Hari ni saya tertarik untuk menulis tentang bacaan ALP yang tinggi dalam ujian darah (ujian bacaan hati/liver function test) bayi.

ALP atau nama penuhnye Alkaline phosphatase adalah sejenis enzyme yang dirembeskan oleh hati. Yang mana ianya memainkan peranan penting dalam pembentukan tulang (osteoid formation & bone mineralization) dan fungsi hati.

Tapi kenape ianya tinggi pada bayi? Bahaya ke?

Si ibu memang akan tertanya2 apabila mereka melihat bacaan ALP ni meningkat beratus2. Betul kan? Terutama bagi yang bayi jaundis.

Peningkatan enzyme hati ada yang bahaya dan ada yang tidak. 

Ada kajian menunjukkan bagi bayi pramatang terutamanya yang dilahirkan pada usia kurang dari 34minggu dengan berat kurang dari 1.5kg, mempunyai risiko utk ALP yang tinggi berbanding bayi yang cukup bulan. Hal ini kerana, bayi yang lahir pramatang lebih berisiko utk mendapat osteopenia. Apa itu osetopenia?

Osteopenia ini adalah kekurangan mineral di dalam tulang bayi ataupun kita sebut BMD (bone mineral disease). Dalam kajian ini, xray telah dilakukan kepada bayi pramatang, dan terbukti baby pramatang kebnayakkannye menghidap osteopenia dan bacaan ALP mereka lebih tinggi. 

Dalam kajian ini juga ada menunjukkan, ibu yang kurang mengambil calcium ketika mengandung, akan menyebabkan risiko osteopenia dalam bayi meningkat steerusnya menyebabkan bacaan ALP juga meningkat.

Bagi bayi pramatang atau bayi yang cukup bulan,sekiranya, bacaan hati yang lain dan ujian darah yang lain normal, berkemungkinan besar peningkatan ALP ini hanyalah sementara dan tidak merbahaya buat bayi. Beberapa siri ujian darah akan di jalankan dari semasa ke semasa utk melihat trend bacaan ALP ini. Dan ianya mengambil beberapa minggu ke beberapa bulan untuk kembali ke paras normal.

Kemungkinan yang bahaya sudah tentu masalah hati pada bayi iaitu biliary atresia. Simpom biliary atresia adalah jaundis, najis bewarna kelabu dan air kencing bewarna gelap

Teruskan menyusu seperti biasa

Jangan ambil apa2 jamu

Makan makanan berkhasiat

Ikut temujanji yang diberikan oleh doktor

Pantau anak anda, adakah mereka mempunyai simptom2 biliary atresia? -bawak mereka berjumpa doktor .

Ya. bacaan ALP juga boleh dilihat sedikit meningkat bagi kanak2 yang sedang bertumbuh. Hal ini berkait dengan pertumbuhan tulang mereka. Ianya tidak merbahaya. Yang penting, siri ujian darah haruslah dilakukan sehingga kembali ke paras normal.

Hari ni sis nak cerita pengalaman sis berhenti kerja sebagai doktor kerajaan. Tujuan sis menulis ni bukanlah untuk menghasut dan sebagainya. Hanyalah sekadar perkongsian pengalaman sis yang tak seberapa.

Sebelum kita melakukan sesuatu, sis nak ingatkan, tanya dulu diri kita apa yang kita minat dan apa yang kita mampu buat? Jangan ikut kata orang lain. Bekerja sebagai doktor kerajaan banyak hikmahnya. Banyak sangat yang sis belajar dari segi pekerjaan, dari segi menjaga hubungan sesama pekerja dan menjaga hubungan doktor dan pesakit. Walaupun sis masih setahun jagung, tapi pengalaman ini semua banyak membantu diri sis sekarang.

Usai tamat housemanship (ups and down nye Allah je yang tahu,sipi2 je lagi nak sewel. kekeke..nasib back on track. keke). Ok gurau je. Tamat je housemanship, sis terus ke negeri lain. Ye sis dapat negeri lain. Sama je macam anda2 semua yang tercampak jauh nun di tempat orang. Pergi! Jangan tak pergi. Percaturan Allah sentiasa yang terbaik. Itu tekad sis waktu tu. Sebab rayuan sis hilang kelaut andaman. Sabar sahaja lah. So sis redha and sis bungkus barang. Sis sempat hantar blue berry cheesecake dekat department sis yang terakhir. Sobbsss..tak sedih..serabut jiwa waktu tu..

