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Diet ‘Overhaul’ Selepas Usia 60.

Diet Overhaul Selepas Usia 60.

60 merupakan sebuah angka yang banyak. Cuba anda bayangkan sekiranya 60 itu adalah umur anda. Pastinya keadaan individu yang berumur 60 tahun berada dalam keadaan yang lemah dan kurang bertenaga jika dibandingkan dengan tubuh badan seorang remaja yang masih aktif dan bertenaga.

Oleh itu, diet yang seimbang adalah sangat penting bagi mengekalkan kesihatan tubuh badan yang semakin menginjak usia. Ini bermakna, anda perlulah memilih diet yang sihat dan berkhasiat seperti:

  • Makan sayur-sayuran dan buah-buahan – sekurang-kurangkan 5 hidangan buah-buahan dan sayur-sayuran sehari.
  • Roti, nasi, kentang dan makanan-makanan yang berkanji. Kalau boleh, pilih makanan yang diperbuat daripada gandum.
  • Minum dan makan makanan yang diperbuat dari bahan tenusu.
  • Banyakkan pengambilan protein iaitu daging, ikan, telur, kekacang, dan sumber-sumber makanan yang lain yang bukan diperbuat daripada bahan tenusu – cuba untuk makan sekurang-kurangnya dua hidangan ikan setiap hari termasuk satu hidangan ikan berminyak.
  • Hanya mengambil sedikit makanan dan minuman yang kaya lemak dan gula.

Makan makanan yang mengandungi fiber adalah baik untuk sistem penghadaman. Apabila usia semakin meningkat, kemungkinan untuk berlakunya sembelit adalah lebih tinggi. Tetapi dengan adanya makanan yang kaya fiber, sembelit dan masalah penghadaman dapat dielakkan.

Selain itu, zat besi adalah sangat penting dalam kesihatan kita kerana kekurangannya boleh menyebabkan seseorang menjadi tidak bertenaga. Oleh itu, makanan yang mengandungi zat besi juga sangat diperlukan oleh setiap individu terutama kepada mereka yang sudah berusia.

Zat besi boleh dijumpai dalam kekacang, sardine, telur, roti, sayur-sayuran hijau, dan bijirin sarapan dengan vitamin tambahan. Hati juga merupakan sumber zat besi yang baik. namun pengambilannya perlulah dihadkan kerana hati turut kaya dengan vitamin A. Vitamin A yang berlebihan adalah tidak baik untuk tubuh dan boleh menjadi ancaman kepada tubuh badan.

Untuk mengelakkan osteoporosis, ambillah makanan yang kaya kalsium. Sumber kalsium boleh didapati daripada produk tenusu seperti susu, keju dan yogurt. Kalsium juga boleh didapati dari ikan sardin, sayuran hijau seperti brokoli dan kobis, kacang soya, dan tauhu.

Kurangkan pengambilan makanan yang mengandungi garam berlebihan. Kuantiti garam yang tinggi dalam makanan boleh meningkatkan tekanan darah dan boleh membawa kepada sakit jantung dan strok. Periksa label pada bungkusan makanan terlebih dahulu sebelum membeli. Antara makanan yang sering dimakan dan mengandungi garam termasuklah bijirin, roti, dan lain-lain makanan segera.

Walau bagaimanapun, kita perlulah mendapatkan semua tenaga dan nutrien yang diperlukan oleh tubuh. Sekiranya anda makan kurang daripada kuantiti yang biasa anda makan, anda boleh mengambil hidangan yang kecil dengan lebih kerap dan anda juga boleh makan makanan tambahan seperti snek-snek yang berkhasiat seperti buah-buahan, sayur-sayuran dan makanan bergandum.

Jadikan umur anda hanya sekadar nombor. 60 mungkin angka yang besar tetapi jangan jadikan angka tersebut sebagai ukuran tahap prestasi tubuh badan anda. Pastikan sihat, kekal evergreen!

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SEMBANG SIHAT BERSAMA DR. MUHAMMAD SALEHUDDIN SULAIMAN

Sering kita dengar rata-rata ibu bapa yang mempunyai anak kecil mengeluh tidak cukup tidur akibat berjaga malam jika anak mereka tidak sihat atau diserang demam. Ini kerana mereka perlu mengawasi suhu badan anak supaya tidak naik mendadak dan menyebabkan demam panas serta kekejangan.

Menurut Dr. Muhammad Salehuddin, Pakar Kanak-kanak Kuala Terengganu Specialist Hospital, penyakit yang lazimnya dirujuk kepada beliau menyerang kanak-kanak adalah demam. Demam terjadi apabila suhu badan melebihi 37.5 darjah celcius.

