Sunday 29 December 2013

Baby Acne? Why & How to Treat ^_^



Baby masa lahir okey je muka...but these few days, saya ade perasan bintik-bintik merah tumbuh, takla banyak, tapi wondering jugak kenapa baby pun ade jerawat hehe

bila la hubby nak balik ni, dia gi daftar baby hari ni n buat passport utk Abdurrahman


baby pulak tidur memanjang je hari ni


kalau I keluar dari bilik, dia macam sedar tau I keluar


baby .. mengikut pembacaan la kan, dia boleh hidu, perasan mak dia ade sebelah ke tak


nasib baik I cepat2 masak, tetiba dengar suara dia nangis dlm bilik ni


n I stay je kt bilik ni hoho #_#


camne nak kemas rumah, nk angkat baju, nk kms dapur ni..aiyo~~








How to Treat Baby Acne
Edited by Carolyn Barratt, Writelf, Maluniu, Teresa and 10 others

Baby acne is a harmless skin condition seen on infants from birth to 7 months old. Doctors suspect that as a mother's hormones begin functioning in a baby's body, it causes the oil glands to clog and the acne to appear.[1] Boys are said to be more susceptible to baby acne than girls.[2] These reddish or white bumps, called milia[3], can appear at birth, but most commonly appear some time within the first 4 weeks after birth. Although it is harmless and usually clears up after a few weeks or months, many parents want to know how to treat baby acne because of the reddish, blotchy appearance it gives to their baby's skin.


1Treat baby acne different from adolescent or adult acne. If your newborn does have acne, do not:
Pop, pinch, or pick at pimples.
Use strong topical solutions such as benzoyl peroxide or salicylic acid.
Use astringents.




2Wash your baby's skin with a mild non-drying soap. Since infant acne appears because of clogged oil glands from hormonal changes in your baby's body, it's important to keep the skin clean and dry during an outbreak.
Sometimes, it's the soap that's the problem. Try discontinuing use of the baby's soap and see if the condition gets better. Sometimes, mild soaps are not all that "mild."
Instead, dip a clean cotton ball in warm water and gently wipe the baby's face. The water and cotton ball will clean the area without the aid of chemicals or irritants.

3Skip lotions or creams that could cause pore clogs. Unless your baby has severely dry skin, use a moisturizing baby wash instead of lotion until the acne clears. If your baby's back, neck and chest don't show signs of acne, you can apply a mild lotion to these areas.

4Dry your baby's face whenever he spits up or drools during a feeding. Prolonged moisture around the mouth can worsen or increase chin acne. It may help to keep a bib on your baby so you always have a dry cloth available.

5Keep your baby from scratching at his face by using hand mittens until the baby pimples disappear. If the pimples are scratched or popped, they can become infected and cause a more serious skin condition.

6Try using baby powder. Some mothers with newborns who have developed baby acne find that wiping baby powder gently across the problem areas clears up acne [3]. If you do this, use a cotton ball to apply the powder, and make sure not to get the power in the baby's eyes, mouth, or ears.

7If you're breastfeeding, consider changing your diet. Many women who eat many fruits report seeing an uptick in baby acne after they breastfeed. Sometimes, the outbreak is not acne at all, but rather a rash. Some mothers report that sweet or citrus fruits, such as nectarines and oranges, may cause skin problems in newborns [3]. Seek the advice of a doctor if you believe that breastfeeding might be giving your baby a rash or baby acne.

8Talk with your doctor if your baby's acne appears after starting a medication. Some prescription drugs can cause acne, and your doctor may be able to offer an alternative medication that won't cause a skin reaction.

9)Speak with your doctor about a stronger baby acne treatment if the pimples do not disappear within 3 months, or the acne becomes severe and spreads rapidly. While most doctors don't initially prescribe medication, there are prescription creams for severe baby acne.
Be patient. While the baby acne may be bothersome to you, it probably does not bother your child one bit. Baby acne usually clears up within 3 to 7 months after birth.[1]

Be on the lookout for "pimples" or rashes elsewhere on the child's body. Baby acne usually confines to the face. If your child develops what looks like acne over different parts of his body, consult a doctor. This could be because of eczema or cradle cap.[1]


Tuesday 24 December 2013

HO routine




copy paste ;))

"Doktor, cepat la sikit!"