Assalammualaikum,


Selaku peminat Dato' Sri Siti Nurhaliza dari zaman HMI mula2 kak iti menang dulu..kemudian 1st album sampai la sekarang, I rasa happylah tersangat-sangat sebab dapat jumpa kak iti and tenung lama-lama sampai 2jam...free tau..

Compare bob wigs online and choose which you prefer.

When you want to buy a bob wig, you can browse a wig store online firstly. However, you should have a good sense of the cut, color, and style of wig you are looking for to ensure it fits your needs.

And then, look for synthetic bob wigs or human hair bob wigs, you can make a choice based on your preference. Bob wigs can range in cost from $50 to hundreds of dollars. And human hair bob wigs are more expensive than synthetic bob wigs, especially for Peruvian Short Bob Wig which is the most expensive among these. So, make sure you find a bob wig that fits your needs and your budget.
Measure the circumference of your head.

This is a key point that you should pay attention to, you will need to know the size of your head. So, you can take a cloth measuring tape and wrap it around your head. It should start in the middle of your forehead, go down to the base of the skull where the bob wig will end, and then wrap back up to meet the start of the tape on the forehead. Here is a tips for you. Make sure as you wrap the tape around your head, that you keep the tape above your ears.

Try the bob wig on to ensure it is comfortable.

Testing the fit of the bob wig is the most important element of the buying process. You want to make sure the cap of bob wig fits snugly on your head without irritating your scalp.If you buy a bob wig online, the seller will provide an excellent police for you. So, make sure your bob wig comes with a good return policy. If your bob wig irritates the skin on your scalp, then make sure you will be able to return it or exchange it for a more comfortable wig.

Generally speaking, human hair wigs have a good quality and it will not irritate your scalp. I recommend you to try Brazilian Short Bob Wigs which is very popular in this summer, and it is also comfortable. When you received the bob wig, you should try your bob wig firstly. Many caps in wigs come with tabs that can be adjusted to fit the size of your scalp. But you should aim to find a wig that is the closest fit to the circumference measurement of your head.
Use the adjustable band so the wig stays in place.

You may be worried about keeping your bob wig in place when you wear it, but many bob wigs come with an adjustable band that you can fit to your head so the wig stays secure.You can also try a cushion band, which is a gel filled headband that you put on under the bob wig.

The cushion band will make the bob wig more comfortable to wear and relieve any pressure points caused by wearing the wig. And some people also use a wig gripper, which is an adjustable headband made of fabric that creates friction around your hairline. This friction will help the wig stay in place.

Colorful summer, we can wear different style clothes so we may need different style matchings, as well as the hairstyle. If you buy the human hair, I think you don't need to worry about this, since it can be dyed, permed whatever you want.

As girls, we want to have various hairstyles, and we also want to have more hairstyles with fewer costs, so today we are going to take the Brazilian body wave human virgin hair as an example, and we are gonna to change it into the straight human hair.let's get started.

Before the job, we may prepare everything we need:

• Paddle brush
• rat tail combs
• holding spray
• heat protector spray
• hair bands
• hair clamp
• flat irons.

First, apply the brilliantine all around your hair to moisturize your hair, and comb your hair out with the paddle brush. Then, apply some heat protector spray on your hair to avoid the heat damage to your hair and the blending problem. Then use the holding spray to help the hairstyle last for a long time.

Part your hair into 2 sections from the middle of your head, then tie one side hair with the hair band and it will not slide. Divide the untied hair into up and down two parts, use the hair clamp to secure the upper part hair while you doing the section.

Divide a strand of hair from the down part with rat tail combs, straighten the hair with flat irons slowly and gently, repeat the process with the rest of hair. And You may use the heat protector and holding spray again for the better styling. Then, Repeat the same process on the other side hair.

After the curling job, you may need some concealer or liquid foundation or some makeup things to modify the scalp and hairline. And use the holding spray again to make the hairstyle last for a longer time.

