::appoinment pakar~candidiasis, indeterminate APH and breech posn::

salam semua...

hmm..baru mengumpul mood untuk menulis balik..hari isnin lepas ika ada appoinment ngan pakar OnG hospital ampang...due of the bleeding case..refer entry ini..so..pagi2 ika dah bertolak..sbb takut sangkut jem..xawal sgt la..dlm kul 730am br gerak..sampai org dh ramai rupanya..appoinment ika kul 9..xpe..daftar dulu..kena bayar rm5 sbb xbawa GL..ingatkan dh xpayah sbb dh bg masa masuk wad hr tu..rupanya kena bawa lain..yg tu xleh pakai dh..ok..noted..

pergi ke klinik pakar ong..kena pergi bilik saringan dulu..bt prosedur biasa..cek urin, amik bp n berat..

keluar tunggu giliran....(masa ni kena panggil ngan KJ..nanti ika buat entry lain sbb ape KJ ni panggil..bg suspen sikit..hehe) dah panggil jumpa Dr..dia tanya apa masalah..kenapa kena refer kat pakar..so ika ceritala kesah 2minggu lepas..ika mention sebelum discharge kena buat *HVS..

*HVS : means high vaginal swab. The doctor or nurse will take a swab from inside the vagina and send it to a laboratory where they will culture the swab to see what grows. 

 ok..then Dr suruh baring..cek perut..pastu tgok result HVS tu..keputusan dia..

''candida sp..light growth''...huhu..

HVS result : * candidiasis 

* Vaginal candidiasis is an infection of the vagina involving overgrowth of a yeast, or fungus, known as Candida. Vaginal candidiasis is most commonly caused by Candida albicans, a type of yeast, or fungus, that is normally present in the mouth, gut and vagina. It can occasionally be caused by other species of Candida. Our bodies are normally colonized with a variety of organisms, including different bacteria and yeast. These organisms exist in a balance, but if something like a broad-spectrum antibiotic, which can kill several types of bacteria, disrupts this balance, overgrowth of the other organisms can occur, leading to problems such as vaginal candidiasis. The hormonal changes in pregnancy and excess levels of sugars, as can be present in diabetes, can also contribute to this imbalance. A number of factors increase the risk of developing vaginal candidiasis. Not all people with risk factors will get vaginal candidiasis. 

Risk factors for vaginal candidiasis include: 

• Broad-spectrum antibiotic use

• Compromised immune system due to such conditions as HIV/AIDS, taking corticosteroids, organ transplant medications, or cancer and cancer treatment

• Diabetes
 (chronic disease that affects your body’s ability to use sugar for energy)

• Pregnancy - estrogen hormone will cause vagina produce more glycogen, causing fungal easily reproduce and stick to vaginal wall. 

Common symptoms of vaginal candidiasis include: 

• Itchy feeling in the vagina and the tissue around it (vulva)

• Pain during sexual intercourse

• Pain or burning with urination

• Redness and swelling of the vulva

• Thick, white vaginal discharge that has a texture similar to cottage cheese

 Vaginal candidiasis is treated with antifungal medications. Several are available in the form of creams, suppositories and tablets that can be placed directly in the vagina. Some are available over-the-counter, while others require a prescription. 

Antifungals available for intravaginal treatment of vaginal candidiasis include: 

• Butoconazole (Femstat, Gynazole-1)

• Clotrimazole (Gyne-Lotrimin, Mycelex)

• Miconazole (Monistat)

• Terconazole (Terazol)

• Tioconazole (Vagistat-1)

An oral antifungal drug, fluconazole (Diflucan), can also be used to treat vaginal candidiasis.

In addition to following your health care provider’s instructions and taking all medications as prescribed, you can help control your symptoms by: 

• Avoiding douching, which can rinse out vaginal treatments and disrupt the balance of organisms in the vagina

• Avoiding irritants, such as feminine hygiene sprays, perfumes, powders and soaps

• Keeping your genital area dry and clean

• Sitting in a warm bath to relieve your symptoms

• Using pads instead of tampons

• Wearing loose-fitting, airy clothes to allow air circulation and reduce irritation

sebenarnya ika agak terkejut dengan result tu..walaupun mmg dh lama ada very little amount of whitish dicharge..tp ika xrasa la mcm kena jangkitan..sbb org ckp keputihan tu normal bg preggy women..since it is odorless, xde btukar kaler jd kekuningan atau hijau..not feeling itchy, pain during urination and no redness..so ika assume semuanya normal tp bila Dr ckp ada infection, mmg ika risau..Dr bg ubat jenis suppositories - clorimazole (insert into vagina-huhuhu..ngeri)..walaupun kat culture tu cuma light growth..takut la jd serius nanti kan..ika pakai gak la ubat ni..lgpun ika ada baca fungus ni boleh menjangkiti baby masa proses kelahiran..huhu..xmau...

 ni la ghupe ubat tue..huhu..ngeri...

pastu scan..Dr ckp baby in breech posn..tp xpe, awal lg baby boleh pusing..(ni pun risau gak)..kawan2 pejabat dok suruh pergi urut..sementara masih awal lg..nanti baby besar dh xleh bt apa...my mom pulak advise jgn urut..lg bahaya kalo urut..me myself rasa takut nak urut sebenarnya..nk bg baby pusing naturally..pendapat korang mcm mana??and Dr kata since kes ika dah classified *inderterminate APH..so dia ckp not to allow post dates..maknanya, sampai due je kalau xbersalin lg kena induce..huhu...ooh..i'm going to deliver not later then my EDD..10 jan 2011...hmm..next appoinment lg sebulan 19 Dis 2011. buku merah pun dah jd tebal..

* APH - Antepartum haemorrage = Bleeding from the genital tract in pregnancy before the onset of labour at gestations of 24 weeks or beyond. Indeterminate APH ~ is when the cause of bleeding is not clear or unidentified.