Thursday, November 1, 2012

Asid Folik Kepentingan Sebelum dan Semasa Mengandung


Saya nak kongsikan Kepentingan asid folik sebelum dan semasa mengandung. Harus di ingat ya folik asid bukan ubat ajaib untuk kesuburan tetapi membantu untuk kesuburan dan memberi faedah pada bayi dalam rahim.

Apa itu ASID FOLIK? 
-Asid Folik adalah vitamin B9 yang sangat penting kepada wanita sebagai persediaan untuk mengandung. 
-Ia juga penting untuk membentuk saraf tunjang bayi yang lebih sempurna pada peringkat awal mengandung. 

Mengapa ia PENTING?

1) Mengurangkan kecacatan saraf tunjang (neural tube defect) seperti: Gangguan pada pembentukan saraf tunjang (spinal bifida)


Bayi yang dilahirkan dengan pembentukan otak dan tempurung kepala yang tidak sempurna atau langsung tak terbentuk ( anecephaly/encephalocele).



2) Mengurangkan keguguran, lahir mati dan kelahiran pra matang dan kekurangan darah (anemia).

3) Mengurangkan kecacatan yang lain pada bayi:
-Sumbing lelangit (cleft palate) 
-Kecacatan pada jantung (congenital heart disease)
-Pembentukan kaki dan tangan yang tidak sama (limb reduction) 
-Kecacatan pada sistem pembuangan air kencing (urinary system)

4) Menambahkan kepekatan haemoglobin dalam darah.

Bila ASID FOLIK perlu diambil?
-Sekurang-kurangnya 3-6 bulan sebelum mengandung. Semasa mengandung kerana dalam usia kehamilan 12 minggu pertama perkembangan otak dan sistem saraf bayi dalam rahim berkembang dengan cepat. Apabila usia kehamilan memasuki trimester kedua iaitu berusia melebihi 13 minggu pengambilan folik asid boleh di hentikan. Tetapi digalakkan mengambil asid folik sehingga kelahiran bayi. 

SIAPA yang memerlukan ASID FOLIK?
-Semua wanita yang berumur 14-44 tahun terutama wanita yang merancang untung mengandung.
-Ibu yang pernah melahirkan anak dengan kecacatan saraf tunjang
-Merawat kesuburan pada lelaki

SUMBER MAKANAN yang mengandungi ASID FOLIK
-Hati ayam
-Daging, ayam, telur
-Kekacang
-Beras perang, barli, oat
-Sayuran hijau, Buah dan sayur warna kuning seperti pisang, buah oren, jagung, labu dan lain-lain 


Folik asid di makan sebiji sehari. Folik asid larut dalam air. Jika pengambilan dos folik asid berlebihan ia tidak dapat di simpan dalam hati maka ia akan di keluarkan melalui air kencing.

sumber  Dr Zubaidi.

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Ini acid folic sy punya doc bg..  
Tq

(P/S: susa nk tdo malam skang.. sakit pinggang..  sakit perut... hukhukhuk)

