:: SeLaMaT BerUmRaH ::

emm..agak terlambat post kan entry bt kali ni...
sepatutnya minggu lepas..
huhuhu
tp dek kesibukan diri y tidak menentu...so..
delay minggu ni la...hehehe...

bkn pe..sibuk bt persiapan nk audit dalaman je..

huhuhu...bkn aku tau pe pun pasal audit...

just tlg mane y blh tlg je la..hehehe..

so far...semalam baru lepas kena audit...

emm..ok laa..sbb tak kena OFI tau NCR...

cuma kena bt penambahbaikan je...

emm...buat ayah ngah n mak ngah...

selamat berumrah sy ucapkan..

ni kali kedua diaorg pergi bt umrah...

haji baru sekali....(bt masa ni la..)hehehe...

agak nyer bila la aku dpt ikut jejak diorg ye...

teringin nak ke sana...tapi....

tu lah..masih belum diizinkan kot...

tak pun tgu semua family dah ready kot...

wahhh...best nyer dpt melancong bersama fmly ke tanah suci..
bt 2 in 1..sambil melancong...

sambil bt umrah...huhuhuhu..

mudah2an ALLAH permudahkan urusan kami sekeluarga...

aminnnnn.........


(hehehe.ni la mak ngah gn ayah ngah..gambar ni ehsan
dari fb anak diorg...sory la mukminah ye...sy copy gmbr ni...
hehehe...bt kenang2an je...semadikan dalam blog sy..hu3..)

***p/s : sy suka baca blog ayah ngah...best!!!..hehehe.....
byk ilmu berfaedah sy dpt..time kasih ayah ngah...
(*V*)

:: WeeKenD Di oPiS ::

sejak dua menjak ni...
emm..kira-kira 2 bulan kebelakangan ni la...
hehehe...kje nyer datang opis je...
kira nyer opis ni dah cam rumah no.2 lak....
huhuhu...(tido still di umah ler..hehehe)
mungkin sebab dah xde kje nk buat kt umah kan..
hari minggu duk termenung je klu tak g jln2...
better datang opis..menyibukkan diri...huhu..
tak la boring semacam je...hehehe...
tp tak rugi pun..byk jugak leh blja benda y tak tahu...
emm...selain berseronok-seronok..hehehe...
byk tul aktiviti bebas..hahahaha...


keadaan opis yang bersepah...dikerjakan oleh kami semua..
kena demam ISO...huhuhu...
(opis sapo ni..ish3...teruk tul..hehehe)


sekali sekala bersuka ria...hehe..main2 gn anak-anak ikan lak..
bg meriah sikit akuarium tu...beli anak ikan baru...
ikan longkang namanye..de lg peliharaan lain...
ikan longkang + ikan bandaraya + ikan kecik + kura2 kecik...
haa..de lagi..pokok bunga + kaktus kecik..khikhikhi...
ala-ala taman mini la tu...hehehe..


hai zara!!!...hehehe...bdk kecik dtg opis...
bersama ibu n bapa nyer...baru 8 bulan si zara ni...he3
suka tul bergambar bdk kecik ni....senyum je dia....
ha..tak caya tgk gmbar tu..hehehe..comel kan...
tp zara dtg kejap je..tak sempat nk main2...
dah kena balik..cz pak cik ibu dia meninggal...
huhuhu..sedih nyer...takziah la wani ye...
emm..lain kali dtg la lg opis bwa zara ye...hehehe..


aktiviti petang bila perut dah berkeroncong...hahahaha...
maggi pun leh je belasah...tp best maggi ni tau...
tak caya cuba la sendri kat umah ye...
nak2 y kuah dia tu...yum..yum...yummm... (-_-)..
tp jgn selalu ye...tak baik tuk kesihatan...
sekali sekala blh la..hehe


ehh..eeehhh..jom pakat2 posing...time to pict!!!...
bergelak ketawa di opis..sambil2 buat keje...
tp keje ttp diutamakan..hehehe...
happy always for all my ofismate!!!!...

:: PerJaLaNaN HiDuP ::

Aku yang masih di perjalanan hidup ini
Begitu lama berlegar di persimpangan dunia
Menempuh jarak dan titian
Rimba dan lautan
Mencari sesuatu yang abadi

Aku yang masih di perhentian hidup ini
Begitu jauh mengembara ke serata dunia
Mengejar siang dan malam
Surut dan pasang
Mencari suatu kebebasan
Mencari satu kedamaian

Di mana berakhirnya
Perjalananku ini
Esok dan lusa bukan milikku

Oh Tuhanku
Lindungilah hambamu yang hina ini
Aku setia hanya pada Mu

*p/s : perjalanan hidup yang tak kan pernah berhenti...
penuh dgn dugaan dan cabaran y perlu dilalui...
penuh dgn kenangan dan memori y tak kan dilupai...
walau ke mana diri ini merantau..Tuhan itu Yang Abadi..

