Tuesday, September 3, 2013

PAK BIDAN SAMPAI HUJUNG JALAN

Sudah 43 tahun jadi doktor dan 40 tahun jadi bidan dan ramai telah saya sambut kelahirannya. Malah dalam tahun 1969 ketika saya masih jadi mahasiwa kedoktoran tahun terakhir saya diwajibkan menyambut 10 kelahiran normal , dan mereka sekarang sudah berumor lebih 40 tahun dan masing2 sudah mempunyai anak.

Saya tidak menghitong berapa bayi yang saya sambut kelahiran mereka , tetapi  saya anggarkan banyak juga. Suara pertama didengar olih bayi ialah suara saya yang menyebut kalimah Allah SWT. Saya doakan semua insan2 tersebut diberkati Allah kehidupan mereka didunia dan diakhirat kelak.

Kerja bidan memang memberi kepuasan kerana kita menyelamatkan dua nyawa, ibu dan anak serta memberi kegembiraan kepada keluarga, Juga kita bantu menambahkan umat Mohammad. Ada segelintir yang tidak setuju pak bidan sambut kelahiran , sepatutnya mak bidan buat tugas itu. Malah ada yang kritik saya kerja saya haram kerana kerana bermesra dengan bahagian sulit wanita. Semoga Allah ampunkan dosa saya.

Saya ingin mengumumkan mulai awal tahun 2014 saya tidak lagi menyambut kelahiran yang normal atas sebab2kesihatan dan umor saya sudah menjangkau 70 tahun(mengikut kiraan hijrah). .

In sha Allah saya akan terus beri khidmat pakar saperti berikut:

1. membantu pasangan2yang menghadapi masalah kesuburan untuk mendapatkan zuriat
2. menolong wanita2yang sering mengalami keguguran berulang2 kali.
3. memberi khidmat jagaan awal kehamilan sehingga 5 bulan umor kehamilan.
4. memberi nasihat 'Prenatal diagnosis' keatas mereka yang diancam kemunkinan bayi  cacat.
5. memberi khidmat membetulkan kedudukan bayi songsang pada umor kehamilan 32 - 34 minggu dengan kaedah ' external cephalic version'.
6. memberi rawatan kandungan yang ancam gugur pada 3 bulan pertama kehamilan.
7. melakukan pembedahan cesarean elektif  (bukan emergency cesar), khususnya mereka yang pernah bedah cesarean dan perlu diulang sehingga 5-6 kali. Juga mereka yang hamil dengan ada tumbuhan fibroid dan perlu bedah cesarean dan buang tumbuhan fibroid ( myoectomy ) serentak dalam satu pembedahan.
8. memberi nasihat samada bolih lalui normal delivery atau terus bedah cesarean pada umor kehamilan 36-37 minggu.
Saya tetap akan meneruskan perkhidmatan pakar kesihatan wanita khususnya dalam bidang kesuburan dan kemandulan, gynecology ,perancang keluarga dan counselling. Saya akan terus memberi khidmat pembedahan untuk mengatasi penyakit2 tumbuhan dalam peranakkan wanita dan untuk mereka yang berusaha mendapat zuriat. Tiga sessi pemedahan , dua dihospital Pantai Bangsar pada hari isnin dan khamis dan satu sessi bedah diklinik day surgery pada hari rabu akan diteruskan.

Untuk buat temu janji










Thursday, December 8, 2011

Suntikan pelalian yellow fever waktu hamil

Mengikut hasil kajian penggunaan sunttikan pelalian yellow fever tidak ada kesan buruk kepada bayi. Ia tidak menyebabkan keguguran, kecacatan atau lain2 gejala waktu melahirkan dan waktu penyusuan bayi.


Overview

If you become pregnant, discuss with your doctor the benefits and risks of using Yellow Fever Vaccine during pregnancy. It is unknown if Yellow Fever Vaccine is excreted in breast milk. If you are or will be breast-feeding while you are using Yellow Fever Vaccine, check with your doctor or pharmacist to discuss the risks to your baby.