 

Banyak punca yang boleh menyebabkan demam dan salah satu punca utama ialah jangkitan kuman. Kuman biasanya mudah menyerang saluran pernafasan, iaitu bahagian atas badan yang merangkumi tekak, hidung dan mulut.

Antara simptom-simptom yang boleh dikenal pasti jika anak anda terkena demam akibat jangkitan kuman ini adalah seperti selesema, sakit tekak, batuk dan hidung tersumbat.

Dr. Muhammad Salehuddin juga turut ditanya tentang keberkesanan kaedah jerlum atau sponging sebagai salah satu kaedah untuk menurunkan suhu badan semasa demam. Beliau menerangkan cara-cara yang betul untuk melakukannya:

– Gunakan air dengan suhu biasa (bukan air suam, bukan air sejuk)
– Celup tuala kecil dengan air
– Basahkan / lapkan seluruh badan anak
– Terutama bahagian badan seperti di celah lipatan, lengan, peha, kepala, lengan dan belakang badan

Kaedah tersebut terbukti dapat membantu menurunkan suhu badan. Kerana air yang dibasahkan pada badan akan tersejat dan haba panas akan ditarik dan terbebas keluar.

Untuk konsultasi lebih lanjut berkenaan penyakit di kalangan anak-anak, sila hubungi 09-6245353 atau berjumpa terus dengan doktor di KTS Hospital, Wisma TDM, Jalan Kamaruddin, Kuala Terengganu, Terengganu.

Klinik Dr. Muhammad Salehuddin:
Ahad- Khamis: 9.30 pagi – 5.00 petang
Jumaat : 9.30 pagi – 12.00 tengah hari

 

 

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COMPREHENSIVE HEALTH SCREENING FOR WOMEN

A regular check-up is essential together with a good diet and exercise plan to build up our immunity and maintain vitality for life. Early detection is better than late. But late is still better than never.

 

TWENTIES (20’S)

Now a woman, you are ready to explore the world and embark in an independent and exciting adventure called life.

Vaginal and pelvic infections can be avoided by taking good care of your hygiene down-south.

Similarly, while Menses may cause a little discomfort but it shouldn’t mean to cause excruciating pain. Consult with a gyneacologist for contraceptive advice and female health screening for fertility if your menses are irregular.

THIRTIES (30’S)

Women in their thirties are usually are at their busiest. Juggling both work and family life, sometimes your health takes a backseat.

That shouldn’t be the case.

At this age, it’s good to have a good relationship with a gynaecologist. Your gyneacologist would be able to help detect early symptoms or warning signs of endometriosis, pelvic inflammatory diseases and fertility problems.

FOURTIES (40’S)

When a woman enters her 4-series, the body starts to prepare itself for the menopause.

Many women in this age group are at increased risk of breast cancer, cervical abnormalities, development of fibroids and ovarian cysts. The risk is greater if she has it in her family history or if she has never borne children.

This is the time to push the health reset button in order to enjoy a high quality life in the future.

FIFTIES (50’S)

Congratulations! You have done so well to reach this stage in life. Don’t stop now.

It is time to enjoy the fruits of your labour! This is the time to travel the world, to enjoy your grandchildren, and escalate your religious performance without health interference.

The body is like a car. If you service it regularly, age is just a number. You’re as good as any new models they come up with. Consult your physician for the latest treatment on boosters, anti-aging and therapies to delay the aging proses.

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SELAMAT HARI WANITA: BE BOLD FOR CHANGE

Sempena Sambutan Hari Wanita Sedunia, Kuala Terengganu Specialist Hospital mengucapkan Selamat Hari Wanita kepada semua. Be Bold for Change yang menjadi tema Hari Wanita 2017 bertujuan menyeru wanita untuk lebih berani membuat perubahan samada pada diri sendiri, keluarga, masyarakat ataupun dunia.

Kajian terhadap politik Malaysia mendapati bahawa pada penggal ini, di Terengganu tidak pempunyai perwakilan dari kaum wanita. Malah, kerusi Exco Hal Ehwal Wanita negeri turut disandang oleh seorang lelaki. Di zaman serba moden dan canggih ini, para wanita sudah tiada alasan untuk hendak duduk bersahaja.

Oleh itu, di sini kami berikan contoh beberapa orang tokoh wanita dari seluruh dunia yang sangat berani untuk keluar dari zon selesa mereka dan membuat perubahan. Semoga mereka ini akan dapat memberi inspirasi buat semua wanita di Terengganu khasnya untuk lebih berani berubah demi menggapai masa depan yang lebih gemilang.

