A women is like a tea bag, you can't tell how strong she is until you put her in hot water
12/19/12
Jupe and Zed Zaidi
alkisahnya Zed Zaidi and Jupe ( Pelakon Indon).ok nih aku nak kongsi sikit. Zed Zaidi Presiden Seniman, aku tahu niat dia betul tp caranya salah nak menegur org2 filem ni, bg aku lah Jupe tu bukan sape2..dia hanya sekadar pelakon biasa2 dan Pelakon tahap GRO, kalo dia mengutuk filem atau drama kita...bg aku diam adalah lebih baik.sebab org sebegini kita tak yah layan. sbb kalo layan dia lagi suka kontroversi. kalo yg mengkritik tu Christine Hakim dari Indonesia atau Natalie Portman frm Hollywood atau Shah Rukh Khan frm Bollywood, kita patut lakukan sesuatu dan menerima kekurangan drama/filem kita. tp kalo si Jupe ni yg byk cakap tp tak pernah menang award dan belakon filem tahap Porna..ko tak yah layan lagi bagussss....Abg kita ni si Zed pun satu hal..ko tak yah la bertwitter atau berfb nak main tembak2 dgn si Jupe, mcm org tak professional. ko tu dah la Presiden Seniman. aku tahu niat dia betul sbb marah sgt dgn status si Jupe tu tp bg aku kalo nak kenakan org...biarlah kena kan org cara halus dan telus. ( bukan jumpa bomoh tau) i means cara pro and matang.jadi org mcm si Jupe ni tak berani nak kacau kita. so sekarang Jupe tgh bontot panas sbb Abg Zed kita mengesahkan bahawa kemasukan pelakon Indonesia, Julia Perez ke negara ini untuk menjalani penggambaran adalah tanpa permit sah.
Menurut Zed Zaidi, perkara itu sudah dirujuk kepada bahagian pelesenan Sijil Perakuan Penggambaran (SPP), Perbadanan Kemajuan Filem Nasional Malaysia (Finas).
Beliau menjelaskan bahawa di bawah syarat Padu Citra, Julia wajib menjadi ahli bagi salah satu daripada tiga persatuan yang diiktiraf oleh Finas.
Isnin lalu, Julia atau Jupe yang sedang menjalani penggambaran filem arahan Murali Abdullah, Sumpahan Malam Pertama di Pulau Pinang mengeluarkan kenyataan di akaun Twitter yang menimbulkan kemarahan rakyat Malaysia.
“Nunggu giliran take... sambil nonton sinetron Malaysia... oh my GOD... Indonesia kita jauuh majuuu... kita mahuu sekaliii... bangga jadi orang Indonesia (tunggu giliran penggambaran... sambil menonton drama Malaysia. Oh tuhan... Indonesia kita jauh maju... kita maju sekali. Bangga jadi orang Indonesia),” katanya.
Kenyataan itu mendapat respons daripada Zed Zaidi yang menyedari tentang kenyataan pelakon Indonesia itu tiga hari kemudiannya.
“Gampang Julia Prez hina industri seni Malaysia!
Kenyataan Zed Zaidi itu mendapat maklum balas daripada dua pelakon tempatan iaitu Fauziah Nawi dan Noorkhiriah.
Fauziah menulis, “memang kita asyik sanjung dia orang sekarang pada muka 'Malaysian'. 'Nothing great about their sinetron'. Tepuk dada tanya selera.”
Noorkhiriah pula menulis, “ajak ramai lagi 'shooting' si sini... lepas itu apa jadi... tolonglah ambil tindakan... dah lah bayar mahal. Kita ini melukut tepi gantang nak bayaran tinggi.”
Jam 12.18 tengah hari semalam, Jupe mengeluarkan kenyataan balas yang mengait-ngaitkan isu penghinaan ke atas bekas Presiden Indonseia, BJ Habibie.
“Gara-gara bilang sinetron malay kurang bagus ane di haram-haram ke Malaysia. OK, semua politikus Malaysia harus keluar dari Indonesia kerana menghina BJ Habibie! Puas pas (Gara-gara kata drama Malaysia kurang bagus, saya diharam-haramkan ke Malaysia. Okey semua ahli politik Malaysia harus keluar dari Indonesia kerana menghina BJ Habibie,” katanya.
Pelakon Indonesia yang sinonim dengan jolokan seksi itu sering dipalit kontroversi baik di Indonesia mahupun di Malaysia.
Welcome 2013
I dont intend to provoke & hurt anyone's feelings, if readers find this blog offensive or annoying, i would appreciate it if you could leave this blog without any comments.Pls respect me and others readers. tqvm
12/8/11
Fibroids Signs and Symptoms/Diagnosis/Treatment
Symptoms of fibroids may include:
* Heavy Vaginal Bleeding — Excessively heavy or prolonged menstrual bleeding is a common symptom. Women describe soaking through sanitary protection in less than an hour, passing blood clots and being unable to leave the house during the heaviest day of flow. As a result, some women develop anemia, also known as a low blood count. Anemia can cause fatigue, headaches and lightheadedness.
If heavy bleeding interferes with your everyday activities or if you develop anemia, you should see your doctor to discuss fibroid treatment options.
* Pelvic Discomfort — Women with large fibroids may feel heaviness or pressure in their lower abdomen or pelvis. Often this is described as a vague discomfort rather than a sharp pain. Sometimes, the enlarged uterus makes it difficult to lie face down, bend over or exercise without discomfort.
* Pelvic Pain — A less common symptom is acute, severe pain. This occurs when a fibroid goes through a process called degeneration. Usually, the pain is localized to a specific spot and improves on its own within two to four weeks. Using a pain reliever, such as ibuprofen, can decrease the pain significantly. However, chronic pelvic pain can also occur. This type of pain is usually mild but persistent and confined to a specific area.
* Bladder Problems — The most common bladder symptom is needing to urinate frequently. A woman may wake up several times during the night to empty her bladder. Occasionally, women are unable to urinate despite a full bladder.
These symptoms are caused by fibroids pressing against the bladder, reducing its capacity for holding urine or blocking the outflow of urine. Treatment for bladder problems can provide great relief.
