec 2008. So bout 1 year I did not check my teeth. This is me.. Kalau selagi tak sakit, jangan harap la.. by right when we were at school, we learned that we must pay a visit to dentist twice per year kan??

We headed to B%ar dental. Even another branch is near to my workplace, tapi tak p jugak padahal sakit dah 2hari .Luckily, only 1 person waiting and one more is already in treatment room.

After registered and waiting for some time, now my turn. I admit, I am a bit coward especially tang nak kena rawat gigi ni. Luckily the dentist is very nice and friendly . And yes, she is a middle age woman , around 40++ I guess. So I am confident enough. Before she start, I told her about the cronology of this toothache.

I also hilited that i was 5months ++ pregnant even this is stated on my registration card. Siap tanya.." Doc, ok or not to receive the treatment while conceiving? I am bit afraid la.." Macam budak-budak..takut sangat. After some reading before walk in to the dental, I know, this treatment will help me .

Dentist say nothing to be worry about receiving dental tretment during pregnant and this is what I am supposed to do. She was asking me which clinic for my monthly pregnancy check-up? Do they inform me that it is good to check my teeth during my pregnancy. So far tak ada la pulak..

So she begun the treatment. Very fast she knew which problematic molar tooth and she agreed with me.. " a bit 'goyang'" She cleaned my teeth especially at the ache tooth. Is a mouthful of blood when I rinse it out. My gum is not healthy too.

After cleaned, not sure what else she put at my tooth.. I only know she applied an antibiotic at the end of session..Taraaa.. done !!

I was given with pain killer, antibiotics and sort of salt to gargle. The fees is RM100. Oppsss..yet to finish. Follow up session is next week. If stil not ok..perhaps this tooth will be leaving me soon.

I just spent my whole day today lying on the bed . Padahal gigi aje yang sakit, still tak mampu nak buat keja lain..ke malas *wink*. Betullah kata orang kalau sakit gigi ni, dengar orang bising sikit dah tak boleh.Thank you abi for looking after SI despite he is also exhausted. Just came back from a tiring 'kerja luar kawasan'.

This is the worst toothache I ever had in my life. So to my dear friend, take a good care of your teeth and our childrens too.To preggy mom like me, make sure sufficient calcium intake. Kalau kena treatment bukan sikit fees dia. Kalau company cover bagus lah. Rajin-rajinkanla buat chek-up. So I have made use of benefits for dental treatment very beginning of the year. Awai-awai dah sapu.

Thank you to frens who concern and your advices. Doa-doakanlah gigi saya baik

InsyaAllah, I'll update whathappen next follow up session, ok !

I just read Ibu Arifa 's posting about ' check gigi' and I wanna let you all know, is coincidence...

Am not sure what the causes but probably calcium deficiency in my body. I admit, I seldom drink milk compare when I pregnant to Shukrina.

There is no hole, but there is quite a big gap between teeth. And I try to check whether this tooth ' goyang' or not and yes, 'goyang' a bit laaa..huhuh. Me no longer comfortable chewing food using this painful side.

I am just afraid to see dentist as I have been influenced by common misconception that having dental treatment performed while pregnant maybe harmful to your unborn child.

But after further reading, I think I shall make an appointment with dentist tomorrow because I cannot tahan already !! Moreover, it is billed to my company, so why should I bother and let myself suffer , kan.

Here go some info that bring out the courage inside me to see dentist.

Pregnancy toothache relief


Having a toothache is quite common during pregnancy. Many pregnant women worry that the dentist won’t be able to treat their toothache due to their pregnancy, however often this isn’t the case and many dentists are now able to use toothache relief treatments that are safe for pregnant women.

Pregnant women are more susceptible toothache pain from sore gums and inflamed teeth. The effect of these conditions feels very similar to a toothache as a result of a cavity or hole in the tooth and if left untreated may get very painful.

Pregnancy toothache relief methods

Book an appointment with your dentist to check the source of your toothache, in the meantime you can use safe, natural toothache relief methods to get toothache relief while pregnant – some of these methods may even cure your toothache pain.

Pregnancy toothache relief due to sore gums or inflamed teeth

Probably the largest cause of pregnancy toothache, fortunately you can get toothache relief from sore gums and inflamed teeth naturally and easily.

Try rinsing the mouth with ginger, honey and lemon tea, all these ingredients have good anti-bacterial properties. Also regularly rinse the mouth with warm salty water to remove harmful bacteria from the teeth and gums.

