Astagfirullah.. Ampunkan dosa2 kami, berkati kami YA ALLAH :)

Tuesday 29 January 2013

BUSY

Assalamualaikum
minggu ini dan sejak minggu lepas tersangatlah busy sampai tidak sempat untuk meng-update apa-apa di blog ini..cian blog..
minggu lepas sibuk dengan atlit rumah neptune sebab jd ketua rumah sukan, minggu ni sibuk latih atlit utk ke peringkat daerah plak. latih untuk lompat tinggi plak tu..sudah la tiada ilmu apa pun tentang lompat tinggi ni..semoga dpermudahkan
Minggu lepas jg husband sakit..cian dia kena makan ubat antibiotik pastu kena jarum antibiotik lg. Kena tonsil yang agak teruk. Jangan lah berulang lagi.. bulan disember tahun lepas sudah kena..sebulan pastu kena plak lg. Ya Allah beri lah kesihatan kepada kami suami isteri.

Hari ini sudah lewat period sehari. Sepatutnya sudah boleh cek UPT, tp Ummi tiada kekuatan untuk cek lagi.. sudah banyak UPT sebelum ini(bulan2 lepas) yang menunjukkan keputusan yang...
Kali ini Ummi biar dulu beberapa hari.. mana la tau xlama lagi period tu datang.. Ummi berserah pada Allah, semoga Allah beri jalan dan izinkan Ummi untuk mengandung..

Ummi dpt rasa mcm cramp2 perut juga mcm mau period..tapi the uncomfortable feeling come and go. Sekejap-sekejap sahaja sebab lama-lama pastu nanti mesti buang angin.

Ummi terkejut td bila buang air kecil di tandas..Ummi perasan ada mcm egg white yang ala-ala seperti ovulasi..tapi xkan la Ummi baru mahu berovulasi..huhu..Ummi pun confuse.. egg white yang panjang,stretchy.

Ummi juga dapat surat dari Jabatan keselamatan. Ummi agak terkejut sebab Ummi mati-mati ingat Ummi belum isi..dan masih berusaha untuk mengisi..cuma kesuntukan masa sebab tu xdpt isi.
Tapi tadi di sekolah kerani bagi Ummi surat tu.. Ummi terus bagi dengan kerani yang uruskan pengesahan jawatan supaya dia boleh urus secepat mungkin. Syuykur Alhamdulillah kerana Allah membantu urusan Ummi:) dan terima kasih suami.. atas doa2 suami utk memudahkan urusan kita:)















Sunday 13 January 2013

How Clomid works in the body (brain)

This one is a little medical, but I think I can get everyone through it just fine. I'll start by saying both do the same thing, they both stimulate ovulation, but each does it in it's own way. Both are pills, both can work great in women who are anovulatory, both work only fairly well for regularly menstruating infertile women.

Let's go over Clomid first. The generic name of Clomid is clomiphene citrate. It also goes by Serophene. Clomid is a drug that has been around since the 60’s. In the lab it was discovered that this compound blocks estrogen. This does not sound like a good fertility drug if it’s blocking estrogen. In fact the developers thought that since it blocks estrogen , it may be a good contraceptive. Well it had the opposite effect. Why? After swallowing Clomid, it gets taken through the blood stream to all parts of the body, including the brain. The brain is important because that is where all of the control of ovulation starts. Normal ovulation can not happen without signals from the brain and pituitary gland. When Clomid, the "anti-estrogen", gets to the brain, things start happening.

More about this in a moment, first a bit about how estrogen works. Estrogen, like all hormones, exerts its influence by landing on a receptor. A receptor is a protein either on the surface or inside the cell that recognizes a hormone and binds to the hormone. It is the receptor/hormone combination that then causes the cell to do what the hormone says to do. For example, after estrogen binds to the estrogen receptor the combined hormone/receptor can get the cervical cells make mucus for example. It's very much like a lock and key. The estrogen is a key that only works in the estrogen lock (the estrogen receptor). Other hormones, like progesterone and testosterone, float around and then only bind with their receptors. Like a key, different hormones have slightly different shapes, and the receptors will only connect with a hormone if the hormone has the right shape.

