tag:blogger.com,1999:blog-4958259867954984442.post6932894035574775586..comments2024-03-02T11:07:00.859+08:00Comments on Selamat Datang ke Blog Dr. Azwan: STATUS ASTHMATICUS - Serangan Maut AsthmaDr Azwanhttp://www.blogger.com/profile/01228855453208620208noreply@blogger.comBlogger24125tag:blogger.com,1999:blog-4958259867954984442.post-65986191678608882422020-06-09T22:00:23.538+08:002020-06-09T22:00:23.538+08:00smoga sihat slalu ya....tq doc bagus sharing ni..b...smoga sihat slalu ya....tq doc bagus sharing ni..btw doc dh pakai penapis udara ??kat umah dah ade ke pasang cuckoo ?kalau belum sy bole bantu...nak pasang yg C model penapis udara tu bole sgt...sy uruskan pemasangan seluruh malaysia ...sabah srwak pun bole sbb order online je..dlm 48 jam ready dh utk staff dtg pasang.... penapis udara sgt bagus utk org ade asma tau..tapis kuman dn habuk tu....<br />Bila2 senang bolehlah layari fb sy https://www.facebook.com/pg/sue01116930576/posts/?ref=page_internal<br /><br /><br />semua promo cuckoo ade dlm tu...dan skrg cuckoo jugak offer sanitasi service tauu...boleh wsp sy 011-16930576.<br /><br />antara langkah pencegahan asma adalah make sure rumah ade penapis udara..yg ni byr bulanan 70 lebih saja tidakla mahai dn membebankan tp bermanfaat kan utk menapis habuk dn kuman di udara..semua client sy sgt suke sejak pakai filter c model ni sbb udara makin bersih dn anak pun sgt kurg asma dn selesema.....akak bole pm sy ya...Anonymoushttps://www.blogger.com/profile/01296733817302428383noreply@blogger.comtag:blogger.com,1999:blog-4958259867954984442.post-41196598979074026492018-02-23T12:14:11.337+08:002018-02-23T12:14:11.337+08:00Assalamualaikum doc .. sy ade asma dari kecik.tapi...Assalamualaikum doc .. sy ade asma dari kecik.tapi sekarang saya diserang asma setiap hari .. 1 hari sy akan diserang asma 7-8 kali sehari ..setiap kali diserang asma sy akan ambik ubat n nebulizer .. inhaler x dapat membantu saya asma sy ade berbunyi dan ada x berbunyi lagi dah .. rasa hujung nyawa bernafas .. sy tidur dalam keadaan duduk .. dalm tahun ni sy dag ambil 2 injection dari dr.pakar ashtma .. dr tu kata ubat ni tahan selama 1 tahun ..tapi ubat tu bertahan selama 1 minggu sahaja untuk saya .. dos kedua dr tambah dos ..sama jugak ..kali ketiga dr tu x bgi ambil injection lagi dah .. jadi setiap hari saya akan sesak nafas.. sy buat appointment dengan hospital kerajaan tapi bagi saya appmnt tu terlalu lama .. saya dah tahan sakit ni selama 2 tahun .. jadi ap perlu saya lakukan?Anonymoushttps://www.blogger.com/profile/10167783627783562138noreply@blogger.comtag:blogger.com,1999:blog-4958259867954984442.post-50517135312149965372016-07-21T22:37:44.378+08:002016-07-21T22:37:44.378+08:00as salam doc...saya ni ada penyakit asma semenjak ...as salam doc...saya ni ada penyakit asma semenjak saya berumur 2tahun sehingga 27 tahun.saya selalu menggunakan inheler dan selalu serangan asma saya berlaku saat saya stress,penat,dan risau sesuatu.adakah penggunaan inheler yang berlebihan boleh menyebabkan gangguan fikiran kita jadi terganggu atau kita sukar mengingati sesuatu perkara?aiaz8889@blogspot.comhttps://www.blogger.com/profile/06842748199494794996noreply@blogger.comtag:blogger.com,1999:blog-4958259867954984442.post-124507158599274172016-01-10T00:07:02.638+08:002016-01-10T00:07:02.638+08:00Assalam Doc.anak sy didiagnose nosocomial pneumoni...Assalam Doc.anak sy didiagnose nosocomial pneumonia stlh bbrapa hari mnjalani prosedur kecil pmbedhan.stlh selesai diberi neb,dia mngalami sesak nafas sehingg mmbawa kpd kematian.Boleh dok terangkan