***

Rutin harian di wad bermula seawal 5 pagi lagi. Pada waktu inilah, vital sign seperti tekanan darah, suhu badan akan mula dicatat. Pada waktu ini jugalah, ujian darah akan diambil, sekiranya perlu.

Kemudian pada pukul 6 pagi, kebiasaannya pada waktu ini, ubat-ubatan akan mula diberi.

Pada jam 7 pagi, adalah waktu yang paling sibuk di hospital. Ketika ini, pertukaran shif bagi doktor dan jururawat berlangsung. Memang sering berlaku senario doktor berebut fail pesakit dengan jururawat. Doktor, perlu memulakan reviu pagi. Jururawat pula, perlu pass report sesama mereka. Pada waktu ini jugalah, Penolong Perawatan Kesihatan (PPK) akan kalut menukar bedsheet pesakit. Kain-cadar dilunggukkan di atas meja pesakit (dipanggil Cardiac Table). Pada waktu ini jugalah, diet sajian breakfast akan diedarkan. Tray makanan ini akan diletakkan di atas Cardiac Table juga.

Pada ketika ini jugalah, cleaner datang mahu menyapu. mengemop lantai wad. Kipas ditutup suisnya. Tinggal lah houseman cabuk dalam kepanasan sedang reviu pesakit, tanpa meja untuk menulis. Reviu mestilah dilakukan secara bedside. Tak boleh memeriksa dahulu, kemudian datang ke meja kaunter hadapan dan menulis. Pemeriksaan, menulis, semuanya mesti dilakukan dihadapan pesakit. Sesetengah jabatan, amat pantang kalau reviu tidak dilakukan secara bedside. Seorang houseman boleh di-extend jika terkantoi didapati reviu tidak di bedside.

Apa yang berlaku ketika reviu? Pada ketika inilah, keadaan pesakit diperiksa. "Puan rasa batuk-batuk tu macam mana sekarang, berbanding semalam?" Oo..batuk dah berkurang. "Patient claim cough reducing compared to yesterday." Perkembangan keadaan pesakit ini penting untuk seseorang doktor mengubahsuai rawatannya. "Saya rasa batuk makin teruk lah doktor, saya tak boleh tidur semalaman!". Maka houseman itu akan meletakkan dalam plannya, "KIV to start syrup benadryl (ubat batuk) after discuss with MO", contohnya.

Pada waktu reviu pagi ini jugalah, keputusan-keputusan darah yang diambil awal pagi tadi, akan dilihat. Hemoglobin rendah? Maka houseman akan check kalau2 ada berlaku pendarahan di mana-mana, "Berak ada keluar darah ke, encik?" Ada rasa penat, sakit dada? - tanda komplikasi kekurangan darah perlu ditanya. Kalau perlu Pemeriksaan PR (per rectal) dilakukan. Kalau pesakit lelaki, takde isu pun doktor perempuan buat PR. Maklumlah, yang jadi isu kat Malaysia ini cuma doktor lelaki conduct delivery je. "KIV for blood transfusion later after seen by Mo/specialist." - plan rawatan ditulis didalam fail pesakit.

Semua ini perlu dilakukan dengan pantas. Paling optimum, 10 minit. Kalau complicated case, boleh sampai 20 minit. Kalau cincai, 3 minit pun boleh. Kalau seseorang houseman perlu in charge terhadap 10 pesakit,maka sepuluh lah yang dia kena reviu pada pagi tersebut. Ramai sebenarnya houseman yang cuma sekadar menyalin reviu yang dilakukan pada hari sebelumnya, kerana nak cepat.

"Apa yang engkau dokumen didalam fail pesakit, make sure engkau faham!" Pesan seorang MO ketika saya di jabatan ortopedik. Kenapa kena start antibiotik ini, tidak antibiotik itu? Kenapa kena monitor paras gula (dxt) setiap empat jam sekali? Saya personally, cukup tidak suka bertaqlid buta menyalin sahaja reviu oleh houseman sebelum saya.