Yellow fever vaccine Pregnancy Warnings


In a study of 101 women vaccinated with the 17D-204 strain, most of whom were in the third trimester, the seroconversion rate was 38.6% compared to 81.5% for nonpregnant controls. No adverse events were reported in infants in this study and another study. No birth defects were reported by the Collaborative Perinatal Project in 3 mother-child pairs who were exposed to yellow fever vaccine during the first trimester. A report from the European Network of Teratology Information Systems concluded that there was not an association between adverse outcomes and vaccination, although the data sample was small. The rate of major malformations and abortions occurring after first trimester exposure was within expected ranges. One of 41 infants whose mothers were vaccinated during the first trimester tested positive for IgM antibodies in cord blood. No adverse sequelae were reported.
Yellow fever vaccine has been assigned to pregnancy category C by the FDA. Animal studies have not been reported. There are no large-scale controlled safety studies; however, congenital abnormalities have not been reported. The seroconversion rate to vaccines is significantly lower in pregnant women. Serologic testing should be considered to document an immune response. There is a concern that transplacental passage of the virus may occur. The theoretical risks of immunization may be outweighed by the risk of infection and complications to the mother and fetus if the mother is travelling to an area where there is a high risk of acquiring yellow fever infection. Nonimmune women should generally postpone vaccination and travel to endemic/epidemic areas during pregnancy. If travel and/or exposure is unavoidable, vaccination is preferable after the first trimester. Infants of vaccinees should be monitored for congenital infection and other possible adverse effects. Yellow fever vaccine should be given to a pregnant woman only if clearly needed. The U.S. Centers for Disease Control and Prevention (CDC) recommend postponing travel and yellow fever vaccination until 9 months after delivery. If a pregnant woman is traveling to or transiting through areas where a vaccination certificate is required but the disease is not currently a threat, the CDC advise carrying a physician's waiver along with documentation of the waiver on the immunization record.

Yellow fever vaccine Breastfeeding Warnings


There are no data on the excretion of yellow fever vaccine into human milk. There have been no reports of viral transmission to, or adverse events in nursing infants. However, there is a theoretical risk of transmission of the 17D virus to breast-feeding infants, which could result in encephalitis. The manufacturer states that nursing mothers may be vaccinated if travel to high-risk areas cannot be avoided or postponed. The U.S. Centers for Disease Control and Prevention (CDC) consider the administration of live virus vaccines compatible with breast-feeding. However, it should be remembered that neonates are too young to be vaccinated and will not be protected against infection.

Tuesday, August 16, 2011

Bolikah lahir normal lepas 2 kali cesar?

Seorang ibu umor tiga pulohan telah melahirkan anak 3 kali, yang pertama cesarean sebab kandungan kembar, yang kedua lahir normal dan berat  bayi 3.5 kg , yang ketiga cesarean sebab bayi berak dalam kandungan (fetal distress) berat bayi 3.9 kg.


Ini kandungan keempat dan sudah lapan bulan/32 minggu. Beliau hendak cuba lahir secara normal dan telah berjumpa beberapa pakar bidan dan semuanya kata perlu cesarean . Ini memang amalan semasa dikalang pakar bidan, bila sudah 2 kali cesarean , memang tidak ada pilihan mesti bedah cesarean kali ketiga. Malah mereka paksa ikat saluran fallopian (Tubal ligation).

Ramai juga yang minta yang kendalikan kelahiran secara normal lepas 2 kali cesarean , tapi saya buat penilaian teliti tentang sebab2 buat cesarean dulu, tengok saiz rongga ponggongnya cukup luas atau tidak, munkin perlu xray pelvimetry pada umur kandungan 37 minggu untuk ukur saiz rongga dan kepala bayi bolih masuk atau tidak.
 Saya nasihatkan ibu2 berkenaan untuk kawal makan karbohaidret( nasi, mee, roti, kuih2 dll) gula dan semua jenis manisan. Lebihkan lauk , sayur2 dan buah2. Ini untuk mengawal berat bayi ketika lahir agar mudah lahir secara normal.

Mulai umur kandungan 37 minggu saya buat pemeriksaan vagina, untuk menilai pintu rahim samada ia mudah buka atau tidak dan kepala bayi bolih dan mudah turun atau tidak dan saya juga lakukan 'membrane sweeping' pada ketika itu . Jika saiz rongga penggong luas dan pintu rahim mudah buka dan kepala bayi bolih 'engaged' , saya syorkan cuba lahir normal. Anggaran dari pengalaman yang lepas akhirnya 50 % akan dapat lahir secara normal.





Sunday, July 17, 2011

Hydroxytyrosol dalam buah zaiton antioxidant terbaik

Hydroxytyrosol satu anti oxidant yang terkuat dan terbaik bolih didapati dari air buangan yang digunakan untuk memperoses buah zaiton untuk mengeluarkan minyak



The miraculous product was found almost by chance in the waters produced during the pressing of  oils, which the discoverers found to contain polyphenols in concentration 300 times higher than those found in extra virgin olive oil. The hydroxytyrosol there contained has amazing free radical scavenging action accountable for the strong anti-inflammatory, antimicrobial, antiviral, anti-cancer and antithrombotic potential observed. It has been shown to be very effective in managing conditions, such as psoriasis, eczema,skin UV-induced damage, arthritis, osteoporosis, cardiovascular diseases and nervous system degeneration, and in preventing breast and colon cancer, as well as in the reduction of stress from secondary smoke.