* Low Back Pain — Rarely, fibroids press against the muscles and nerves of the lower back and cause back pain. A large fibroid on the back surface of the uterus is more likely to cause back pain than a small fibroid within the uterine wall. Because back pain is so common, it is important to look for other causes of the pain before attributing it to fibroids.
* Rectal Pressure — Fibroids also can press against the rectum and cause a sensation of rectal fullness, difficulty having a bowel movement or pain with bowel movements. Sometimes, fibroids can lead to the development of a hemorrhoid.
* Discomfort or Pain With Sexual Intercourse — Fibroids can make sexual intercourse painful or uncomfortable. The pain may occur only in specific positions or during certain times of the menstrual cycle. Discomfort during intercourse is a significant issue. If your doctor doesn't ask you about this symptom, make sure you mention it.
Fibroids Diagnosis
Usually, fibroids are found during a routine gynecologic visit with a pelvic examination. A pelvic exam allows the doctor to feel the size and shape of the uterus; if it is enlarged or irregularly shaped, fibroids may be present. Or, you may notice new symptoms and inform your doctor.
If your doctor thinks you may have fibroids after performing the exam, there are several tests that can confirm the diagnosis. The first is usually an ultrasound. The other tests are more specialized and are only performed if needed to guide treatment options. Below is a brief description of each type of exam.
* Ultrasound — Many women are familiar with ultrasound from pregnancy, when it is used to evaluate the growing fetus. Ultrasound is also a safe and reliable way to look for fibroids. In the test, sound waves are used to create a picture of the uterus and ovaries. Ultrasound does not use radiation.
The procedure takes between 30 to 60 minutes. The initial portion of the exam is performed with the transducer on the abdomen. Conducting gel is placed on the skin, which feels wet and cool. The transducer is moved around as the technologist takes pictures of the uterus and ovaries.
The second portion of the exam is performed internally. You will need to empty your bladder first. A special ultrasound probe will then be placed in the vagina. It is usually not painful and is inserted like a tampon. Close-up pictures are then taken of the uterus, endometrium (the lining of the uterus) and ovaries. The radiologist reviews all the pictures and will report the results to your doctor.
* Saline Hysterosonography — This is also an ultrasound procedure which uses no radiation. The exam helps us better visualize the inside of the uterus and endometrium. Submucosal fibroids and polyps can easily be identified by this method.
The exam takes about half an hour. It is often performed right after the woman finishes her menstrual period. A small catheter is inserted through the cervix and a small balloon is inflated to hold it in place. Sterile saline is injected into the uterus and ultrasound pictures are taken. During the procedure you may experience some cramping, similar to menstrual cramps. The cramps may last for a short time after the procedure — this is normal.
* Magnetic Resonance Imaging (MRI) — MRI is more expensive than ultrasound but gives doctors a reproducible, detailed picture of the number, size and exact location of the fibroids. Not all women with fibroids need an MRI. All patients that are being evaluated for a uterine artery embolization will get one, however. MRI uses a large, special magnet to take pictures of the body. The test does not use radiation.
The exam takes about 45 to 60 minutes, during which time you are asked to remain still. Before the study begins, an intravenous (IV) line is placed in your arm. You then lie down on a moveable bed. The big magnet is shaped like a donut, through which this moving bed passes. Contrast material is injected through the IV and pictures are taken of the pelvic area. These images will be reviewed by a radiologist who will report the findings to your doctor.
* Hysteroscopy — Diagnostic hysteroscopy is another procedure for seeing inside the uterus. The test can be performed in a doctor's office or in an operating room. Submucosal fibroids and polyps can be easily identified with this test. It takes 30 minutes to complete.
For the test, you will lie on your back with your feet in gynecology stirrups. A speculum is placed in the vagina. A long, slender telescope, called a hysteroscope, is gently inserted through the cervix into the uterine cavity. For ideal viewing, sterile saline or CO2 gas is introduced through the hysteroscope to inflate the cavity. Images of the lining of the uterus, the openings of the fallopian tubes, polyps and submucus fibroids are displayed on a TV monitor. Women experience mild cramps during the procedure. Taking ibuprofen (Advil, Motrin) one hour before the procedure can alleviate the discomfort.
Fibroids Treatment
Treatment for fibroids can range from no treatment at all to surgery. Unless fibroids are causing excessive bleeding, discomfort or bladder problems, treatment usually isn't necessary.
If you have fibroids, you should be evaluated periodically to review symptoms, and to monitor the fibroid and uterus size with abdominal and pelvic examinations. If you don't have symptoms, routine pelvic ultrasounds have very little benefit. Fibroids are likely to grow each year until menopause, but this isn't an indication that you need treatment, unless the change is accompanied by disabling symptoms.
The following are treatment options for fibroids:
Medications
Currently, the medications available for fibroids can temporarily improve symptoms but do not make the fibroids go away. For women with heavy bleeding, it is worth trying medication before undergoing a surgical procedure. Women with pressure symptoms caused by large fibroids won't benefit from any medicines currently available.
There are several promising new drugs on the horizon that will treat the fibroids themselves, not just the symptoms.
Contraceptive Pills and Progestational Agents
Women with heavy menstrual periods and fibroids are often prescribed hormonal medications to try to reduce bleeding and regulate the menstrual cycle. These medications will not shrink fibroids or make them grow at a faster rate.
If the medication has not improved your bleeding after three months, consult your doctor. Women over the age of 35 who smoke should not use oral contraceptives.
GnRH Agonists (Lupron)
GnRH agonists are a class of medications that temporarily shrink fibroids and stop heavy bleeding by blocking production of the female hormone, estrogen. Lupron is the most well known of these drugs. Although Lupron can improve fibroid symptoms, it causes unpleasant menopausal symptoms such as hot flashes. Long-term use can cause bone loss.
Lupron is recommended only for very specific cases. It may be recommended if you have heavy bleeding and serious anemia, and would need a blood transfusion during fibroid surgery. If you take Lupron for two to three months before surgery, your periods may temporarily stop and eliminate the need for a blood transfusion. Lupron also may be recommended if you have very large fibroids — greater than 10 to 12 centimeters — prior to fibroid surgery. Lupron should not be used solely to shrink fibroids unless surgery is planned, because fibroids will re-grow to their original size as soon as you stop taking Lupron.
