jom click!!

Sunday, March 29, 2009

tempayaki


me n fara bermulut itik.. hehe

ZARA excited
mamaku
en hubby, angah n little zara
angah sengal.. adeke dier ckp " ini cara2 nk stopkan toyol cine" huhu cess.. anakku yg jadi mangsa
abah ejek kitorang asik posing mulut itik.. huhu


ape ye nk makan mlm ni.. tanya mama.. huhu last2 semua kata oklah kite makan tempayaki kat jucso kt area umah je lah.. huhu so kami dgn sesempoi sempoinye pergi makan kt jusco..
erpp.. kenyang..



Saturday, March 28, 2009

Go Earth Hour!


its all about Glomal warming..

i have turned off my light all ... go earth hour!!!!! and we are in the DARK now.. huhu so do our neighbour... BLACK everywhere.. right.. left.. up and down..
but still...i dont think everyone here is a part of Earth Hour. :(.. how could they.. their lights is still on.. pity our earth..

Friday, March 27, 2009

Pleomorphic adenoma

Pleomorphic adenoma is a benign neoplastic tumor of the salivary glands. It is the most common type of salivary gland tumor and the most common tumor of the parotid gland. It derives its name from the architectural pleomorphism (variable appearance) seen by light microscopy. It is also known as "Mixed tumor, salivary gland type", which describes its pleomorphic appearance as opposed to its dual origin from epithelial and myoepithelial elements.

Clinical Presentation
The tumor is usually solitary and presents as a slow growing, painless, firm single nodular mass. Isolated nodules are generally outgrowths of the main nodule rather than a multinodular presentation. It is usually mobile unless found in the palate and can cause atrophy of the mandibular ramus when located in the parotid gland. When found in the parotid tail, it may present as an eversion of the ear lobe. Though it is classified as a benign tumor, pleomorphic adenomas have the capacity to grow to large proportions and may undergo malignant transformation, to form carcinoma ex pleiomorphic adenoma, a risk that increases with time. Although it is "benign" the tumor is aneuploid, it can recur after resection, it invades normal adjacent tissue and distant metastases have been reported after long (+10 years) time intervals.

[edit] Histology
Histologically, it is highly variable in appearance, even within individual tumors. Classically it is biphasic and is characterized by an admixture of polygonal epithelial and spindle-shaped myoepithelial elements in a variable background stroma that may be mucoid, myxoid, cartilaginous or hyaline. Epithelial elements may be arranged in duct-like structures, sheets, clumps and/or interlacing strands and consist of polygonal, spindle or stellate-shaped cells (hence pleiomorphism). Areas of squamous metaplasia and epithelial pearls may be present. The tumor is not enveloped, but it is surrounded by a fibrous pseudocapsule of varying thickness. The tumor extends through normal glandular parenchyma in the form of finger-like pseudopodia, but this is not a sign of malignant transformation.
The tumor often displays characteristic chromosomal translocations between chromosomes #3 and #8. This causes the PLAG gene to be juxtaposed to the gene for Beta-catenin. This activates the catenin pathway and leads to inappropriate cell division.

Diagnosis
The diagnosis of salivary gland tumors utilize both histopathological sampling and radiographic studies. Histopathological sampling procedures include fine needle aspiration (FNA) and core needle biopsy (bigger needle comparing to FNA). Both of these procedures can be done in an outpatient setting. Diagnostic imaging techniques for salivary gland tumors include ultrasound, computer tomography (CT) and magnetic resonance imaging (MRI).
Fine needle aspiration biopsy (FNA), operated in experienced hands, can determine whether the tumor is malignant in nature with sensitivity around 90%[1][2]. FNA can also distinguish primary salivary tumor from metastatic disease.
Core needle biopsy can also be done in outpatient setting. It is more invasive but is more accurate compared to FNA with diagnostic accuracy greater than 97%[3]. Furthermore, core needle biopsy allows more accurate histological typing of the tumor.
In terms of imaging studies, ultrasound can determine and characterize superficial parotid tumors. Certain types of salivary gland tumors have certain sonographic characteristics on ultrasound[4]. Ultrasound is also frequently used to guide FNA or core needle biopsy.
CT allows direct, bilateral visualization of the salivary gland tumor and provides information about overall dimension and tissue invasion. CT is excellent for demonstrating bony invasion. MRI provides superior soft tissue delineation such as perineural invasion when compared to CT only[5].