Wednesday, October 31, 2012

10 Reasons Your Period is Late

What to do when you have a missed period...
By , About.com Guide

Monthly Calendar Circled Date
A late period can be worrisome.
Photo © Dreamstime
Nothing strikes fear into the heart of any woman like a missed period, unless she is trying to get pregnant. Am I pregnant? Pregnancy is the first thing that we think of when our period is delayed. But is pregnancy the only reason for people to have a late period? Here are the 10 most common reasons that you missed your period:
  1. Stress
    Stress can affect many things in our lives, including our periods. Sometimes we're so stressed out that our body decreases the amount of a hormone (GnRH), which causes us to not ovulate or menstruate. Working with your doctor or midwife can help you figure out what you need to do to relax and get back on schedule. This can sometimes take a few months or more to work itself out.
  2. Illness
    A sudden, short illness or even a longer illness can cause your periods to be delayed. This is usually temporary. If you think this is the reason that your period is late, talk to your practitioner about when they expect your period to return.
  3. Change in Schedules
    Changing schedules can really throw off your body clock. This is particularly true if you go from days to nights at work or vice versa. If you frequently change shifts and notice a problems with regular cycles, then see if it is possible to be put on a more permanent shift or at least a shift that only varies after a lengthier time period.
  4. Change in Medications
    Perhaps you're trying a new medication and a delayed or absent period is the cause. Be sure to talk to your doctor or midwife about this side effect. It is very common with some methods of birth control. If you change medications, be sure to ask what effects this may have on your period. This is true, even if you don't think that there will be a big change.
  5. Being Overweight
    Carrying around too much weight can hormonally shift your cycles and even stop them. Most women will see a return to normal cycles and fertility with the loss of some weight, even if they are still considered overweight.
  6. Being Underweight
    If you do not have enough body fat you will not have regular periods, sometimes you can eve cause your periods to stop all together. This is called amenorrhea. Typically a weight gain will help you have your periods return. This is a frequent cause of a missed period in women who work out to an extreme or are professional athletes.
  7. Miscalculation
    The menstrual cycle varies from woman to woman. While we say that the average menstrual cycle is 28 days long, that is not true for everyone. Sometimes our period is believed to be late when in all actuality we have simply miscalculated. If you have irregular menstrual cycles, but know when you ovulate, look for your period about two weeks after you ovulate. That may help you keep an easier track of your periods.
  8. Peri-Menopause
    Peri-menopause is the period of time where you are transitioning from reproductive age to a non-reproductive age. Your periods may be lighter, heavier, more frequent or less frequent - but mostly just not normal. If you do not wish to get pregnant, be sure to continue to use birth control because you are likely to still be fertile at least some of the time.
  9. Menopause
    Menopause is when you have reached the point in your life where you will no longer ovulate or menstruate. Menopause can be a natural life event or may happen surgically through hysterectomy or through chemical such as various forms of chemotherapy.
  10. Pregnancy
    Finally! Yes, your missed period might be because you're pregnant! A simple pregnancy test can usually help you determine if you have missed your period because you are pregnant. The urine pregnancy tests and blood pregnancy tests look for the hormone hCG.
What to do next? If you are pregnant, you should call to make a prenatal appointment with your midwife or doctor. It normally takes a bit to get you in so call right away.
If you have taken a pregnancy test and it is negative. Most tests advise you to wait another week and retest. If the second test is negative or if you have a good idea of why your period is missing, then you can and should call the doctor or midwife sooner for a physical exam. They may also do blood work and can sometimes prescribe medications to help bring on a tardy period, like Provera.


(Source : http://pregnancy.about.com/od/amipregnant/a/missedperiod.htm)

Selamat Datang Ke Alam Kehamilan


(Source: Kak Engku Bidan Bersalin )

Mengetahui bahawa puan hamil adalah saat yang amat menggembirakan bagi puan, suami dan keluarga. Walau bagaimanapun, puan mungkin mempunyai pengalaman dan masalah yang bebeza dengan wanita lain semasa hamil. Jadi, pelbagai persoalan yang bermain di fikiran puan, sama ada pertama kali atau sudah berpengalaman. Oleh sebab itulah, nasihat dan petunjuk sentiasa diharapkan bagi melahirkan bayi yang sihat dengan selamat.

Tanda Awal Kehamilan
Adakah saya hamil?
Terdapat beberapa tanda awal yang menunjukkan puan hamil iaitu:
~ Tidak datang haid
~ Loya dan muntah
~ Sentiasa lapar
~ Kerap buang air kecil
~ Letih lesu
~ Sakit dan tegang pada payudara
~ Perubahan emosi
~ Rasa hendak demam

Kalau saya mengalami tanda-tanda awal kehamilan, apa yang patut saya lakukan?
Jika puan mengalami tanda-tanda awal kehamilan:
~ Segera ke klinik untuk pemeriksaan kesihatan.
~ Sekiranya disahkan hamil, puan perlu menjalani pemeriksaan secara berjadual di klinik kesihatan atau klinik / hospital swasta secepat mungkin.

Perubahan Fizikal
Boleh ke perubahan fizikal terjadi kepada saya?
~ Warna pada sekeliling puting payudara menjadi lebih gelap
~ Timbul garisan tegak berwarna gelap pada perut (linea nigra)
~ Lain-lain seperti kulit kelihatan gelap, jerawat dan rambut kelihatan lebat.