Intrauterine Devices (IUD)
Although IUDs are typically used to prevent pregnancy, they have other benefits as well. An IUD that releases a small amount of hormone into the uterine cavity can decrease bleeding caused by fibroids.
An IUD can be inserted during a routine office appointment.
Myomectomy
A myomectomy is an operation to remove fibroids while preserving the uterus. For women who have fibroid symptoms and want to have children in the future, myomectomy is the best treatment option.
Myomectomy is very effective, but fibroids can re-grow. The younger you are and the more fibroids you have at the time of myomectomy, the more likely you are to develop fibroids again in the future. Women nearing menopause are the least likely to have recurring problems from fibroids after a myomectomy.
A myomectomy can be performed several different ways. Depending on the size, number and location of your fibroids, you may be eligible for an abdominal myomectomy, a laparoscopic myomectomy or a hysteroscopic myomectomy.
* Abdominal Myomectomy — During this operation, an incision is made through the skin on the lower abdomen (a "bikini cut"). The fibroids are removed from the wall of the uterus, and the uterine muscle is sewn back together using several layers of stitches. You will be asleep for the procedure. Most women spend two nights in the hospital and four to six weeks recovering at home.
* Laparoscopic Myomectomy — In a laparascopic myomectomy, four one-centimeter incisions are made in the lower abdomen: one at the belly button, one below the bikini line near the pubic hair, and one near each hip. The abdominal cavity is filled with carbon dioxide gas. A thin, lighted telescope is placed through an incision so the doctors can see the ovaries, fallopian tubes and uterus. Long instruments, inserted through the other incisions, are used to remove the fibroids. The uterine muscle is then sewn back together, the gas is released and the skin incisions are closed.
You will be asleep for the procedure. The recovery is shorter than for an abdominal myomectomy — typically, women spend one night in the hospital and two to four weeks recovering at home.
* Hysteroscopic Myomectomy — Only women with submucosal fibroids — fibroids that expand from the uterine wall into the uterine cavity — are eligible for this type of myomectomy. Fibroids located within the uterine wall cannot be removed with this technique.
During the procedure, you will lie on your back with your feet in gynecology stirrups. You will most likely be asleep for the procedure. A speculum is placed in the vagina and a long, slender telescope is placed through the cervix into the uterine cavity. The uterine cavity is filled with fluid to lift apart the walls of the uterus. Instruments passed through the hysteroscope are used to shave off the submucosal fibroids.
This is an out-patient procedure, and you may go home after several hours of observation in the recovery room. Most women spend one to four days resting at home to recover.
Read more about myomectomy.
Hysterectomy
Hysterectomy is a major surgical procedure in which the uterus is removed. Many women choose hysterectomy to definitively resolve their fibroid symptoms. After hysterectomy, menstrual bleeding stops, pelvic pressure is relieved, frequent urination improves and new fibroids cannot grow. A woman can no longer become pregnant after a hysterectomy.
The ovaries are not necessarily removed during a hysterectomy. Generally, if a woman is in menopause or close to menopause, the ovaries are removed. The ovaries may also be removed if they look abnormal or if the patient wants to decrease her chance of developing ovarian cancer later in life. In pre-menopausal women, removal of the ovaries can cause hot flashes, vaginal dryness and other symptoms. You should discuss the pros and cons of ovarian removal with your doctor.
There are several hyterectomy surgical approaches: a vaginal hysterectomy, an abdominal hysterectomy and a laparoscopic hysterectomy. The choice of procedure will depend on the size of the uterus and several other factors.
* Vaginal Hysterectomy — A vaginal hysterectomy is performed by removing the uterus through the vagina, rather than through an incision on the abdomen. To be eligible for a vaginal hysterectomy, your uterus cannot be too large.
You will be asleep for the procedure. Most women stay two nights in the hospital. The recovery involves significant pain for 24 hours and mild pain for 10 days. Full recovery usually takes four weeks.
* Abdominal Hysterectomy — In an abdominal hysterectomy, the uterus is removed through a horizontal incision on the lower abdomen, called a "bikini cut." If the uterus is very large or if there is a scar from an earlier operation, it may be necessary to make a vertical incision instead.
A total abdominal hysterectomy means removing the uterus and the cervix. Women who have had abnormal pap smears are usually encouraged to have their cervix removed. A subtotal or supra-cervical hysterectomy means removing only the upper part of the uterus. Women who retain their cervix may have less bladder leakage and vaginal relaxation later in life; however, this has not been scientifically proven. Women who have had a supra-cervical hysterectomy will continue to need periodic pap smears. In addition, some women will have monthly spotting or light bleeding if endometrial glands are still embedded in the cervical tissue.
You will be asleep during the procedure. Most women spend three nights in the hospital and six weeks recovering at home. Some women experience a complication that results in a longer recovery time.
* Laparoscopic Hysterectomy — This is a new procedure in which the uterus is removed through very small incisions on the lower abdomen. The cervix remains in place. Women with large fibroids or a large uterus may not be candidates for a laparoscopic hysterectomy.
In the procedure, four one-centimeter incisions are made in the lower abdomen: one at the belly button, one below the bikini line near the pubic hair, and one near each hip. The abdominal cavity is filled with carbon dioxide gas. A thin, lighted telescope is placed through an incision so the doctors can see the ovaries, fallopian tubes and uterus. Long instruments, inserted through the other incisions, are used to remove the uterus. A special instrument is used to cut the uterus into smaller segments for removal through the small incisions. At the end of the procedure, the gas is released and the skin incisions are closed.
You will be asleep during the procedure. Most women spend one night in the hospital and two to four weeks recovering at home.
Read more about hysterectomy.
Uterine Artery Embolization (UAE)
Uterine artery embolization is a relatively new procedure and an alternative to open surgery for fibroids. Embolization is a technique that blocks the blood flow to the fibroid or fibroids, causing them to shrink and die. This also often decreases menstrual bleeding and symptoms of pain, pressure, urinary frequency or constipation.