Treatment
Overall, the mainstay of the treatment for salivary gland tumor is surgical resection. Needle biopsy is highly recommended prior to surgery to confirm the diagnosis. More detailed surgical technique and the support for additional adjuvant radiotherapy depends on whether the tumor is malignant or benign.
Generally, benign tumors of the parotid gland are treated with superficial or total parotidectomy with the latter being the more commonly practiced due to high incidence of recurrence[6]. The facial nerve should be preserved whenever possible. The benign tumors of the submandibular gland is treated by simple excision with preservation of mandibular branch of the trigeminal nerve, the hypoglossal nerve, and the lingual nerve[7]. Similarly, other benign tumors of minor salivary glands are treated similarly.
Malignant salivary tumors usually require wide local resection of the primary tumor. However, if complete resection cannot be achieved, adjuvant radiotherapy should be added to improve local control[8][9]. This surgical treatment has many sequellae such as cranial nerve damage, Frey's syndrome , cosmetic problems, etc.

finally.... "Fine Needle Aspiration for Cytology Result"..

facial nerve

march 26th .. friday..3.oopm on the dot..i was sitting right infront of Doc Shahrir's room waiting for my name to be called... anxious.. worried.. and i'm sooo damn weak by this moment! ..... praying the result is not like wot doctor suspected.. well,miracles can happen sumtimes kan!
at last.. his assistant nurse Virmala called my name... and with this longlai step.. langkah demi langkah at last.. here i am.. he's sitting righ infront of me.. with his big smile.. then he start to talked.. "hasmyra.. sit down.. let me explain to you something"... he said... mama is with me.. so i look at mama n mama angguk n say.. dengar dulu ape doctor nak ckp...
Finally, doctor told me that.. this is not hochkin lymphoma..( thanks to GOD.. i did not suffer the cancer again.... he hear my prayers! Alhamdulillah).. but it known as "Benign Pleomorphic Adenoma" it is a salivary gland tumour and it need to be take out from my neck.. and theres only 1 way to do... is by surgery to remove the tumor..and it cost about RM9,000.00 just for the surgery.. Doctor also mention the risk of this surgery.. facial nerve might be totally injure during this surgery!!... I am physically and mentally torched!!.. so meaning kalau facial nerve rosak, my muka gona be senget forever.. or mata rosak.. or hidung x bleh bau... and if im not doing this surgery, the tumor will grow bigger and will blow up the nerve by it self!! YA ALLAH.. i still need help from YOU.. i need the miracles..


Thursday, March 26, 2009

kenduri kawen umah seblah.


kenduri kawen umah seblah.. syira & pasangannya.. sorry syira.. gambar u dlm camera lain =)
kami makan banyak gile kambing golek.. huhu.. best!




meniarap











ZARA dah pandai meniarap.. mula2 tu mcm susah je tgh dia berusaha keras nk memusingkan badan dia.. hehe.. tapi dalam seminggu ni ZARA dah berjaya meniarap tanpa dibantu.. BRAVO darling!! n now tengah prctice angkat2 bontot plak.. huhu tertongeng tongeng nk merangkak huhu.. keep it up sayang!!










Wednesday, March 25, 2009

CT scan & Biopsy

selepas biopsy

yesterday 2nd visit to kajang specialist.. x jadi pergi ngan abah sbb be amik emergy leave temakan aku.. so abah cakap takpelah.. kaklong pegi ngan ejan je dulu ape2 kang call abah.. s aku pun g ngan be.. jumpe Pakar ENT.. Dr shahir sanusi, doc chek then dia sro procedd ngan CT scan, mcm scan otak tu.. nak tengok dalam kepala n leher ade kelenjar lain lagi tak.. mase nak buat CT scan tu doc inject ubat bg badan kita transparent so bleh nampak clear kat dalam dalam.. ubat tu bila da masuk dlm badan kita rase mcm panas mengalir satu badan.. then lepas buat CT scan buat ultra sound.. lame gak aku ngan be tunggu result CT scan tu.. so lepas da dpt resut, jumpe doc shahir balik.. doc ckp kita kene proceed ngan biopsy nak amik smple tissue, so be nga n aku ckp k.. on je lah.. dalam setengah jam baru ubat bius tu kebas.. so doc pun mulakan procudure amik sample tissue dr leher aku.. x sakit tp rasa pedih.. lepas da siap rase mcm nk weng. kekeke..doc ckp dis friday baru bleh dapat result... hmmm hopefully semuanya akan ok..

" Ya Allah. lindungilah hambamu ini...