Hydroxytyrosol derives from the hydrolysis of hydroxytyrol, also an active antioxidant compound found in olives but of very slow absorption in the gut. Contrarily, hydroxytyrosol is characterized by much higher bioavailability and even by the ability to cross the brain barrier so that it can display its antioxidantpowerin the central and peripheral nervous system.

The antioxidant capacity of hydroxytyrosol has been measured to be the second highest recorded in any plant product after garlic and is almost three times higher than grape seeds  and green tea. A relative of this compound, oleuropein, is contained in high amount in the leaf of the olive tree and is present in olive leaf extract, which is used for its strong antibiotic properties. However, this is much less powerful and is more poorly absorbed into the blood stream compared to hydroxytyrosol.

By following ancient traditions of production of olive oils by Italian ancestors in the time of Magna Graecia, the pressing of the olives is currently done after the elimination of the pits in order not only to increase the sweetness and the pH of the final product, but also to remove the enzymes and fatty acids responsible of the oxidation, which consumes the beneficial components.

The extraction of such a potent supplement is done from what was before considered  waste water to be eliminated. Such water  from the pressing process is now saved, and the precious compound is extracted and stored in powder form of different concentrations to be used as premium dietary supplement or for production of natural skin care products. Therefore such a process produces also a gain to the environment. If this practice were to be adopted by all oil producers, it could eliminate 10.4 billion gallons of what were considered toxic waters from world liquid waste.


Wednesday, July 13, 2011

Khasiat Habbatus sauda ( black seeds)

Maksud hadis Rasulullah ' habatus sauda adalah ubat bagi segala penyakit melainkan mati'



Habbatus Sauda banyak khasiat






Habbatus Sauda kaya dengan monosaccharide glukosa, xylosa dsb.polysaccharide
fatty acid yang tidak tepu (unsaturated essential fatty acids, EFA).
EFA tidak boleh dihasilkan oleh badan kita, oleh itu sumber utamanya ialah dari pemakanan
amino acid yang membentuk protein-karotene iaitu sumber vitamin A 
kalsium, zat besi, dsb.

2. Sistem immunity

Kajian yang dilakukan di Arab Saudi mendapati, habbatus Sauda berupaya meningkatkan sistem imunisasi anda (daya melawan penyakit). Oleh itu ia mungkin penting dalam pengawalan kanser, AIDS dan penyakit-penyakit berkaitan yang lain.

3. Anti-histamine

Histamine ialah bahan yang dikeluarkan oleh sel-sel mast di dalam badan yang menyebabkan kesan-kesan allergik (alahan). Habbatus Sauda mengandungi bahan yang menghalang protein kinase C, sejenis bahan yang mencetus penghasilan histamine. Oleh kerana penghidap penyakit asma selalunya mengalami masalah alahan, habbatus Sauda mungkin baik diambil secara berterusan oleh pesakit-pesakit ini.

4. Anti-tumor

Kajian in vitro mendapati habbatus Sauda berupaya menghalang pembentukan sel-sel tumor. Oleh itu, ia baik untuk digunakan untuk membantu menghalang penyakit kanser.

5. Anti-bakteria

Penyelidikan ke atas bahan ini mendapati ia mempunyai aktiviti anti-bakteria . Habbatus Sauda didapati berupaya mengawal bakteria seperti E.coli, V.cholera dan spesies Shigella. Ini bermakna habbatus Sauda baik untuk mereka yang menghidapi beberapa jenis penyakit seperti cirit-birit dan masalah-masalah perut yang lain.

6. Anti-radang (anti-inflammation)

Habbatus Sauda didapati boleh mengurangkan radang (bengkak). Oleh itu ia baik untuk pesakit asma (mengurangkan radang dalam paru-paru), eczema (alahan yang menyebabkan gatal, kulit merah dsb.) dan arthritis (bengkak sendi).

7. Menggalakkan pengeluaran susu

Kombinasi lemak dan hormon yang didapati di dalam habbatus Sauda menyebabkan pengeluaran susu ibu yang menyusukan bayi bertambah.