Sage tea or oil is also very effective and can provide pregnancy toothache relief. Use dried or fresh leaves and make a tea by put leaves in boiling water for 5-8 minutes. Then use as a mouth wash and spit out. You can also do the same thing with peppermint leaves.

Also use a soft bristled toothbrush and floss between the teeth regularly.

There is also a very effective natural toothache relief and sore gums treatment available. It contains 100% natural ingredients and is very effective in providing toothache relief. The product is called the ultimate gum solution. Click here to find out more about the ultimate toothache relief and sore gum solution.

Pregnancy toothache due to cavity or hole in tooth

Unfortunately a visit to the dentist is required, but you can get natural pain relief by using toothache home remedies. Start by swilling the mouth with warm salty water to draw the bacteria out of the gums, then apply a block of ice to the side of your mouth or to the infected/inflamed area for some temporary pain relief.

For longer lasting pregnancy toothache relief apply clove oil or powder to the tooth or make a tea using fresh peppermint leaves and swill the warm brew around the mouth.
Pregnancy toothache due to blocked sinuses

Many pregnant women suffer from toothache due to blocked sinuses, the pain from the blocked sinus is referred to the mouth or teeth. Try putting a your face over a bowel of steaming hot water with a towel over your head to stop the steam escaping. This will help draw the blocked fluid from your sinuses.

Pregnancy toothache due to calcium deficiency

Often pregnant toothache is caused by a calcium deficiency. The baby is using calcium as it develops bones and teeth and the pregnant mother is left deficient. This can weaken the teeth and cause pregnancy toothaches.

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So, advice to myself :
"Your dentist is the only person qualified to deal with dental pain, and has sufficient training to take your pregnancy into consideration. The alternative of pain-relieving drugs is far more harmful, so go and see your dentist, please!"

Hopefully, nothing worse and shooo the pain away soonest possible . Kawan-kawan, doakan saya ok !

I am in dilemma now. Is only because I’m gaining so much weight within few weeks. When I am at 2 months of pregnancy, my weight is at 50.8. 3 months pregnant, is already 51.5. and now after 2 weeks, I’m reaching 54. Takutnyaa..


I’ve gone thru one round of Oral Glucose Tolerance Test ( OGTT) a.k.a minum air gula last week and yet to get the result .Another round coming soon.. I was surprised as when I was expecting SI, I only started to undergo OGTT when I was 5 mons pregnant, and now, is only 3 mons, dah kena minum. According to the nurse, is for early detection and prevention. Yes, I have a family history of diabetes. My father, 2 of my uncles got this diabetes. That is the reason why I have to minum ayaq gula. In addition to it, my weight gain so fast, I am anxious. I am controlling my food intake now. Since I don’t face much morning sickness, my appetite is increase tremendously . Sat sat nak makan ja kerjanya.


The concerns I have here if I am putting more weight is a) I may at risk of getting diabetes during expecting 2) My baby size will grow bigger and afraid that I have to gone thur c-zer. U can read details about Diabetes bottom of this write-up.


SI was 3.6kg at birth. I had to take about 6-7 trial of ‘teran’ to get her out. One of the nurse said , “ anak first dah besaq macam ni, nanti anak 2nd taktau la..nak besaq mana” . As if this is fact that your 2nd baby will be bigger than the first one. But I also knew some of them which their 2nd baby is smaller than the 1st. I cannot 100% believe what the nurse say, right.


My friend keep scolding me when I try to limit my diet. She told me , my colleague whom I told about her baby in previous entry also eating less + her busyness, her baby growth was slow and the baby is not that strong to survive .


I don’t want to gain so much weight now is not because I am worry that I cannot slim down after post natal. From previous experience, by BF, I able to keep slim, slimmer that before. Hope that I still able to achieve it for 2nd time. Is just the risk during expecting like diabetes and bigger baby.