OK, back to Clomid and the brain. When Clomid gets to the brain, because the Clomid molecule has a similar shape as the estrogen molecule, Clomid binds to the estrogen receptor. But because the shape of the Clomid molecule is not exactly the same as the estrogen molecule , the estrogen receptor Clomid combination is faulty, and can not signal the cell to do anything. Elsewhere in the body, the cervical cells will not make mucus. for example. The Clomid takes up all of the available places on the receptor so that the estrogen has nowhere to land, thus the actions of estrogen are blocked.

No estrogen, that is what the brain thinks. The brain says, “Hey, what happened, who turned off the estrogen?” So the brain tries to make more. Estrogen only comes from the ovary, with a few small exceptions, so the only way for the body to get estrogen is to stimulate the ovaries to start ovulating. This is accomplished by the brain stimulating the pituitary gland to put out bursts of FSH, which then travels through the blood stream to the ovaries and gets ovulation going. For most women, this estrogen block is not 100%. Its enough of a block to get ovulation going, but usually the Clomid can spare complete havoc the endometrium (uterine lining) and cervical mucus. In some women, but a small percentage, there is complete havoc; the cervical mucus completely dries up (overcome by insemination) and the uterine lining becomes too thin (can not be overcome).

This is why some doctors give estrogen and Clomid at the same time. It is believed that the Clomid will get the ovulation started and the given estrogen will counteract the Clomid in the uterus and cervix. I have not had much success with this method. I have found that if the Clomid creates havoc, adding estrogen does not help.

Clomid works wonders for women who have irregular cycles, Clomid allow for more frequent, predictable ovulation, and this ups the odds of conception. Women with PCO are excellent candidates for Clomid because they have irregular cycles, which could be anywhere from every 35 days to every 6 months to never. Women who have irregular cycles but are not exactly PCO also have excellent results with Clomid. Women who do not get their periods due to exercise, eating disorders or other types of women with “hypothalamic amenorrhea” usually do not respond to Clomid. This is because their brains do not respond to the Clomid because the brain knows that if there is severe stress or no food coming in, it’s not a good time to get pregnant, so even clomid will not work.

We ask women to take Clomid (and letrozol) early in the cycle because we want to give the boost in FSH early so that maybe we can coax the ovary to make more than one egg that month. FSH rises from Clomid, and it's the FSH that really does all of the work to initiate ovulation. In women who get periods every 4 months, it really does not matter if Clomid is given days 5, 10 20 or 30. We would prefer if you were not pregnant when taking Clomid (although it happens and probably not a problem), that’s why we wither give Provera to bring on a period or do a pregnancy test before you start. So that’s a little about Clomid. It works by blocking estrogen from it’s receptor. More to come next time.

Thanks for reading and please read disclaimer 5/17/06.

Dr. Licciardi

A little more about normal ovulation

Figuring out the right time is not that difficult, but there are a few important factors that must be taken into consideration. We need to first start with a brief review of what happens in the natural menstrual cycle, then it will be easier to understand how the IVF cycle works. There are 3 important elements: the growing follicle’s schedule, estrogen levels, and the size of the follicle at ovulation.

Just a reminder: the follicle is the fluid-filled cyst that houses the egg. Each follicle has one egg. We can't see the egg on ultrasound because it's microscopic. But we can see the follicle.

The Growing Follicle’s Schedule: By the 2-3rd day of bleeding, the previous month’s follicle has disappeared and the new one, which has already been chosen, has not started to grow much. On ultrasound you may see it, but you may also see other small ones that look the same. It’s the FSH coming from the pituitary gland (the pituitary will be a blog to come) which causes the little follicle to start and continue to grow.

As the next week goes by, the chosen (or dominant) follicle gets bigger and bigger, until it ovulates somewhere usually between days 11 and 20, most often close to day 14. It’s pretty rare to ovulate before day 11, but not so rare to ovulate later. The day of ovulation is related when the follicle starts to grow, and the cycle length gives us a hint as to when this was. It takes about 2 weeks for the follicle to grow from tiny to big. That means for a 28 day cycle, the follicle grows till ovulation, usually day 14.

What if the cycles are, say, 35 days? Well it still takes the 2 weeks to grow, it just starts later. So for a 35 day cycle the early follicle sleeps for about a week, then wakes up and starts growing day 7 and ovulates day 21. We don’t know what causes these differences.