puncanyaAnonymoushttps://www.blogger.com/profile/08008991696083698114noreply@blogger.comtag:blogger.com,1999:blog-4958259867954984442.post-52652764624809034852016-01-09T23:51:31.369+08:002016-01-09T23:51:31.369+08:00Assalam Doc.anak sy didiagnose nosocomial pneumoni...Assalam Doc.anak sy didiagnose nosocomial pneumonia stlh bbrapa hari mnjalani prosedur kecil pmbedhan.stlh selesai diberi neb,dia mngalami sesak nafas sehingg mmbawa kpd kematian.Boleh dok terangkan puncanyaAnonymoushttps://www.blogger.com/profile/08008991696083698114noreply@blogger.comtag:blogger.com,1999:blog-4958259867954984442.post-47556336085197526502015-09-09T20:32:05.361+08:002015-09-09T20:32:05.361+08:00Asalamualaikum doc.. nak tanya gak ni... adakah pe...Asalamualaikum doc.. nak tanya gak ni... adakah pesakit asma akan merasa sakit dada teruk... contoh rasa macam ditumbuk di dada... kekadang keliru gak...takut kena sakit jantung jer... boleh bg tau perbezaan nya... ntolong doktor cerahkan sikit...tq<br />eezeehttps://www.blogger.com/profile/05469953983101682345noreply@blogger.comtag:blogger.com,1999:blog-4958259867954984442.post-55156907071239519112014-06-19T19:09:07.874+08:002014-06-19T19:09:07.874+08:00Assalamualaikum Dr...
Sy Syahrul dr Perlis dan mem...Assalamualaikum Dr...<br />Sy Syahrul dr Perlis dan mempunyai anak yg berumur 4thn dan disahkn mengidap Kartagener Syndrome (jantung sebelah kanan, hati dan appendix di sebelah kiri). Kemudian anak sy juga tidak mempunyai cirlia di dalam saluran pernafasan yg menyebabkan dia selalu berkahak.sekiranya demam kahak tersebut semakin teruk. Utk pengetahuan dr anak sy kini mendapatkn rawatan pakar di GH Pulau Pinang pada tiap2 bulan dan di nasihatkan utk membeli nebulizer. Buat masa sekarang hanya memakai aerochamber dan berusaha utk membeli nebulizer yg sesuai.boleh dr suggest produk mana yg sesuai utk anak sy? Adakah ada rawatan lain yg sesuai utk anak sy? Tq Dr....harap Dr dapat membantu.Anonymoushttps://www.blogger.com/profile/00906840555013616889noreply@blogger.comtag:blogger.com,1999:blog-4958259867954984442.post-24848451161765778902012-03-08T01:25:55.557+08:002012-03-08T01:25:55.557+08:00assalamualaikum,
doktor di kawasan rumah diagnosed...assalamualaikum,<br />doktor di kawasan rumah diagnosed saya ada asthma disebabkan saya peminat kucing dan di rumah ada 11 ekor kucing yg tidak dikurung dan dijaga di dalam rumah. saya jadi susah nak bernafas bila waktu malam dan pagi dan setiap kali akan ada wheezing sounds. saya baru terbaca padal nebulizer ni. bolehkah saya pegi ke klinik dan mintak rawatan ni sbb saya dah xtahan dengan medictions yg doktor bg sbb ubat2 tu buat saya penat dan hilang selera makan rasa mcm nak mati. 24 jam saya terasa ada kahak di tekak. mcammana ya? harap dpt reply asap.<br /><br />thank youAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4958259867954984442.post-2205455928023741482011-09-10T10:41:48.559+08:002011-09-10T10:41:48.559+08:00Apa pendapat dr.kl menggunakan nebulizer machine t...Apa pendapat dr.kl menggunakan nebulizer machine to my son 1Y++ di rumah tanpa pengawasan doc? Adakah lebih merbahaya atau seeloknya membawanya ke klinik utk dapatkan rawatan daripada paed.rosehttps://www.blogger.com/profile/09250153483927770410noreply@blogger.comtag:blogger.com,1999:blog-4958259867954984442.post-77213929559886073592009-06-24T20:26:31.938+08:002009-06-24T20:26:31.938+08:00Assalamua'laikum Doc...saya ada masalah kesuka...Assalamua'laikum Doc...saya ada masalah kesukaran untuk bernafas. Saya selalu berasa panik / cemas dan adakala bila sukar bernafas selalu berfikir nak mati. Simptom yang saya alami<br /><br />1. Hidung terasa seperti ada bendalir pekat seolah olah menyekat bernafas secara lancar.