Monday, March 23, 2009

Hodgkin's Disease... aku?

arghh.. aku baru balik dr checkup si Kajang Specialist.. =( de sad thing is.. doc suspect cancer lama aku datang menyerang kembali.. tai buat setakat ni itu cuma suspect.. belum ada kesahihan sehingga aku buat biopsi.. iaitu minor operation untuk ambil sample tissue.. dan esok aku akan jalani minor operation tu ditemani abah untuk consultation dulu.. then br operate.. hurmm im so weak.. y all this must happent to me? n y only me? i faced it once.. n y it shoud attack me again??? Ya Allah.. panjangkan lah nyawaku.. sembuhkan lah aku dari segala penyakit.. aku ingin hidup bahagia disamping anak ku.. kuatkanlah aku Ya Allah.. tabahkan lah aku... jauhi aku dari segala bahaya malapetaka yg tak diingini... kepada kalian semua.. doakan kesihatan ku.. aminn


What is Hodgkin's disease?

Hodgkin's disease is one of a group of cancers called lymphomas. Lymphoma is a general term for cancers that develop in the lymphatic system. Hodgkin's disease, an uncommon lymphoma, accounts for less than 1 percent of all cases of cancer in this country. Other cancers of the lymphatic system are called non-Hodgkin's lymphomas. Non-Hodgkin's lymphomas are the subject of another NCI booklet, What You Need To Know About™ Non-Hodgkin's Lymphoma.
The lymphatic system is part of the body's immune system. It helps the body fight disease and infection. The lymphatic system includes a network of thin lymphatic vessels that branch, like blood vessels, into tissues throughout the body. Lymphatic vessels carry lymph, a colorless, watery fluid that contains infection-fighting cells called lymphocytes. Along this network of vessels are small organs called lymph nodes. Clusters of lymph nodes are found in the underarms, groin, neck, chest, and abdomen. Other parts of the lymphatic system are the spleen, thymus, tonsils, and bone marrow. Lymphatic tissue is also found in other parts of the body, including the stomach, intestines, and skin.
Cancer is a group of many related diseases that begin in cells, the body's basic unit of life. To understand Hodgkin's disease, it is helpful to know about normal cells and what happens when they become cancerous. The body is made up of many types of cells. Normally, cells grow and divide to produce more cells only when the body needs them. This orderly process helps keep the body healthy. Sometimes cells keep dividing when new cells are not needed, creating a mass of extra tissue. This mass is called a growth or tumor. Tumors can be either benign (not cancerous) or malignant (cancerous).
In Hodgkin's disease, cells in the lymphatic system become abnormal. They divide too rapidly and grow without any order or control. Because lymphatic tissue is present in many parts of the body, Hodgkin's disease can start almost anywhere. Hodgkin's disease may occur in a single lymph node, a group of lymph nodes, or, sometimes, in other parts of the lymphatic system such as the bone marrow and spleen. This type of cancer tends to spread in a fairly orderly way from one group of lymph nodes to the next group. For example, Hodgkin's disease that arises in the lymph nodes in the neck spreads first to the nodes above the collarbones, and then to the lymph nodes under the arms and within the chest. Eventually, it can spread to almost any other part of the body

Diagnosis and staging of Hodgkin's diseaseIf Hodgkin's disease is suspected, the doctor asks about the person's medical history and performs a physical exam to check general signs of health. The exam includes feeling to see if the lymph nodes in the neck, underarm, or groin are enlarged. The doctor may order blood tests.
The doctor may also order tests that produce pictures of the inside of the body. These may include:
X-rays: High-energy radiation used to take pictures of areas inside the body, such as the chest, bones, liver, and spleen.
CT (or CAT) scan: A series of detailed pictures of areas inside the body. The pictures are created by a computer linked to an x-ray machine.
MRI (magnetic resonance imaging): Detailed pictures of areas inside the body produced with a powerful magnet linked to a computer.
The diagnosis depends on a biopsy. A surgeon removes a sample of lymphatic tissue (part or all of a lymph node) so that a pathologist can examine it under a microscope to check for cancer cells. Other tissues may be sampled as well. The pathologist studies the tissue and checks for Reed-Sternberg cells, large abnormal cells that are usually found with Hodgkin's disease.
A patient who needs a biopsy may want to ask the doctor some of the following questions:
Why do I need to have a biopsy?
How long will the biopsy take? Will it hurt?
How soon will I know the results?
If I do have cancer, who will talk with me about treatment? When?
If the biopsy reveals Hodgkin's disease, the doctor needs to learn the stage, or extent, of the disease. Staging is a careful attempt to find out whether the cancer has spread and, if so, what parts of the body are affected. Treatment decisions depend on these findings.
The doctor considers the following to determine the stage of Hodgkin's disease:
The number and location of affected lymph nodes;
Whether the affected lymph nodes are on one or both sides of the diaphragm (the thin muscle under the lungs and heart that separates the chest from the abdomen); and
Whether the disease has spread to the bone marrow, spleen, or places outside the lymphatic system, such as the liver.
In staging, the doctor may use some of the same tests used for the diagnosis of Hodgkin's disease. Other staging procedures may include additional biopsies of lymph nodes, the liver, bone marrow, or other tissue. A bone marrow biopsy involves removing a sample of bone marrow through a needle inserted into the hip or another large bone. Rarely, an operation called a laparotomy may be performed. During this operation, a surgeon makes an incision through the wall of the abdomen and removes samples of tissue. A pathologist examines tissue samples under a microscope to check for cancer cells.