Semua reviu pesakit ini, perlu habis sebelum jam 8 pagi. Kerana ketika itu, MO-MO sudah habis breakfast di kantin dan mula datang ke wad. "Mana keputusan darah FBC pagi ini?" "Kenapa pesakit ini still on IV Drip?" MO juga perlu round dan review seluruh wad. Dan disebabkan bilangan MO yang sedikit berbanding HO, maka round akan berlangsung dengan cepat. "Ada apa-apa masalah, pesakit ini?" Maka HO lah akan menceritakan segala progress dan perkembangan pesakit ini. Kalau HO tak mention/ tak tahu, maka MO pun tak tahu. Sebab itulah morning reviu oleh HO adalah sangat penting.

Selesai round, pukul 9 pagi, specialist pula akan round. Yang ini lagi slow. MO pula akan present case-case pesakit kepada Specialist. Specialist akan order arahan-arahan baru berdasarkan perkembangan pesakit pada hari tersebut. Ooo..hemoglobin rendah, pesakit bagitau kata ada berak berdarah, houseman buat PR pagi tadi pun katanya ada melenic stool. "Schedule for OGDS (scope), in the meantime, transfuse 1 pint blood pack cell. Do one ECG also.", order Specialist. Siapa yang akan buat order ini? Siapa lagi kalau bukan houseman.

Round dengan specialist, disebabkan lagi sedikit (satu specialist per ward), biasanya pukul 11 - 12 jugalah baru habis.

Ada pesakit yang sudah stabil, sudah tamat rawatan, pada ketika ini jugalah akan diberikan kebenaran untuk pulang (discharge). "Encik, kita tengok demam dah tak ada, pernafasan juga dah tak ada batuk-batuk, antibiotik yang kita bagi pun dah cukup lima hari, jadi kita bagi pulang lah hari ni ya!" Tersengih-sengih pesakit. "Tetapi tengahari sedikit lah ye, kita perlu siapkan surat discaj,preskripsi ubat dsb."

Bagi jabatan-jabatan tertentu seperti OnG dan Pediatrik, turn-over-rate untuk pesakit sangat lah tinggi. Maksudnya, dalam sehari, ada belasan/puluhan new admission, dan belasan/puluhan discharge. Secara puratanya pesakit ada didalam wad cuma sehari dua.

Oleh sebab itu, pada hari tertentu, boleh ada belasan discharge perlu diselesaikan selepas tamat round dengan Specialist (sekitar jam 12 - 1 tengahari). Ramai pesakit/waris yang tak habis-habis bertanya di kaunter - "Isteri saya tak boleh balik lagi ke doktor?"

Anda kena faham, isteri anda sudah sihat walafiat. Anda sudah sihat walafiat. Sedangkan pada ketika itu jugalah, houseman sedang menguruskan pesakit lain yang belum sihat. Ada OGDS yang perlu di schedule, ada blood yang perlu di transfuse, ada ECG yang perlu dilihat. Houseman yang ada cuma sekerat itu sahaja. Kalau ada 3-4 orang HO di sesebuah wad 30 katil, itu sudah dikira mewah. Ketika saya di Jabatan Perubatan dahulu, pernah bertugas cuma dua orang untuk satu wad. Dua orang kami lah yang akan buat discaj, carry out order by specialist/MO, atau clerk new case (ya, ketika ini jugalah new case sudah mula datang berduyun-duyun).

Tentulah kami lebih prioritikan pesakit yang perlukan rawatan, berbanding anda/isteri anda yang sudah sihat walafiat menunggu surat discaj.

Pernah, seorang suami berpeluk tubuh dihadapan saya, menunggu saya membuat surat discaj isterinya. Matanya merenung, intimidate saya kononnya agar saya dapat siapkan discaj isterinya cepat-cepat.

