Thursday, September 30, 2010
NI MASA MALAM RAYA, LUPA LAK NAK UPLOAD. NI DORANG DATANG DARI RUMAH KERUMAH TAKBIR, TAPI KAT UMAH MAK AKU LAMA SIKIT SEBAB BACA DOA TAHLIL ARWAH SEKALI, TERMASUK LAH ARWAH BAPA MERTUA AKU ALLAHYARHAM WAN ALI, ATOK ALLAHYARHAM MARSOK BIN ALI, NENEK ALLAH YARHAMAH RAMLAH, ABG IPAR ALLAHYARHAM WAN IBRAHIM, DAN ALLAHYARHAMAH IBU KEPADA ADIK IPAR WAHIDAH..SERTA KAKAK MAK ALLAHYARHAMAH MAIMOON
SERONOK TENGOK BEBUDAK RATIB.... TAUN YANG SPECIAL GULAI KAWAH DAGING RUSA.... FUH HABIS... TAK CUKUP .. SEDAP KATA DORANG...
PAKCIK AKU KONON2 DAH KENYANG NAK RASA LAUK JE... PASTU... AHHH AMIKKAN NASI.... SEDAP PULAK LAUK NI... HEHEHE HEHEH
NI PASANGAN DUA MERPATI NI ....SEDONDON.... BAJU.. QIMI DAN PUTERI DAMIA
APA NI BOIPREND PEGANG BOTOL MILK NI...SIAP PEGANG TANGAN...DAH BESAR SOK KORANG MALU TENGOK GAMBAR NI..
ASYIK DOK SEBELAH QIMI JER SI PUTERI NI... ASYIK SEBUT NAMA QIMI JER
HA NI DIA HASIL MATA RAYA... HAHA MATA RAYA SAKAN, SEBELAH TU OPIS MATE, HANI... LAWAN MATA KITA...
PEGI HARI RAYA KAT UMAH JIRAN ... ANAK POMPUAN DIA DOK BISIK2 NGAN MAK DIA... TANYA KENAPA... DIA CAKAP ANAK SAYA CAKAP CAM KAT DALAM TV... AWAK PUN TANYA LA SAPA .. INGATKAN HUBBY SEBAB RAMAI CKP DIA CAM PELAKON RUPANYA MAK DIA CAKAP.. AWAK LAH... HUHUUHU... ALAMAK...NYESAL TANYA ...MALU RASANYA .....HUWAH HUWAH HUWAH.....
Wednesday, September 22, 2010
masa aku kecik2 dulu murah je gula2 ni...... sekarang rm2.50 satu...
dulu ada yang kecik punya boleh di pegang macam ais kerim.... pemegang dia aiskrim cone... boleh makan gula2 ngan cone dia sekali sedapnyer...
mm mMM MMM MMmmmmm
mmmMM MMMmmmm MMMMmmmm bersungguh2 makan gula2 kabus ni sampai berkabus muka... tak nampak muka dah.....
BIBIK OH BIBIK........ ITULAH PERKATAAN AISH BILA TENGOK ABANG LONG SAPU SAMPAH........ EEE BIBIK LA .. BIBIKKK BIBIKKK... ANAK AKU SI DANISH PANGGIL ABANG LONG DIA..... HANGIN AJE ABANG LONG.....PANDAI LAK SI AISH BUAT LAWAK ... CAM ABAH DIA... SUKA WAT LAWAK.......
YA LA DAH DEKAT 3 MINGGU BIBIK BALIK INDON.... KAT UMAH, AKU PUN TAK LARAT SANGAT NAK MENGEMAS LAGI... NAK MEMASAK LAGI... BASUH BAJU LAGI.... LIPAT BAJU LAGI.... GOSOK BAJU LAGI...
NAK HARAPKAN ANAK DARA AKU??? ANAK DARA AKU PUN BARU UMUR 2 TAHUN ... YANG NOMBOR DUA TU ..SI DANISH PUN BARU 3 TAHUN ......
NAK HARAPKAN SAPA LAGI??? KALU BUKAN ABANG LONG.... ABANG LONG DAH BESAR SIKIT DAH BOLEH DIHARAPKAN
KALU AKU TENGAH MASAK , AKU SURUH LA DIA TGK KAN ADIK2... KENGKADANG BASUH PINGGAN... BUANG SAMPAH.... MASUKKAN BAJU DLM WASHING MACHINE, ANGKAT BAJU UNTUK DIJEMUR.... DAH BOLEH HARAP SIKIT2 SI ABANG LONG NI...
ALAH BEBUDAK NI PUJI LA SIKIT2 ... ALAH PUJI LEBIH2 PUN TAK PA..... SURE DIA ORANG SUKA BUAT APA YANG KITA SURUH.....
