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Wednesday, 2 November 2011

Giuliana Rancic fights breast cancer. Follow her lead and get an early mammogram today!

Giuliana Rancic fights breast cancer. Follow her lead and get an early mammogram today!: Looking fit and having one of the most interesting careers, Giuliana Rancic was all about living a year of fun this 2011. Planning to undergo IVF treatment to conceive a baby, Rancic was determined to have a child with husband, Bill Rancic even through her busy life as the co-host of E! News. However, all plans came to a standstill this mid-October as Rancic's mammogram test revealed that the 36 year old host was diagnosed with early stages of breast cancer.At a young age, Rancic was shocked with the life-threatening news and did not expect it coming. Not able to continue with her IVF treatment, Giuliana is still determined to have a full recovery and would still like to be a mother one day. Coming out to the public wasn't easy after receiving the

Giuliana Rancic fights breast cancer. Follow her lead and get an early mammogram today!

Giuliana Rancic fights breast cancer. Follow her lead and get an early mammogram today!: Looking fit and having one of the most interesting careers, Giuliana Rancic was all about living a year of fun this 2011. Planning to undergo IVF treatment to conceive a baby, Rancic was determined to have a child with husband, Bill Rancic even through her busy life as the co-host of E! News. However, all plans came to a standstill this mid-October as Rancic's mammogram test revealed that the 36 year old host was diagnosed with early stages of breast cancer.At a young age, Rancic was shocked with the life-threatening news and did not expect it coming. Not able to continue with her IVF treatment, Giuliana is still determined to have a full recovery and would still like to be a mother one day. Coming out to the public wasn't easy after receiving the

Unbelievable, Papa John's set meals at RM9.90 and Free drinks at Capriciossa!

Unbelievable, Papa John's set meals at RM9.90 and Free drinks at Capriciossa!: Share more moments of laughter with your friends over a tantalising lunch. With Standard Chartered Card, savour your favourite flavours every day and enjoy more of The Good Life™. Find out more about the dining offer choices.

Fear, isolation and violence that only YOU can help to take away...

Fear, isolation and violence that only YOU can help to take away...: The fight for survival is a daily battle for refugees and asylum seekers in Malaysia. Coming from countries such as Burma, refugees are forced to flee from their homelands in pursuit of safety from oppressive conditions such as confiscation of homes, forced labor, systematic rape and torture. However, their efforts to gain freedom in Malaysia are short-lived due to discrimination from local employers. Refugees and asylum seekers work in situations where they face verbal and physical abuse from employers, low/unpaid wages, and long working hours in exploitative conditions. Question is, where is the humanity in all of this?Agree to stand up against forced labor and human trafficking by signing a Petition Letter to the Prime Minister of Malaysia today! Petition available here : http://chn.ge/heimalaysiapetition

How do you like the new Volkswagen Jetta?

How do you like the new Volkswagen Jetta?: Just when you thought the mid-sized sedan wasn't your type of car, here comes the new Volkswagen Jetta. It's German engineered quality for the masses.

Giuliana Rancic fights breast cancer. Follow her lead and get an early mammogram today!

Giuliana Rancic fights breast cancer. Follow her lead and get an early mammogram today!: Looking fit and having one of the most interesting careers, Giuliana Rancic was all about living a year of fun this 2011. Planning to undergo IVF treatment to conceive a baby, Rancic was determined to have a child with husband, Bill Rancic even through her busy life as the co-host of E! News. However, all plans came to a standstill this mid-October as Rancic's mammogram test revealed that the 36 year old host was diagnosed with early stages of breast cancer.At a young age, Rancic was shocked with the life-threatening news and did not expect it coming. Not able to continue with her IVF treatment, Giuliana is still determined to have a full recovery and would still like to be a mother one day. Coming out to the public wasn't easy after receiving the

Giuliana Rancic fights breast cancer. Follow her lead and get an early mammogram today!

Giuliana Rancic fights breast cancer. Follow her lead and get an early mammogram today!: Looking fit and having one of the most interesting careers, Giuliana Rancic was all about living a year of fun this 2011. Planning to undergo IVF treatment to conceive a baby, Rancic was determined to have a child with husband, Bill Rancic even through her busy life as the co-host of E! News. However, all plans came to a standstill this mid-October as Rancic's mammogram test revealed that the 36 year old host was diagnosed with early stages of breast cancer.At a young age, Rancic was shocked with the life-threatening news and did not expect it coming. Not able to continue with her IVF treatment, Giuliana is still determined to have a full recovery and would still like to be a mother one day. Coming out to the public wasn't easy after receiving the

Light up a little life!

