Monday, October 18, 2010

period owh period...

owh...hari ni 1st day of of O&G. but start with gynae..
n as usual jadi mangsa pertama...
haish....kena la clerk...n nasib sgt la "baik" dpt endometriosis + uterine fibroid.
seriusly selama O&G Posting dulu...aku taw nak clerk ca, miscarriaged, ectopic n molar jek.
so, td first time la kena menorrhagia..
haish...
mmg bungkus la...bak kata dr maizun...
btul2 da berkarat...kena korek dlm2 laut btul..
haha...no komen la dr...nak wat cemana...hehe...da berbulan2 ditinggalkn...
takpew...ni kami sharpen back apa yg kami penah n xpenah sentuh lgsg..sori dr.

so, today nak ckp pasal menorrhagia...

taw x pew menorrhagia?

it is defined as abnormal uterine bleeding characterized by excessive blood loss @ prolonged bleeding for more than 80ml with regular menstruation.

senang cerita, period yg lebey dr 80 ml la...sbb normal period kita pompuan2 ni,dlm 1 bulan kurg dr 40-50 ml jek...jgn ingt byk sgt ek darah hlg..hehe
selain dr 2, korg jugak akan rasa period 2 lebey dr 7 hari, ada ketul2 darah n also korg penat xlarat suma la...if ada la symptoms mcm ni, most likely maybe korg ada kot...tpi jgn riso..sila la jumpa dr...dr x mkn org..hehe


taw kan suma pykt mesti ada risk factorkan? so dlm kes ni...pun ada gak... antaranya adalah:

(i) OBESITY!!!!!! sila la kita turunkan berat byk2...sy nak gak kurus..hehe
(ii) amik estrogen gatal2..byk2 tanpa progesteron
(iii) gadis2 yg baru2 jek kena period
(iv) lastly, mak2 n nenek kita yg da nak menopause....

so, if bley, marilah kita kurgkan risiko kita...especially yg no (i) 2...hehe....

pastu menorrhagia ni...dia ada byk causes.
so, kita kena determined btul2 causes dia...
so, mari la lihat bersama2 causesnya....

1) systemic
- blood disorder - itp, leukemia, n also von willebrand disease
- endocrine - hypothyroidism
- psychiatric - psychosomatic disease

2) local
- congenital abnormality- ada double uterus
- traumatic sbb guna intrauterine device
- hyperplasia of endometrium
- neoplastic growh eg endometrial ca, granulosa cell + theca cell tumour

3) hormonal - dysfunctional uterine bleeding (dub)


treatmentnya either mkn ubat @ surgical...bergantg pada causes dia la..

tapi utk kurgkan menorrhagia org kasi ubat la...

antara ubat bley guna is

- NSAIDs - mefenemic acid
- hormones- estrogen +progesteron
- danazol
- GnRH agonist
- antifibrinolytic agent - tranexemic acid

so, harap korg fhm la...pasal menorrhagia ni..
aku rasa nak ingt 2 tulis...=)
apa2 sila la tanya...tpi if x ley jawab minta maaf n sy akan refer pada mereka yg lebey mengetahui...=)

3 comments:

Sri said...

salam..bgus info2 ni..n yg lg bgusnye blh tanye:)
d question is:
mcm mn pulak dgn yg berbulan2 xdtg period? or penah dtg dlu2 pastu stop n tak dtg2 period lg sampai skng..lbh kurang 15thn dh xkene period..effect x pd perkembangan individu tu?? any solution??pubioni

nAsirah NasIR said...

hm, brpa umur org tu?
if ikutkan org 2 dikira secondary ammenorhea da...
nas seek dulu btul2..info psal ni..mlm ni nas post kat kamu k? terang byk2 yew?
sabar ek? tq for soalan..
if ada lg, sila la tanya..=)

Sri said...

tq nas:) org tu skng dlm umo 27...nnt nas terangkn sekali 2nd ammenorhea tu ye..thkns again 4 d info^_^