As a solution , now, I always make sure I have fruit near to me at all times rather than bun, cracker, snack. Whenever I am craving, I eat fruits. And avoid sweet drink.Hope this helps


Friend, any advice.?

some info about GDM

Gestational Diabetes Mellitus (GDM)

Ini bergantung pada tahap penjagaan kesihatan diri anda sendiri. Jika paras gula di dalam darah dapat dikawal dengan baik sepanjang kehamilan, komplikasi untuk mengalami masalah ini dapat dikawal dan dicegah.8 Jika paras gula di dalam darah berlebihan, maka ia akan berpindah ke bayi menerusi plasenta dan menyebabkan bayi anda juga mengalami paras glukosa darah yang tinggi. Oleh kerana itu, pankreas bayi anda turut bertindak menghasilkan insulin tambahan untuk merendahkan paras glukosa darah yang tinggi


Bayi akan mendapat tenaga (dalam bentuk glukosa) yang berlebihan dari yang diperlukannya, dan tenaga lebihan ini akan tersimpan sebagai lemak badan yang akan menyebabkan makrosomia (didefinisikan sebagai bayi yang lahir dengan berat 4.0kg atau lebih).


Jika bayi anda mengalami makrosomia, dia berkemungkinan akan menghadapi masalah kesihatan yang serius seperti kecederaan di bahu semasa kelahiran dan meningkatkan risiko untuk menjalani pembedahan Caesarean. Walaupun tidak mempunyai makrosomia yang nyata, bayi anda mungkin mempunyai paras glukosa darah yang sangat rendah (hipoglisemia) selepas dilahirkan disebabkan pengeluaran insulin berlebihan daripada pankreas bayi anda. Hormon insulin berlebihan ini juga merangsang pembesaran bayi yang berlebihan atau makrosomid.


Paras gula di dalam darah bayi akan diawasi dengan teliti semasa penjagaan bayi dan adalah perlu memberi glukosa secara intravena kepada bayi jika paras gula terlalu rendah. Bayi juga mudah terdedah kepada Jaundis yang berpanjangan, ketidakimbangan paras elektrolit di dalam darah seperti paras serum kalsium dan magnesium yang rendah, masalah pernafasan mahu pun kecacatan bayi.10 Adalah dipercayai bahawa bayi yang bersaiz besar cenderung menjadi obes di masa akan datang.


Bayi anda juga berisiko untuk menjadi obes dan menghidap diabetes jenis 2 apabila dewasa kelak.


Pemeriksaan ultrasound semasa antenatal adalah berguna untuk mengawasi saiz bayi dan mengesan polihidramnios serta keabnormalan bayi. Seperti pesakit diabetes yang lain, ibu yang hamil dengan GDM adalah berisiko tinggi untuk mengalami komplikasi seperti jangkitan pada saluran kencing, diabetik ketoasidosis, dan jangkitan kulat pada kulit. Mereka juga mudah terdedah kepada kelahiran pramatang disebabkan Polihidramnios dan bayi yang bersaiz besar.


GDM juga boleh mendatangkan masalah kepada ibu. Dalam kebanyakan kes, jika bayi anda besar, anda akan mengalami kerumitan ketika melahirkan bayi dan anda mungkin perlu menjalani pembedahan Caesarean.


Anda juga berisiko tinggi mendapat praeklampsia (berkait dengan peningkatan tekanan darah yang tinggi yang boleh menjadi serius, sehingga membahayakan keadaan bayi dan diri anda) semasa kehamilan.


Anda juga lebih mudah untuk mendapat GDM lagi semasa kehamilan akan datang. Menurut Institut Kesihatan Kebangsaan (National Institute of Health, NIH) Amerika Syarikat, wanita yang pernah mengalami GDM mempunyai 20 hingga 50 peratus kemungkinan untuk mendapat diabetes jenis 2 dalam tempoh 5 hingga 10 tahun selepas kehamilan.


Walau bagaimanapun, ini boleh dicegah - seperti yang telah dibuktikan dalam beberapa kajian ternama yang menunjukkan bahawa pengubahsuaian gaya hidup sahaja atau dengan penambahan ubat-ubatan oleh individu yang berisiko tinggi (termasuk wanita yang menghidap GDM) dapat mengurangkan risiko menghidap diabetes jenis 2 sehingga 58 peratus.



p/s: Bed, aku dah gemokks dalam sekelip mata

Original Q&A is from here

Thanks Mama 'Ifwat for this info


What is this new influenza A(H1N1) virus?

This influenza A(H1N1) virus (previously known as “swine flu”) was first detected in people in April 2009 in the United States. This virus is spreading from person-to-person, probably in much the same way that regular seasonal influenza viruses spread.



What can I do to protect my baby?