What if the cycle is 24 days? In this case the follicle probably takes less than 2 weeks to grow, so 2 weeks is not mandatory. Again, the reason for these differences are unknown.


Estrogen Levels: As the follicle grows, it makes more and more estrogen, so the blood levels of estrogen rise each day. The estrogen is not coming from the egg, it comes from the tons of little ovarian cells (the granulosa cells) that surround the egg. The estrogen is probably not important for the egg, but one of estrogen’s very important jobs is to thicken up the lining of the uterus.

Estrogen’s second job is to cause the ovulation. The pituitary gland is constantly monitoring the estrogen levels, and when they get high enough, the pituitary dumps out LH (this is what your home ovulation kit reads) and this is what causes the egg to pop out.

There is not an exact estrogen level that causes the ovulation. Most of the time it’s anywhere from 150 to 350. Why there is a difference we do not know, it may be that there are other unknown hormones that work with the estrogen to get the job done.

Follicle Size: The size of the follicle is important too. Most ovulations occur with a follicle that is 20-25 mm(about one inch), but 16 mm is close to the bare minimum and 30 mm is close to the top size.

Next time we will talk about the timing of ovulation in an IVF cycle.

Thanks for reading,

Dr. Licciardi

Wednesday 9 January 2013

Guys..Regretting later is too late


Kurniakan..

YA ALLAH

telah timbul perasaan benciku kepada suami ku, perasaan menyesal untuk memilihnya, kerana dia tidak memahami apa yang aku rasa..

YA ALLAH

ampunkan dosaku,aku tahu aku tidak boleh merasa sebegini, jadikan aku isteri yang baik, kurniakan aku suami yang baik..yang memahami aku,yang menyokong aku, yang menyayangi aku,
Kurniakan juga aku dari suamiku yang baik ini zuriat hasil kasih sayang kami..

Ampunkan dosaku ya Allah. Kurniakan aku suami yang baik dan zuriat keturunan yang baik..Amin yarabbal alamin

Im tired and feel hopeless to stand alone for myself.

as title above, please dont make me stress!

Saya sudah cukup stress dengan the fact that im still not pregnant
the fact that everyone else has their own good news, while im still waiting
the fact that everyone else keep asking have u conceived??

Sebab tu saya berusaha untuk minta nasihat DOKTOR PAKAR though the cost is high
Sebab tu saya sanggup makan apa-apa saja ubat yang doktor bagi walaupun saya sedar kesan-kesan dia.

Sebab tu saya sanggup buat APA SAHAJA untuk saya dapat preggy
Tolong jangan sia-siakan usaha saya..
Saya perlukan orang untuk sokong usaha saya..terutamanya SUAMI sendiri
Siapa lagi yang boleh bantu untuk saya pregnant kalau bukan suami saya?
Tolong FAHAM, BELAJAR dan TAMBAH ILMU pasal ilmu pregnancy
Saya sudah penat berusaha sendiri-sendiri

EGO and your JOB does not make a baby
LOVE, CARE, UNDERSTANDING..that's what make a baby
Regretting later is too late.

You want me to have baby from your gene, but you keep on giving reasons. So how can I conceived yours?

You should also aware that Stress is not good for me, really NOT GOOD! my medical history has shown how stress has disturbing my cycle.
You should also aware im a sensitive woman, I wish i had anyone else to turn to when im cry, but you as my husband does not understand at all. If u cant understand me better, so who will?

Please understand, you are responsible for ur own wife, for my feeling, for my healthy.. How come you just let me consume/have anything without considering any bad effect later happen on me.

Just for you know, I think this is my last time to put effort on this pregnancy things. Im tired and feel hopeless to stand alone for myself.

Susu Kambing sebagai Minuman


Minuman susu yang paling digemari oleh Nabi Muhammad SAW ialah susu kambing. Susu Kambing adalah makanan semulajadi berkhasiat yang diperlukan untuk kesihatan badan seharian. Ianya sesuai untuk semua lapisan umur. Susu ini boleh diminum panas atau sejuk malah boleh dibuat dadih, ais krim, keju dan mentega. Pada masa sekarang industri kosmetik mengeluarkan berbagai produk berasaskan susu kambing seperti syampu, krim muka, sabun, pewangi dan juga krim pencukur.