SI ADIK DUA ORANG NI PELIK JE TENGOK ABANG LONG MENYAPU...SI AISH SIAP DUDUK DEPAN NAK TENGOK...SI PUTERI DAMIA LAKS SIAP GARU PALA.... PAS TU DOK MENGACAU ABANG LONG... NAK SAPU GAK....NAK SAPU GAK... NAK SAPU GAK..... HISH HISH HISH... ANAK2 KU... NGACAU JE....SIAN ABANG LONG...
HA... NI ADEGAN SELEPAS MENYAPU.... HUHU HUHUI HUH.. FENAT...... FENINGZZZ KEPALA KER ABANG LONG???.... PICIT KEPALA NAMPAK??
ALA SENYUM LA SIKIT... X KAN BARU SAPU SAMPAH DAH MONYOK JE... TUNGGU LAGI MINGGU DEPAN BALIK LA BIBIK TU... HEHEHE HEHEH KALU BIBIK TAK BALIK GAK.... MAMY KENA BUAT JADUAL BERTUGAS UNTUK SEMUA ORANG LAH PULAK..... HEH HEHE HEHEH BERAT SAMA DI PIKUL.. RINGAN SAMA DI JINJING..... NANTI NAMA ABAH PUN AKAN TERSENARAI DALAM JADUAL TU... HEHE HEHE HEHEH... HARAP2 BIBIK BALIK LA YA.....
Sunday, September 19, 2010
MMMmmmm nyam nyam............ kuih ketayap..... isi kelapa durian mmm lazat...
air daun pandan
pewarna hijau sedikit
(adun kan semuanya )
dua tiga butir durian (amik isi nya)
campurkan semua bahan2 ni masak atas api yang sederhana, bila dah kering sedikit sejukkan.
ok ... gulungkan inti kedalam kulit ketayap tadi....... boleh lah di hidangkan .......mmmmm dap nggg....
Wednesday, September 15, 2010
Tuesday, September 14, 2010
Cause and Pathogenesis
Symptoms and Signs
Investigations and Diagnosis
Treatment and Prognosis
Viral fever refers to a broad spectrum of conditions where viral infections are associated with elevations of body temperature. The term encompasses a wide variety of viral infections, some of which can be clearly identified by their symptoms and signs. These viral infections may show generalised symptoms, but may target specific organs.
Headaches, body aches and a skin rash characterise most of these viral fevers. They may affect any age group, and are seen world-wide. They require only symptomatic treatment. Some are highly contagious. Most of them are not dangerous and self-limited, but some can progress rapidly leading to death.
Cause and Pathogenesis
Most viral infections are spread by inhalation of aerosolised particles, by intake of contaminated water or food, or by direct contact. Infection then spreads locally and thereafter into the blood stream or lymph channels. Some of the viral infections can be transmitted sexually or by direct inoculation into the blood stream.
The duration of the primary infection may vary from days to several weeks. Manifestation of the disease clinically is usually a consequence of the virus multiplying at a specific site. Even though the fever comes down, in some infections the virus continues to multiply and cause persistent infection.
Symptoms and Signs
Once the virus enters the body, there is an incubation period when the virus multiplies to a level high enough to cause infection. This is followed by a prodromal phase of fatigue, malaise and body and muscle aches that may lead to the onset of fever. The fever may be low grade or high grade and remittent. Inflammation of the pharynx, a running nose, nasal congestion, headache, redness of the eyes, cough, muscle and joint pains and a skin rash could be present.
The fatigue and body pain could be disproportionate to the level of fever, and lymph glands may swell up. The illness is usually self-limited but the fatigue and cough may persist for a few weeks. Sometimes pneumonia, vomiting and diarrhoea, jaundice or arthritis (joint swelling) may complicate the initial viral fever. Some viral fevers are spread by insects, for example, arbovirus, can cause a bleeding tendency, which results in bleeding from the skin and several other internal organs and can be fatal.
Investigations and Diagnosis
The diagnosis and management of viral fevers is based more on the clinical presentation than by laboratory investigations. Since these infections are commonly self-limited, investigations are unnecessary. The diagnosis is made by the typical history of fever with severe muscle and joint pains. Skin rash and lymph gland swellings have to be specifically looked for.
Laboratory investigations are undertaken to rule out other bacterial infections rather than to confirm viral fever. Blood tests will not show any increase in the white blood cells, which typically occurs with bacterial infections. The numbers of lymphocytes may be increased. The Erythrocyte Sedimentation Rate (ESR) is not elevated. Confirmation is by culture of virus from the relevant specimens such as nasal swabs, and skin rash or by increase in antibody levels in serial blood samples.