 

Malala Yousafzai

Dilahirkan pada tahun 1997, Malala Yousafzai adalah penerima anugerah Nobel Untuk Pendamaian termuda di dunia. Beliau yang hampir mati ditembak oleh pengganas rejim Taliban, giat memperjuangkan hak pendidikan wanita dan kanak-kanak perempuan di Pakistan. Umur beliau waktu itu hanya 17 tahun. Beliau kini berusia 20 tahun dan masih aktif menyuarakan hak bagi wanita yang di tindas serta merupakan seorang tokoh dunia yang dihormati dan dikagumi.

 

Florence Nightingale

Florence Nightingale ingin membuktikan kepada ibu bapanya bahawa beliau mampu menjadi seorang jururawat. Apabila Perang Crimean meletus pada tahun 1853, Florence membawa 38 orang jururawat wanita ke Hospital Tentera Turki – menjadikannya wanita pertama yang dibenarkan untuk berbuat demikian. Beliau sering berjuang untuk meningkatkan kualiti kejururawatan di hospital tentera. Pada tahun 1858, Florence menjadi wanita pertama yang diterima sebagai ahli Persatuan Statistik Diraja. Buku terbitan beliau yang berjudul ‘Nota Nursing’ pada tahun 1859, masih di cetak sehingga ke hari ini.

 

Cleopatra

Cleopatra seperti diketahui umum merupakan Ratu Mesir. Bukti kecantikan baginda masih terpateri dalam puisi-puisi hebat dunia. Kehebatan pemerintahan baginda masih didebatkan oleh ahli sejarawan. Akan tetapi, bukan sahaja kecantikan baginda menyebabkan Mesir memenangi banyak peperangan, tetapi kepintaran akal dan budi bicaranya yang telah menundukkan lawan-lawan baginda. Cleopatra tidak menjadikan jantina sebagai penghalang untuk memerintah Mesir dengan agresif. Baginda sendiri turun padang untuk mangatur strategi pemerintahan dan menyertai peperangan.

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Capture your ideas however Microsoft Office 2016 Professional Plus Product Key you work best, using keyboard, pen, or touchscreen.
Be a power Office user—the easy way. Type what you want help with in the new Tell Me box on the ribbon and it will tell you how to do it.
New themes let you choose the Office experience that’s right for you. Dark and Dark Gray themes provide high contrast that’s easier on the eyes, and the Colorful theme gives you a modern look that’s consistent across your devices.
Enhance your reading experience with Insights, powered by Bing, which shows you relevant Microsoft Office 2013 Professional Plus Product Key information from the web when you’re reading an Office file.
The following steps describe how to install Office Home & Student 2013, Office Home & Business 2013, Office Professional 2013, or any stand-alone 2013 application you may own such as Word 2013 or Project 2013.
Microsoft Office 2019 is the latest version of the industry standard office suit. Microsoft Office 2019 Software includes the latest versions of Word, Excel, PowerPoint, Outlook, Exchange, SharePoint and Skype for Business, each of which is Microsoft Office 2019 Professional Plus Product Key an essential tool in today’s computerized office workplace. It also has a range of enhanced IT options that are designed to make life easier for newcomers to the field. Make no mistake: this is a versatile set of tools and no office should be.
Microsoft provides an update in Office 2019 today, revealing that applications will only run on Windows 10. In a support article for Windows and Office support and service, Microsoft has revealed that Download Microsoft Office 2019 Professional Plus Product Key it will need to upgrade to Windows 10 if you want the latest Office version without subscribing to the company’s Office 365 service.
Microsoft also extends its compatibility with Windows 10 for businesses and education customers who run certain versions of the operating system. All versions 1511, 1607, 1703 and 1709 of Windows 10 will be supported for another six months to help business and educational users move to the latest compatible versions of Windows 10.

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SEMBANG SIHAT BERSAMA DATO’ DR. S. MENON

 

 

 

 

 

 

 

 

 

Sembang Sihat bersama Dato’ Dr. S. Menon
Pakar Perubatan Kuala Terengganu Specialist Hospital
Tempat: Mek Awang Café.

Kuala Terengganu Specialist Hospital (KTSH) telah mengadakan program Sembang Sihat yang berkisar tentang soalan-soalan umum berkaitan penyakit diabetes. Sesi soal jawab yang diadakan secara santai ini telah dijayakan bersama dengan penduduk di sekitar Kampung Cina, Kuala Terengganu. Sesi ini telah dikendalikan oleh Pakar Perubatan KTSH, Dato’ Dr. Surendranath Menon.

