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...=)

after reading some of the notes, i thought 2 do the test which is bad said used for knowing our medical speciality..darn..i got med onco...wow...the cancers...huhu... i dunno..i juz cant imagine being one...hehe....how bout u guys??? dun u guys wanna try it urself??? =) try it at...
http://www.med-ed.virginia.edu/specialties/Home.cfm
this was mine...

Rank	Specialty	Score
1	med oncology	47
2	pediatrics	46
3	nephrology	44
4	dermatology	43
5	radiation oncology	43
6	cardiology	42
7	emergency med	42
8	hematology	42
9	obstetrics/gynecology	41
10	physical med & rehabilitation	40
11	occupational med	40
12	gastroenterology	40
13	family practice	40
14	anesthesiology	40
15	general internal med	39
16	rheumatology	39
17	aerospace med	39
18	nuclear med	39
19	orthopaedic surgery	39
20	plastic surgery	38
21	general surgery	38
22	radiology	38
23	psychiatry	38
24	infectious disease	38
25	neurosurgery	37
26	colon & rectal surgery	37
27	otolaryngology	37
28	preventive med	36
29	urology	36
30	thoracic surgery	36
31	endocrinology	36
32	ophthalmology	35
33	neurology	34
34	pathology	34
35	pulmonology	34
36	allergy & immunology	34