UAE is performed in a radiology suite rather than an operating room, by an interventional radiologist. An intravenous (IV) line will be placed before beginning the procedure, and you will be sedated. You will remain awake, but sleepy, throughout the procedure.
A needle is placed in an artery in your leg, at the groin crease. A small catheter is then placed into the artery and X-rays are taken of the arteries — a test called an arteriogram — that supply the fibroids. The catheter is then used to select these arteries and slowly inject particles called polyvinyl alcohol, which are the size of a sand grain. The particles block the flow of blood. After the left and right uterine arteries are embolized, another arteriogram is performed to confirm the procedure is complete.
Afterward, you must rest in bed for six hours, lying flat with your leg straight. The amount of pain patients experience varies. The most significant pain usually occurs immediately following the procedure and over the next six hours. Patients usually stay overnight in the hospital, so we can monitor the arterial access site and provide adequate pain control. You will be discharged the next morning. Most women can return to full activity in a week.
When blood flow to the fibroid is blocked, the fibroid gets no oxygen and will begin to die. This process happens over days to months. During this time the fibroid shrinks by about 40 to 50 percent and the uterus by about 30 to 40 percent. Our experience and the scientific literature suggest that symptoms will improve in 80 to 90 percent of patients. For some, UAE is ineffective. Serious complications occur in less then four percent of patients.
* Heavy Vaginal Bleeding — Excessively heavy or prolonged menstrual bleeding is a common symptom. Women describe soaking through sanitary protection in less than an hour, passing blood clots and being unable to leave the house during the heaviest day of flow. As a result, some women develop anemia, also known as a low blood count. Anemia can cause fatigue, headaches and lightheadedness.
If heavy bleeding interferes with your everyday activities or if you develop anemia, you should see your doctor to discuss fibroid treatment options.
* Pelvic Discomfort — Women with large fibroids may feel heaviness or pressure in their lower abdomen or pelvis. Often this is described as a vague discomfort rather than a sharp pain. Sometimes, the enlarged uterus makes it difficult to lie face down, bend over or exercise without discomfort.
* Pelvic Pain — A less common symptom is acute, severe pain. This occurs when a fibroid goes through a process called degeneration. Usually, the pain is localized to a specific spot and improves on its own within two to four weeks. Using a pain reliever, such as ibuprofen, can decrease the pain significantly. However, chronic pelvic pain can also occur. This type of pain is usually mild but persistent and confined to a specific area.
* Bladder Problems — The most common bladder symptom is needing to urinate frequently. A woman may wake up several times during the night to empty her bladder. Occasionally, women are unable to urinate despite a full bladder.
These symptoms are caused by fibroids pressing against the bladder, reducing its capacity for holding urine or blocking the outflow of urine. Treatment for bladder problems can provide great relief.
* Low Back Pain — Rarely, fibroids press against the muscles and nerves of the lower back and cause back pain. A large fibroid on the back surface of the uterus is more likely to cause back pain than a small fibroid within the uterine wall. Because back pain is so common, it is important to look for other causes of the pain before attributing it to fibroids.
* Rectal Pressure — Fibroids also can press against the rectum and cause a sensation of rectal fullness, difficulty having a bowel movement or pain with bowel movements. Sometimes, fibroids can lead to the development of a hemorrhoid.
* Discomfort or Pain With Sexual Intercourse — Fibroids can make sexual intercourse painful or uncomfortable. The pain may occur only in specific positions or during certain times of the menstrual cycle. Discomfort during intercourse is a significant issue. If your doctor doesn't ask you about this symptom, make sure you mention it.
Fibroids Diagnosis
Usually, fibroids are found during a routine gynecologic visit with a pelvic examination. A pelvic exam allows the doctor to feel the size and shape of the uterus; if it is enlarged or irregularly shaped, fibroids may be present. Or, you may notice new symptoms and inform your doctor.
If your doctor thinks you may have fibroids after performing the exam, there are several tests that can confirm the diagnosis. The first is usually an ultrasound. The other tests are more specialized and are only performed if needed to guide treatment options. Below is a brief description of each type of exam.
* Ultrasound — Many women are familiar with ultrasound from pregnancy, when it is used to evaluate the growing fetus. Ultrasound is also a safe and reliable way to look for fibroids. In the test, sound waves are used to create a picture of the uterus and ovaries. Ultrasound does not use radiation.
The procedure takes between 30 to 60 minutes. The initial portion of the exam is performed with the transducer on the abdomen. Conducting gel is placed on the skin, which feels wet and cool. The transducer is moved around as the technologist takes pictures of the uterus and ovaries.
The second portion of the exam is performed internally. You will need to empty your bladder first. A special ultrasound probe will then be placed in the vagina. It is usually not painful and is inserted like a tampon. Close-up pictures are then taken of the uterus, endometrium (the lining of the uterus) and ovaries. The radiologist reviews all the pictures and will report the results to your doctor.
* Saline Hysterosonography — This is also an ultrasound procedure which uses no radiation. The exam helps us better visualize the inside of the uterus and endometrium. Submucosal fibroids and polyps can easily be identified by this method.
The exam takes about half an hour. It is often performed right after the woman finishes her menstrual period. A small catheter is inserted through the cervix and a small balloon is inflated to hold it in place. Sterile saline is injected into the uterus and ultrasound pictures are taken. During the procedure you may experience some cramping, similar to menstrual cramps. The cramps may last for a short time after the procedure — this is normal.
* Magnetic Resonance Imaging (MRI) — MRI is more expensive than ultrasound but gives doctors a reproducible, detailed picture of the number, size and exact location of the fibroids. Not all women with fibroids need an MRI. All patients that are being evaluated for a uterine artery embolization will get one, however. MRI uses a large, special magnet to take pictures of the body. The test does not use radiation.
The exam takes about 45 to 60 minutes, during which time you are asked to remain still. Before the study begins, an intravenous (IV) line is placed in your arm. You then lie down on a moveable bed. The big magnet is shaped like a donut, through which this moving bed passes. Contrast material is injected through the IV and pictures are taken of the pelvic area. These images will be reviewed by a radiologist who will report the findings to your doctor.