Reaksi saya mudah, lagi dia buat macam tu kat saya, lagi slow saya akan buat discaj isteri beliau. Saya sengaja ambil dan buat discaj orang lain dulu. Kalau anda ada hal - nak balik kampung cepat ke, ada urusan lain ke, sila bagitau dan saya boleh consider. Tapi kalau setakat nak intimidate macam ni, sorry, saya bolayan je.

"Doktor, cepat la buat discaj isteri saya, saya nak balik solat jumaat ni!" Tegas seorang suami dalam sebuah kes berasingan. Jam menunjukkan pukul 1 tengahari, hari Jumaat. Saya membalas dengan senyuman, "encik tunggu di katil isteri dulu ye, dah siap nanti kami panggil."

Padahal dalam hati,

"Amboi-amboi, hang ingat hang sorang je kena solat Jumaat. Patut aku blah tinggal je surat discaj, balik dari solat jumaat petang ni baru aku buat. Bini hang boleh balik lepas Asar satgi. Buat surat discaj bini hang ni bukannya darurat sangat sampai nak aku skip solat jumaat. 3,4 orang lagi duk tunggu surat discaj jugak, bukannya hang sorang."

Breast milk storage: Do's and don'ts




Note for breastfeeding mummies...









Breast milk storage: Do's and don'ts
Breast milk storage can be confusing. Follow these practical tips on choosing containers, freezing breast milk, thawing breast milk and more.

By Mayo Clinic staff

If you're breast-feeding your baby and going back to work or looking for more flexibility, you're probably considering using a breast pump. Once you start pumping, it's important to know how to safely and properly store your expressed breast milk. Consider these do's and don'ts for breast milk storage.

What kind of container should I use to store expressed breast milk?

Before expressing or handling breast milk, wash your hands with soap and water. Then store the expressed milk in a clean, capped glass or hard plastic container. You can also use special plastic bags designed for milk collection and storage. Keep in mind that breast milk storage bags aren't generally recommended for long-term storage because they might spill, leak and become contaminated more easily than hard-sided containers. For extra protection, you can place the bags in a hard plastic food storage container with a tightly sealed lid. Also, certain components of breast milk might adhere to the soft plastic bags during long-term breast milk storage, which could deprive your baby of essential nutrients.

Don't store breast milk in disposable bottle liners or plastic bags designed for general household use.

What's the best way to store expressed breast milk?

Using waterproof labels and ink, label each container with the date you expressed the breast milk. If you're storing expressed milk at your baby's child care facility, add your baby's name to the label. Place the containers in the back of the refrigerator or freezer, where the temperature is the coolest. If you don't have access to a refrigerator or freezer, store the milk in a cooler or insulated bag until you can transfer the milk to the refrigerator or freezer.

To minimize waste, fill individual containers with the amount of milk your baby will need for one feeding. You might start with 2 to 4 ounces (59 to 118 milliliters), and then adjust as needed. Also consider storing smaller portions — 1 to 2 ounces (30 to 59 milliliters) — for unexpected situations or delays in regular feedings. Keep in mind that breast milk expands as it freezes, so don't fill containers to the brim.

Can I add freshly expressed breast milk to already stored milk?

You can add freshly expressed breast milk to refrigerated or frozen milk you expressed earlier in the same day. However, be sure to thoroughly cool the freshly expressed breast milk in the refrigerator or a cooler with ice packs before adding it to previously chilled or frozen milk. Don't add warm breast milk to frozen breast milk because it will cause the frozen milk to partially thaw. Keep milk expressed on different days in separate containers.

How long does expressed breast milk keep?