:: ReSuLT FoR EnDosCoPy :



MASA : 8.30am -12.00pm
TARIKH : 12 APRIL 2010
TEMPAT : HOSPITAL SULTANAH NUR ZAHIRAH

ini ntah temujanji mak yang keberapa...
mungkin ketiga or keempat...
bangun seawal 6 pagi...
budget nk pergi kul 7pg..
tp lari timing..kul 8pg baru gerak dr umah..
dgn memandu Myvi Family menuju ke HSNZ..
dah sampai daftar diri..terus pergi tingkat 1...
bahagian endoskopi..
emm...agak lama menunggu giliran
walaupun dpt no.2...
n akhirnya sampai jg turn..
(aku tak dibenarkan masuk tuk mengikuti prosedur tu..
hehehe..igt leh la tgk cara2 diorag buat..huhu..)
dan gmbr ini adalah hasil endoskopi...

conclusion doktor mengatakan benda ini jarang terjadi...
dan jarang terdapat kes yang cam ni...
so buat sementara ini dikategorikan sbg Gastric Varices..
so untuk mendapat kepastian samada ini adalah btul tau tak...
temujanji seterusnya akan disusuli ke SOPD (surgery).....
dalam masa 2 minggu lagi dan ujian darah diuji lagi....
samada berkaitan dgn hati atau tidak...
if semua result tu ok n tak de masalah...
ia hanya perkara biasa...tp klu sebaliknya..
susulan akan dibuat....
so dibawah adalah keterangan ttg Gastric Varices..


Gastric Varices (From Wikipedia, the free encyclopedia)


Gastric Varices
Classification and external resources

Isolated gastric varices of Sarin classification IGV-1 seen on gastroscopy in a patient with
portal hypertension

Gastric varices are dilated submucosal veins in the stomach, which can be a life-threatening cause of upper gastrointestinal hemorrhage. They are most commonly found in patients with portal hypertension, or elevated pressure in the portal vein system, which may be a complication of cirrhosis. Gastric varices may also be found in patients with thrombosis of the splenic vein, into which the short gastric veins which drain the fundus of the stomach flow. The latter may be a complication of acute pancreatitis, pancreatic cancer, or other abdominal tumours. Patients with bleeding gastric varices can present with bloody vomiting (hematemesis), dark, tarry stools (melena), or frank rectal bleeding. The bleeding may be brisk, and patients may soon develop shock. Treatment of gastric varices can include injection of the varices with cyanoacrylate glue, or a radiological procedure to decrease the pressure in the portal vein, termed transjugular intrahepatic portosystemic shunt or TIPS. Treatment with intravenous octreotide is also useful to shunt blood flow away from the stomach's circulation. More aggressive treatment including splenectomy (or surgical removal of the spleen) or liver transplantation may be required in some cases.

Clinical presentation

Gastric varices can present in two major ways. First, patients with cirrhosis may be enrolled in screening gastroscopy programs to detect esophageal varices. These evaluations may detect gastric varices that are asymptomatic. When gastric varices are symptomatic, however, they usually present acutely and dramatically with upper GI hemorrhage. The symptoms can include hematemesis, or vomiting blood; melena, passing black, tarry stools; or passing maroon stools or frank blood in the stools. Many patients with bleeding gastric varices present in shock due to the profound loss of blood.

Secondly, patients with acute pancreatitis may present with gastric varices as a complication of thrombosis of the splenic vein. The splenic vein sits over the pancreas anatomically and inflammation or cancers of the pancreas may result in thrombosis, or clotting of the splenic vein. As the short gastric veins of the fundus of the stomach drain into the splenic vein, thrombosis of the splenic vein will result in increased pressure and engorgement of the short veins, leading to varices in the fundus of the stomach.

Laboratory testing usually shows anemia and often thrombocytopenia (a low platelet count). If cirrhosis is present, there may be coagulopathy manifested by a prolonged INR; both of these may worsen the hemorrhage from gastric varices.

In very rare cases, gastric varices are caused by splenic vein occlusion as a result of the mass effect of slow-growing pancreatic neuroendocrine tumors.

Diagnosis and classification

The Sarin classification of gastric varices identifies two types of gastroesophageal varices, where esophageal varices are found concurrently, and two types of isolated gastric varices, found in the absence of esophageal varices.

Antral varices, of Sarin classification IGV-2, an unusual class of gastric varices.

Diagnosis of gastric varices is often made at the time of upper endoscopy.

The Sarin classification of gastric varices identifies four different anatomical types of gastric varices, which differ in terms of treatment modalities.

Treatment

Initial treatment of bleeding from gastric varices focuses on resuscitation, much as with esophageal varices. This includes administration of fluids, blood products, and antibiotics.