Sunday, March 22, 2009

my sleeping dolly

my sleeping dolly.. terlena seketika... lepas kene inject di siang hari.. shian baby.. by dis time baby asik rengek2 kecil sbb x sedap badan agaknya.. but Alhamdulillah, keesokan harinya baby dah sihat kembali.. syukur baby x demam.. heart you much BABY ZARA! mwah

Friday, March 20, 2009

ZARA's 3 month checkup

Alhamdulillah, yesterday went to clinic Jamilah for ZARA's 3 month checup. Doc suggest x payah ikot cara lama, terus ambik 5 in 1 injection. aku pun ok je dgn cadangan doc. ZARA's new weight : 6.3kg..

bravo zara!.. kesihatan yg amat bagus. lendir mase lahir pun dah x de.. dah pandai tarik semua barang yg dia dapat capai, dah pandai blaja meniarap, dah pandai asik nk bersembang, dah pandai cari orang yang panggil nama dia & dah pandai main sembur n main bubble ngan air liur dier, dah kenal orang.. hehe mesti zara nangis x pun buat muke cebek2 kalau org lain dukung dia.. hehe dan yang paling best, semua akan ckp zara tegap, badan dan kepala langsung x lembik x macam umur dia.. even kalau didirikan atas lantai , laju je kaki dia nak bertatih.. hehehe.. alhamdulillah.. berkat makan ginko & ginseng hari2.. zara jadi bijak,sihat dan kuat..

Doc bersuara.. sihatnya baby.. minum susu ibu ke? " ha'ah ,tapi dalam sehari ade la 2 , 3 kali bagi susu formula de rest susu badan.".. doc jawab" alhamdulillah.. patutpun sihat dan cergas baby ni.. active" jawab doc sambil tersenyum.. kalini pergi checkup ngan mama sbb en hubby keje..

Thursday, March 19, 2009

sebelum dan selepas



note: pesal kepala asik nk kene senget je ek.. huhuhu ;p

Wednesday, March 18, 2009

Apa kata anda ttg rambut saya? ;p



huhuhu.. ni semua gara2 rambut ku yang sedang active menggugurkan diri.. dah terase nak botak dah kepala ni.. so nak tak nak terpakse la potong rambut yg telah ku simpan sekian lama ni... dah la mmg jenis rambut liat nk panjang... bile dah panjang sket kene potong plak..tindakan drastik ni semua lepas aku dok googling n masuk susuibu.com nye forum semua dok cadangkan rambut pendek... so... dengan berat hatinya, keputusan diambil... dan akhirnya.. inilah hasilnya... rambutku sudah pendek! cian rambut ku... well dengan rambut pendek ni ade pro & contras nye...
+
*lepas shower pg tadi rambut x banyak sgt dah gugur dr sebelumnya
*zara dah x boleh tarik2 rambut mommy lagik sampai terbelit jari jemari kecilnya.. huhu
*mencepatkan mase memblow rambut.. :p
*terase lebih ringan
*tak pening kepala pikir.. " macane nk buat ye rambut harini".. huhuhu
-
*dah x boleh nk jadi ala ala ayu =(
*dah x boleh nk gayakan rambut mcm2 style
*penat tunggu rambut panjang...
so kesimpulannya.. + lebih banyak dari -...

Tuesday, March 17, 2009

Arghhh.. rambut gugr!

Rambut Gugur Selepas Bersalin

*Keguguran rambut adalah masalah biasa wanita selepas beberapa bulan bersalin. Kenapa ia terjadi dan bagaimana mengelakkannya?