 

Dato’ Dr. Menon yang telah berkhidmat di Terengganu selama lebih kurang 40 tahun telah melihat peningkatan yang mendadak dalam jumlah pesakit Diabetes atau lebih dikenali sebagai kencing manis di kalangan masyarakat setempat di Terengganu, berbanding sewaktu beliau memulakan perkhidmatannya di sini.

Malah, Terengganu adalah di antara negeri yang mencatatkan jumlah penghidap penyakit diabetes yang tertinggi di Malaysia. Ini mungkin disebabkan oleh faktor pemakanan serta gaya hidup masyarakat Terengganu yang gemarkan makanan dan minuman yang manis serta mengandungi karbohidrat yang tinggi.

 

Menurut beliau, sesiapa sahaja berisiko untuk mendapat diabetes. Namun yang demikian, sekiranya seseorang itu menjalani gaya hidup yang sihat dan sentiasa menjalani pemeriksaan kesihatan secara berkala setiap tahunan, risiko mereka untuk menghidap diabetes akan dapat dikurangkan. Tambah beliau lagi, sekiranya penghidap diabetes melakukan perubahan gaya hidup dari awal lagi, adalah tidak mustahil untuk mereka menjalani kehidupan yang lebih sihat dan sejahtera.

Dato’ Dr. Menon juga telah berkongsi tip-tip yang menarik bagi mengurangkan risiko diabetes dan langkah-langkah untuk mengawal kadar gula dalam darah:

TIPS-TIPS:

• Kurangkan mengambilan NASI PUTIH dan KANJI.

• Pilih BERAS PERANG (Brown Rice) berbanding Beras Putih.

• Pilih karbohidrat yang kaya dengan SERAT dan mengenyangkan seperti Roti Berserat, Nasi Perang, Chapati.

• GANTIKAN nasi putih dengan nasi perang, kekacang atau ubi-ubian.

• Utamakan pengambilan VITAMIN dan nutrisi daripada makanan semulajadi berbanding kebergantungan kepada makanan tambahan (supplement).

• Mengamalkan SENAMAN sekurang-kurangnya 30 minit sehari dalam aktiviti seharian, contohnya meletakkan kenderaan jauh dari destinasi untuk menggalakkan aktiviti berjalan kaki.

 

Generic Windows 10 Installation Key
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If you are looking for a valid retail Windows 10 Key we’d like you to take a look at the keys below. You’ll find a link to where you can buy Windows 10 Product Keys for any version out on the market. The prices for the Windows 10 Keys differ based on your choice of the selected version of Windows 10.
Windows 10 Product Key
The Windows 10 product keys listed in this Windowskeymall section can also be used with unattended installations (unattended.xml) of Windows 10. Though they are blocked at the Microsoft clearinghouse and therefore cannot be used to activate any productive systems to Windows 10 Professional Product Key fully working retail installations. Keys provide you with a couple of days for you to complete the Windows 10 activation process. The keys supplied do not depend on the architecture. They will work on either x86 (32 Bit) and x64 (64 Bit) installations of Windows 10.
In the Store, you can purchase an official Windows license Windows 7 Ultimate Product Key that will activate your PC. The Home version of Windows 10 costs $120, while the Pro version costs $200. This is a digital purchase, and it will immediately cause your current Windows installation to become activated. You don’t need to purchase a physical license.
We installed Windows 7 Professional as an example here, so the Windows Store will only let us purchase the $200 Windows 8 Pro license.
This option may not be available in all countries. The prices here are Windows 8 Professional Product Key for the US version of the Windows Store. Microsoft charges different prices in different countries and currencies.

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TIPS PENJAGAAN KESIHATAN SEMASA BANJIR

 

 

* Pastikan anda minum air bersih yang telah dimasak/minuman yang dibotolkan.
* Makan makanan yang telah dimasak sahaja. Elakkan memakan makanan mentah.
* Jika makan buah-buahan, kupas kulitnya dahulu.
* Jika anda ada mengalami luka, pastikan ia dibalut dan tidak terkena air banjir.
* Jaga kebersihan & keselamatan makanan/susu bayi serta peralatannya. Amalkan pemberian susu ibu.
* Dapatkan vaksin jika dinasihatkan oleh pihak kesihatan.
* Dapatkan rawatan segera jika anda mengalami demam, cirit-birit, dan muntah berterusan.
* Basuh tangan sebelum makan dan selepas ke tandas.
* Buang sampah di tempat yang disediakan.
* Gunakan tandas yang dalam berkeadaan baik.
* Sentiasa patuhi nasihat yang diberi dari masa ke semasa oleh anggota kesihatan.