MENGAPA SUSU KAMBING MENJADI PILIHAN?
Memelihara kambing merupakan sunnah nabi-nabi. Walaupun ada unta, mengapa para nabi ditarbiyahkan dengan mengembala kambing?

Sifat kambing yang suka berpecah dari kumpulan, memerlukan kesabaran kepada penternaknya. Begitulah para rasul yang sebahagian besar dari mereka adalah penternak kambing. Kalau dalam satu kumpulan kambing mesti ada seekor yang lari. Jadi, kesabaran pengembala teruji.

Kambing suka makan rumput. Tapi kambing tak suka makan dekat padang ragut yang disediakan untuknya. Kambing lebih suka makan tanaman jiran. Maknanya, memelihara kambing memerlukan pengawasan yang maksimum dari tuannya.
Nabi SAW meminum segelas susu panas sebelum tidur.

Menternak kambing mengajar rasa tawaduk. Para nabi tidak menternak unta walau[un ia lebih besar dan lebih bernilai berbanding kambing. 
Nabi SAW pernah menyebut, "Ternaklah kambing kerana padanya ada barakah atau keberkatan”.
Nabi SAW disusui oleh ibunya Saidatina Aminah. Kemudiaan diserahkan kepada Halamatus Saadiah sebagai ibu susunya yang kedua. Memang menjadi kebiasaan orang Arab menyerahkan anak-anak mereka kepada ibu-ibu di kampung yang baik akhlaknya.

Susu kambing boleh meningkatkan IQ dan EQ. Terdapat 40 antibodi dalam susu ibu bagi seorang ibu. Jika 2 orang ibu, maka anak itu akan mendapat 80 antibodi.
Susu kambing hampir sama kandungannya dengan susu ibu. Ia boleh menjadi susu alternatif jika ibu tidak dapat menyusui. Susu kambing boleh dijadikan sebagai supplement, tetapi BUKAN menggantikan susu ibu. Kadar lemak, protein dan air dalam susu kambing menyamai kadar lemak, protein dan air yang terdapat dalam susu ibu menjadikan susu kambing mudah dicerna dan menghasilkan susu awal ibu (ibu susu). Semua peringkat anak-anak, remaja dan orang dewasa dianjurkan meminum susu kambing.

Susu kambing juga kaya dengan enzim yang diperlukan oleh manusia. Bagi orang dewasa, susu kambing juga baik sebagai pelawas yang dapat mengelakkan penyakit undigestable food (sembelit). Ia mempunyai kalori yang tinggi. Ia juga dapat menguatkan tenaga lelaki dan perempuan.
Susu kambing tidak akan rosak walaupun dibekukan. Khasiatnya tidak akan hilang berbanding susu-susu ternakan lain seperti lembu. Susu kambing yang baru diperah tidak berbau hamis atau hanyir dan sangat sedap. Jika berbau hamis, masukkan sedikit halia atau daun palas supaya tidak berbau.

KEISTIMEWAAN SUSU KAMBING
Kaya dengan protin, enzim dan vitamin A. Mengandungi faktor anti-arthritis (inflamasi sendi) dan anti barah. Diperakui oleh pakar-pakar kesihatan bahawa susu kambing boleh mengubati demam kuning, penyakit kulit, gastrik, lelah (asma), insomnia dan ulcer. Ia mudah dihadam kerana zarah lemaknya lebih kecil.

KHASIAT SUSU KAMBING
Susu kambing paling berkesan dan lebih berkhasiat jika dibandingkan dengan susu lembu. Para penternak serta penggemar susu kambing bersepakat mengatakan susu kambing lebih banyak khasiatnya dalam menyembuh serta mencegah penyakit seperti
1. Penyakit demam kuning.
2. Penyakit lemah jantung.
3. Penyakit darah tinggi / pening-pening.
4. Penyakit sendi sendi dan buah pinggang.
5. Penyakit batuk kering.
6. Penyakit yang menyerang jantung,limpa dan hati.
7. Penyakit saraf yang dialami bila usia semakin lanjut.
8. Cukup bermanfaat bagi mereka mereka yang mengalami lemah tenaga batin.
9. Sesuai diminum di waktu pagi dan malam sebelum tidur.
Lagi mengenai kambing di sini