Apa yang anda perlu ketahui:

*Keguguran rambut selepas bersalin adalah normal.
*Wanita mempunyai anggaran 100,000 helai rambut di atas kulit kepalanya.
*Purata 100 helai rambut gugur setiap hari.
*Pertambahan hormon estrogen semasa hamil menyebabkan rambut tumbuh dengan lebih banyak.
*Jadi semasa hamil, rambut anda biasanya lebih tebal dan lebih sihat.
*Selepas anda bersalin, paras hormon akan kembali normal.
*2-3 bulan selepas itu anda akan mengalami keguguran rambut yang agak teruk terutamanya *jika keturunan anda ada masalah botak. Teori orang-orang lama mengatakan bahawa keadaan *ini mula berlaku apabila anak mula menyemburkan air liurnya.
*Keadaan ini akan berterusan selama 3-6 bulan lagi dan mungkin sehingga 9 bulan.
*Ia tidak dipengaruhi oleh penyusuan susu ibu.
*Selepas ini pertumbuhan dan keadaan rambut akan kembali kepada keadaan sebelum anda hamil.

Untuk mengurangkannya:

* Ada ibu akan mula memotong rambut selepas ini kerana rambut yang pendek sedikit sebanyak dapat mengurangkan masalah keguguran rambut selain daripada mudah diurus.

* Rambut ibu yang panjang mungkin boleh membelit tangan, kaki atau lain-lain anggota badan bayi membuatkan bayi berasa sakit dan tidak selesa.

*Jangan lupa, teruskan ambil makanan yang sihat dengan protin dan zat besi secukupnya.

*Anda boleh meneruskan pengambilan vitamin pranatal anda.

*Gunakan sikat lembut dan sikat rambut dengan cermat untuk mengelakkan sikat menarik rambut dengan lebih banyak. Elakkan menyikat rambut semasa rambut basah.

*Elakkan membuat rawatan menggunakan bahan kimia seperti mengerinting, mewarnakan dan sebagainya sehingga rambut kembali normal.

*Bersabarlah, kerana keadaan ini hanya sementara sahaja.
Beritahu doktor anda jika keguguran rambut sangat serius terutamanya jika terdapat gejala lain.

Majlis Berendoi (cukur jambul & Akikah)









Aku memanjatkan kesyukuran ke hadrat Ilahi kerana Majis yang dirancang berjalan dengan selamat dan sempurna. Ramai kaum kerabat, sahabat handai, jiran tetangga datang bertandang ke Majlis cukur jambul & Akikah puteri kesayangan kami. tepat pukul 9.30am majlis bermula dengan bacaan surah yasin dan tahalil, kemudian bersambung dengan Doa selamat bg menandakan kesyukuran kami ZARA selamat dilahirkan kedunia, kemudian disambung pula dengan acara cukur jambul, jejak tanah dan berendoi.. mase berendoi sebak dadaku mendengar bait bait baris syair yang didendangkan antaranya " Ayuhai anakku paras gemilang, kepada ibumu hendaklah sayang, mendidik engkau bukanlah senang, tidur tak lena makan tak kenyang" dan panjang lagi.. kesemua acara tamat pada pukul 12.00pm. Tetamu mahaban dijamu bersama2 tetamu yang lain yang tak henti kunjung sampai la malam. Alhamdulillah.. syukur aku kepada Allah s.w.t... terima kasih kepada semua adik2ku.. kakak dan abag iparku, tok, auntie2 & uncle yang datang lebih awal dari hari majlis untuk menolong..hubby yg banyak buat keje.. dan terutama mama dan abah yang telah bertungkus lumus x tido malam dan memasak kari kambing yg amat sedap dan yang telah mensponsor kos kesemuanya (tidak termasuk kambing akikah.. tu kene le en hubby yg sponsor.. hehehe) .. pada awin time kasih kerana menjadi mak andam of de day n thanks to her hubby Poy.. sbb telah mensponsor dadih dengan buah laici diatasnye.. hehe.. Zillion thanks to all.. tanpa anda semua kemeriahan ini mungkin tidak dapat dikecapi..
semoga bila besar nanti ZARA akan imbau kembali kesemua acara melalui gambar gambar dan mommy hope ZARA tau yang kami semua sayangkan ZARA... kamu permata hati kami semua!
Amin...






Tuesday, March 10, 2009

at work

bored.. hypertension.. lotsa lotsa lotsa works.. huh..

naaaahh.. at last i can smile.. huhu


Pada hari cuti yang lepas

zara?.. girl? or boy? huhu
mommy mamam Hot peri2 chicken, zara mamam Enfalec A+.. huhu

lunchie at Nandos


di pavillion



Kami sayang each other!




my chenta yg kerek





my sayangs






my chenta buyat







me n my chenta








my chenta hati



kami pergi berjalan2.. hari pertama cuti, kami ke Pavillion. Hari kedua cuti kami ke Curve. Hari ketiga kami keliling Kl n kajang.. hahaha zara sgt penat!.. cian zara..






Little Fairy Princess Outdoor Photoshoot

Bibidi-bobidi-boo ♥