Take everyday precautions. In addition, take extra care to wash your hands often with soap and not to cough or sneeze in the baby’s face while feeding your baby, or any other time you and your baby are close. If you are ill, or coughing and sneezing, consider wearing a mask.


Does breastfeeding protect babies from this new flu virus?

There are many ways that breastfeeding and breast milk protect babies’ health. Since this is a new virus, we don’t know yet about specific protection against it. Mothers pass on protective antibodies to their baby during breastfeeding. Antibodies are a type of protein made by the immune system in the body. Antibodies help fight off infection.

Flu can be very serious in young babies. Babies who are not breastfed get sick from infections like the flu more often and more severely than babies who are breastfed.



Should I stop breastfeeding my baby if I think I have come in contact with the flu?

No. Because mothers make antibodies to fight diseases they come in contact with, their milk is custom-made to fight the diseases their babies are exposed to as well. This is really important in young babies when their immune system is still developing. Breastfeeding also helps the baby to develop his own ability to fight off diseases.



Is it ok to breastfeed my baby if I am sick?

Yes. This is really important.

* Do not stop breastfeeding if you are ill. Ideally babies less than about 6 months of age should get their feedings from breast milk. Breastfeed early and often. Limit formula feeds as much as possible. This will help protect your baby from infection.
* If you are too sick to breastfeed, pump and have someone give the expressed milk to your baby.



If my baby is sick, is it okay to breastfeed?

Yes. One of the best things you can do for your sick baby is keep breastfeeding.

* Do not stop breastfeeding if your baby is ill. Give your baby many chances to breastfeed throughout the illness. Babies who are sick need more fluids than when they are well. The fluid babies get from breast milk is better than anything else, even better than water or juice because it also helps protect your baby’s immune system.
* If your baby is too sick to breastfeed, he or she can drink your milk from a cup, bottle, syringe, or eye-dropper.


Is it okay to take medicine to treat or prevent influenza A(H1N1) while breastfeeding?

Yes. Mothers who are breastfeeding should continue to nurse their babies while being treated for the flu.

If you have read my entry on H1N1 vaccine here , alhamdulillah, all these 3 people are healthy. Recently we have one suspected case and he was asked to stay at home . This is due to long fever ( tak kebah-kebah)and some other alike H1N1 symptom . I was told that he got it from PC Fair last 2 weeks. PC Fair @ PISA is well known of its damn crowded! And a few people that work closely with him is instructed to go back too .

Face mask is a common item at my work place and is daily used. With current condition , face mask is not only can bee seen at designated work area but everywhere in our office. People come and go, walk here and there with face mask. Well, benda free, baik pakai for protection. Moreover, the person who incharge of supplying face mask is just sitting behind my cub...anytime can ask from her :)


Our Env, Health and Safety dept worlwide is working hard, seriously and closely to update the employee with info regarding H1N1. Well, with 45k over employee, any chance , anyone of us can be infected. Nau'zubillahiminzalik. The latest email received this afternoon was as below :

H1N1 is getting worse. With total 64 deaths up to date, is frightening everyone. Does Government ready to declare this pandemic as “darurat kesihatan’ as soon as this issue reach the bar . Yesterday Utusan report about this ‘darurat kesihatan’.Is only declare earlier if it is reaching the 2nd wave.. ( how is the 2nd wave, wallahu'alam) . What are do and don’t for darurat kesihatan? Is it the same as 'darurat masa perang'??

p/s: sama-sama berdoa agar negara bebas dari ancaman merbahaya ini segera dan kita sekeluarga, sahabat-handai, kaum kerabat dan seluruh rakyat amnya dilindungi...ameen..

amalkan langkah2 pencegahan seperti sentiasa mencuci tangan dengan bersih dan elakkan berada di tempat sesak.mari sama-sama amalkan

I have been coughing and having sore throat for a week !

It started when I langgar all the pantang larang.Heheh.. I don’t take ice actually but on and off ( kalau teringin sangat ), I will consider to give myself chance la..sometimes just cannot stand looking at friends ordering ice drink on hot sunny day during lunch time while me very loyal with either air suam or any suam/hot drinks.

So last week, 4 consecutive days I enjoyed ‘teh o ais limau’, ‘milo ais’ ,’laici kang ais’. Tak tahan daulat last week. Then on Friday morning, I started to cough followed by fever that night and flue.