Then, your straight hair is finished. And if you wear a Brazilian body wave human hair wig from hair vendors, you may also change your middle part hair into a side part hair easily by pulling the wig slowly, then you'll get a different hairstyle.

Asslammualaikum,

Hari ni terpanggil untuk bercerita tentang indemnity insurance untuk para doktor. Alhamdulillah aku dah selamat ambil. Senang amat nak apply nye.

Kenapa nak kena ambil indemnity insurance?
Oklah, medical negligence ni kadang-kadang kite tak harap ianya terjadi. Tapi zaman hari ni manusia tak lari dari saman menyaman. It's a real world that we live in. The one who sacrifice to treat patient yang balik kene saman. Tapi mungkin ianya benar salah doktor jugak. Wallahualam.. So, para doktor kena lah bersiap segia.

Bagi doktor kerajaan yang tidak melakukan lokum, kalau kena saman tak silap aku la, kerajaan akan bayarkan certain amount, if banyak sgt, gaji kena potong. If doktor kerajaan nak buat locum, seperti kata kawan aku, ianya mengikut bilangan klinik yang dorang gi wat locum tu. Wallahualam. Part ni korang kena clarify dengan orang insurance sendiri.

Bagi doktor GP/swasta korang mesti kena ada indemnity insurance. Terutama kalau korang adalah person incharge clinic tu. Any kesalahan yang doktor locum buat pun akan di cover.

Amount insurance yang dicover bergantung kepada kepakaran dan sektor pekerjaan korang. Ada yang mahal ade yg murah. Insurance ni bayar setahun sekali je. Contoh mcm GP bayar rm1k untuk coverage 1million. Kalau doktor kerajaan yang buat locum, harganya rm750/year untuk coverage 1 million.

Assalammualikum and a very good night i guess..

Ok, it's been a long long time i think i had left this blog. I'm so sorry for all the mothers out there.I know some of you might be waiting for my answers. I will try to reply as fast as I can but the best is for you to discuss with the doctors who treated your child. Because in treating patients we need to see the result and compare it with the findings clinically. We need to examine the patient. But never mind, I will try to assist as best as I can.

So I have a lot of "hutang" actually. There are few posts that I wanted to share. One of it is an argan cream  product that has been sent to me.. I will review it shortly maybe in the next post.I'm so sorry for the late. teehee..

I've been really busy lately. InsyaAllah with Allah's will, we will be moving into our second house soon. There's a lot of thing to think... It's year end, where I need to focus on my kid's concert, medical director's meeting where in between juggling doing locums and my amway bussiness. I'm tired! Super tired ! Honestly! (right now i'm yawning)

There are here and there where I met many kinds of people which taught me about "people" and "kindness". I don't really understand why it is so hard for people to try their best to take care about relationship among themselves?

Is it hard?
Is it hard to smile?
Is it hard to talk good?
Is it hard to say thank you?
Is it hard to stop from being jealous?
Is it hard to be honest?
Is it hard to talk good and stop being talam dua muka person?

Is it hard?

Maybe for some people "yes"

Why?

Because most of people talk before they think.
All of us have 1 brain by the way.
I don't know whether this is some kind of "ageing" or "i'm being matured" ..(i'm 30 by the way), but I think people should start to exercise kindness to each other.

I saw this patient few months ago. And today his agent came and requesting me to fulfill his medical records. Why?

because he's dead.

Life is so short.
It's so short for us to keep talking about bad thing.
It is to short for us to keep sulking and do silly things.
Stop sharing something that won't give you anything in the "hereafter"
We are losing.

I do hate those people who are too negative and think that they are right.
They are the ugly creatures in this world.
But - I keep remind myself back- I's ok, let them be..lead them to the better-ness..

May Allah lead me to be a sabar person in managing these kind of people.

Aminn.

Chow.

Lot's of love,
Fida

It has 5 bedrooms and 4 bathrooms! Bahagian bawah ada dua bilik dan 1 bilik air. Bahagian atas ada 3 bilik dan 3 bilik air. I love the concept where you dont need to share the bathroom. The architect is a genius! He manage to design in this square feet but manage to make it spacious. I dont know whether this is the power of interior design or what, but it is spacious enough for a small family like us.