How long you can safely keep expressed breast milk depends on the storage method. Consider these general guidelines for healthy infants:

Room temperature. Freshly expressed breast milk can be kept at room temperature for up to six hours. If you won't use the milk that quickly or the room is especially warm, transfer the milk to an insulated cooler, refrigerator or freezer.
Insulated cooler. Freshly expressed breast milk can be stored in an insulated cooler with ice packs for up to one day. Then use the milk or transfer the containers to the refrigerator or freezer.
Refrigerator. Freshly expressed breast milk can be stored in the back of the refrigerator — not the door — for up to five to eight days.
Freezer. Freshly expressed breast milk can be stored in a standard refrigerator freezer for up to three to six months and in a chest freezer for up to six to 12 months. Place the milk in the back of the freezer — not the door.
Expressed breast milk is an ideal way to feed your baby when you're apart. Still, some research suggests that the longer you store breast milk — whether in the refrigerator or in the freezer — the greater the loss of vitamin C in the milk. Other studies have shown that refrigeration beyond two days might reduce the bacteria-killing properties of breast milk and long-term freezer storage might lower the quality of fat in the breast milk. It's also important to note that breast milk expressed when a baby is a newborn won't as completely meet the same baby's needs when he or she is older.

Keep in mind that storage guidelines might differ for preterm, sick or hospitalized infants.

How do I thaw frozen breast milk?

Thaw the oldest milk first. Simply place the frozen container in the refrigerator the night before you intend to use it. You can also gently warm the milk by placing it under warm running water or in a bowl of warm water. Before offering the milk to your baby, gently swirl it to evenly distribute the creamy portion of the milk that rises to the top of the container during storage. Don't vigorously shake the container or stir the milk.

Never thaw frozen breast milk at room temperature, which enables bacteria to multiply in the milk. Also, don't heat a frozen bottle in the microwave or very quickly on the stove. Some parts of the milk might be too hot, and others too cold. Some research suggests that rapid heating can affect the milk's antibodies as well.

Use thawed breast milk within 24 hours. Discard any remaining milk. Don't refreeze thawed or partially thawed breast milk.

Does thawed breast milk smell or look different from fresh breast milk?

The color of your breast milk might vary, depending on your diet. Also, thawed breast milk might seem to have a different odor or consistency than freshly expressed milk. It's still safe to feed to your baby. If your baby refuses the thawed milk, it might help to shorten the storage time.







Wednesday 11 December 2013

His Name is Abd Al-Rahman :)




Assalamualaikum

Alhamdulillah, da selamat lahirkan seorang bayi ke dunia ini hehe

memanglarrh...memang... syurga itu di bawah tapak kaki ibu & ganjaran melahirkan bayi; akan diampunkan segala dosa, bersih seperti kain putih Allahuakbar.....

Lepas melahirkan dia, saya macam terlelap, sedar2 da dalam bilik khas yang disediakan utk beranak dan selepas beranak
Sedar2 perut da kempis.. macam mimpi...tengok siling hospital...gosok-gosok perut
Eh... mana anak aku?? Sape ambik anak aku??

Tiba-tiba dengar suara orang yang aku kenali; suara hubby, umi & family mertua dekat luar 
Diorang masuk...senyum..
Diorang cakap nak gi tengok baby...dalam 5 minit, diorang datang balik sambil tunjuk gambar baby kat phone
masa ni aku rasa blur..pastu aku takley tengok muka hubby
entahlaa...rasa sedih pilu happy excited semua campur-campur ..macam nasi kerabu

then bila kat wad, nurse bawa baby..
diorang tukar2 pegang baby
aku..... still cam tak percaya da ade baby
mengikut pembacaan hubby, memang normal perasaan ibu yang baru bersalin macam tu
kalau umi pulak, lepas dia lahirkan abang aku (anak pertama), dia marah-marah ayah aku..meheheii..pastu ayah aku pujuk umi aku hehe sweet je...

tak nak cakap banyak hehe..tu la memori lahirkan anak yang pertama kat dunia ni
masa hari ketiga camtu baru la rasa oo aku da ade anak, pastu senyum sorang2 haha..

sekarang baby tidur, hubby tidur so bolehla huha huha kejap
lepasni nak sambung study tentang Tafsir... Quranic Argument

baby keluar awal tiga hari due date..sepatutnya 5/12


#to Abd Al-Rahman
Mama proud of having you
You, my precious boy, my Love, my world and my everything <3 font="">






:)
always and always ...appreciate your mom, pray for them and hug them while they stay alive... :D



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