Since Monday until today I’m still having a bad cough . My voice turn to Ratu Rock’s voice and still not able to get back my normal suara buluh perindu.hehe. I decided to wear face mask because I cannot bear to cough constantly and disturbing others at office. And people around started to make joke on virus HIN1 la, Influenza la…

I have my ubat batuk prescribed by doc but I only take it at night time . While day time I just take like a candy tablet named Jasmine to ease the sore throat . Yesterday I got another ubat batuk yang tidak mengantuk to be consumed during day time.

I have been advised by friends on how to overcome the cough traditionally. Here are tips to share. Some that I heard before, some I never hear about the petua.

1) Perah air limau dalam kicap - Checked, I’ve done it

2) Perah air limau dalam madu – Checked , I’ve done it for 2 days already

3) Minum air asam, lagi baik home made - Checked, I’ve done it .masam giler sbb kurang taruk gula..nak baik cepat punya pasal

4) Bakar bawang putih and makan bersama madu – Is new and haven’t try

5) Minum air kelapa just before u go to sleep - Difficult to get air nyok. Havent try

6) Eat creamy aiskrim (aiskrim memang ubat batuk .hihi )

So, do u have any other petua that u could share to ease my illness ? I do hope to get well soon as this weekend, my days will be packed attending kenduri kawin. Perhaps I can have wonderful time chit chatting with friend and relatives rather than been quarantined .

Aha…make sure no ice this time and have to bring my own drinks from home la…

For the first time Shukrina was admitted to hospital on Monday, 19 Jan 2008. And I have to take full day leave ( initially only half day, later in the afternoon, sms boss informing continue another half day )

The admission is solely on MMR injection. Before she could take the vaccination, I was told by nurse in Klinik Desa, to let her try eating egg. So last 2 months, I gave her a try eating telur rebus kenduri. Less than 1 hour, big red rashes came out, slowly became a lot and made her very uncomfortable… And that’s the sign that she has to take her vaccine at hosp.

The only reason is to observe if any unusual / rashes coming out after vaccinated ( since MMR contain small % of albumin ) and if it happen, doctor is available to give treatment immediately compare if u had it at normal Klinik desa and still u need to see doctor for rashes treatment later on. . 6 hours observation.. what a longggg day..

Alhamdulillah, Shukrina did not face any rash / any medical problem. How were we waiting for 6 hours at the hosp?? Luckily got TV, newspaper, lunch provided for me and few new friend to talk to…Silly me, did not bring any books to read and Shukrina difficult to sleep due to no ‘ndoi’/ cradle ..

And this morning, I found out that her body temperature was so high 39.5°C and she kept crying and felt very uncomfortable . Abi gave her medicine ( I only know this ubat call as ubat cucuk punggung ). Demah all around the body and bath her in warm water.We brought her to 24hrs clinic nearby and during that time , the temperature started to drop to 38°C.

This afternoon when I called up BS, the body still feel warm like her normal fever but appetite is still OK, just like she is stay healthy.

Today after a week++, she is healthy yet with mild flue an cough . but whining (merengek)/ ‘meghap’ is the most part that I cannot tahan ( oppss as a mother I should ban myself from grumbling anything related in rising my child ) but as normal human being.. I do make mistake / unconsciously nagging but that’s normal a child who just recovered from her illness, tend to be with mom all the time and whining for no reason.

Ummu Imtiyaz
11900
Bayan Lepas

I just receive an sms last few days from BP Diagnostic Center regading cervix cancer vaccination promotion. It trgigger me to surf for some info. I did heard bout this when I read one of magazine . The topic is not about this vaccine but talking bout this one ' Datin celebrity' who is very healthy concious just get vaccinated. and during that time I was talking to myself..'eleh org kaya..apa je vaksin, of coz dia afford' without taking an effort to get some info on this particular vaccine.

I might be outdated on health info . But with this promotion I think I will grab the opportunity. RM500 for 3 doses !! (original price will be RM450-500 per dose). After discussing with Mr Abi and afterall using my health plan benefit from my company ( b4 they announce any revision on health plan with this global reccession that trigger my company to revise whatever scheme they offered to employee.

So, just visit or call in BP Lab nearest to u for info . am not sure whethre this promo in only for Penang area or nationalwide.

Just some info from Mr Google

Vaksin kanser pangkal rahim kini di Malaysia

Kaum wanita di Malaysia kini sudah boleh mula mendapatkan vaksin mencegah kanser pangkal rahim/serviks, kanser pembunuh kedua yang paling digeruni kaum Hawa selepas kanser payudara.