* Hysteroscopy — Diagnostic hysteroscopy is another procedure for seeing inside the uterus. The test can be performed in a doctor's office or in an operating room. Submucosal fibroids and polyps can be easily identified with this test. It takes 30 minutes to complete.
For the test, you will lie on your back with your feet in gynecology stirrups. A speculum is placed in the vagina. A long, slender telescope, called a hysteroscope, is gently inserted through the cervix into the uterine cavity. For ideal viewing, sterile saline or CO2 gas is introduced through the hysteroscope to inflate the cavity. Images of the lining of the uterus, the openings of the fallopian tubes, polyps and submucus fibroids are displayed on a TV monitor. Women experience mild cramps during the procedure. Taking ibuprofen (Advil, Motrin) one hour before the procedure can alleviate the discomfort.
Fibroids Treatment
Treatment for fibroids can range from no treatment at all to surgery. Unless fibroids are causing excessive bleeding, discomfort or bladder problems, treatment usually isn't necessary.
If you have fibroids, you should be evaluated periodically to review symptoms, and to monitor the fibroid and uterus size with abdominal and pelvic examinations. If you don't have symptoms, routine pelvic ultrasounds have very little benefit. Fibroids are likely to grow each year until menopause, but this isn't an indication that you need treatment, unless the change is accompanied by disabling symptoms.
The following are treatment options for fibroids:
Medications
Currently, the medications available for fibroids can temporarily improve symptoms but do not make the fibroids go away. For women with heavy bleeding, it is worth trying medication before undergoing a surgical procedure. Women with pressure symptoms caused by large fibroids won't benefit from any medicines currently available.
There are several promising new drugs on the horizon that will treat the fibroids themselves, not just the symptoms.
Contraceptive Pills and Progestational Agents
Women with heavy menstrual periods and fibroids are often prescribed hormonal medications to try to reduce bleeding and regulate the menstrual cycle. These medications will not shrink fibroids or make them grow at a faster rate.
If the medication has not improved your bleeding after three months, consult your doctor. Women over the age of 35 who smoke should not use oral contraceptives.
GnRH Agonists (Lupron)
GnRH agonists are a class of medications that temporarily shrink fibroids and stop heavy bleeding by blocking production of the female hormone, estrogen. Lupron is the most well known of these drugs. Although Lupron can improve fibroid symptoms, it causes unpleasant menopausal symptoms such as hot flashes. Long-term use can cause bone loss.
Lupron is recommended only for very specific cases. It may be recommended if you have heavy bleeding and serious anemia, and would need a blood transfusion during fibroid surgery. If you take Lupron for two to three months before surgery, your periods may temporarily stop and eliminate the need for a blood transfusion. Lupron also may be recommended if you have very large fibroids — greater than 10 to 12 centimeters — prior to fibroid surgery. Lupron should not be used solely to shrink fibroids unless surgery is planned, because fibroids will re-grow to their original size as soon as you stop taking Lupron.
Intrauterine Devices (IUD)
Although IUDs are typically used to prevent pregnancy, they have other benefits as well. An IUD that releases a small amount of hormone into the uterine cavity can decrease bleeding caused by fibroids.
An IUD can be inserted during a routine office appointment.
Myomectomy
A myomectomy is an operation to remove fibroids while preserving the uterus. For women who have fibroid symptoms and want to have children in the future, myomectomy is the best treatment option.
Myomectomy is very effective, but fibroids can re-grow. The younger you are and the more fibroids you have at the time of myomectomy, the more likely you are to develop fibroids again in the future. Women nearing menopause are the least likely to have recurring problems from fibroids after a myomectomy.
A myomectomy can be performed several different ways. Depending on the size, number and location of your fibroids, you may be eligible for an abdominal myomectomy, a laparoscopic myomectomy or a hysteroscopic myomectomy.
* Abdominal Myomectomy — During this operation, an incision is made through the skin on the lower abdomen (a "bikini cut"). The fibroids are removed from the wall of the uterus, and the uterine muscle is sewn back together using several layers of stitches. You will be asleep for the procedure. Most women spend two nights in the hospital and four to six weeks recovering at home.
* Laparoscopic Myomectomy — In a laparascopic myomectomy, four one-centimeter incisions are made in the lower abdomen: one at the belly button, one below the bikini line near the pubic hair, and one near each hip. The abdominal cavity is filled with carbon dioxide gas. A thin, lighted telescope is placed through an incision so the doctors can see the ovaries, fallopian tubes and uterus. Long instruments, inserted through the other incisions, are used to remove the fibroids. The uterine muscle is then sewn back together, the gas is released and the skin incisions are closed.
You will be asleep for the procedure. The recovery is shorter than for an abdominal myomectomy — typically, women spend one night in the hospital and two to four weeks recovering at home.
* Hysteroscopic Myomectomy — Only women with submucosal fibroids — fibroids that expand from the uterine wall into the uterine cavity — are eligible for this type of myomectomy. Fibroids located within the uterine wall cannot be removed with this technique.
During the procedure, you will lie on your back with your feet in gynecology stirrups. You will most likely be asleep for the procedure. A speculum is placed in the vagina and a long, slender telescope is placed through the cervix into the uterine cavity. The uterine cavity is filled with fluid to lift apart the walls of the uterus. Instruments passed through the hysteroscope are used to shave off the submucosal fibroids.
This is an out-patient procedure, and you may go home after several hours of observation in the recovery room. Most women spend one to four days resting at home to recover.
Read more about myomectomy.
Hysterectomy
Hysterectomy is a major surgical procedure in which the uterus is removed. Many women choose hysterectomy to definitively resolve their fibroid symptoms. After hysterectomy, menstrual bleeding stops, pelvic pressure is relieved, frequent urination improves and new fibroids cannot grow. A woman can no longer become pregnant after a hysterectomy.
The ovaries are not necessarily removed during a hysterectomy. Generally, if a woman is in menopause or close to menopause, the ovaries are removed. The ovaries may also be removed if they look abnormal or if the patient wants to decrease her chance of developing ovarian cancer later in life. In pre-menopausal women, removal of the ovaries can cause hot flashes, vaginal dryness and other symptoms. You should discuss the pros and cons of ovarian removal with your doctor.