Waspada penyakit bawaan air kerana ianya boleh membawa maut jika tidak dirawat dengan betul.
Sekiranya penyakit yang dialami semakin berlarutan, segeralah ke hospital atau klinik yang berdekatan untuk mendapatkan rawatan lanjut.

Generic Windows 10 Installation Key
Unfortunately we do not provide you with any https://www.windowskeymall.com/ retail Windows 10 Product key here, sorry, you’re at the wrong website. But wait – we would like you to offer atleast valid and working generic windows installation keys to install Windows 10. As said, all of the example keys Windows 10 Professional Product Key provided below are installation keys only. These keys will not activate your Windows 10 (neither of the available versions). Generic Windows 10 keys are default keys that are inserted if you choose Windows 10 Home Product Key to skip entering a product key during the installation process.
If you are looking for a valid retail Windows 10 Key we’d like you to take a look at the keys below. You’ll find a link to where you can buy Windows 10 Product Keys for any version out on the market. The prices for the Windows 10 Keys differ based on your choice of the selected version of Windows 10.
Windows 10 Product Key
The Windows 10 product keys listed in this Windowskeymall section can also be used with unattended installations (unattended.xml) of Windows 10. Though they are blocked at the Microsoft clearinghouse and therefore cannot be used to activate any productive systems to Windows 10 Professional Product Key fully working retail installations. Keys provide you with a couple of days for you to complete the Windows 10 activation process. The keys supplied do not depend on the architecture. They will work on either x86 (32 Bit) and x64 (64 Bit) installations of Windows 10.
In the Store, you can purchase an official Windows license Windows 7 Ultimate Product Key that will activate your PC. The Home version of Windows 10 costs $120, while the Pro version costs $200. This is a digital purchase, and it will immediately cause your current Windows installation to become activated. You don’t need to purchase a physical license.
We installed Windows 7 Professional as an example here, so the Windows Store will only let us purchase the $200 Windows 8 Pro license.
This option may not be available in all countries. The prices here are Windows 8 Professional Product Key for the US version of the Windows Store. Microsoft charges different prices in different countries and currencies.

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JAUNDIS (KEKUNINGAN PADA BAYI BARU LAHIR) – Bahagian 2

 

 

 

 

 

 

 

 

 

 

 

 

TANDA-TANDA & RAWATAN JAUNDIS 

Kadar bacaan bilirubin yang tinggi boleh membahayakan bayi. Bilirubin boleh menyeberangi dinding antara darah dan otak (blood brain barrier). Dinding ini ibarat pagar yang masih dalam proses pembinaan untuk dua minggu pertama kelahiran. Bilirubin merupakan satu bahan yang toksik kepada otak dan boleh merosakkan sel-sel otak (kernicterus) Ia juga boleh menyebabkan masalah pendengarkan dikemuan hari.

Anda perlu membawa bayi anda berjumpa doktor sekiranya bayi anda menunjukkan tanda-tanda berikut:

  1. Jaundis dalam masa 24- jam selepas dilahirkan
  2. Peningkatan kuning yang cepat
  3. Kekurangan G6PD
  4. Bayi tidak active dan kurang menyusu.
  5. Najis bayi berwarna pucat/’ putih,

Anak anda terdahulu pernah mengalami jaundis yang teruk.

Terdapat 2 jenis rawatan jaundis yang diiktiraf.

1 – Rawatan Foto : Bayi diletakkan dibawah sinaran komponen cahaya biru yang khas. Ini akan menyebabkan bilirubin ditukar menjadi bahan yang lebih larut air, dan dibuang melalui air kencing. Proses ini perlahan, dan mengambil masa.

2 – Pertukaran Darah :Kaedah ini biasanya dikhaskan kepada jaundis yang teruk (bacaan melebihi 20mg/dl atau 340umol/L) untuk menghindari kerosakan otak.

Kaedah rawatan jaundis alternatif seperti pemberian susu kambing segar, menjemur bayi di bawah sinar matahari pagi dan memandikan bayi dengan air rendaman herba tidak mempunyai asas saintifik, dan mungkin membahayakan nyawa bayi.