Saya baru mula makan kapsiul2 Habatus sauda dan Extra virgin Olive oil , jenama 'Minsyam' - 2 biji pagi dan 2 malam, memang kesannya baik . bangun pagi rasa segar dan kurang lengoh2 dan sakit arthritis pun ada kurang. Siapa minat produk ini sila hubungi Abd Malik Faisal 019 611 4120.

Hasil Kajian Di Amerika, Nigella Sativa yang merupakan nama latin dari minyak jintan hitam, telah mendapat kejayan luar biasa sebagai makanan suplemen. Di Jerman, minyak habbasSauda telah tersedia dalam bentuk kapsul di farmasi. 

Analisis ekstrak mengenai minyak dan kesan-kesannya juga telah dilakukan di Amerika dan hasilnya menunjukkan bahwa minyak kuno itu juga mujarab untuk segala macam penyakit. Para saintis Amerika telah merasa yakin bahwa kesan antibakteri dan antimikotis dari minyak habbasSaudayang merupakan obat Asia Timur dan di Asia berlangsung dalam waktu yang lama. 

Para dokter di Mesir dan Cina menggunakannya untuk obat segala macam radang serta infeksi jamur. Bahkan, para ilmuwan kanker Amerika secara meyakinkan telah membuktikan bahwa minyak habbasSaudamenurunkan kadar gula. Ekstrak Nigella Sativa membantu merangsang tulang sumsum dan sel-sel kekebalan. Demkian tulisan para ilmuwan kanker Immuno-Biology Laboratory dari Carolina Selatan. Selanjutnya, produksi interferon menghasilkan sel-sel normal terhadap kesan-kesan virus sel-sel yang merusak, menghancurkan sel-sel tumor, dan meningkatkan jumlah antibodi yang menghasilkan sel-sel B. 

Seluruh fungsi ini menyebabkan minyak habbasSaudasebagai calon (alternatif) yang ideal untuk pencegahan dan pengobatan kanker. Para ilmuwan Amerika telah memplubikasikan bukunya yang pertama mengenai temuan “Study Of Black Cumin Oil On Human”. Para ilmuwan di Jerman kini juga sibuk menemukan kesan-kesan minyak Mesir yang berkaitan dengan tubuh manusia. 

Dr. Med. Peter Schleicher, ahli immunolog di Munich yang pada 1986 telah dinominasikan sebagai anggota termuda World Academy Scientists, menguji minyak habbasSauda di lembaganya untuk menemukan terapi baru bagi penyakit kronis dan kesan-kesannya. Temuan-temuannya indentik dengan para koleganya di Amerika. 

Schleicher menyatakan bahwa dengan menggunakan minyak habbasSauda yang memiliki asam lemak tak jenuh, misalnya unoleat dan asam gammalinolen masuk ke organisme. Dengan demikian, kemungkinan mencapai sintesa kekebalan yang penting dan mengatur zat-zat yang diambil seperti dari prostaglandin E. Minyak linoleat menstabilkan membran-membran sel dan prostaglandin memiliki kesan mencegah radang. Dengan demikian, reaksi kekebalan berhenti yang menimbulkan penyakit dan bahkan merupakan awal dari penyakit kronis seperti jerawat dan demam hingga kanker. 

Di samping fungsi sel yang berlebihan pada orang yang menderita alergi distabilkan, melalui zat minyak habbasSauda antibodi juga ditekan. Sistem kekebalan yang berlebihan pada kajian (ilmuwan) Amerika juga menguji bahwa sistem kekebalan yang salah dapat diatur kembali dengan kesan yang kuat dari minyak ini. Sementara itu, Scheleicher telah menguji kesan minyak ini terhadap 600 pesakit.

Sebagai hasilnya, dia meyakinkan pengobatan untuk alergi sekitar 70% dari pesakitnya. Di antara mereka adalah alergi terhadap serbuk dan debu serta jerawat dan penyakit neuro-dermatologis. Pesakit asma dan lainnya pada umumnya memiliki ketahanan yang lemah dan mudah terkena infeksi. Dari alasan itu Dr. Schleicher di Munich akan memasukkan minyak itu ke dalam pengobatan preventifnya terhadap pilek dan influenza. 
Di Timur Tengah, minyak ini telah digunakan selama ribuan tahun sebagai obat untuk segala macam penyakit alergi, radang, gangguan menstruasi, tekanan moral, dan depresi, tetapi terutama terhadap bronkhitis, asma, dan neurodermatitis serta pencernaan yang buruk, bahkan impotensi.