Perubahan ini hanyalah sementara dan tidak membahayakan. Ia akan hilang selepas puan bersalin.

Pemeriksaan Kehamilan Secara Berjadual (Antenatal)

1. Di mana saya boleh buat pemeriksaan kehamilan (antenatal)?
Puan boleh buat pemeriksaan kehamilan di klinik kesihatan, klinik desa, atau klinik / hospital swasta terdekat. Puan mesti hadir ke klinik mengikut tarikh yang ditetapkan oleh anggota kesihatan.

2. Bila masa yang sesuai untuk saya mula pergi ke klinik bagi pemeriksaan kehamilan?
Puan perlu hadir ke klinik seawal mungkin.

3. Perlu ke saya pergi ke klinik?
Puan perlu hadir ke klinik seawal mungkin sebelum usia kandungan mencapai 12 minggu untu:
~ menilai tahap kesihatan.
~ menjalankan ujian saringan penyakit yang boleh menjejaskan pertumbuhan bayi.
~ diberi suplemen yang sesuai atau vitamin.
~ diberi pendidikan kesihatan.
~ pengesahan awal masalah kesihatan untuk membolehkan puan dirujuk kepada pakar.

4. Mengapa saya perlu jalani pemeriksaan kehamilan secara berjadual?
Pemeriksaan kehamilan perlu dilakukan secara berjadual untuk mengetahui tahap kesihatan ibu dan janin (bayi dalam kandungan).

5. Doktor beritahu ke setiap hasil pemeriksaan kehamilan kepada saya? Kenapa diterangkan kepada saya?
Setiap hasil pemeriksaan kehamilan akan diterangkan dengan jelas kepada puan supaya puan mengetahui tahap kesihatan puan serta bayi. Sekiranya tidak jelas puan perlu bertanya.

6. Berapa kerap saya perlu hadir ke klinik?
Secara lazimnya, jika puan tiada sebarang masalah kesihatan, puan perlu hadir ke klinik untuk pemeriksaan kehamilan seperti jadual di bawah:
~ Awal kehamilan hingga usia kandungan 27 minggu (sebulan sekali).
~ Usia kandungan 28 minggu hingga 35 minggu (2 minggu sekali).
~ Usia kandungan 36 minggu hingga bersalin (seminggu sekali).

* Jika puan mengalami masalah kesihatan semasa hamil, puan perlu hadir ke klinik dalam kadar segera.

7. Ada kesan sampingan tak kepada bayi kalau saya scan bayi saya?
Imbasan ultrasound tidak memberi sebarang kesan sampingan terhadap bayi dalam kandungan.

Tanda-tanda yang memerlukan rawatan segera di klinik / hospital

Apa tanda-tanda yang memerlukan saya bertindak segera semasa hamil?
~ Demam yang tinggi.
~ Loya dan muntah yang teruk.
~ Sakit perut yang luar biasa.
~ Pucat
~ Letih lesu
~ Sesak nafas
~ Sakit kepala
~ Penglihatan kabur
~ Sakit ulu hati
~ Kaki bengkak
~ Tiada peningkatan berat badan
~ Peningkatan berat badan berlebihan
~ Pembesaran rahim tidak sepadan dengan jangkamasa kehamilan
~ Janin kurang bergerak atau tidak aktif
~ Sakit bersalin sebelum masa
~ Pecah mentuban sebelum cukup bulan
~ Darah keluar dari faraj (tumpah darah)
~ Jantung berdebar-debar
~ Tidak berdaya untuk melakukan kerja rumah biasa / rutin harian.

Kalau saya hamil luar rahim, apa tanda-tandanya?
Puan mungkin merasa sakit di bahagian perut dan pinggul serta pendarahan melalui faraj.

Hubungan Seks
Boleh ke saya lakukan hubungan seks semasa hamil?
Boleh, tiada halangan untuk melakukan hubungan seks semasa hamil. Walau bagaimanapun, sekiranya puan mengalami tumpah darah dan kedudukan uri di bawah, sila dapatkan nasihat doktor.

