Laparoscopy Treatment for Endometriosis

A procedure to look directly at the contents of a patient's abdomen or pelvis, including the fallopian tubes, ovaries, uterus, small bowel, large bowel, appendix, liver, and gallbladder. 

The procedure is usually done in the hospital or outpatient surgical center under general anesthesia (while the patient is unconscious and pain-free). However, very rarely, this procedure may also be done using local anesthesia, which numbs only the area affected by the surgery and allows you to stay awake. 

This surgery is performed by first inflating the abdomen with gas (usually carbon dioxide) through a small incision near the navel (helps to provide a better view inside the abdomen by pushing the abdominal wall and the bowel away from the organs in the pelvic cavity). 

A long thin instrument called a Laparoscope is then carefully inserted into the inflated abdominal cavity to inspect the abdomen and pelvis.

During surgery your body will be tilted slightly with the feet raised higher than the head (allows some of the abdominal organs to shift upward toward the chest and out of the way). 

Endometrial implants can be easily seen once these implants have reached a reasonable size. 

For an accurate diagnosis of Endometriosis, small biopsies should be obtained during laparoscopy. A biopsy (microscopic) is the removal of tiny tissue samples for examination under a microscope that will show that Endometriosis is evident.

Surgeon may go ahead and use further surgical techniques to treat endometrial implants during the first operation that has confirmed the diagnosis of Endometriosis (requires the need for a second small incision in the abdomen so that additional surgical instruments can be inserted). These instruments will be used to surgically treat endometrial implants in a variety of ways.

Surgeon will aim to remove endometrial implants, separate any adhesions, also drain and treat any large cysts.

A laparoscopy becomes a major surgery when treatment is included and your surgeon then uses other instruments to deal with the Endometriosis. This can include cutting or burning away cysts, cutting or burning adhesions, and treating any other complications caused by Endometriosis. 

Things to do/prepare before and after for recovery after surgery:

• Prepare food stocks. Home cook food. Outside food gluten-free only.
• Clean home (Do a day before surgery).
• Change the linen on bed (Do a day before surgery).
• Prepare supply of sanitary towels, pain killers, hot water bottle, some magazines, rent or borrow some videos to entertain.
• Wear loose fitting outfits. Don't wear anything tight, especially round the abdomen.
• Taking extra Vitamin C for about 2 weeks prior to the operation - will help your body deal with the anesthetic as well as help with healing.
• Homeopathic Remedies - Arnica 30c - use this to assist healing and relieve pain after surgery. 
• Phosphorus 6c - to relieve vomiting after anesthetic.
• Throat lozenges - to help with the sore throat caused by the tube which is put down the throat during the operation.
• Place the phone by the bed for easy reach.
• The day before: Eat light and healthy and drink lots of fluids. 
• Do not eat or drink anything for 8 hours before the test. 
• Clean out your bowel. If more severe Endometriosis is suspected, then a full bowel prep may be required. Preparing the bowel with a purging agent such as Magnesium Citrate is often followed by an oral antibiotic and enemas. While unpleasant, this procedure minimizes the risk of surgical complications from bowel injury during surgery.
• Pack a hospital bag including: warm, loose clothing to wear after the operation, wash-kit, phone book - should you need to contact someone, sanitary towels, a blank video - if you are having your procedure taped, something to read if have to wait around for turn in operation theatre, clean socks to keep your feet warm during surgery. Leave your wallet and valuables at home.
• Remove all nail polish, remove jewelery and contact lenses.
• Take a long warm bath the night before, drink some chamomile tea to aid restful sleep, and get a good nights sleep 

After test:

Will feel no pain during the procedure, although the surgical cuts may throb and be slightly painful afterward. Your doctor may prescribe medicine to relieve pain.

With local anesthesia, may feel a prick and a burning sensation when the local anesthetic is given. The laparoscope may cause pressure, but there should be no pain during the procedure. 

May also feel soreness at the site of the surgical cut. A pain reliever may be prescribed by your doctor.