Light up a little life!: Yayasan Sunbeams Home is a place that sheds light to underprivileged children in Malaysia. Having homed the displaced, misplaced, abused and neglected children of single parents since 1995, Sunbeams is the beacon of hope for children that long for a bright future.With several homes, daycare centres, learning centres and a feeding ministry set up within Malaysia, Sunbeams meets the daily needs of children at a feat of RM 80,000 per month. Depending on the support of people like YOU, Sunbeams hopes to provide more and reach more underprivileged children in Malaysia through their wishes to expand. With a current RM 1.5 million renovation plan that caters to 100 children, your monetary donation, large or small will be greatly appreciated. If you are interested in helping out in other ways, do consider donating items, offering your time, service, or even spread the word of the amazing work in place. Every little bit helps.

Light up a little life!

Light up a little life!: Yayasan Sunbeams Home is a place that sheds light to underprivileged children in Malaysia. Having homed the displaced, misplaced, abused and neglected children of single parents since 1995, Sunbeams is the beacon of hope for children that long for a bright future.With several homes, daycare centres, learning centres and a feeding ministry set up within Malaysia, Sunbeams meets the daily needs of children at a feat of RM 80,000 per month. Depending on the support of people like YOU, Sunbeams hopes to provide more and reach more underprivileged children in Malaysia through their wishes to expand. With a current RM 1.5 million renovation plan that caters to 100 children, your monetary donation, large or small will be greatly appreciated. If you are interested in helping out in other ways, do consider donating items, offering your time, service, or even spread the word of the amazing work in place. Every little bit helps.

Check out Namewee starring in Petaling Street Warriors, lawak giler!

Check out Namewee starring in Petaling Street Warriors, lawak giler!: Set in Petaling Street in 1908, it tells of a hokkien mee seller (Mark Lee) who finds himself entangled in deadly battles with skilled fighters. Little did he know that he is in possession of a lost treasure map linked to the Qing Dynasty and must refrain himself from consummating his marriage to master the

Watch Make the Pitch tonight at 8.30pm on Ntv7

Watch Make the Pitch tonight at 8.30pm on Ntv7: In previous episode, contestants pitched on a website for beautiful people, hygienic toothbrush and Hannah Tan pitched a web portal to achieve their entrepreneurial dream. Tune in to NTV7 8.30pm this Wednesday to see Malaysians pitching for their dreams.

Watch Make the Pitch tonight at 8.30pm on Ntv7

Watch Make the Pitch tonight at 8.30pm on Ntv7: In previous episode, contestants pitched on a website for beautiful people, hygienic toothbrush and Hannah Tan pitched a web portal to achieve their entrepreneurial dream. Tune in to NTV7 8.30pm this Wednesday to see Malaysians pitching for their dreams.

#MalaysiansMustKnow: What if your car is damaged and broken into at a shopping mall. Is the shopping mall liable?

#MalaysiansMustKnow: What if your car is damaged and broken into at a shopping mall. Is the shopping mall liable?: We might have been taken advantage of our legal rights in the past without us knowing it. Your car broken into and damaged at a shopping mall, being overcharged for a repair, received unjustified summons, or salaries being witheld... Legal advice and support would be a big help in scenarios like these…

How does getting rewarded through sharing sound like to you? Join #ChurpChurp today and bring more friends to the community!

How does getting rewarded through sharing sound like to you? Join #ChurpChurp today and bring more friends to the community!

Here’s where all 5 yrs of study comes dwn to, SPM. Gotta score! Tune onto Astro 603, #TutorTVSPM for sm quick tips

Here’s where all 5 yrs of study comes dwn to, SPM. Gotta score! Tune onto Astro 603, #TutorTVSPM for sm quick tips

Do you know how to protect urself against the deadly dengue? Take the #GanyangAedes quiz to find out how!

Do you know how to protect urself against the deadly dengue? Take the #GanyangAedes quiz to find out how!

Can't wait to win a beach vacay in Phuket, Bali or Club Med Bintan with my four buddies. Just #BuddyUp now!

Can't wait to win a beach vacay in Phuket, Bali or Club Med Bintan with my four buddies. Just #BuddyUp now!

Love that #AstroIPTV has so many features, I feel like I am spoiled for choice!

