Thursday, December 30, 2010

Jiwa tiada di tempat ini

Hahah.. metafora yang jelas, terang lagi bersuluh. Saya berada di tempat yang saya tidak mahu berada; ofis.

'Separuh jiwaku pergi'

Yer. Pergi ke kampung halaman. Mood kerja hilang seiring dengan cuti 5 hari di kampung. Teringat dahulu zaman Nabi Musa waktu saya duduk di asrama. Time nak packing kain baju, mula la rasa nak nyuruk supaya tak payah balik ke hostel. Selalu juga kena denda sebab masuk sipi-sipi (sapa yang tak tahu makna ni sila bukak kamus) jam 6.00ptg. Cikgu cegil pun boleh buat tak reti.

Tak produktif dari pagi. Tak tahu cara nak kembalikan mood ini. Malam kelmarin tak dapat tidur dengan lena. Biasa lah, jetlag bila pulang dari kampung (cheewah! Berangan naik jet pulak). Balik rumah time lunch pun tak dapat lelap juga.

So, to gain the mood, saya stop by kat petrol pump. Beli aiskremm,roti,meelo pastu mentekedarah sorang-sorang di opis petang-petang sambil download the Tourist. Marvelles dowh, pencurik tulang ni. Sungguh tak tahu nak ceriakan hari ini. Malam tadi saja ceria bila tengok pasukan Malaysia dapat sandang juara AFF Suzuki tu.

Entry kali ini pun aku rasa kuyu. -_-

Tuesday, December 21, 2010

Malaysia: Negara 4 Musim

Hari ini mahu ajar kamu semua tentang geografi Malaysia.

Malaysia negara 4 musim

Valid ke statement ini? Ini ikut teori suka-sukahati aku.

Pertama
Malaysia ada musim tengkujuh. Time ni hujan mahu hari-hari hujan. Time ni, spender pun kebarangkaliannya perlu disterika. Time ni la rasa nak beli drier. Time ni juga la rasa bercinta nak bangun pagi. Main celup-celup muka saja.

Kedua
Malaysia ada musim panas. Jangan pikir la iklim Khatulistiwa ke. Khatbacatiwa ke. Memang seriosly panas gila. Time ni lah rasa nak duduk dalam freezer. Time ni la rasa nak beli pukal air-cond. Time ni la tokey-tokey kedai air-cond jadi kerek tak hengat.

Ketiga
Seriously. Malaysia ada musim Buah. Time ni tetiba je teringat kampung halaman. Kebun bapak kau jadi kebun bapak aku juga. Tiba-tiba rajin ngaku jiran, sedara, dan tuan tanah kedaung.

Keempat
Ni musim yang rasanya tak larat. Musim sakit. Musim demam. Musim flu.
Now. Aku dan suami dah kena musim keempat ni. Sila jaga diri masing-masing yer, sebabnya dua-dua laki bini ini tengah mood nenong2 dan tahap kesihatan merudum. dum. dum

Kalau terjumpa musim lain, be update later.

Friday, December 10, 2010

Blog Best

Assalamualaik'

Pagi-pagi Jumaat ni tetiba je jadi baik ye? Datang kerja dah senyum-senyum. Tebiat ke?
Kenapa pula hari ini gembira satu fiil? Macam ada firasat benda baik nak berlaku saja?
Oh.. gembira la mak abah dan tiba dari Jakarta tengah malam tadi. Berbulan madu sakan. Uhh.. *jeles*

Selesai siapkan markah student, duduk mengadap lappy. Mula lah bosan. Jadi bila saya bosang, tangan pun laju je taip

www.beautifulnara.com
www.ohbulan.com

Haha, mesti top list dah webbie ni kat pegawai IT. Tengok saja, mesti nama saya viewer hari-hari. Baca gossip, tengok muka-muka artis. Eheh, sungguh tak de pekdahnyer dek oiii..

Tengah surfing tu tetiba terbaca google list of top searching person. Tetiba pula muncul nama ni.

'HanisZalikha'

Dalam hati wonder 'sapa? glamer sebab apa?' . Ahah, katak gila saya tak tahu dan tak kenal dia tu. Padahal dapat top 6 googled by googlers. Terus laju saja menaip kat pakcik Google. Heh, dapat view blog dia

www.inibelogsaya.blogspot.com

Baca 1st entry dia saja saya sudah gelak. Lagi la pulak baca next entry dia, mula la meledak tawa. Say-well gelak berseorangan di opis pepagi buta ni. Nampak sangat saya mengulat. hahah
Betul tak tipu sumpah lawak gila. Sempoi la minah ni. Saya suka blog mama dia lagi dari blog si Chika. (peminat kipas-keras-mati cik Chika jangan marah ye). Chika cerita hidup dia with always flying colours. Duduk Australia, kahwin dengan doktor yang pada asalnya follower blog dia, having a beautiful daughter). Seriously, semua orang pun mesti cemburu pada awak Chika *wink*. Thats why saya tak membaca blog kamu lagi Chika. Tak semua orang mudah menerima hadiah utama seperti itu. Kebanyakannya kena struggle for life. *sigh* Paling tidak, dapat hadiah saguhati saja, faham ke?