Pemakanan
1. Mengapa saya perlu makan secara sihat semasa hamil?
Puan perlu amalkan pemakanan sihat untuk:
~ memastikan perkembangan bayi yang sihat
~ mengekalkan kesihatan ibu
~ memenuhi keperluan nutrein dan memastikan pertambahan berat badan yang bersesuaian semasa hamil.

2. Jenis makanan macamana yang berkhasiat untuk saya?
Puan perlu mengamalkan pemakanan yang seimbang mengikut piramid makanan semasa hamil.

3. Berapa kerap saya perlu makan dalam sehari dan jumlah makanan yang perlu diambil?
Puan perlu makan pada setiap kali waktu dengan mengambil makanan yang seimbang.

4. Ada tak makanan yang perlu saya makan lebih semasa hamil?
a. Pilih makanan yang mempunyai tinggi bahan nutrein seperti:
~ Kalsium (susu, keju, dadih, sayuran dedaun hijau dan produk kacang soya)
~ Vitamin A (hati, susu, telur)
~ Vitamin B Kompleks (hati, daging tanpa lemak, ikan dan susu)
~ Vitamin C (jambu, betik dan limau)
~ Asid Folik (sayuran berdaun hijau, hati, kacang)

b. Ambil makanan tambahan (jika disarankan oleh doktor atau pakar pemakanan).

5. Ada tak makanan yang perlu saya elak semasa hamil?
Puan perlu elakkan makanan seperti berikut:
~ Makanan mentah seperti sushi
~ Daging mentah atau separa mentah
~ Makanan yang tercemar dengan merkuri
~ Makanan beralkohol
~ Makanan herba
~ Minuman kafein

6. Boleh ke saya amalkan atau elakkan makanan mengikut kepercayaan adat resam?
Boleh, tetapi jangan sampai membahayakan kesihatan puan dan bayi.

Pakaian
Jenis pakaian dan kasut yang macamana sesuai untuk saya semasa hamil?
Pakaian yang longgar dan selesa amat sesuai untuk puan semasa hamil. Pastikan kasut juga selesa, elakkan kasut yang bertumit tinggi dan pastikan tapak kasut yang mencengkam.

Ubat-Ubatan
Boleh ke semua ubat saya ambil semasa hamil?
Tidak semua ubat puan boleh ambil semasa hamil. Puan perlu rujuk kepada doktor sebelum mengambil sebarang ubat.

Ada tak vitamin yang bagus untuk saya ambil semasa hamil?
Memang ada seperti:
~ asid folik
~ zat besi
~ B complex
~ vitamin C

Rehat
Perlu ke saya rehat secukupnya?
Ya, puan perlu rehat secukupnya bagi mengekalkan tahap kesihatan ibu dan bayi dalam kandungan.

Kebersihan Diri
Perlu ke saya jaga kebersihan diri?
Puan perlu menjaga kebersihan diri bagi mengelakkan jangkitan terhadap ibu dan bayi dalam kandungan. Khususnya kebersihan di bahagian sulit.

Penjagaan Payudara
Kenapa saya perlu menjaga payudara?
Puan perlu menjaga payudara sebagai persediaan untuk menyusu bayi puan kelak.

Macamana saya nak jaga payudara?
Cara terbaik untuk menjaga ialah mencuci puting payudara dengan air bersih dan memakai coli yang sesuai dan selesa.

Penjagaan Emosi
Kenapa saya perlu jaga emosi saya?
Ini betujuan supaya tidak menjejaskan kesihatan diri puan dan bayi.

Macamana saya nak jaga emosi saya semasa hamil?
Puan perlu sentiasa berfikiran positif dan banyak membaca. Bagi orang Islam, tunaikan solat lima waktu dan banyakkan berdoa.