Dikeluarkan oleh firma farmaseutikal terkemuka di dunia, Merck Sharp & Dohme (MSD), vaksin yang dikenali sebagai Gardasil itu telah pun berada di pasaran tempatan setelah mendapat kelulusan Pihak Berkuasa Kawalan Dadah Malaysia pada Oktober lalu.

Vaksin Rekombinan Human Papillomavirus (HPV) Kuadrivalen itu dihasilkan khususnya untuk mencegah kanser serviks, prakanser vagina/faraj dan prakanser vulva yang disebabkan oleh HPV jenis 16 dan 18.

Vaksin tersebut turut diluluskan untuk mencegah ketuat genital/alat kelamin dan lesi (zona tisu rosak) serviks gred rendah yang disebabkan oleh HPV jenis 6, 11, 16 dan 18.

‘‘HPV jenis 16 dan 18 merupakan punca bagi hampir 70 peratus kes kanser serviks, kanser vulva dan kanser faraj, dan merupakan punca bagi 50 peratus lesi.

‘‘Sementara itu, HPV 6 dan 11 menyebabkan kira-kira 90 peratus ketuat alat sulit. Empat jenis HPV ini menyebabkan kira-kira 35 hingga 50 peratus lesi gred rendah serviks, faraj dan vulva,’’ ujar Pengerusi Jawatankuasa Kecil Onkologi Ginekologi, Persatuan Obstetrik dan Ginekologi Malaysia (OGSM), Dr. Suresh Kumarasamy.

Beliau berkata demikian pada majlis pelancaran media, Gardasil di ibu negara, baru-baru ini. Hadir sama Presiden OGSM, Dr. Abdul Aziz Yahya.

Dr. Suresh yang menyifatkan Gardasil sebagai suatu kejayaan besar dalam bidang kesihatan berkata, penggunaan vaksin ini diluluskan bagi gadis dan wanita yang berusia antara 9 hingga 26 tahun.

Tambahnya: ‘‘Vaksin diberikan menerusi tiga dos suntikan dengan selang dua bulan antara dos pertama dengan kedua, dan selang empat bulan antara dos kedua dengan ketiga.

‘‘Pemvaksinan ini tidak akan melindungi pesakit daripada jenis HPV yang tidak terangkum dalam vaksin ini. Vaksin ini tidak dimaksudkan sebagai rawatan bagi ketuat alat kelamin yang aktif, kanser serviks atau neoplasia intraepitelium vulva dan faraj.’’

Sementara itu, Dr. Abdul Aziz memberitahu, kanser serviks adalah jenis kanser yang kedua paling lazim dihidapi wanita di seluruh dunia dan juga di Malaysia.

Berdasarkan data Pertubuhan Kesihatan Sedunia (WHO), hampir 500,000 kejadian baru kanser serviks dan 274,000 kematian akibat penyakit ini dilaporkan pada tahun 2002.

Pada tahun 2003, Daftar Kanser kebangsaan melaporkan bahawa kadar kasar kejadian kanser serviks di Malaysia ialah 16.5 wanita dalam setiap 100,000 penduduk. Penyakit ini mencakupi 12.9 peratus kanser yang dihidapi wanita.

‘‘Ini bermakna lebih 1,300 wanita didiagnosis menghidapi kanser serviks dan lebih 750 wanita mati akibat penyakit ini setiap hari.

‘‘Wanita perlu bersikap proaktif dalam usaha mengambil langkah untuk melindungi diri mereka daripada penyakit ini,’’ kata beliau.

Dr. Abdul Aziz mengulas lanjut, perubahan prakanser dan kanser awal serviks pada amnya tidak menyebabkan kesakitan atau gejala lain. Pemeriksaan Pap Smear adalah penting untuk membantu mengesan perubahan ini di dalam serviks.

‘‘Selain pemvaksinan, wanita di Malaysia harus terus menjalani pemeriksaan Pap Smear dengan tetap sebagai sebahagian daripada langkah standard penjagaan sistem pembiakan,” sarannya.

Vaksin kanser serviks MSD telah diluluskan untuk digunakan di lebih 40 negara, dan kegunaan tambahan vaksin ini sedang dikaji oleh agensi kawal atur di kira-kira 50 negara seluruh dunia.

