Tuesday, February 19, 2013

Alesya's Progress : Bengkak Buah Pinggang (Anatomy Abnormal)

Asm. kawan2...

Kali ni aku nak update result Alesya (14 Feb 2013).

Resultnya agak mengecewakan.  Fungsi buah pinggang Alesya ialah 20-80%.  Maknanya buah pinggang belah kanan dia memang out.  Buah pinggang sepatutnya berfungsi dengan balance.

Aku refer perkara ni dekat Dr. Hari, pakar Uronology kt PPUM.  Dia tunjuk result Alesya from first ultrasound, MCUG test dan juga DMSA test.  Kesemuanya merujuk kepada buah pingang dia memang problem since born, since dalam perut and bukan pada masa kat luar pun.  Masa dalam perut, ultrasound tunjuk mild swelling (bengkak sikit jer), tapi bila scan after postnatal, 2 minggu lepas lahir, result menunjukkan bengkak dia moderate (maknanya lagi besar lah).

Rupa buah pinggang Alesya antara belah kanan n kiri sangat kontra which is buah pinggang kiri, isinya agak penuh.  Tapi buah pinggang kanan penuh air and isi sangat2 sikit/nipis.

Therefore, Dr. kata Alesya berhadapan dengan Anatomy Abnormal.  Apa itu Anatomy Abnormal?  Ni aku ada google sket and the results are:

1. Abnormal Anatomy, pertains on the structure of the body or a certain part of the body. So when we say abnormal anatomy, that part did not conform to the normal appearance of what it should look like. The abnormality may be on its gross appearance or abnormality in its microscopic make-up (histology). 
2. means just that, that you are anatomically abnormal, or in layman's terms, that you have a missing or incorrect part of your body. That was probably said in reference to the gallbladder removal, meaning that with it gone you now do not have all of your body parts intact.
Dulu Dr kata kalau fungsi buah pinggang tak balance, solution dia maybe come out with operation utk betulkan salur urethra to reduce the reflux.

Tapi lepas dapat keputusan ari tu, Dr xnak proceed dengan cara tu. Since Alesya pun kecik lagi.  So cadangannya, Icha cont makan antibiotik for next 3 months, kendian buat ultrasound, if everything ok, mkn antibiotik and scan balik after 3 months.  Pastu buat DMSA test balik.  By right, DMSA test ni utk kes biasa, akan dibuat dalam tempoh setahun or dua tahun sekali.  But utk kes Icha, 6 bulan sekali becoz of keputusan DMSA awal tadi.

Benda ni akan berpanjangan.  We are hoping that it can be cured itself.  Dr pun ckp mcm tu.  Maybe bila Icha dah toilet train, reflux tu akan hilang because masa tu dah takde tekanan bila Icha nak pee pee.  Meaning, tekanan oleh pundi kencing masa nak kencing, tapi kt bawah nun akan flow ok sbb dah toilet train.  Jadi bila xde pressure kt bawah tu, reflux pun akan kurang, and bengkak buah pinggang pun boleh hilang.

If by 5-6 yrs belum hilang, Dr. akan buat next step which is deflux injection.  What is deflux injection?  Sila Klik Sini Ini utk avoid problem kat salur peranakan dia in the future coz pompuan sgt mudah expose to urine infection esp bila dah kawin.  But successful rate is onlyl 70%.

So far, Icha nampak OK.  I'll just follow the advise from the experties.  Apa yang penting, aku kena elakkan Icha dari kena jangkitan kuman and in order to avoid that, she can't miss her antibiotic. Antibiotik tu nama dia Bactrim.  It's a must for her and aku sangat particular pasal ni sejak Icha kena jangkitan kuman after MCUG test that day.

Next scan ialah pada 27 Feb 2013. Result by 07 March 2013. Will update you soon. 

Ni la Icha masa kat wad ari tu...

layan FB ngan abah

otw to PPUM on 30th Jan 2013

There she is on 2nd Feb 2013. My little angel..amuahh..




2 comments:

Angah said...

nanti try rawatan alternatif pulak, macam pusat rawatan islam ke....

Mazni said...

OK gak tu Kak Ina...

P/S: Jgn muak plak tgk entry ni..sbb sy share psl kes ni ngan mommy yg ada same kes ;o)