There are several hyterectomy surgical approaches: a vaginal hysterectomy, an abdominal hysterectomy and a laparoscopic hysterectomy. The choice of procedure will depend on the size of the uterus and several other factors.
* Vaginal Hysterectomy — A vaginal hysterectomy is performed by removing the uterus through the vagina, rather than through an incision on the abdomen. To be eligible for a vaginal hysterectomy, your uterus cannot be too large.
You will be asleep for the procedure. Most women stay two nights in the hospital. The recovery involves significant pain for 24 hours and mild pain for 10 days. Full recovery usually takes four weeks.
* Abdominal Hysterectomy — In an abdominal hysterectomy, the uterus is removed through a horizontal incision on the lower abdomen, called a "bikini cut." If the uterus is very large or if there is a scar from an earlier operation, it may be necessary to make a vertical incision instead.
A total abdominal hysterectomy means removing the uterus and the cervix. Women who have had abnormal pap smears are usually encouraged to have their cervix removed. A subtotal or supra-cervical hysterectomy means removing only the upper part of the uterus. Women who retain their cervix may have less bladder leakage and vaginal relaxation later in life; however, this has not been scientifically proven. Women who have had a supra-cervical hysterectomy will continue to need periodic pap smears. In addition, some women will have monthly spotting or light bleeding if endometrial glands are still embedded in the cervical tissue.
You will be asleep during the procedure. Most women spend three nights in the hospital and six weeks recovering at home. Some women experience a complication that results in a longer recovery time.
* Laparoscopic Hysterectomy — This is a new procedure in which the uterus is removed through very small incisions on the lower abdomen. The cervix remains in place. Women with large fibroids or a large uterus may not be candidates for a laparoscopic hysterectomy.
In the procedure, four one-centimeter incisions are made in the lower abdomen: one at the belly button, one below the bikini line near the pubic hair, and one near each hip. The abdominal cavity is filled with carbon dioxide gas. A thin, lighted telescope is placed through an incision so the doctors can see the ovaries, fallopian tubes and uterus. Long instruments, inserted through the other incisions, are used to remove the uterus. A special instrument is used to cut the uterus into smaller segments for removal through the small incisions. At the end of the procedure, the gas is released and the skin incisions are closed.
You will be asleep during the procedure. Most women spend one night in the hospital and two to four weeks recovering at home.
Read more about hysterectomy.
Uterine Artery Embolization (UAE)
Uterine artery embolization is a relatively new procedure and an alternative to open surgery for fibroids. Embolization is a technique that blocks the blood flow to the fibroid or fibroids, causing them to shrink and die. This also often decreases menstrual bleeding and symptoms of pain, pressure, urinary frequency or constipation.
UAE is performed in a radiology suite rather than an operating room, by an interventional radiologist. An intravenous (IV) line will be placed before beginning the procedure, and you will be sedated. You will remain awake, but sleepy, throughout the procedure.
A needle is placed in an artery in your leg, at the groin crease. A small catheter is then placed into the artery and X-rays are taken of the arteries — a test called an arteriogram — that supply the fibroids. The catheter is then used to select these arteries and slowly inject particles called polyvinyl alcohol, which are the size of a sand grain. The particles block the flow of blood. After the left and right uterine arteries are embolized, another arteriogram is performed to confirm the procedure is complete.
Afterward, you must rest in bed for six hours, lying flat with your leg straight. The amount of pain patients experience varies. The most significant pain usually occurs immediately following the procedure and over the next six hours. Patients usually stay overnight in the hospital, so we can monitor the arterial access site and provide adequate pain control. You will be discharged the next morning. Most women can return to full activity in a week.
When blood flow to the fibroid is blocked, the fibroid gets no oxygen and will begin to die. This process happens over days to months. During this time the fibroid shrinks by about 40 to 50 percent and the uterus by about 30 to 40 percent. Our experience and the scientific literature suggest that symptoms will improve in 80 to 90 percent of patients. For some, UAE is ineffective. Serious complications occur in less then four percent of patients.
12/6/11
Bantu kanak-kanak HIVFathiiah Hamzah adalah The Ultimate Fun Fearless Fabulous Woman 2011
Project Coordinatordaripada Rumah Solehah, Fathiiah Hamzah kerana telah dianugerahkan The Ultimate FUN FEARLESS FABULOUS Woman 2011. Fathiiah adalah lulusan daripada Sains Manusia daripada Universiti Islam Antarabangsa (UIA) dan membawa perubahan kepada kanak-kanak di Rumah Solehah dengan memperkenalkan sistem stok perubatan yang lebih efisyen. Aku berpuas hati kerana dia menang sbb menjaga kanak2 HIV di Rumah Solehah.
Bukan ramai orang yang berani dan sanggup bekerja dengan kanak-kanak yang dijangkiti HIV.
11/23/11
Europe May 2011
Akhirnya dapt jejak kaki ke London and Paris...speechless!
mcm mimpi...TP KENYATAAN ;) I prefer ke London dari Paris coz if nak shopping London lebih murah dari Paris.korang bayangkan if nak beli roti kebab 5 pound= RM 25.00 if duit Euro U all hv to pay EURO 10 = RM 40.00 ada beza kan?
aku bwk duit mcm gaji sebulan ermmmmm......tak cukup tau. so tak shopping byk pun sekadar beli apa yg patut. next plan nak pg Swiss or Rome. ewwww best tp dah start kumpul duit ( aku nih selalu pi Travel bila la nak kahwin nih. Sigh!)
ada few gambr kat FB aku.korang layan jer la.....
11/7/11
SELAMAT HARI RAYA AIDILADHA
Hey..Selamat Hari Raya Aidil Adha...selamat berkorban dan berhijrah ke arah kebaikan.