So, it was additional to the blog I love

www.fajaril.net
(this was since i've been introduced to at 1999)

Membaca blog fajaril.net selalu membuai rasa. Seolah-olah saya sedang membaca sebuah novel. Novel kehidupan. Pretty sad after the son died. Saya mengikuti kisah tersebut sejak Fajaril masih menuntut dan single. Till now i'm married and he's married with a beautiful daughter.

Kenyang mata ni (betulkah mata boleh kenyang?) baca inibelogsaya.blogspot.com. Saja ye Hanis kamoo reverse phsyco saya ini. Tak tahu ke saya tengah diet ini? Mampus Hanis tak tahu sebab dia pun tak kenal saya. Hanis, kamoo menyeksakan la, dengan gambar-gambar sweet2 *bigclap.fewit.fewit* yang mama kamoo masak itu. Tunggu saya tanggalkan corset,girdle and waist nipper ini dulu, baru boleh view belogsaya(eh, belog kamoo).

Anyway, thanks for the fun writing. It cheerup my day. Thanks again.


Tuesday, December 7, 2010

Numerology of my name and DOB

Nice thing to read, I have viewed a site http://www.babynology.com recently. Am proud to read the numerology of my name and the day i was born.




Saturday, December 4, 2010

KLIMS2010 @ PWTC

Horeyyeh! Hari ini saya tengok kereta-kereta superhero~Batmobile dan myBee..(bukan myVi,hoccay?)

The planning was made since last week. Not bringing any escorts, only me and Ana. Seriously, kali ini teruja nak pergi (ada kali lain ke before this? no!no!neheyy)

Janji jumpa di Bandar Tasik Selatan (stesen pertukaran Star-LRT) jam 10.30pagi, but really really am sorry Ana. Just got out from rumah saya jam 10.20pagi. So how nak sampai ke sana jam 10.30pagi juga? Hahahantupunyakawan. Sah-sah Ana sudah tarik muncung nanti. Diikkk, akak kena cuci baju kemas rumah dan cuci jamban dulu before keluar lah, macam Ji Eun pula rasanya. Kena tunjuk baik supaya suami tak marah nanti kalau balik lewat. Haha. Politik-kus.

As I said, sampai saja my friend tadi dah kata

'Akak, masuk ni dah 11 LRT lalu'

Kahkahkah. Saya gelak saja lah, gelak yang suami selalu kata 'gelak orang salah'. Camne ye gelaknye itu? Muka yg selalu keudara bila terlepas angin depan suami. Hahahanginsatubadan.

Arrived at 12.00am at PWTC, buy the tickets RM20.00 and syussshhh ke entrance. But then we stuck there for half an hour just for taking up the 1st pix. Nampak tak poyonye?

Nak share sikit lah (sikit je, hoccay? Kalau nak banyak pergi sana tengok sendiri but make sure before 12/12/2010 kalau tidak kamoo tengok angin je lah) gambar-gambar gediks di sana. Teruja lah tengok Bee. Cuma rasa tertipu bila tengok Batmobile cap Ayam tu. Mati-mati saya ingatkan yang betul punya (or at least bagi lah yang nampak ori, ni nampak macam kereta gabus je. Sengaja agaknya supaya Batman boleh terapung naik Batmobile dan transform jadi sampan kayuh pakai dayung~dayung~sampan~dayung~laju2)

Align Center
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kereta gabus

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myBee

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not-so-my

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Kereta jerung

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Kereta dua-perot

Ada 5 Hall, habis kami tangkap pictures PerempuanKereta semua. So sexy. Makhluk tuhan paling seksi. Mujurlah saya tinggalkan suami. Hahaha. *wink*

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Hehe, not all so pretty. Am I right? So Encik Sooami, jangan awak nampak perut saya je ok. Tengok la model tu, perut dia lagi penuh lemak. Sob.sob. So sorry modelMotor. Tersengaja mengambil gambar kamoo. ^__^

Sampai rumah jam 7.00malam. Eh, patutnya tadi saya punchcard di PWTC ikut opis hour. Boleh apply overtime nih. Letih dowh. Malam ni nehey MASAK. Makan luar lah ye sayang?