(P/S: Semoga sy & anak diberikan kesihatan yang baik. Aminn.. )

Tuesday, October 30, 2012

How to Take a Pregnancy Test (OMG)

(Source: pregnant.about.com)

1. Purchasing a Pregnancy Test
Positive Pregnancy Test
Photo © Burazin/Getty Images

Pregnancy testing is not a difficult task. However, it is one that carries a lot of importance to the test taker. This means that you will want to be sure to read all of the instructions before taking the test to ensure that you do it properly and that you don't make simple mistakes. This will help you have the most confidence in your pregnancy test results. You will first need to select a pregnancy test and purchase it. Some women feel more comfortable with certain brands or types of tests. Most tests are fairly equal to one another, despite branding, packaging and cost. You may wish to look into purchasing a multiple pack of pregnancy tests as many women like to confirm the first test in a few days. It can also save you money to purchase tests in bulk, even if it's only two or three tests.

2. Read the Instructions
Even though pregnancy tests are fairly simple, be sure that you read all of the instructions before starting the test. You can easily blow the simple test by not following the instructions. Most test kits provide you with a number to call if you have further questions. The instructions usually also come with drawings and in English and Spanish. Be sure to ask the company if you have any questions, before or after taking their pregnancy test.

3.Opening the Test
Only open the sealed portions of the test when you are ready to take the test. Have a clean space set up for you to lay the components down. Be sure that you have everything you need before you begin. The watch really is the crucial part that many people forget. Having the watch can help you answer many questions about the reading of the pregnancy test.

4.Hit or Miss?
If your test kit included a small specimen cup for you to catch your urine, or if the instructions tell you to aim for the pregnancy test stick and you're worried about it, never fear! You do not need to use that exactly. It is perfectly acceptable to collect your urine in a clean cup and simply dip the test stick in the collected urine or use the dropper included with your test. This makes it potentially less messy and requires less aim on your part.

5.When to collect urine?
Your first morning urine (FMU) is the most likely to contain large enough amounts of the hormone human chorionic gonadotropin (hCG). Pregnancy tests work by detecting small amounts of hCG in your urine. Since you tend to not get up to go the bathroom in the middle of the night more hCG builds up in your urine. Most pregnancy tests request that you wait until the morning that you expect your period or the next day prior to testing. Some tests are designed to test a couple of days before that, but they are still best done when you awit until the date you expect your period. hCG builds in amount as you advance in your pregnancy. Blood tests are more sensitive than urine tests.

6.Reading the Test
Most pregnancy tests are designed with two windows: a control window to tell you that the test was working correctly and a testing window to give you your results. You should always have a line in the control window. If there is a line present in the testing window then you are pregnant. Some pregnancy tests use lines, some use pluses, and others use other types of signs. Be sure to look specifically at the instructions for your pregnancy test. You should also be sure to follow the time instructions on reading the test, most say not to read the test after a certain period of time.

7.What comes next?
If the test is negative. You should expect your period to start within the week. If your period does not start within the week you should retest. If you still get a negative result it is time to consult your doctor or midwife for further testing.
If the test is positive. Congratulations! Be sure that you are avoiding things that are bad for your baby and pregnancy like alcohol, cigarettes, drugs and even some medications. If you take a regular medication call the prescribing physician immediately to ask what you need to do.
Take a prenatal vitamin. The ones at the store are fine for now.

Your midwife or doctor will tell you if you need something else.
Call your midwife or doctor to make an appointment. Sometimes it takes awhile to get in. Don't worry. If you have questions or problems you can still call for help prior to your appointment.

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Ini cerita sy... Semalam 29/10/2012 genap sebulan sy berkahwin.. Dan oleh krn dh terlewat datang bulan so sy dan suami decide utk buat pregnancy test.. Semalam pagi bangun tdo nk masa mandi sy pon buat la test ni.. urine test ni.... so menunggu 5minit tu aku gosok gigi dulu... cuci muka dulu..   so dh 5minit aku dh nampak dh tanda || pada tester urine tu... Jeng jeng jeng..............................

Nampak x tu double line tu apa maknanyaaaaa?? Hihihi +ve kannnn.... Hihihii  

Semalam petang sy g clinic Ummi Salihah tu... just nk sah kan la kan.. and kira utk sy la kan... So, doc kata this week masuk 5weeks. Fuhhh.... rase xcaya kann.... Sy xscan pon... Maybe masuk 8weeks nanti baru scan... =)

Ok. Sekian.

Bye!!!

(P/S: dh start minum susu.. perisa coklat.. Anmum...  Hihihi)