Invest in precious metals now so you are not burdened by debts in the future! #NubexMY

Invest in precious metals now so you are not burdened by debts in the future! #NubexMY

Sunday, 21 August 2011

Perihal osteoartritis dan kesihatan



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SAKIT lutut memang menyeksakan. Hendak berjalan beberapa langkah pun terasa jauh, inikan pula jika berangan-angan untuk melancong. Sudah tentu ia cuma sekadar impian kerana sakit ini membataskan pergerakan.
Osteoartritis (OA) sendi lutut ialah penyakit kerosakan dan kemerosotan tulang rawan (kartilaj) lutut yang berlaku secara perlahan-lahan.
Punca utama masalah ini ialah proses penuaan iaitu semakin meningkat usia, semakin tinggi risiko mendapat OA sendi lutut. Kadar mereka yang berusia 65 tahun ke atas mendapat OA sendi lutut ialah 40 peratus.

Di luar negara, Amerika Syarikat misalnya, kadar mendapat OA lebih tinggi iaitu lebih 50 peratus. Boleh dikatakan, 100 peratus mereka yang berusia 80 tahun ke atas mempunyai masalah OA.



OA bukan saja berlaku ke atas lutut, malah boleh menjejaskan sendi yang menampung berat badan lain seperti pinggul, tulang belakang, kaki dan tangan. Orang Asia lebih mudah mengalami masalah lutut manakala orang Inggeris berdepan kesakitan lutut dan pinggul.

Berat badan berlebihan punca OA lebih mudah terjadi. Oleh itu, penting untuk kita memastikan berat badan ideal bagi melambatkan proses mendapat OA.

Selain itu, kesan kecederaan lutut selepas kemalangan (post traumatic), jenis pekerjaan diceburi, penggunaan berlebihan dan kecederaan di kalangan atlet turut menjadi punca penyakit OA sendi lutut.

Pakar Perunding Ortopedik dan Kecederaan Sendi Hospital Columbia Asia Cheras, Dr Azfar Rizal Ahmad, berkata gejala radang dalam sendi menyebabkan kerosakan rawan berterusan, akibatnya rawan menjadi nipis dan lama-kelamaan semakin haus dan membotak.

“Sendi lutut sihat mengandungi bahan cecair pelincir dikenali sebagai cecair sinovial yang tinggi. Cecair ini yang mengandungi asid hialuronik berfungsi sebagai pelinciran dan kusyen yang mengurangkan geseran pada sendi lutut ketika kita berjalan atau membongkok.

Ia turut mempunyai daya menyerap hentakan untuk melindungi sendi lutut ketika kita melakukan aktiviti fizikal seperti melompat.

“Apabila OA berlaku, cecair dalam sendi kurang kelikatan dan kandungan asid hialuronik rendah, daya serapan dan penyerap hentakan akan hilang. Dalam kes tertentu, individu berusia 18 ke 24 tahun turut mengalami masalah ini. Kadar mendapat OA ialah 70 peratus untuk lelaki dan 30 peratus perempuan.

“Untuk melengahkan proses mendapat OA, sebaik- baiknya kekalkan berat badan ideal anda dengan latihan dan pemakanan sihat. Selain itu, elak kecederaan dengan teknik sukan betul iaitu regangan dan pemanasan badan. Apabila cedera, jangan teruskan bermain, sebaliknya dapatkan rawatan doktor,” katanya.


Tanda biasa sakit OA sendi lutut:

  • Rasa sakit ketika bergerak dan berehat



  • Rasa berkeriut pada sendi ketika bergerak



  • Rasa tegang/kaku selepas berehat buat seketika



  • Gerak-geri terbatas



  • Hilang mobiliti



  • Lemah postur akibat rasa sakit dan kekesatan sendi lutut


    Menurutnya, OA tiada penawar dan tidak boleh sembuh kerana ia proses penuaan. Diagnosis dan rawatan awal penting bagi membantu mengurangkan rasa sakit sendi lutut.

    “Aspek rawatan merangkumi banyak faktor. Pesakit perlu mengetahui gejala penyakit, perkara yang harus dilakukan apabila mengalami OA serta perlu mengubahsuai cara hidup.

    “Untuk bersolat misalnya, jika tidak mampu melakukan duduk antara dua sujud, pesakit menunaikan solat dengan duduk di kerusi.

    “Jika sebelum ini menggunakan tandas cangkung, beralih kepada tandas duduk dan bagi yang tinggal di rumah bertingkat, sebaik-baiknya tinggal di tingkat bawah,” katanya.

    Mengawal sakit dengan cara ubat dan fisioterapi memerlukan tahap kecergasan tinggi. Biasanya pesakit berusia 60 tahun ke atas perlu berjalan setengah jam antara tiga atau empat kali seminggu. Berjalan meningkatkan kecergasan dan menguatkan otot.