Shoulder pain for a few days, because the gas used during the procedure can irritate the diaphragm, which shares some of the same nerves as the shoulder. 

Have an increased urge to urinate, since the gas can put pressure on the bladder.

Healing will be steady and gradual over the period of about 2 weeks before starting to feel somewhat normal again. 

Going back to work for a least a week, and this is only if a desk job. If any physical work - which most women with Endometriosis cannot anyway - need to consider having at least 3 weeks off work.  

Ovary Endometriosis @ Endometriotic Cyst

CA 125:

• It is a protein that is a so-called tumor marker which is a substance that is found in greater concentration in tumor cells than in other cells in the body. 
• CA stands for cancer antigen. 
• CA 125 protein is not currently understood.
• CA 125 normal value is less than 35 U/ml.
• CA 125 is usually measured from blood sample.
• Increased CA 125 level may occur in ovarian carcinoma. May also elevate in endometrail carcinoma and in colon, breast and lung carcinoma.
• It may also increase in benign gynaecological diseases, endometriosis, breast diseases, liver cirrhosis, pancreatitis and granulomatoses.
• Are suggestive but not diagnostic of cancer, and further investigations require.

Endometriosis:

• A female health disorder that occurs when cells from the lining of the womb (uterus) grow in other areas of the body.
• The cause of endometriosis is unknown.
• Can lead to pain, irregular bleeding, lower abdominal pain, diarrhea, constipation, low back pain, irregular or heavy menstrual bleeding or blood in the urine, and problems getting pregnant.
• Rare symptoms include (a) chest pain, coughing blood due to endometriosis in the lungs, (b) headache, seizures due to endometriosis in the brain.
• Other symptoms: painful periods, pain in the lower abdomen before and during menstruation, cramps for a week or two before menstruation and during menstruation (may be steady and range from dull to severe), pain during or following sexual intercourse, pain with bowel movements, pelvic or lower back pain that may occur at any time during the menstrual cycle.
• There may be no symptoms occur to some women. (ie: some women with a large number of tissue implants in their pelvis have no pain at all, while some women with milder disease have severe pain).
• Every month, a woman's ovaries produce hormones that tell the cells lining the uterus (womb) to swell and get thicker. The body removes these extra cells from the womb lining (endometrium) when period comes.
• If these cells implant and grow outside the uterus, endometriosis results. The growths are called endometrial tissue implants. The tissue implants outside the uterus stay in place when period comes, and ongoingly in a growing process upon period cycles.
• Endometriosis is common. Sometimes, it may run in the family. Typically diagnosed between ages 25-35. A woman who has a mother or sister with endometriosis is much more likely to develop endometriosis than other women.
• Endometriosis are most likely to develop if:
• period starts at a young age
• never had children
• frequent periods or period last 7 or more days
• closed hymen, which blocks the flow of menstrual blood during the period

• Detection ultrasound biliary tract & abdomen: Increase echoes in the ovary. Free fluid seen around the ovaries bilaterally. Further gynaecological require.
• Tests: Pelvic exam, transvaginal ultrasound, pelvic laparoscopy. 
• Treatment depends on factors such as age, severity of symptoms, severity of disease, and whether you want children in the future.
• If mild symptoms and do not ever want children, may choose to have regular exams every 6 to 12 months to make sure disease isn't getting worse.
• Other treatment, using hormone medications to stop the endometriosis from getting worse (Progesterone pills or injections causes side effects includes weight gain and depression. Gonadotropin-agonist medications such as nafarelin acetate and depo lupron to stop ovaries from producing estrogen and produce menopause-like state with side effects include hot flashes, vaginal dryness, and mood changes, and treatment limited to 6 months because can lead to bone density loss but can be extended up to 1 year in some cases.), or surgery to remove the areas of endometriosis or the entire uterus and ovaries (if severe pain does not get better with other treatments, and do not want to have children in the future. Symptoms may return if do not have both ovaries removed.). Having a hysterectomy or removing the ovaries does not guarantee that the endometriosis areas and/or the symptoms of endometriosis will not come back.
• Treatment to stop the endometriosis from getting worse often involves using birth control pills (estrogen and progesterone) continously for 6 to 9 months to stop from periods and create a pregnancy-like state (pseudopregnancy). Actual pregnancy can also stop the endometriosis.
• Symptoms can be manage by exercise and relaxation techniques, nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxen, acetaminophen, or prescription painkillers to relieve cramping and pain.

