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ILMU PERUBATAN MUDAH: Ovarian cyst; macam mana nak manage

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Post time 11-2-2016 06:35 PM | Show all posts |Read mode
Edited by ipes2 at 6-8-2017 12:48 PM

Jadi, apakah yang patut di buat dengan cysts ini semua?

  • Tiada apa apa: jika radiologist yakin ianyahanya follicles yang besar sahaja
  • Tunggu: jika Folliclualr Cysts, maka akandiserap dalam up to 3 bulan (re-USS akan tunjuk cyst tadi dah taka da lagi);jika Copus Luteal Cyst, maka dalam 6 minggu gitu, juga akan diserap dan re-USSakan confirm
  • Jika USS tunjuk ada septa (bilik bilik dalamcyst tu, ie multicystic), kena lah buat CA-125 dan follow up dengan serial USS
  • Jika tak hilang selepas 1) dan 2) dan size nya>5cm, serial CA-125
  • 5) jika pre-menopausal dan cyst <8cm dan CA 125normal aje, maka re-USS dalam 3 bulan gitu is acceptable
  • Jika multicystic, >5cm, re-USS dalam 16-18minggu, tengok hilang ke tak; if not, tak salah jika buat CA-125
  • Jika cysts tadi complex (multicystic, ada sikitsikit solid), maka elok buat MRI utk tgk betul betul
  • Jika mana mana cyst ada risk utk malignant egCA-125 tinggi, size >5cm, sangat penting untuk radiologist, Gynaecologist,Surgeon dan Radiologist untuk buat conference dan bincang apa untuk dibuatdengan cysts tadi


Yang ini perlu di operate:symptomatic walaupun tak besar,  besardan complex, CA125 tinggi, ada risk untuk terpulas (torsion), jika USS tunjuk gigi, calcium bits (Dermoid Cyst)

Lain lain, jika PCOS, ambil ubatMetformin dan maybe dianette etc (Gynae/Endo akan bincang dgn pesakit)


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Post time 19-2-2016 08:24 AM | Show all posts
Awak ada thread d sebelah?
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 Author| Post time 19-2-2016 04:49 PM | Show all posts

No I dont.
There is a similar thread but it is non-medical in its approach, so i will let go.

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Post time 8-9-2016 03:22 PM | Show all posts
org yg ader cyst nih boleh pregnant ke? my friend got pregnant once, then 1st time detected having cyst.. then the cyst membesar lebih drpd the fetus sampai dia keguguran n operate buang cyst. 3yrs after that she got another cyst.. operate lagi. she considers herself no hope for having own baby. kesian... anything to help?
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 Author| Post time 9-9-2016 03:39 AM | Show all posts
ira79 replied at 8-9-2016 03:22 PM
org yg ader cyst nih boleh pregnant ke? my friend got pregnant once, then 1st time detected having c ...

yes this can happen; tapi sampai jadi Recurrent Abortion (awas, kami panggil miscarriage itu Abortion, so, harap kwn awak jgn terasa; miscarriage adalah bahasa pasar, Abortion adalah bahsa medical nya). Common je ovarian cyst terbentuk semasa pregnant. research menunjukkan ianya 1 in 1000 pregnancies. biasanya in second trimester; mostly less than 5cm; tapi kalau more than 10cm kena la monitor dan treat.
masaalah dgn ovarian cyst semasa pregnant ialah ianya boleh tersilap diagnose.. padahal org tu ada ectopic pregnancy, tetapi doctors ingat ovarian cyst aje.. padah la jawapannya.

masalah lain dgn ovarian cyst semasa pregnancy ni ialah bila ianya gets twisted atau ruptured. padah jugalah
tapi rasanya sgt jarang sampai cause Recurrent Abortion mcm kes kawan u ni.
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Post time 9-9-2016 09:39 AM | Show all posts
actually my friend ckp dia kena endometriosis. pastu lps kawin positive pregnant.. masa gi scan doctor ckp ader cyst skali (1st time dia tau dia ader cyst). then monitor the pregnancy.. somehow the baby xmembesar but cyst membesar doctor suruh operate. baby dah xde.. operate kat HUKM, the cyst was around 3inch diameter.
lpstu dia kena pantang mcm2.. no soy, etc.. tapi dia start makan collagen kekonon nak putihkan kulit. after around 3yrs detected ader cyst lagi. operate kat KPJ for a cyst around 4inch diameter.

eversince the 1st pregnancy dulu, sampai skrg dah 8yrs plus tak pregnant pun. tataula either they are afraid ke apa.. its somehow makes their marriage dull. my friend selalu nanges je rasa bersalah, etc.