Ujian klinikal

Lebih 27,000 lelaki dan wanita di 33 negara seluruh dunia telah menyertai percubaan klinikal bagi vaksin ini. Dalam analisis asas tergabung bagi kajian-kajian ini, bagi wanita yang belum terdedah kepada jenis HPV yang berkenaan, vaksin ini mencegah:

* 100 peratus prakanser serviks dan kanser serviks tidak invasif yang disebabkan oleh HPV jenis 16 dan 18

* 100 peratus prakanser vulva dan prakanser faraj yang disebabkan oleh HPV jenis 16 dan 18

* 95 peratus displasia serviks gred rendah dan prakanser yang disebabkan oleh HPV jenis 6,11, 16 dan 18

* 99 peratus lesi alat sulit luar yang merangkumi ketuat alat kelamin luar, kanser vulva dan kanser faraj yang disebabkan oleh HPV jenis 6,11,16 dan 18

* Keadaan peserta kajian diikuti sehingga empat tahun selepas penyertaan.

Di manakah Gardasil boleh didapati?

Vaksin kanser serviks MSD boleh didapati dari klinik obstetrik dan ginekologi, klinik pediatrik, klinik amalan am dan hospital swasta pada harga daripada RM450 bagi satu dos, bergantung pada tahap penjagaan masing-masing dan bayaran pentadbiran yang dikenakan oleh setiap pusat perubatan.

KANSER PANGKAL RAHIM/SERVIKS

Apa itu kanser serviks?

Kanser serviks berlaku di bahagian rahim/uterus berbentuk kon yang menyambungkan bahagian atas rahim dengan faraj.

Ia terjadi apabila sel-sel abnormal di dalam lapisan serviks mula membiak secara tidak terkawal sebagai tindak balas terhadap jangkitan HPV. Sel-sel serviks yang abnormal boleh berkumpul untuk membentuk gumpalan/tumor.

Tumor benigna/tidak berkanser tidak merebak dan biasanya tidak memudaratkan. Tumor malignan/berkanser pula merebak dari puncanya dan membesar sehingga menjadi kanser yang mengancam nyawa.

Punca-punca

Hampir kesemua kejadian kanser serviks disebabkan oleh sejenis human papillomavirus (HPV) 6 iaitu virus biasa yang menjangkiti kira-kira separuh manusia pada suatu ketika dalam hidup mereka. Lebih dua pertiga kes kanser serviks disebabkan oleh HPV berisiko tinggi jenis 16 dan 18.

Siapakah yang berisiko?

Kanser serviks selalunya berlaku pada wanita dalam usia 40-an dan 50-an, ketika ramai di antara mereka membesarkan anak-anak dan menyumbang pendapatan keluarga.

Diagnosis

Pap Smear atau lumuran Pap adalah suatu ujian saringan ringkas yang biasanya dilakukan di pejabat doktor atau klinik, untuk mengesan sel-sel serviks yang abnormal atau berkanser.

Oleh sebab Pap Smear boleh mengesan perubahan serviks sebelum ia berkembang menjadi kanser, ujian ini berjaya mengurangkan kematian akibat kanser serviks dengan banyaknya sejak ia mula digunakan secara meluas pada dekad 1950-an.

Antara tahun 1950 hingga tahun 1970, bilangan kematian akibat kanser serviks di Amerika Syarikat berkurangan sebanyak 70 peratus.

Walau bagaimanapun, seperti ujian perubatan yang lain, Pap Smear tidak sempurna. Ada kalanya, ia tidak menemui keabnormalan serviks yang memang wujud.

Namun pemeriksaan yang kerap dapat membantu wanita dan penyedia penjagaan kesihatan mereka untuk mengatasi pemeriksaan yang memberikan hasil negatif yang palsu ini.

Gejala-gejala

Perubahan prakanser dan peringkat awal kanser serviks biasanya tidak menyebabkan rasa sakit mahupun menampakkan gejala-gejala lain.

Oleh itu, adalah penting untuk menjalani pemeriksaan Pap Smear dengan kerap bagi mengesan prakanser serviks atau kanser pada peringkat yang boleh dirawat dengan paling berkesan.