Doa kan aku agar aku dapt membuat perubahan terbesar dlm hidup ku...moga aku dapat berhijab & dpt mengerjakan haji...cinta ku kepada agamaku, allah dan rasullah, moga percintaan ku ini dapat mempermudahkan segalanya..allah sentiasa bersama kita...doa, bertawakal, berusaha ke arah kebaikan itu adalah satu pahala yg sgt besar.
jika kita ada niat pun sudah cukup baik sebenarnya.;)
Doa kan aku agar aku dapt membuat perubahan terbesar dlm hidup ku...moga aku dapat berhijab & dpt mengerjakan haji...cinta ku kepada agamaku, allah dan rasullah, moga percintaan ku ini dapat mempermudahkan segalanya..allah sentiasa bersama kita...doa, bertawakal, berusaha ke arah kebaikan itu adalah satu pahala yg sgt besar.
jika kita ada niat pun sudah cukup baik sebenarnya.;)
9/3/08
RHBIM vs Amanah Raya
Masa nih aku gelak sebab semua org nak bola....
curi bola frm her....
yes...bola masuk kandang....huhuuhu
huh...main ganas minah nih...
staff rhbim
Guys..rhbim and amanah raya...8/4/08
RHB vs CAGAMAS
Last week on 1 August 2008, di Padang One Utama kami vs with Cagamas yeeehhaaaaa kami memang beb! 4-2 hehheh i heard that diorang first time join futsal...tp nampak mcm teror je...aku plak tak sampai 10 minit main keluar padang sebab'pukok' aku injet...woooo sakit nya tuhan jer tau..kunun nya nak buat lompatan'harimau' ...apa punya lompatan arrr.....nasib sekejap je, lepas tu Hwee May suh aku masuk padang balik, damn! kali nih aku nak buat lompatan 'satria' plak...adeh...tulang rusuk aku plak injet..tp aku bertahan sebab aku kan 'satria' waja...hehehheh tp ok lar...cuma aku tak main puas je mau tak 2 ke 3 kali kuar padang....
Actually main futsal nih kena training byk lar....baru ada skills ...kelemahan aku ialah sepak bola tak solid and bila try tendang bola nak masuk gol mesti bola tu terpelanting ke tiang....haruuuuu betulll...byk kali ada peluang tapi aku tak rebut peluang itu.yg kelebihan aku if stamina aku byk giler...aku ble main sampai satu jam non-stop....moto kami ialah 'NAK MENANG'....apa pun aku seronok main futsal nih segala penat lelah kita bekerja dapat kita enjoy bersama kawan2....lepas nih si Asnida sibuk nak friendly dgn kami semua...nanti aku pikirkan yer!7/23/08
RHB vs EPF
helloo..last week kami ade tournament kat Padang, One Utama dari pukul 8.00-10.30 mlm. lawan kami Epf women but aku salute kat dorang sebab diorang ada skills. teror beb...kami kalah 8-2 but diorang kata lawan balik soon before puasa.... kami sahut cabaran itu....;-) diorang muda2 dari umur 20 an kami semua nie dah dekat 30 an...hehehheh
Before main futsal aku urut kaki aku dgn minyak panas, sebab aku lupa nak warm up. so itu adalah tips yg aku bg kat staff2 RHB, sebab aku kan suka panjat gunung so before panjat tu letak la minyak panas banyak2....jadi minyak itu yg akan warm up segala urat2 kaki itu...
my team ;-)
our group..
EPF AND RHB team
Before main futsal aku urut kaki aku dgn minyak panas, sebab aku lupa nak warm up. so itu adalah tips yg aku bg kat staff2 RHB, sebab aku kan suka panjat gunung so before panjat tu letak la minyak panas banyak2....jadi minyak itu yg akan warm up segala urat2 kaki itu...
my team ;-)
our group..
EPF AND RHB team7/18/08
Training Futsal di One Utama Shopping Complex
Me,Hwee Mei,Kak Norli, Yan,Zairyn and Kak Azlina....
The Gedikkk gang frm RHB
tetap posing maut walaupun penat dan sakit kaki...
Futsal team frm RHB ...sape2 nak cabar with all silakan...kami sanggup menyahutnya....3-0 bleh?7/15/08
BBQ and Cuti2 Malaysia
Jumaat lepas aku pi Port Dickson sebab RHB Bank ade apartment kat sana, RHB ada gak kat tempat lain mcm Fraser Hills but kita yg muda2 pilih la Port Dickson. Lepas tu boleh la mandi laut....gamabr kat atas mcm nak meleleh jer itu..adalah udang bakar kami pada mlm kedua kami buat BBQ..itu je sempat aku amik picture sebab Ayam,Ketam and Ikan kerang bakar abis diorang telan and melantak....
Luar apartment kami...
Chef kami Puan Ros and Encik Kamal....(diorang tak nak amik gamabr sebab diorang malu la....)
Me, Kak Rose and Kak Noridah.pada mlm kami baru sampai di Port Dickson makan di MAR Seafood.
Pada hari kedua kami mandi laut, laut nih betul2 di belakang condo kami.(cantik lautnya, memang biru dan jernih)
Blue Lagoon Condo or Tanjung Biru Condo.
Pada hari kedua...ramai wooo mandi swimming pool nih...(aku nak kata jakun pun ada gak!)
Pada hari pertama...tiada org yg menginap disini hanya 4 keluarga je menginap so tak kecoh la on that day. Pool pun tak ramai org...
7/7/08
Wedding Helina and Ezzuddin at Bandar Mahkota Kajang.
Helina..so pretty and Gorgeousdari jauh nak ambik gamabr dia..terus jer berposing....
Me and Farah...
with Nysa, Din and Helina...beautiful couple...Congrats both of you!6/12/08
To Have Fun Being Single
Millions of people live a single life, not by choice necessarily, but because they can't find a mate that's right for them. I know from my own past experience that being single can be difficult. For example, I used to feel depressed when I stayed home by myself on a Friday or Saturday night, and I felt alone when I didn't have a partner to bring to the party or to a friend's wedding. I realized I needed to make some changes in my life in order to be happy. I explored my wants, needs, and desires and set some goals that allowed me to live a happy life as a single person. Here are some of the steps I took:
Love yourself. Before you can have a loving relationship with another person, you need to establish a loving relationship with yourself. Begin by following the steps outlined in my chapter on self-esteem. Make sure you eat good foods, get enough sleep, exercise, and have a positive attitude toward yourself. Every day, tell yourself, "I'm the best, and I deserve only the best." This self-love will make you feel good about yourself and the world around you.