I dunno if she is taking any medication.. sbb dia ckp doctor just suruh pantang makan dan selalu cek tekan kat bhg bawah pusat kalau ader keras tu mungkin ader cyst baru.

any advice from u?
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 Author| Post time 11-9-2016 11:27 PM | Show all posts
ira79 replied at 9-9-2016 09:39 AM
actually my friend ckp dia kena endometriosis. pastu lps kawin positive pregnant.. masa gi scan doct ...

oh, endometriosis memang boleh reduce fertility and cause problems with pregnancy.
really, ini semua bergantung kepada kawan you lah.
if she wants to try, then she should.
if she doesnt want to try to be pregnant anymore, then she shouldnt.
apa yg dia patut tahu ialah dia perlu buat keputusan soon; a woman has a biological clock when it comes to reproducing
cakap la terang terang tentang ini.
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Post time 15-9-2016 01:17 PM | Show all posts
Could you recommend the steps for me to propose for "cheaper solution" to my friend? I don't really know the way around in gomen clinic or spital. Where to go first?

seems like potentially kena monitor with medication je.. if I propose private, semput la mereka. private hospitals is quite pricey nowadays.
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 Author| Post time 7-11-2016 07:17 PM | Show all posts
ira79 replied at 15-9-2016 01:17 PM
Could you recommend the steps for me to propose for "cheaper solution" to my friend? I don't really  ...

i tgh delete old spammers nyer posts and came across you posting ni.. sorry i overlooked it! maybe sebab notif masa tu was fo the 2 spammers yg kena banhammers kat sini!

mula mula sklai dia kena try to gt pregnant thu usual way. jika tak dapat, i am really sure ini semua ada kaitan dgn endometriosis dia. then that endometriosis tu kena lah dimanage oleh gynae sbb they can find ways to improve fertility
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Post time 12-4-2017 12:05 PM | Show all posts
salam doktor sy nk tanya pendpt doktor...last year sy operate sbb endometriosis...3 bulan pertama lps operate sy ambil suntikan lucrin...lps tu sy ambil vissane selama 10bln...n skrg sy ambil yaz baru dlm seminggu...dr lps operate sehingga hr ni 4 kali je sy dtg period...

semasa sy ambik vissane hampir setiap bulan sy demam...mood sgt2 tdk stabil...berat bdn naik & slalu rs sengal2 sluruh bdn...sy dh consult dgn doktr katanye ini adalah kesan pengambilan vissane..

slepas bincang dgn doktr...doktr suggestkn tukar pd yaz...katanye pil ni tdk akan membuatkan mood sy tdk stabil & rasa sengal2 akan hilang.....problem sy skrg...2 hr pertama ok je...lps tu rasa sengal seluruh bdn makin kerap lg kerap dr sy ambil vissane dlu...pinggang pun rs sakit..slalu rasa mual...selera mkn pun makin kurang...sy cuba google kesan pengambilan yaz..xde plak yg alami ape yg sy alami..yg ada hanya mual & makin kurus...apa pendpt doktr dgn yg apa yg sy alami ni?

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 Author| Post time 12-4-2017 09:46 PM | Show all posts
mawar_mustika replied at 12-4-2017 12:05 PM
salam doktor sy nk tanya pendpt doktor...last year sy operate sbb endometriosis...3 bulan pertama lp ...

Waalaikumussalam Mawar.

Jika tidak berminat, Mawar skip this paragraph OK? ..dan terus ke paragraph kedua, sebab paragraph ni ianya sedikit teknikal..kot ada org yg berminat nak tahu meds dia apa. Lucrin: ni ialah blocker kepada LH dan FSH yg dtg dari brain tu (tgk graph kat atas); bila kita block FSH dan LH, maka ovary pon tak lah buat Oestradiol (E2) lagi..(jika lelaki, testes nye tak la buat Testosterone lagi, jadi, bagi lelaki, sgt berguna dlm prostate cancer).  Bila wanita dah kurang E2, dia dapat la hot flushes, lacking sex drive, vaginal dryness..alah macam ras menopause la (menopause ni u takde lagi E2). Vissane mengandungi Dienogest, iaitu sejenis progestin; ia menurangkan effect E2 kat endometrium (lining uterus tu). Jika E2 dah tak berapa ada kesan pada endometrium, maka sesapa yg ada endometriosis tu, pain dia kurang lah sikit. Yaz ni straight-forward je..OCP je ni..ia ada drospirenone dan Ethinyl E2; ia buat ovary susah nak ovulate. Also, drospirenone dlm dia tu bleh kurangkan mood problems masa periods dan boleh kurangkan acne).

Berkenaan dgn effects yg awak rasa tu, byk darinya ialah known side-effects meds tu. Mual, rasa uncomforatble etc. Pegi ke sini ''https://www.drugs.com/yaz.html '' dan scroll down to side effects. Tetapi yaz sepatutnya menstabilkan mood u; u mmg tak boleh thn ek dgn Vissane tu. If so, sy tak sure apa yg doc awak boleh compromise eg try jugak vissane dan tahan je rasa.