Seperti yang diterangkan di awal artikel ini, proses jaundis adalah proses semulajadi. Jadi tidak ada cara untuk mencegah supaya bayi anda tidak jaundis. Walaubagaimanapun, anda boleh mengesan awal tanda-tanda bahaya jaundis dan merujuk kepada doktor atau klinik terdekat dengan segera untuk mendapatkan rawatan yang sesuai dan mengelakkan komplikasi jaundis.

 

Artikel oleh:

Dr Muhammad Salehuddin Sulaiman
M.B.CH.B (Sheffield, UK) M.M (Paeds.)(USM)
Pakar Perubatan Pediatrik
Kuala Terengganu Specialist Hospital

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JAUNDIS (KEKUNINGAN PADA BAYI BARU LAHIR) – Bahagian 1

 

 

 

 

 

 

 

 

 

 

 

 

 

KENALI JAUNDIS.

 

Jaundis adalah warna kekungingan pada kulit yang disebabkan oleh kadar bilirubin didalam darah melebihi 80 umol/L.
Jaundis adalah satu fenomena yang biasa berlaku pada bayi. Ia berpunca daripada pencemaran sel darah merah. Untuk lebih memahami proses ini, saya biasanya memberi analogy berikut:

Sel darah merah ibarat kereta yang digunakan untuk mengangkut oksigen. Jika anda hendak meronda di dalam bandar, cukup sekadar menggunakan kereta yang mempunyai kuasa kuda (cc) yang rendah, contohnya kereta Viva. Bagaimanapun, jika hendak berulang alik antara bandar, contohnya dari Kuala Lumpur ke Johor Bharu dua kali sehari, anda memerlukan kereta yang lebih selesa seperti Toyota Vios.
Keaadaan yang sama berlaku kepada sel darah bayi. Semasa didalam kandungan, bayi tidak perlu bernafas untuk mendapatkan oksigen. Oksigen dibekalkan oleh ibu, melalui plasenta (uri). Oleh itu, memadai dengan sel darah merah yang tidak kompleks (Fetal haemoglobin, ‘Viva’). Bagaimanapun, apabila bayi dilahirkan, ia terpaksa bernafas sendiri, dan mendapatkan oksigen melalui udara. Oleh sebab itu, sel darah merah yang lebih kompleks diperlukan (adult haemoglobin . ‘Vios’).

Proses menaiktaraf sel darah merah ini melibatkan pemecahan sel darah fetal, dan dalam masa yang sama, sel darah adult, dibuat di sum-sum tulang. Ada beberapa bahan yang dikitar semula, contohnya zat besi, tetapi sebahagian bahan tidak dapat digunakan, seperti bilirubin, akan dibuang. Bilirubin inilah yang menyumbangkan kepada kekuningan, seperti yang dijelaskan sebelum ini. Bilirubin kemudiannya akan diproses didalam hati, dan dibuang melalui usus. Kehadiran bilirubin didalam najis akan mewarnakan najis menjadi kuning. Atas sebab inilah najis bayi akan bertukar daripada hitam kepada kekuningan selepas 2-3 hari.

Proses pemecahan sel darah ini akan terus berlaku dalam skala yang besar dalam minggu pertama kelahiran, dan kadang-kadang berlanjutan ke minggu kedua. Oleh itu, paras bilirubin akan meningkat setiap hari dalam minggu pertama, biasanya selepas 48 jam.
Keadaan ini dipanggil jaundis fisiologikal, iaitu jaundis yang normal. Kebiasaannya, paras bacaan jaundis ini tidak tinggi (tidak melebihi 250 umol/L).

Bagaimanapun, Jaundis yang tidak normal (patologikal) boleh berlaku dalam keadaan berikut:
1. Ketidakserasian antara darah ibu dan anak. Apabila kumpulan darah ibu O dan anak selainnya sama ada A atau B, dan didalam Rhesus Negative.
2.Kekurangan enzim G6PD pada bayi.
3. Jangkitan kuman pada bayi.
4.Bayi pramatang.
Keadaan diatas boleh menyebabkan pemecahan sel darah merah berlaku lebih banyak, dan menyebabkan paras bacaan bilirubin naik mendadak.

 

Artikel oleh:

Dr Muhammad Salehuddin Sulaiman
M.B.CH.B (Sheffield, UK) M.M (Paeds.)(USM)
Pakar Perubatan Pediatrik
Kuala Terengganu Specialist Hospital

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PROSEDUR & RISIKO-RISIKO CAESAREAN (C-SECTION)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RISIKO-RISIKO:

Ianya adalah satu pembedahan besar yang boleh merisikokan ibu-ibu kepada komplikasi-komplikasi pembedahan seperti jangkitan kuman, darah beku dan pendarahan yang banyak.