<br /><br />2. Pedih dan sakit di bahagian ulu hati dan perut (*sudah mengambil ubat gastrik dari Hospital)<br /><br />Pernafasan saya seperti tidak normal seolah olah saya kena kawalnya dan bukan secara natural. Saya dapati diri saya kerap kali menahan nafas secara tidak sengaja lebih kurang 12-15 saat.<br /><br />Saya harap Doc ada penjelasannya.<br /><br />Terima kasih.Unknownhttps://www.blogger.com/profile/03546552034156546673noreply@blogger.comtag:blogger.com,1999:blog-4958259867954984442.post-65193542633304538682008-12-28T20:20:00.000+08:002008-12-28T20:20:00.000+08:00Salam..doc, soalan saya, bilakah kite (practitione...Salam..doc, soalan saya, bilakah kite (practitioner) boleh prescribe leucotrien inhibitor (zafirlucast, montelucast)? kami disini diajar untuk prescribe those medication, but it seem that in Malaysia it is not a practice...Zulfahimi bin Husainhttps://www.blogger.com/profile/08698909100057843362noreply@blogger.comtag:blogger.com,1999:blog-4958259867954984442.post-81274967574432945952008-10-26T14:16:00.000+08:002008-10-26T14:16:00.000+08:00Dr Azwan,Salam, ingin bertanya, anak saya Imran 11...Dr Azwan,<BR/><BR/>Salam, ingin bertanya, anak saya Imran 11 tahun menghidap penyakit asthma yang datang sekali-sekala. Saya notice bila dia balik kampung neneknya (sebulan lepas) atau bermalam di rumah sepupunya dan tidur lewat pula (6 bulan yang lepas) baru terkena serangan itu. Ada beli aerochamber dan ventolin tu untuk 'standby' tetapi tak pernah pakai kerana kebetulan lalu depan hospital masa tu, singgah dan dapatkan rawatan di bahagian kecemasan (rawatan nebuliser).<BR/><BR/>Saya ingin tahu,<BR/>1. Apakah penyebab serangan asthmanya kerana ketika berada dirumah, kali terakhir mendapat serangan itu ketika umurnya 7 tahun.<BR/>2. Perlukan menggunakan aerochamber dan ventolin sebagai pencegah walaupun ketika dia tidak diserang asthma atau jarang diserang asthma.<BR/><BR/>Terima kasih.NaniRostamhttps://www.blogger.com/profile/17840449271503859223noreply@blogger.comtag:blogger.com,1999:blog-4958259867954984442.post-68611223466721977992008-10-22T00:26:00.000+08:002008-10-22T00:26:00.000+08:00Waterlily,The good thing about using an aerochambe...Waterlily,<BR/>The good thing about using an aerochamber is that u can use it on your child while she/he is sleeping because all it needs is 6-10x NORMAL breathing. No coordination needed. That's the use of aerochamber.<BR/><BR/>one puff in the morning before he wakes up and one at night when he sleeps. Easy, do it while he sleeps. <BR/><BR/>and yes the prevention puffs is very2 importantAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4958259867954984442.post-26709572503348856712008-10-20T16:08:00.000+08:002008-10-20T16:08:00.000+08:00Dr Z : Thanks Dr Z for sharing. SO many children o...Dr Z : Thanks Dr Z for sharing. SO many children out whos taking inhalers are not doing it correctly. Normally it is worth taking some time to double check how do they use the inhalers. It makes me wonder at times why these children having regular attacks despite all the medications given and avoid all the necessary factors that precipitate the attacks. Giving inhalers to the children without educating the parents are considered suboptimal treatment. <BR/><BR/>Niza : Ventolin 200 mg? Biasanya ada 2mg ngan 4 mg jer. Yang inhaler jer ada 200 tapi microgram (mcg) bukan mg. Kita kena buat study pasal berudu ni! Cacing pernah try tak? Saya sanggup bagi seekor dua free.... !Dr Azwanhttps://www.blogger.com/profile/01228855453208620208noreply@blogger.comtag:blogger.com,1999:blog-4958259867954984442.post-78054126613536922212008-10-20T08:28:00.000+08:002008-10-20T08:28:00.000+08:00Aslmkm.doc. Saya