Are u still on Lucrin injection? if so, ''demam-demam'' tu, mungkinkah hot flushes dari Lucrin? Yaz sgt bagus dan byk diguna dlm hal hal mood problems ni
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Post time 17-4-2017 12:52 PM | Show all posts
memang tak blh tahan dgn vissane tu huhu....kerja sy memerlukan sy sentiasa deal dgn orang...so kadang2 bila mood tak elok pg tu...satu hari suntuk tak akan elok...sy pernah termarah client tanpa sebab last2 kene ngadap bos huhu...n sy pernah baru je baik demam...dtg office ade office mate yg demam....keesokannya sy demam blk... sbb tu bila dah discuss dgn doktr, doktr suggestkan tukar pd yaz...kadang2 sy terpikir adakah vissane tu menyebabkan sy punya antibody lemah?

lucrin sy ambil 3 bulan pertama lps operate je...lps tu stop n sambung dgn vissane...

bila ambil yaz mual tu blh tahan lagi..tp bila sakit sengal2 satu badan tu yg tak tahan...n slalu rasa mencucuk2 di bahagian pinggang...tp 2 hari ni dah ok dah sikit...kurang dah sengal2...
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Post time 25-4-2017 04:42 PM From the mobile phone | Show all posts
nice info..mmg perlu ambil tahu psl nie..at least u know what to do next time if happen ...
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 Author| Post time 7-5-2017 06:48 PM | Show all posts
mawar_mustika replied at 17-4-2017 12:52 PM
memang tak blh tahan dgn vissane tu huhu....kerja sy memerlukan sy sentiasa deal dgn orang...so kada ...

from the things yg docs awak buat tu, rasanya dia mmg ada definitive plans tu.
they will follow u up nicely lah i rasa
i hope u will get some kind of improvement
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Post time 5-8-2017 11:48 PM From the mobile phone | Show all posts
Thanks info
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 Author| Post time 6-8-2017 12:06 AM | Show all posts
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Post time 11-8-2017 09:15 PM From the mobile phone | Show all posts
Hai dr @ipes2. Tq for sharing. Sy one of endosister & endofighter. Alhamdulillah. Berjaya conceive naturally after ttc for almost 4 years.

Hope kawan2 yg lain tak putus asa. Boleh jugak join grup endometriosis malaysia dekat fb. Tp stricly for women. Dr ipes tak boleh la nak join
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Post time 11-8-2017 09:15 PM From the mobile phone | Show all posts
Hai dr @ipes2. Tq for sharing. Sy one of endosister & endofighter. Alhamdulillah. Berjaya conceive naturally after ttc for almost 4 years.

Hope kawan2 yg lain tak putus asa. Boleh jugak join grup endometriosis malaysia dekat fb. Tp stricly for women. Dr ipes tak boleh la nak join
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 Author| Post time 11-8-2017 11:04 PM | Show all posts
ceri_pink replied at 11-8-2017 09:15 PM
Hai dr @ipes2. Tq for sharing. Sy one of endosister & endofighter. Alhamdulillah. Berjaya conceive n ...

no, sy setuju sy tak layak join myEndosis. we are happy for you , alhamdulillah.
SIL1 sy bertahun tak dapat, endomet dia siap op mahal mahal pun..then dia migrate ke uk dan tidak lagi mengharap apa apa tetiba dapat anak last year..hubby dia sket punya happy. SIL2 pulak keguguran hampir 11-12 kali..semasa tak lagi mengharap apa apa, dapat 2 girls!
Allah is the Doer.
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Post time 12-8-2017 01:17 PM From the mobile phone | Show all posts
ipes2 replied at 11-8-2017 11:04 PM
no, sy setuju sy tak layak join myEndosis. we are happy for you , alhamdulillah.
SIL1 sy  ...

Alamak Dr. Jangan kecik ati. Dr lelaki ke perempuan? Kalau perempuan, jom join us! Hehe.

Same situation dgn sy. Time tu memang tengah plan for ivf. Mula rasa redha. Mula tak berfikir soal anak. Ada, adalah. Yg penting, sihat alhamdulillah. Dan suami memang sumber kekuatan. Sentiasa positif.

Tup tup, that month period tak kunjung tiba. Buat upt, double line for the first time ever. Suami sampai amik EL terus ke pakar. Happy sampai tak tau nak describe mcm mana.

Happy for ur SIL jugak Dr. Memang bila kita dah redha, tak fikir soal anak (yg mungkin buat stress, hormon imbalance etc) insyaAllah mudah peluang untuk conceive.

Sy doakan semua pasangan yg mahukan zuriat, dipermudahkn segalanya. Allah jualah tempat kita memohon. Amin



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