    Bergantung kepada tahap sakit, pesakit juga boleh mengatasi kesakitan dengan penggunaan ubat melalui pengambilan nutrisi tambahan dan viskosuplementasi. Secara ringkasnya, kaedah itu ialah menggantikan bendalir dalam sendi.

    “Tulang rawan yang lembut melindungi tulang tetapi apabila ia luka, ia tidak mampu merawat dirinya sendiri. Suntikan viskosuplemen pada lutut boleh menggantikan bendalir sendi rosak dengan viskosuplemen yang menyerupai sendi sihat. Ia akan mengurangkan rasa sakit dan memulihkan fungsi sendi lutut,” katanya.

    Banyak jenis bendalir digunakan untuk tujuan itu misalnya, ada yang diambil daripada haiwan dan daripada proses penapaian bakteria. Berat molekulnya juga berlainan iaitu ada yang tinggi dan rendah dengan 500,000 dalton bagi kadar molekul yang rendah dan enam juta dalton bagi kadar paling tinggi.

    “Lebih tinggi berat molekul, lebih tinggi kekenyalan dan tinggal lebih lama dalam sendi selepas disuntik. Selepas tujuh hari disuntik, ia diserap masuk dalam sinobium, malah sinobium sendiri menghasilkan cecair sendi baru yang pekat. Suntikan dan ketahanan bergantung kepada peringkat OA,” katanya.



  • Peringkat pertama — tiada tanda penyempitan pada ruang sendi lutut



  • Peringkat kedua — terdapat sedikit perubahan pada ruang sendi. Ada kesan cebisan osteofit (susut tulang) pada persekitaran sendi lutut



  • Peringkat ketiga — berlaku penyempitan pada ruang sendi lutut. Boleh dikesan kehadiran osteofit yang berganda pada persekitaran sendi lutut



  • Peringkat keempat — berlaku penyempitan ruang sendi lutut yang ketara dengan tulang sendi bersentuhan. Kehadiran osteofit besar yang berganda dapat dikesan


    Suntikan viskosuplemen pada sakit OA sendi lutut peringkat pertama dan kedua boleh bertahan sehingga 12 bulan, pada peringkat ketiga (lapan hingga 10 bulan) dan peringkat keempat (enam bulan).

    Risiko komplikasi rawatan begitu rendah dan ia selamat dilakukan berulang-ulang. Selepas disuntik, pesakit akan berasa lega pada minggu keempat. Kos mengambil suntikan viskosuplemen lebih tinggi daripada makan pil untuk mengurangkan rasa sakit seperti paracetamol dan NSAIDs.

    Sebelum ini, pesakit perlu mengambil tiga kali suntikan tetapi disebabkan syarikat pengeluar ubat mengeluarkan ubat lebih baik, hanya satu suntikan diperlukan. Ia menjimatkan masa kerana pesakit tidak perlu datang untuk kali kedua dan ketiga.

    Menurutnya, cara menyuntik viskosuplemen adalah mudah iaitu mencuci bahagian yang ingin disuntik dengan bahan pembasmi kuman. Suntikan bius dilakukan untuk mendatangkan rasa kebas.

    Cecair sendi lama yang banyak kekotoran dibuang dan cecair baru iaitu asid hialuronik dimasukkan. Prosedur ini mudah dan selamat dan kesan sampingannya sedikit iaitu bengkak di tempat suntikan. Bagaimanapun, ia jarang berlaku, malah risiko jangkitan juga kecil.

    Kaedah suntikan viskosuplemen tiga kali diperkenalkan sejak 11 tahun lalu manakala satu suntikan sejak empat tahun lalu. Jika pengambilan pil bertindak sebagai baja untuk tulang rawan, viskosuplemen pula lebih kepada menggantikan bendalir dalam sendi lutut untuk lebih pelinciran.

    Penggunaan pil lambat dirasai kesannya, manakala viskosuplemen lebih cepat memberi kelegaan. Kaedah ini sesuai untuk pesakit yang sudah makan ubat tetapi tidak berkesan, tidak mahu mengambil steroid mahupun mereka yang mempunyai sakit seperti diabetes atau sakit jantung serta mereka yang tidak mahu menjalani pembedahan lutut.

    Kaedah ini disarankan kepada pesakit yang ingin mengerjakan umrah atau haji yang memerlukan mereka banyak berjalan ketika menunaikan ibadat berkenaan.

  • SUMBER:http://www.hmetro.com.my/articles/Cecairsendisusut/Article/artikelMA