Friday, December 3, 2010

Hydrosalpinx, Infertility and IVF

A hydrosalpinx is a blockage of the far end of a woman’s fallopian tube which results in the accumulation of fluid within the tube. The condition can affect one or both fallopian tubes. Often the affected area can become substantially swollen and grow even as big as a few centimeters in diameter.

Usually, there are few symptoms noticed by patients although some women may suffer from abdominal or pelvic pain. The most common mean by which a woman becomes aware that she has this problem is the development of infertility. Women, who are not trying to get pregnant and have no pain, may go undiagnosed.
Hydrosalpinx Impact on Fertility in General

As mentioned previously, the main presentation of a hydrosalpinx is infertility. The fallopian tube plays a crucial role in establishing a pregnancy. As sperm enter the vagina, they travel through the opening of the uterus (cervix), through the uterus, and into the fallopian tubes. If intercourse happens at the time of ovulation, then an egg may be present in one of the fallopian tubes. A sperm can fertilize the egg forming an embryo. Afterwards, the embryo migrates down the fallopian tube into the uterus. If the embryo implants into the uterus, a pregnancy has been established.

However, if this tube is blocked, the egg cannot be captured by the fallopian tube and the egg and sperm are prevented from meeting. Thus fertilization cannot occur and pregnancy is prevented.

In addition, studies have shown that even when women have one tube which is open, their chances for pregnancy are reduced if they have a hydrosalpinx on the other tube.

Possible Reasons for Less Success
There are various theories that try and explain why the success rates in these patients are so much lower. One suggests that the flow of fluid into the uterus could interfere with and hinder implantation of an embryo. This fluid could contain lower levels of proteins, various amounts of debris, and other toxic substances found in the body that are harmful to the embryo itself or possibly the lining of the uterus. Another theory states that the fluid is a mechanical flush for the uterus, sweeping away the embryo. It is not known whether these effects would be worse if both fallopian tubes are affected, although that is thought to be the case.

Hydrosalpinx also impacts the Success of IVF

In vitro fertilization bypasses fallopian tube blockage by extracting the eggs directly from the ovary and fertilizing them in the laboratory. The embryos are then placed directly into the uterus. Thus, the fallopian tubes are completely bypassed. With the growing success of IVF and other fertility treatments in the past years, many women suffering from a hydrosalpinx are turning to these treatments to enhance their chances of pregnancy. However, there is substantial evidence to suggest that the success of in vitro fertilization is significantly lower for women with hydrosalpinx compared to other causes of infertility.

Study on Hydrosalpinx and IVF

Investigators recently compiled the results from 14 different studies to try and see what the IVF success rates are in women with this condition. The analysis compared two groups of women. Of a total of 5592 patients, 1004 of them had one or both tubes blocked by a hydrosalpinx and 4588 of them had tubal blockage but with out a hydrosalpinx. A total of 8703 IVF embryo transfers were performed with either fresh or frozen embryos.

There were four outcomes measured:
1. The overall pregnancy rate was shown to decrease in the women with the hydrosalpinx. The women with no blockage had a pregnancy rate of 31.2% compared to the women with the hydrosalpinx at 19.67%.

2. The implantation rate, which looks at how many transferred embryos were able to implant in the uterine wall, also decreased in the women with a hydrosalpinx. It went from 13.68% in women with out a hydrosalpinx to 8.53% in women with one.

3. The delivery rate decreased drastically as well. Almost twice as many women delivered without a hydrosalpinx (23.4%) than with a hydrosalpinx (13.4%).

4. The delivery rate was lower in part because less women became pregnant but also because more of the women miscarried. Early loss in pregnancy was seen more often in the women affected than not. The rate for affected women was 43.65% loss compared to 31.11% loss.

Conclusions

Other studies have come out with results similar to these. Generally, for a woman with hydrosalpinx trying IVF, the chances for pregnancy are greatly reduced compared to the average infertile woman. While the possibility for pregnancy still exists in these patients, these women should be counseled that their chances for live birth are significantly lower if they have a hydrosalpinx.

TREATMENT OPTIONS FOR HYDROSALPINX TO IMPROVE FERTILITY

Salpingectomy

The complete surgical removal of a fallopian tube is called a salpingectomy. The procedure can be done laparoscopically or with a standard surgery performed by making a horizontal incision in the abdomen just above the pubic hair line. Both procedures are performed under general anesthesia so that the patient is completely asleep.

Laparoscopy is a minimally invasive way of performing surgery. An small fiber optic telescope is inserted in a small incision just below the navel. This allows the reproductive surgeon to see into the abdomen and pelvis. Two additional incisions of about one centimeter each are made above the pubic hair line. Through these small incisions, instruments can be placed that allow the reproductive surgeon to detach the tube from the uterus and blood vessels and to remove it from the abdomen.