Treatment and Prognosis
Treatment of viral fever is purely symptomatic with antipyretic and analgesic drugs. Bed rest and adequate fluid intake is advised. Nasal decongestants may be beneficial. Specific antiviral therapy is not routinely recommended. Steroids are not advised as it may lead to bacterial super-infection. Only in cases of super-infection do antibiotics need to be prescribed. It is important that antibiotics are NOT routinely used for prophylaxis.
Complications of viral infections like pneumonia (viral or super-infection by bacteria) need to be addressed specifically by clearance of respiratory secretions and utilising ventilator assistance if hypoxia is severe. Symptoms of gastroenteritis should be managed with anti-motility agents. Most viral fevers recover completely in a week although fatigue may persist for a few weeks.
Viral fevers are difficult to prevent. They occur as epidemics of infection depending on their mode of spread. Vaccines have been tried targeting the respiratory and gastrointestinal viruses with little success due to several sub-groups of viruses with different forms of antigenicity, all of which cannot be covered with a single vaccine. Fortunately since most infections are mild and self-limited, we can be assured of a full recovery.
|VIRAL FEVER |
VIRAL FEVER Symptoms
Viral Fever Symptoms and Treatment
Viral fevers are seen all over the world, and viral fever symptoms can affect all age groups from the smallest infant to the elderly. A small number of viral fever cases are deadly, but most of the time viral fever is not serious and it will go away on its own or with home care and over-the-counter treatment of the worst symptoms. Viral fevers can be highly contagious, however, so they have a tendency to spread very quickly.
In general, a viral fever is an infection in the body that is caused by a virus. This type of infection leads to a spike in body temperature once it has manifested itself in the body. Viral fever is unique in that it is most often treated and overcome without the true virus that caused the problem ever being determined.
Symptoms of Viral Fever
Treatment of viral fevers is usually symptomatic, or based on the various and separate viral fever symptoms. The most obvious viral fever symptom is the fever, of course, and it can be a low-grade fever (99 to 100 degrees) or a very high fever (102 degrees or more). Sometimes the fever will even come and go. Other viral fever symptoms include the following:
> eye redness or irritation
> muscle aches, joint pain and general body ache
> nasal congestion
> runny nose
> severe and ongoing fatigue
> sore throat and swollen glands
Skin rashes can also accompany a viral fever, but not always. Viral fever symptoms can last anywhere from a few days to weeks or even months, in very severe cases. The fatigue and cough have been known to last longer than the other viral fever symptoms.
Causes of Viral Fever
Viral fever is most commonly spread in 3 different ways: direct contact with the virus, breathing infected air and eating or drinking contaminated food or water. Viral fever can also be spread through sexual contact or be injected directly into the blood stream via shared needles. As stated above, some viral fevers are highly contagious and will spread rapidly through the air or by contact with infected people.
Once the virus enters the body, it can take several days before the viral fever takes hold and symptoms begin to become apparent. This is part of the reason for the quick spread of viral fever. Sufferers are out and living their normal life without realizing that there is a virus taking hold and getting ready to make them pretty sick.
Treating Viral Fever
Since most cases of viral fever are not serious, there is usual no need for medical care. Most of the time, people with viral fever take over-the-counter medication to treat the aches, pains and respiratory symptoms and the fever goes away within a week or less. As with any illness, if the symptoms persist for more than a week or any discomfort or pain becomes severe, a visit to the doctor or emergency room may be necessary. This always depends on the person and each illness is different.
The best way to treat viral fever is to get lots of rest and keep up the fluid intake. While medication may alleviate the symptoms, it will not cure the virus or make it go away. The body must rest and get back to health by fighting the viral fever on its own. There are some extreme cases where antibiotics may be used to treat a viral fever, but this is not the most common or preferred treatment for this type of illness.
shedihhh nyerr tengah tunggu AMBULANCE 999 untuk di bawa ke PEDIATRIC....
HA NI SITUASI KAT DALAM AMBULANCE 999... FUH LAJU SIOT... DARI KLINIK EMERGENCY TU AMBULANCE NI KELUAR KE CHOW KIT MENUJU KE WAD PEDIATRIC...
DIA SIAP PASANG SIREN LAGI.... NI.. NO.. NI... NO... KETEPI2.... HEHEH DANISH NAK LALU NI KETEPI.....
AKU TANYA... BEST TAK NAIK AMBULANCE??? BEST.... NAK CAKAP SAMA ABANG LONG... BEST!!!!... HEHHE HEHHEH SAKIT2 PUN BOLEH CAKAP BEST..... DIA TAK TAU KEJAP LAGI KENA AMIK DARAH LAGI KENA ENJET..... LAGI... ...