Have fun with the people you know. You may be single, but you're not alone. Instead of staying home on Friday or Saturday night, make the effort to call and schedule time with friends and family. Every week make a date with a different friend. You can go to concerts, movies, restaurants, parties, and any other fun activity you would ordinarily do on a date. You may meet other people through your friends who further expand your circle of friends. Or you may even meet a potential partner on one of your outings.
Get a pet. A pet such as a dog, cat or bird can help keep you company when your home alone. Research in pet ownership has shown there is a dramatic reduction in feelings of loneliness in the owner. Pets are great because you can cuddle and talk with them. In return they can give you love back by communicating and showing you affection in their own way.
Get in touch with your spiritual side. Being spiritual means different things to different people. For many it's going to MOSQUE and connecting with God. For others it's doing yoga or practicing meditation. Whatever your preferences, your spirit is a central part of who you are, so don't neglect it. As long as the practice is a healthy one, it can make a positive difference in your life. Getting in touch with your spiritual side will also invite happier, more fulfilling relationships with other people.
Keep a journal. Don't stuff your feelings about being alone. Every day or two, give yourself a half an hour to let your feelings out. Say whatever you want to say in your journal. Don't even worry about sentence structure, spelling, or making sense. Just write down whatever comes to mind. Then, for the rest of your life, focus on other interests. Every now and then, go back and read your journal. You may be pleased to discover that you've gradually become more comfortable and happier with being single. The funny thing is, once you feel content with the single life, you often end up meeting someone. As many others and I have found, "Love comes when you least expect it."
If you long for a partner, being single can seem like a dark hole, and these steps can help you find your way out. Explore your wants, needs, and desires to see what would help you most. Just remember that you're not alone.
Love yourself. Before you can have a loving relationship with another person, you need to establish a loving relationship with yourself. Begin by following the steps outlined in my chapter on self-esteem. Make sure you eat good foods, get enough sleep, exercise, and have a positive attitude toward yourself. Every day, tell yourself, "I'm the best, and I deserve only the best." This self-love will make you feel good about yourself and the world around you.
Have fun with the people you know. You may be single, but you're not alone. Instead of staying home on Friday or Saturday night, make the effort to call and schedule time with friends and family. Every week make a date with a different friend. You can go to concerts, movies, restaurants, parties, and any other fun activity you would ordinarily do on a date. You may meet other people through your friends who further expand your circle of friends. Or you may even meet a potential partner on one of your outings.
Get a pet. A pet such as a dog, cat or bird can help keep you company when your home alone. Research in pet ownership has shown there is a dramatic reduction in feelings of loneliness in the owner. Pets are great because you can cuddle and talk with them. In return they can give you love back by communicating and showing you affection in their own way.
Get in touch with your spiritual side. Being spiritual means different things to different people. For many it's going to MOSQUE and connecting with God. For others it's doing yoga or practicing meditation. Whatever your preferences, your spirit is a central part of who you are, so don't neglect it. As long as the practice is a healthy one, it can make a positive difference in your life. Getting in touch with your spiritual side will also invite happier, more fulfilling relationships with other people.
Keep a journal. Don't stuff your feelings about being alone. Every day or two, give yourself a half an hour to let your feelings out. Say whatever you want to say in your journal. Don't even worry about sentence structure, spelling, or making sense. Just write down whatever comes to mind. Then, for the rest of your life, focus on other interests. Every now and then, go back and read your journal. You may be pleased to discover that you've gradually become more comfortable and happier with being single. The funny thing is, once you feel content with the single life, you often end up meeting someone. As many others and I have found, "Love comes when you least expect it."
If you long for a partner, being single can seem like a dark hole, and these steps can help you find your way out. Explore your wants, needs, and desires to see what would help you most. Just remember that you're not alone.
5/30/08
Gambar event ,2005,2006 and 2007
this picture taken on 2006 at Equtorial Kuala Lumpur.lepas event aku terus jatuh sakit i think aku tak datg keje almost 1 1/2 month...tak yah tau aku sakit apa k!
biar aku sorang je tau...berat badan terus turun hingga 39 kg .
At Westin Kuala Lumpur on 2007
rambut panjang mengurai...so masa nie aku cubby sikit dlm 49 kg mcm tu. senang hati kot!
At Sheraton Imperial 2005, masa ni rambut curly...'hot' and 'sexy'....ngeh..ngeh....aku suka picture nih..
5/8/08
Gambar bersama Datuk Azlan Zainol our Chairman
Bersama Dato' Azlan Zainol and Michael J.Barret
Logo baru
Kerja atau Glamour?
Its me beb...Hari nih 8 May 2008 dlm Berita Harian terpampang muka aku dan kawan-kawan...Aku mewakili RHB Islamic so kena lah pakai selendang ...semua kerana kerja bukan kerana glamour...but its fun even aku tahu amat memenatkan....Layannnnnn.....
4/17/08
Gambar gempak.....kat Gunung Stong(air terjun)
ooooo...kami berposing maut nyer.....bleh masuk dlm majalah Cosmo tak?
aku? mcm Malaysia next top model tak? kuang..kuang..kuang...
Yg nih? ermmm ntah la....aku bergambr dgn si Nyot...dia plak mcm West Port Klang Next Top Model....hehhehehhe
Setelah ku tunggu hampir 2 bulan akhirnya kudapat gak CD dari Fitri, itupun semalam aku pg jumpa dia kat Office di Time Engineering.hampehhhhhhh...last2 ku dapat burn jugak cd ku sendiri.sebab dia bg aku Master copy huh! kalo hilang cd tu mati aku...sebab ade geng2 lain yg belum dapat cd nih lagi kiranya aku org pertama la huhu....walaupun ku tahu sebelum nih aku dah post mcm2 gambar stong tp aku nak post jugak lagi, biar korang semua jeles bila nengok heheheh tp antara byk2 gambr la yg nih paling aku suka mcm gempak gituuuu..... layannnnnn
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