Menjadualkan c-section sebelum minggu ke 39 boleh membahayakan kesihatan bayi. Bayi yang lahir sebelum cukup masanya berisiko mendapat kesukaran bernafas kerana jantung dan otak yang belum berkembang sepenuhnya.

Wanita yang ingin bersalin secara normal selepas c-section berisiko mendapat penurisan yang pecah semasa kelahiran.

Kadang-kadang bersalin secara cesarean adalah lebih baik bagi bayi di mana dapat mengelak daripada trauma kelahiran menggunakan forcep atau kekurangan oksigen akibat tali pusat yang tertekan.

 

PROSEDUR C-SECTION

Ianya bermula dengan perjumpaan dengan pakar bius untuk membincangkan pilihan-pilihan bagi mengurangkan sakit semasa bersalin. Kebiasaannya si ibu akan diberikan suntikan anestetik di saraf tulang belakang untuk mengebaskan separuh tubuh.

Doktor yang membedah akan membuat 5-6 turisan di sebelah atas tulang pubik. Kemudiannya turisan secara horizontal akan dibuat melalui bahagian bawah rahim, di sebelah  atas tempat kencing. Kebiasannya ibu dalam keadaan sedar tetapi merasa kebas dan kain diletakkan di dada untuk menghalang pandangan ibu terhadap pembedahan tersebut.

Doktor tersebut akan mengeluarkan bayi dan di letakkan ke pangkuan ibu untuk mengesahkan jantina dan memegang bayi. Kemudian bayi ditimbang serta diletakkan di nursery. Sementara itu, doktor akan meyambung pembedahan dengan mengeluarkan uri/ tembuni dan menjahit tempat-tempat turisan tersebut. Pembedahan akan mengambil masa 25-60 minit.

Selepas itu, bayi akan dibawa kepada ibunya  dengan syarat kedua-duanya sihat. Biasanya selepas sejam daripada pembedahan, ibu akan dapat menyusu bayi atau bila si ibu bersedia.

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FAHAMI KELAHIRAN SECARA CAESAREAN

 

 

 

 

 

 

Kelahiran secara cesarean atau c-section adalah kelahiran bayi melalui kaedah pembedahan penurisan pada bahagian perut dan rahim. Dalam sesetengah hal, cesarean adalah dijadualkan untuk dilakukan. Dalam hal yang lain, ia adalah disebabkan oleh keadaan-keadaan kesulitan yang tidak dijangkakan.

 

BILAKAH ANDA MEMERLUKAN KELAHIRAN SECARA CESAREAN?

Anda mungkin memerlukan kelahiran secara cesarean sekiranya kelahiran bayi anda menjadi sangat lambat atau denyutan jantung bayi anda menjadi semakin perlahan semasa kelahiran. Sebab-sebab lain termasuklah masalah dengan uri/ tembuni atau dengan tali pusat, terdapat jangkitan yang boleh dihidapi oleh bayi, atau anda mengandung bayi kembar.

 

MENGAPAKAH KELAHIRAN SECARA CESAREAN MENJADI SATU KEBIASAAN?

  1. Ia adalah sebahagian daripada perkembangan perubatan.

Satu ketika dahulu, ramai wanita dan bayi mereka meninggal dunia disebabkan jangkitan atau kelambatan dan kelahiran yang tidak berfungsi dengan baik.

 

2. Disebabkan oleh masalah–masalah semasa kelahiran.

Ini menyebabkan para doktor beralih kepada c-section. Contohnya, bekalan oksigen kepada bayi menjadi masalah disebabkan tekanan pada tali pusat bayi, terdapat masalah pada denyutan jantung bayi atau disebabkan bayi tersebut tidak berganjak sedikit pun yang mana meletakkan ibunya berisiko dijangkiti kuman.

 

3. Penjadualan c-section juga bertambah.

Ini adalah di mana ultrasound mungkin menunjukkan kedudukan bayi dalam keadaan songsang. Juga disebabkan keadaan kesihatan seperi hypertensi atau diabetis. Begitu juga sekiranya seseorang wanita itu telah melahirkan melalui pembedahan rahim, dia mungkin memerlukan c-section untuk menghalang daripada pecahnya rahim itu.

 

4. Wanita-wanita yang mengandung kembar tiga.

Disebabkan wanita-wanita mengandung ingin mengelak daripada kemungkinan kesakitan melahirkan yang berpanjangan dan daripada koyakan vaginal.

Pembedahan secara cesarean ini biasanya dilakukan selepas minggu ke 39 kandungan.