The results from the only two randomized trials comparing band ligation vs cyanocarylate suggests that endoscopic injection of cyanoacrylate, known as gastric variceal obliteration or GVO is superior to band ligation in preventing rebleeding rates. Cyanoacrylate, a common component in 'super glue' is often mixed 1:1 with lipiodol to prevent polymerization in the endoscopy delivery optics, and to show on radiographic imaging. GVO is usually performed is specialized therapeutic endoscopy centers. Complications include sepsis, embolization of glue, and obstruction from polymerization in the lumen of the stomach.

Other techniques for refractory bleeding include:

:: DeMi MaTaHaRi ::

video

Demi matahari dan sinarnya di pagi hari
Demi bulan apabila ia mengiringi
Demi siang hari bila menampakkan dirinya
Demi malam apabila ia menutupi

Demi langit beserta seluruh binaannya
Demi bumi serta yang ada di hamparannya
Demi jiwa dan seluruh penyempurnaannya

Allah, Subhanallah … Allah, Subhanallah
Allah, Subhanallah … Allah, Subahanallah

Allah mengilhamkan sukma kefasikan dan ketaqwaan
Beruntung bagi yang mensucikan-Nya
Merugi bagi yang mengotori-Nya ...
Subhanallah
....

:: TRaiNinG ::

"...sape nak g kursus esok!!!...nak 2 org
cepat bg nama!!!..kursus transfomasi dan jati dir...
kat ESSET..sg. tangkas, bangi..3 hari tau kt sana..
tp balik hari la..."

Termenung jap..(nak pergi ke tak nak ye...
3 hari tu..dah tu nnt nak blk kg lg pastu..
cam penat je..emm..tp ok je
klu pergi je kot..leh jalan2...hehehe...)
Kesudahannya...aku pergi jugak..
Join kursus tu...lg pun lum berkursus lg tahun ni...
Huhuhu....3 hari kat sana..byk pengalaman aku dapat..
ingatkan kumpulan sokongan je y pergi...
haa...sekali bila bt first session..cari kenalan seramai mungkin..
baru tau..doktor pun de..ketua jabatan pun de...driver pun de..
pelbagai lapisan jawatan yang ada...huhuhu..
emm..ni leh tmbh koleksi kenalan aku ni..hehehe..
first impression..ni mesti kursus kaunseling...
y ada LDK...presentation..n motivasi..
but my first impression is wrong...
it's not what i think...huhuhu..
it's fully motivate about yourself...
who we are...from where we came..
huhuhu....that are great experience..
the amazing training!!!...

lebih kurang cam aku handle dulu..masa blaja..
tp program ni lagi best...
sound track dia mmg mantap la!!!..
tak sia-sia aku pergi...teringat lak zaman blaja dulu..
bila tgk ATS diorang...pakai uniform...
lbh kurang cam program kitaorg dulu..huhuhuh...
kursus ni dikendalikan sepenuhnya oleh ESQ Training...
sebelum ni pernah dgr n bt poster diaorg je..
tp skrg dah join...huhuhu..merasa jugak la...
kombinasi teknologi sains + kekuasaan Tuhan + Al-Quran & Hadis....
cuma bahasa dia je indon..sbb pengasah2 nyer mmg dri indonesia...
huhuhu...tp tak kesah la dr mane pun...
y penting ilmu tu dapat disampaikan..n diamalkan selalu...hehehe...
selepas 3 hari berkursus..kembali bekerja n amalkan pe y diajar...
insyaallah...mendapat keseronokan dan keberkatan
dari setiap pekerjaan y kita lakukan...hehehe...
kat bawah ni gambar kenang-kenangan...


*p/s :kepada teman2 y lain..selamat menempuhi
kursus y akan datang...do the best, among the best!!!...

:: BaLiK KaMPunG!!!::

sekejap je masa berlalu...
sedar tak sedar dah bulan 4 kan...
tak sedar putaran masa begitu cepat..
hujung minggu ni balik kampung lg...
heheheh....(best nyer dpt blk kg!!!)
kali ni naik kt Putrajaya Sentral je..
kul 9.30mlm...bas adik beradik..hehe..
lg 2 bulan majlis tu nk dilaksanakan...
byk y nk kena settle kan.....
harap2 semua nyer berjalan dgn lancar...
akhirnya terlaksana sudah impian ibu..
dpt kete baru, siapkan rumah, dpt menantu
(tahun ni bertambah la lg ahli keluarga aku..hehehe)
emm..nmpk nyer dah tak leh bebas sgt la pas ni..huhuhu
tak pe...tak pe..aku still de mak su...still blh otai2...khikhi..
y kahwin alg je...kami still solo...hahahaha..
enjoy habis-habisan kan mak su....
org dah kahwin dah tak leh masuk group kitaorg lg...
masuk group org dah kahwin...hahahaha...
pe lak ni tiba2 ckp kahwin lak ni...ish3..
tersasar dr landasan lak...hehehe...
ni nk ckp pasal balik kg laa...
wah tak sabar nak mkn masakan ibu...huhu..
rindu nyer...
ooo...blk kg...ooo..blk kg...