ALA CIAN NYER ANAK MAMI..... AISH NI SELALU LASAK BUDAKNYA ... TAK PERNAH CAM NI... KALU DEMAM PUN MESTI MAIN GAK.... LASAK GAK LA SIKIT2 PUN TAK PERNAH TERBARING JE... NI NAK JALAN PUN TAK BOLEH....MESTI SOMETHING LA KAN.................MAK AKU CAKAP NAK PEGI BILIK AIR PUN DIA PANGGIL NENEK.. NAK KENCING....MAK AKU DOKONG KE BILIK AIR... AISH NI MEMANG TAHAN SAKIT ... KALU SETAKAT SAKIT SIKIT2 TAK DA HAL PUNYA DIA DIAM JE....SIAP MAIN2 LAGI TAPI MERANGKAK LA.... MAK AKU CAKAP...DIA SIAP CAKAP NGAN MAK AKU ... NENEK SAKIT KEPALA... TU MESTI DAH TAK TAHAN LA TU.. DIA MINTA PICIT KEPALA DAN URUT KAKI... TAK MACAM ABANG LONG DIA... BENYEK SIKIT... SAKIT SIKIT PUN TERJERIT2... AISH NI KALU DEMAM PUN TAK BANYAK KERENAH... HARI KHAMIS DIA DAH NGADU SAKIT KAKI ... AKU CUMA TARUK MINYAK JE ... INGAT KAN SEBAB DIA MAIN2 .. LOMPAT2... TU YANG AKU GI KEJA GAK... TAU TAU PAGI JUMAAT TU DIA DAH TAK BOLEH JALAN .., LAKI AKU BAWA PEGI KLINIK SWASTA ... ADA KE DOKTOR TU CAKAP DIA DEMAM PANAS SANGAT TU YANG DIA TAK LARAT NAK JALAN...HISH... BUKAN DIA TAK LARAT NAK JALAN TAPI DIA TAK BOLEH JALAN SAKIT....TU YG GI GH .. SEKEJAP JE 5 MINIT CEK DARAH DOKTOR KATA VIRAL FEVER.... KENA MASUK WAD SEBAB DIA TAK BOLEH JALAN........
BILA AKU BALIK DARI KEJA JE ....AKU SURUH LAH DIA JALAN ... APA DIA CAKAP? SAKIT GILER LA MAMI..... mula2 tergelak gak la ... ya la budak kecik cakap sakit giler....cam tak caya je... tapi bila tengok balik ... alahai anak aku .... sedih gak laaa .. cam mana budak yang active tetiba je tak boleh jalan.... korang bayang kan lah anak korang tak da cacat tak da apa... jalan elok tetiba tak bleh jalan tak terkezutt korang..... ???.... tu la sekarang sakit demam pun bukan boleh buat main2.
KAT UMAH MAK AKU ADA DUA BUDAK MENINGGAL VIRAL FEVER GAK... SORANG BUDAK POMPUAN 7 TAHUN, SORANG LAGI BUDANG UMUR 1 TAHUN LEBIH...
DOKTOR CAKAP, ENZIME CK (CREATININE KEANISE-(lebih kurang la aku pun bukan tau sangat) DALAM BADAN DIA TERLALU TINGGI .. ITU YANG MENYEBABKAN PEREPUTAN OTOT, PASAL TU LA OTOT2 DIA SAKIT . DIA TAK BOLEH JALAN....
ni alhamdullillah dah ok dah.... dah boleh jalan.... alhamdullillah....tima kasih pada suma atas doa2 kengkawan... dan sumbangan yang diberikan........
hah lapar la tu... orang suma titun... dia boleh bangun nak makan.... tengah2 malam... lepas makan roti.... diaorg hantar makanan untuk bersahur.... mami makan sikit suap aish sikit... banyak gak dia makan.....ni first time Danish masuk wad.. SELESA GAK WAD PEDIATRIC NI ... air cond... 4 patient je satu bilik... ada bilik air kat dlm, katil baby satu .. katil mami satu... selesa la... tak la kongsi katil.... cam kat hospital swasta plak.... makan untuk dua orang... mami nyer ngan baby nyer.....
ADIK PUTERI TEMAN KAN ABANG AISH .........
ni dah sihat betul ni siap peace lagi................ dah jom kita balik...dah nak raya dah ni......
mami: Aish nak balik tak??? Aish: Nak... mami: Aish suka tak sleep sini?? Aish: suka... mami: best tak?? Aish: bessstt... mami: aiks? suka? best?? cam tak nak balik jer.... hehehehh bukannya apa... suka sebab kita layan dia sorang je ... heheheh terlebih manja la pulaksss....
ha ni senyum2 dah boleh balik la ni..................