 

5. Ia memberi doktor satu kaedah control/ kawalan.

Dengan penjadualan c-section yang biasanya bertahan selama 25 minit menyebabkan keadaan tersebut dapat lebih dijangkakan. Ini adalah untuk para doktor yang “on call” untuk 24-48 jam.

CCNA CCNP Voice IT Certifications Exam VCE: https://www.4itexam.com/ Jobs, Employment
CCVP stands for Cisco Licensed Voice Skilled. I believe if you wish https://www.4itexam.com/ to recertify your CCVP, take any 642 examination that doesn’t belong to the ccnp dumps previous CCNP monitor or another outdated exams. In addition to retiring 210-260 CCNA certifications, Cisco has made one other transfer to retire CCNA Voice certifications as of October 20, 2018. Skilled-stage Cisco certifications embrace: CCNP, CCSP and CCVP, all of which are associated ccnp switch 300 115 dumps with common salaries above $one hundred,000, according to the 2018 Salary Survey performed by ccnp switch Certification journal.
Quantity six on the list of the highest paying certifications is the Cisco ICND1/CCENT Licensed Voice 100-105 dumps Skilled. Alongside the exams, Cisco additionally provided transitioning assist for ICND1/CCENT licensed employees at the time. Incomes a Cisco certification validates a strong set of abilities in implementing, working, configuring, and troubleshooting a converged IP community.
5. Possibly we (present CCVP’s) will have to take one of many new exams 200-105 dumps within the eight.0 observe. Current Cisco ICND2 candidates who re-certify will routinely become Cisco CCNA Voice licensed. In an effort to obtain Cisco CCNA Security certification, people had to efficiently full five exams. Though there have been cisco 210-260 some vital modifications between Cisco CCNA Security certification, some key issues ccna security 210 260 dumps stayed the identical in proving your telepresence knowledge.
Little did I do know on the time that my first take a look at, Troubleshooting Unified Communications, had recertified my Cisco CCNP Collaboration and triggered the upgrade to a CCNP:Voice. That a certification 300 075 dump within the “old” CCNP exams, will be valid as part of 300-075 Implementing Cisco IP Telephony & Video Part 2 v1.0 the brand new CCNP Voice certification. • Cisco Certified Voice Skilled (CCNP): This certification is designed to check all elements of Web telephony.
Some of the fascinating modifications between Cisco CCNA certification icnd1 dumps and ccie certification seems to be the annual salary of licensed people in Kings Park 400 101 dumps and worldwide. For example, I would search CCIE, and individually search “cisco voice”. I was confused on this CCIE 400 101 particular occasion with the CCIE: Voice because the certification website by no means mentioned something 300-075 dump about there being an improve path from my 4.2 CCVP to the eight.x CCNP: Voice.
I think we need some clear solutions quickly because ccna security 210-260 pdf personally I will be very upset if I pass my 210-260 exam right now and it does not recertify my Cisco CCNA Security or give me a Cisco CCNA – Voice. In keeping with several pay-grade web sites, CCNP licensed users 300 101 dumps earned up to $eleven,000 greater than CCNP professionals in some areas. Should you have been trying to receive a Cisco CCNP certification, you’ll have to go for the CCNP Collaboration certification instead.
NetCom Learning gives ITIL V2 vs ITIL V3 itil v3 foundation Voice (Previously referred to as ITIL V2 vs ITIL V3) training utilizing Official Curriculum. I believe Cisco are mistaken to alter the title of cissp dumps cissp Voice it does not make sense cissp is established and other people know what it means, its hard sufficient to get non techies to understand what these acronyms stand for without changing their identify on a regular basis.
Not to point out that the average salary will 300 115 dumps increase by virtually $20,000 between a CCNP Switch Verison 2.0 licensed particular person. The CCNP exam expects that you just absolutely know, understand, comprehend, the exam targets and test prep are makes you able to ccna exam the Cisco Certified Voice Professional data. I have CCNA certification, now I wish to renew my CCNA certificate to CCNA Collaboration.
As we speak when to see my test historical past 210-260 dumps and discover out that I obtained (3) three of the take a look at beneath CCNA Security 210-260 Official Cert Guide Voice and the opposite (2) two test under CCNA Security, huh. This should have been left open until current CCVP’s where migrated to CCNP – Voice or till the twenty eighth Feb 2011 and then convert folks. On October 19, 2010, Learning@Cisco introduced 210 260 dumps the evolution of the CCNA Security certification, renaming it CCNA Security Voice.