niza. Art yg bagus sgt!Dulu mase ...Aslmkm.doc. Saya niza. Art yg bagus sgt!Dulu mase kecik ade asthma jg. Tapi baik bile kena paksa makan berudu!Tekejut sgt agaknye sampai terus baik. Tapi lepas besalin anak 2nd ni, tiba2 selalu sesak nafas (start exactly 2 weeks b4 deliver).Makan ventolin 200mg la skrg.Kalau tak makan, mesti kena.Question:Agak2 boleh tak sembuh sepenuhnye sebab dah nak masuk 4 bulan kena, tak baik2.TQ.WasalamAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4958259867954984442.post-32966994357953733722008-10-17T16:31:00.000+08:002008-10-17T16:31:00.000+08:00Thanks for the info. I really appreciate it since ...Thanks for the info. I really appreciate it since I have an asthmatic child. The problem is, she always try to avoid taking her regular twice daily puff. Kalau Singulair, she likes it. But, Singulair alone cannot help it because she still had regular attack even though i've tried avoiding her from the triggering factor. <BR/><BR/>Is it dangerous if she misses her 'prevention' puff, often?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4958259867954984442.post-76555438008684748072008-10-17T11:18:00.000+08:002008-10-17T11:18:00.000+08:00Last week I visited a friend at her house. Her ch...Last week I visited a friend at her house. Her child was coughing continuously, but despite that was very active. I asked her a few questions and yes, as i already guessed the child does have asthma.<BR/><BR/>He was given Singulair and was also prescribed ventolin prn with aerochamber 1 month ago.<BR/><BR/>upon questioning, she said the child had not been taking singulair and that they have been giving the puffs without the aerochamber.There had been no improvement. I showed her how to use it on her child, he responded immediately. He was no longer coughing and the parents were suprised. <BR/><BR/>they said they werent taught on how to use it, to count 6-10 breath when using the aerochamber and was not emphasized the importance of singulair.<BR/><BR/>So yes, as much as it is, the blame is partly ours. Asthma education is very important. and it is the doctors' responsibility. How to wash the aerochamber is also another matter....because to my suprise some even use the brush...the right way is to just rinse with water and let dry.<BR/><BR/>The aerochamber and the ventolin is just as effective as the nebulizer if used correctly. and as manja M said...it is life saving. <BR/><BR/>Parents play an important role as well. Do not leave this responsibility to the kids. Afterall kids are kids. Show them, lead them until they're big enough to take responsibility on their own health.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4958259867954984442.post-35649528970575528952008-10-17T11:02:00.000+08:002008-10-17T11:02:00.000+08:00Anon : good if you can translate that in BM for th...Anon : good if you can translate that in BM for the purpose of readers info. Thanks. <BR/><BR/>Manja M : Aerochamber memang wajib untuk kanak kanak sebab tak pandai regulate breathing masa ambil inhaler. Org tua pun ramai yang pakai aerochamber kat UK I heard. Thanks for sharing.Dr Azwanhttps://www.blogger.com/profile/01228855453208620208noreply@blogger.comtag:blogger.com,1999:blog-4958259867954984442.post-53682245775495391742008-10-17T06:57:00.000+08:002008-10-17T06:57:00.000+08:00Status asthmaticus nie memang sesuatu yang semua d...Status asthmaticus nie memang sesuatu yang semua doktor pun risau kalau dapat. Tak senang nak manage. Selalunya berlaku kepada kanak-kanak kerana