• The other way of fighting the endometriosis is to try getting pregnant. Once one are successfully pregnant and successfully keeping the pregnancy until the birth (as endometriosis may cause pregnancy lost), the success will be able to stop the endometriosis once and for all. *bestest way suggested by the specialists without any surgery or removal of the womb and ovaries*

Laptop / Notebook / Tablet that I am missing

Why all the laptop I wanted to buy has been terminated their productions?

Toshiba Libretto W100 Series

Dell The Inspiron Duo Tablet PC

Vaio P-Series.

Sony Tablet P

*pfftt*

Obviously I am not interested in iPad. Or normal notebook.
The size aren't that small to those mentioned above.
So, it is kind of, not worth at all to have others that doesn't have the ability and specifications like the ones I've selected.

Erti Nikah Gantung

Nikah gantung (atau dalam Bahasa Arab disebut Nikah Khitbah) sebenarnya bermaksud pernikahan di mana pasangan pengantin tidak duduk serumah dalam satu-satu tempoh yang ditetapkan hasil persetujuan bersama kedua-dua belah pihak. Tanggungjawab pemberian nafkah oleh suami kepada isteri juga diringankan dan boleh dilepaskan.

Dalam kata lain, majlis akad nikah diadakan terlebih dahulu tapi majlis kenduri kahwin (walimatul urus) diadakan kemudian. Penangguhan majlis kenduri kahwin tersebut boleh hingga menjangkau tempoh bertahun-tahun lamanya.

Akan tetapi rukun-rukun perkahwinan seperti biasa perlu diikuti iaitu perlu ada suami, isteri, wali, saksi dan akad (Ijab Qabul). Tidak ketinggalan juga maskahwin pun perlu dibayar. Untuk hantaran boleh ditanggunhkan dulu.

Sebab-sebab biasa nikah gantung ini dibuat adalah seperti:

Suami masih tidak mampu menyara sepenuhnya kos hidup isteri seperti rumah sewa, pakaian dan sebagainya.
Pasangan masih lagi menuntut dan masih belajar.
Belum bersedia memberi komitmen sepenuhnya dalam menunaikan tanggungjawab berumahtangga.
Setelah majlis akad nikah berlangsung, kedua-dua pasangan perlu tinggal secara berasingan sehingga benar-benar bersedia untuk memikul tanggungjawab sebagai suami dan isteri. Pada kebiasaannya pasangan ini akan tinggal di rumah ibubapa masing-masing.

Tujuan utama nikah gantung ini dilakukan ialah bagi mengelakkan berlakunya penzinaan dan kelahiran anak luar nikah. Setelah kedua-dua pasangan ini melalui nikah gantung, mereka boleh bertemu, berdating, dan bermesra. Malah jika melakukan seks pun hingga melahirkan anak ianya tidak salah dan tidak haram. Anak yang mereka lahirkan itu adalah sah hukumnya.

Walaupun mereka nikah gantung, mereka adalah pasangan suami-isteri yang sah di sisi agama Islam dan undang-undang Kerajaan Malaysia.

Dari sini anda dapat lihat bahawa kesucian institusi kekeluargaan itu dapat terus dipelahara. Si gadis yang hamil dalam tempoh nikah gantung tidak perlu berasa panik dan gerun oleh kerana anak yang dikandung adalah sah. Dengan ini kes-kes dan isu pembuangan bayi tidak akan berlaku.

Di sinilah anda boleh lihat bahawa ajaran Islam itu amatlah mudah dan mampu meringankan umatnya dalam menjalani kehidupan seharian.

Semoga dengan perkongsian ini memberi manfaat buat anda.