Apabila penyakit ini berkembang, wanita mungkin memerhatikan salah satu atau beberapa gejala berikut:

* Pendarahan faraj abnormal

* Pendarahan antara haid

* Pendarahan selepas bersetubuh, menggunakan dus/pancutan atau pemeriksaan pelvis

* Haid yang lebih lama dan lebih banyak daripada selalu

* Pendarahan selepas menopaus/putus haid

* Lelehan yang lebih banyak dari faraj

* Rasa sakit pada pelvis

* Rasa sakit semasa bersetubuh.

Pencegahan

Kanser serviks biasanya boleh dicegah sekiranya wanita melakukan pemeriksaan Pap Smear secara berkala/kerap.

HUMAN PAPILLOMAVIRUS/HPV

Apa itu HPV?

HPV adalah sejenis virus yang biasa. Ada lebih 100 jenis HPV, yang kebanyakannya tidak berapa berbahaya, tidak menampakkan apa-apa gejala dan akan hilang dengan sendirinya. Antara kesemua ini, kira-kira 30 jenis menjangkiti bahagian alat sulit lelaki dan wanita.

Siapakah yang dijangkiti?

Kira-kira 630 juta orang dijangkiti HPV di seluruh dunia. Sekurang-kurangnya separuh daripada kalangan lelaki dan wanita yang aktif seks akan mendapat jangkitan HPV alat sulit pada suatu ketika dalam hidup mereka.

Kira-kira 80 peratus wanita akan terjangkit menjelang usia 50 tahun. Jangkitan HPV paling lazim berlaku di kalangan pemuda-pemudi yang berusia antara 18 hingga 28 tahun.

Kebanyakan jangkitan HPV tidak menampakkan tanda atau gejala, dan virus ini boleh disebarkan walaupun tiada gejala seperti ketuat atau tanda-tanda lain yang boleh dilihat, yang timbul.

Kesan yang ditinggalkan oleh jangkitan HPV

Kebanyakan jangkitan HPV hilang dengan sendirinya dalam masa 24 bulan pertama melalui gerak balas semula jadi keimunan badan.

Jangkitan oleh jenis HPV yang berisiko tinggi iaitu jenis 16, 18, 31 dan 45, jika berlarutan, antara lainnya boleh mengakibatkan kanser serviks dan kanser lain pada kemaluan. HPV 16 dan 18 menyebabkan kira-kira 70 peratus kanser serviks.

Jenis HPV yang berisiko rendah pula boleh menyebabkan terbentuknya ketuat alat kelamin, iaitu ketumbuhan bukan kanser seumpama daging yang muncul pada bahagian alat kelamin dan sekelilingnya. HPV jenis 6 dan 11 adalah punca bagi 90 peratus kes ketuat alat sulit.

Sekali sekala, jangkitan HPV jenis 6 dan 11 oleh si ibu boleh menyebabkan bayi mendapat papilomatosis pernafasan berulang – penyakit dengan lesi-lesi tidak berkanser di dalam saluran pernafasan, menjadikan suara serak, sukar bernafas.

Diagnosis

Bagi wanita yang berusia lebih 30 tahun, suatu ujian molekul yang baru dihasilkan dapat mengenal pasti jangkitan HPV dengan lebih pasti dan berguna khususnya bersama-sama hasil ujian Pap Smear yang mendedahkan keabnormalan kecil yang mungkin disebabkan oleh jangkitan HPV.

Rawatan

Buat masa ini, tiada ubat antivirus yang boleh merawat jangkitan HPV. Namun ada pelbagai rawatan bagi penyakit-penyakit yang berkaitan dengan jangkitan HPV.

Pencegahan

Lakukan hubungan saling monogami jangka panjang dengan pasangan yang tidak terjangkit atau dengan mengehadkan bilangan pasangan seks.

Jika betul penggunaannya, kondom boleh mengurangkan risiko jangkitan HPV. Ingatlah, bahawa HPV biasanya tidak menampakkan gejala atau tanda, jadi sukar untuk mengetahui sama ada seseorang itu terjangkit ataupun tidak.

Satu-satunya cara yang 100 peratus berkesan untuk mencegah jangkitan HPV adalah dengan mengelakkan sebarang sentuhan alat sulit secara seksual dengan seseorang yang mempunyai virus ini.

Bertanyalah penyedia penjagaan kesihatan anda tentang ujian pemeriksaan Pap Smear yang kerap serta berbincanglah mengenai hasilnya dengan mereka.

Oleh: SHAFINAZ SHEIKH MAZNAN