Tuesday, July 12, 2011

Cara menghancurkan batu karang hempedu








REMOVING GALLSTONES NATURALLY 

by Dr Lai Chiu-Nan 

It has worked for many. If it works for you please pass on the good news. Chiu Nan is not charging for it, so we should make it free for everyone. Your reward is when someone, through your word of mouth, benefits from the regime. Gallstones may not be everyone's concern. But they should be because we all have them. Moreover, gallstones may lead to cancer. "Cancer is never the first illness," Chiu Nan points out. "Usually, there are a lot of other problems leading to cancer. 

In my research in China , I came across some materials which say that people with cancer usually have stones. We all have gallstones. It's a matter of big or small, many or few. 

One of the symp tom s of gallstones is a feeling of bloatedness after a heavy meal. You feel like you can't digest the food. If it gets more serious, you feel pain in the liver area." So if you think you have gallstones, Chiu Nan offers the following method to remove them naturally. 

The treatment is also good for those with a weak liver, because the liver and gallbladder are closely linked. 

Regimen:
 
1. For the first five days, take four glasses of apple juice every day. Or eat four or five apples, whichever you prefer. Apple juice softens the gallstones. During the five days, eat normally. 
2. On the sixth day, take no dinner. 
3. At 6 PM, take a teaspoon of Epsom salt (magnesium sulphate) with a glass of warm water. 
4. At 8 PM, repeat the same. Magnesium sulphate opens the gallbladder ducts. 
5. At 10 PM, take half cup olive oil (or sesame oil) with half cup fresh lemon juice. Mix it well and drink it. The oil lubricates the stones to ease their passage. 
PS. 1cup=250ml, ? cup lemon juice=3 lemons (aprox.) 

The next morning, you will find green stones in your stools. "Usually they float," Chiu Nan notes. "You might want to count them. I have had people who passes 40, 50 or up to 100 stones. Very many." 

"Even if you don't have any symp tom s of gallstones, you still might have some. It's always good to give your gall bladder a clean-up now and then. 




Monday, July 11, 2011

Minyak zaiton kurangkan risiko angin akhmar/stroke




(NaturalNews) Critical research released in the industry publication journal Neurology from the American Academy of Neurology provides evidence that regular consumption of olive oil can help lower the risk of stroke. The study examined individuals over the age of 65 that are most vulnerable to the devastating effects of a stroke. Scientists suggest that olive oil taken as part of a healthy diet can lower the life-altering risks associated with a stroke by 41% in the elderly. Based on this body of work, researchers "suggest that a new set of dietary recommendations should be issued to prevent stroke in people 65 and older."

To conduct the study, researchers examined the medical records of 7,625 aging adults 65 or older from three cities in France. Participants were in generally good health and had no prior history of stroke. Olive oil consumption was determined by use of dietary questionnaire and usage was broken down into three groups (none, moderate and intense) based on regular consumption habits. It is significant to note that virtually all olive oil consumed was extra virgin and cold pressed. This type of minimally processed oil has been found to lower the risk of heart disease in prior studies.

Participants were followed for a period of five years, and 148 strokes occurred during that time span. After considering dietary, lifestyle and medical history, researchers found that those with the highest intake of extra virgin olive oil were 41% less likely to suffer a stroke compared with those with the lowest consumption of the monounsaturated oil. In a secondary arm of this study where plasma fatty acid measurements were available, individuals with the highest oleic acid (olive oil fraction) were found to experience a 73% lower risk of stroke.

Researchers noted that olive oil consumption is associated with lowered risk of cardiovascular disease, diabetes, high blood pressure, lipid abnormalities and obesity. They stopped short of suggesting which particular elements of olive oil provide the stroke-protective mechanism. Extra virgin olive oil is known to be a rich source of natural polyphenols from the olive fruit; it alters the oxidized, sticky nature of LDL cholesterol that is implicated with plaque build-up in the arteries.

The study author from the University of Bordeaux in France, Dr. Cecilia Samieri commented, "Stroke is so common in older people and olive oil would be an inexpensive and easy way to help prevent it." The study did not specify the amount of olive oil used by those in the `intense` group that experienced the highest degree of protection from stroke. Nutritionists recommend that most people should add 1 to 2 tablespoons of extra virgin olive oil five days a week to reap the powerful health benefits of this monounsaturated oil.

Saya baru mula makan kapsiul2 Habatus sauda dan Extra virgin Olive oil , jenama 'Minsyam' - 2 biji pagi dan 2 malam, memang kesannya baik . bangun pagi rasa segar dan kurang lengoh2 dan sakit arthritis pun ada kurang. Siapa minat produk ini sila hubungi Abd Malik Faisal 019 611 4120.