Laparoscopy is the preferred method for performing a salpingectomy since no overnight hospitalization is required and the smaller incisions are associated with a shorter recovery time.

Tubal Ligation

Tubal ligation is when the fallopian tubes are either severed or pinched shut, but not removed. It is often referred to as getting one’s “tubes tied.” This can also be done laparoscopically, abdominally, or even vaginally. The most common way to seal the tubes is by using a cauterizing clamp which when applied to the outside of the tube, will seal it shut. Other methods include placing strong, tight rings or rubber bands around the tube that pinch them closed.

Theoretically, by blocking the fluid from entering the uterine cavity, this may restore a normal chance for achieving pregnancy.

The most common use of tubal ligation is as a permanent form of birth control. It is generally not considered to be reversible.

Salpingectomy vs. Tubal Ligation: Which method is best for improving fertility?

Natural conception

If a woman has one fallopian tube blocked with a hydrosalpinx and the other tube is normal, the chances for pregnancy are reduced.

In a recent study, researchers looked at 25 women with one hydrosalpinx and one open fallopian tube. They attempted to determine whether treatment of the hydrosalpinx with either a salpingectomy or tubal ligation was more effective for improving pregnancy rates naturally without IVF. 18 underwent a salpingectomy and 7 had a tubal ligation of the abnormal tube. In the end, 22 (88%) women achieved pregnancy after the surgeries without the use of IVF. There were no ectopic pregnancies and no multiple births.

Both procedures seemed to improve the chances for becoming pregnant. Interestingly, the women who had a salpingectomy became pregnant more quickly compared to the women who had a tubal ligation.

This research seems to indicate although a one sided hydrosalpinx can cause infertility, it may be possible to reverse the effects of this condition. These women did not need further fertility treatment and their mean time to pregnancy was only 5.6 months after the procedures. For that reason, if a woman with one hydrosalpinx has been unable to achieve a pregnancy, treatment of the hydrosalpinx is a reasonable treatment option.

IVF

Obviously, if both fallopian tubes are blocked, than natural conception is impossible. Several studies have looked at whether treatment of hydrosalpinges is effective for improving the chances for pregnancy with IVF. Studies have looked at various alternatives such as salpingectomy and tubal ligation. Some studies even sought to determine whether draining the fluid from the hydrosalpinx (transvaginal aspiration) might be helpful.

Published guidelines from the American Society for Reproductive Medicine listed the following conclusions:

1. Patients with hydrosalpinges undergoing IVF experience approximately one-half the pregnancy rate of patients who do not have hydrosalpinges.

2. Salpingectomy performed for hydrosalpinx prior to IVF improves subsequent pregnancy, implantation, and live birth rates.

3. Current data are insufficient to permit recommendation of other treatment alternatives such as transvaginal aspiration of hydrosalpinx fluid or proximal tubal ligation.

Essure- A New Option for Hydrosalpinx?

Essure is a less invasive permanent sterilization procedure used by women to prevent any further pregnancies. Unlike a tubal ligation which requires small incisions to be made in the abdomen, Essure is a small microinsert is placed inside each fallopian tube by going through the vagina and uterus without any incisions. Over the course of three months, the metal coil inserts promote the growth of scar tissue inside the tube and thereby create a blockage that sperm cannot penetrate.

Because placing the Essure is less invasive than either salpingectomy or tubal ligation, it is an attractive possible option to treat hydrosalpinx in women desiring fertility.

Report: Essure and IVF treatment

Two women who previously had the Essure device implanted for sterility now wanted more children with a new partner. IVF treatment was administered to each woman with success. One woman conceived with one IVF cycle and the other with two IVF cycles.

One woman went through the process with no complications while the other one experienced some vaginal bleeding and lower abdominal pain. While at first, the pregnancy seemed like a probable miscarriage, the woman later delivered a healthy baby. These symptoms could have been a coincidence or related to the Essure device.

Surprisingly, ultrasounds revealed that after pregnancy, the device had not shifted placement, become distorted, or interfered with the pregnancy in any way. This preliminary evidence shows that women with sterilization devices, who change their mind about having a child, can do so using IVF.

Report: Essure for Hydrosalpinx in IVF

This same report referred to another case where a woman suffering from a hydrosalpinx used the Essure device treat and seal off her fallopian tubes. In later IVF treatment, the woman gave birth to a healthy set of twins. This suggests that Essure might be an effective option in treating hydrosalpinges in women before IVF.

courtesy of http://www.ivf1.com/hydrosalpinx-infertility-IVF/