treatment asthma yang suboptimal. Yang penting ialah pencegahan. Kalau mana-mana ibu bapa yang perasan anak kuat batuk, especially malam-malam atau bila sejuk, atau terdengar bunyi wheezing (bunyi dia high pitch - kalau low pitch tu bukan - ketika anak menghembus nafas) then bawalah segera ke hospital/klinik kanak-kanak untuk rawatan. Kalau yang memang dah ada asthma tu, for kids - digalakkan beli aerochamber (chamber khas untuk memudahkan pemberian ubat). Harga dalam 70 ringgit, but sangat berguna kerana bila anak kena serangan asthma yang teruk. boleh bagi ubat ventolin (yang inhaler tutup biru tu) 4-8 puff setiap 20 minute melalui aerochamber nie sehingga anak lega atau sehingga sampai ke hospital. This can save lives. Aerochamber tu help distribute ubat evenly tanpa anak terpaksa menghembus dalam untuk menyedut ubat ke paru-paru.<BR/>Just some things I learnt along the way.Manja Mhttps://www.blogger.com/profile/00438283963830714817noreply@blogger.comtag:blogger.com,1999:blog-4958259867954984442.post-32654958847831414492008-10-16T16:14:00.000+08:002008-10-16T16:14:00.000+08:00cyanosis is due to high level of deoxygenated hb i...cyanosis is due to high level of deoxygenated hb in the blood, not because of high level of carbon dioxide.<BR/><BR/>err..just to add the knowledge though.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4958259867954984442.post-5656993591679146252008-10-16T14:21:00.000+08:002008-10-16T14:21:00.000+08:00fun muffin : dikatakan mereka yang tidak mengawal ...fun muffin : dikatakan mereka yang tidak mengawal serangan asthma sehingga dibiarkan berlarutan yang senang terkena maslah ini. <BR/><BR/>astromas : teruskan<BR/><BR/>amoi : Saya rasa masalah cik ialah GERD (gastro esophageal reflux disease) iaitu apabila asid perut naik ke esophagus dan menyebabkan sesak nafas. Masalah ini tidak ada "wheezing" jadi bukanlah ia asthma.Dr Azwanhttps://www.blogger.com/profile/01228855453208620208noreply@blogger.comtag:blogger.com,1999:blog-4958259867954984442.post-78459563069161352632008-10-15T19:05:00.000+08:002008-10-15T19:05:00.000+08:00doktor..saya selalu mengalami kesukaran bernafas.....doktor..saya selalu mengalami kesukaran bernafas..adakah saya menghidap asthma?<BR/><BR/>dulu saya pernah berjumpa doktor...dia mengatakan kesukaran bernafas sbb angin di dalam perut saya...lepas tu dia bagi ubat gastrik...lepas mkn ubat tersebut alhamdulillah saya boleh bernafas seperti biasa...tapi perkara ni kerap kali berulang...apa pendapat doktor?amoihttps://www.blogger.com/profile/07598175494934823030noreply@blogger.comtag:blogger.com,1999:blog-4958259867954984442.post-29307414640541018432008-10-15T12:53:00.000+08:002008-10-15T12:53:00.000+08:00Assalamualaikum.....Terima kasih Dr Azwan atas art...Assalamualaikum.....<BR/><BR/><BR/>Terima kasih Dr Azwan atas artikel yg bermanfaat ni. Ianya byk dpt membantu sy mengingati ape yg dipelajari di dlm kelas sbgi seorang medical student. <BR/><BR/>Kalau notes2 pathology dlm bentuk mcm ni kan seronok nak mmbacanye..hehe :D<BR/><BR/>p/s: minta izin utk link blog Dr di blog sy. Terima kasihAstromashttps://www.blogger.com/profile/07341303521144992452noreply@blogger.comtag:blogger.com,1999:blog-4958259867954984442.post-13925472864206267022008-10-15T10:15:00.000+08:002008-10-15T10:15:00.000+08:00Takutnyer dengar, sume tanda2 tu ade kat saye tapi...Takutnyer dengar, sume tanda2 tu ade kat saye tapi yelah kan.. ajal maut ditangan Tuhan. Takut plak bile bace kalau tertinggal amek ubat bahaya sebab saye slalu terlupe nak amek tiap2 pagi.Farah Deebhttps://www.blogger.com/profile/03148776185896026848noreply@blogger.com