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28 November 2008

BILIARY ATRESIA

What is biliary atresia?



Biliary atresia is caused when the bile duct to the liver becomes inflamed. This is normally due to damage caused around the time of birth. It is not clear how or why this occurs. The bile duct becomes blocked and means bile builds up in the liver and begins to poison it.The child will develop jaundice. Other symptoms include yellow-coloured urine and pale stools. Many children suffer jaundice in infancy, but concerns are usually linked to children who have the condition for longer than two weeks. Doctors warn that the earlier it is caught, the less damage it will have done to the liver.Operations to cure the condition are most successful in children under eight weeks old.

How is the condition diagnosed?
A battery of tests are often required to confirm a diagnosis of biliary atresia, as the symptoms can be confused with other conditions. These can include: A blood test to look for raised levels of bilirubin An abdominal x-ray to look for an enlarged liver and spleen abdominal ultrasound to examine the liver and bile ducts An HIDA scan to determine how well bile is flowing
A liver biopsy to determine degree of cirrhosis or to rule out other causes of jaundice
If the test results suggest biliary atresia, an operation is performed to examine the bile ducts and an x-ray is taken during the operation to determine whether the bile duct is blocked.

How is biliary atresia treated?
The condition is treated through an operation called Kasai-portoenterostomy. This involves using a loop of bowel to form a duct to drain the bile from the liver. The operation is named after the Japanese surgeon, Professor Morio Kasai, who developed it in 1959. It was first introduced in the UK in the 1960s. The operation is extremely intricate and its success depends on the skill of the surgeon, whether he or she carries out the operations fairly regularly and the support available to the child before and after surgery. Operations can be carried out on children as young as 11 days old. If surgery fails, the child's only other option is a liver transplant, which is a traumatic operation with varying degrees of success. According to the Children's Liver Disease Foundation, the operation costs between £5,000 and £7,000 and the child may also have to take a course of drugs. A liver transplant costs £40,000 plus the cost of anti-rejection drugs. There are three centres which the CLDF considers expert in performing Kasai operations: Birmingham Children's Hospital, King's College Hospital in London and St James' Hospital in Leeds. The first two were named as supra-regional liver units by the government in 1985, but this designation has since been taken away because of changes in the way the NHS is run. St James' was included because paediatric surgeon Mark Stringer trained under an expert in the field and his rate of success is similar to King's College's. This page contains basic information about biliary atresia. For more information, consult your doctor.

17 November 2008

Senja Nan Kuning..


14 November 2008

Sepohon kayu..

13 November 2008

Detik 3.33 pagi..


Adakala aku tersedar lagi detik ini..kenapa aku selalu tersedar akan detik ini.Mengapa ia sering berlaku tika detik ini.Sujudku padaMu tika detik ini banyak menyedarkan daku.Siapa diri ini jika aku terus melupakan diriMu.Oh Tuhan..ku pohon dariMu agar Kau tabahkan hatiku ,kuatkan semangatku,perteguhkan Imanku agar dapat aku menempuh pancaroba yang melanda dalam hidup ini.Oh Tuhan aku ingin berada dalam keberkatanMu ya Allah.Aku tidak mahu lagi berpura-pura dalam kehidupan yang serba melekakan ini.Kau hiasilah diri ini dengan akhlak yang mulia,Kau ampunkan segala dosaku ya Allah.Kau pimpinlah daku.jauhilah daku dari perkara-perkara yang mana akan dapat merosakkan hidupku ini.Ya Allah...aku rindukan ketenangan yang hakiki.Berikanlah kesihatan yang sempurna dalam hidupku ini agar aku dapat beribadat kepadaMu setiap detik yang berlalu..


Jika aku lupa Kau ingatkan daku,

jika aku leka Kau sedarkan daku,

jika daku lemah Kau kuatkan daku,

jika daku sakit Kau sembuhkan daku,

jika daku malas Kau rajinkan daku,

jika daku takut Kau beranikan daku,

jika daku sedih Kau gembirakan daku,

jika daku mati Kau terimalah segala amalku ini Ya Allah....








12 November 2008

I'm yours..

Well you done done me and you bet I felt itI tried to be chill but you're so hot that I meltedI fell right through the cracksNow I'm trying to get backBefore the cool done run outI'll be giving it my bestestAnd nothing's gonna to stop me but divine interventionI reckon it's again my turn to win some or learn someBut I won't hesitate no more, no moreIt cannot wait, I'm yoursWell open up your mind and see like meOpen up your plans and damn you're freeLook into your heart and you'll find love love love loveListen to the music of the moment, maybe sing with meAll - ah peaceful melodyAnd it's our God-forsaken right to be loved love loved love lovedSo I won't hesitate no more, no moreIt cannot wait I'm sureThere's no need to complicateOur time is shortThis is our fate, I'm yoursScooch on closer dearAnd I will nibble your earI've been spending way too long checking my tongue in the mirrorAnd bending over backwards just to try to see it clearerBut my breath fogged up the glassAnd so I drew a new face and laughedI guess what I'm be saying is there ain't no better reasonTo rid yourself of vanity and just go with the seasonsIt's what we aim to doOur name is our virtueI won't hesitate no more, no moreIt cannot wait I'm sureThere's no need to complicateOur time is shortThis is our fate, I'm yoursWell no no, well open up your mind and see like meOpen up your plans and damn you're freeLook into your heart and you'll find that the sky is yoursPlease don't, please don't, please don'tThere's no need to complicateCause our time is shortThis is out fate, I'm yours

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Daripada Abu Hurairah r.a., bahawasanya Rasulullah saw. bersabda; 'Tidak terjadi hari qiamat sehingga Sungai Furat (Sungai Euphrates iaitu sebuah sungai yang ada di lraq) menjadi surut airnya sehingga ternampak sebuah gunung daripada emas. Ramai orang yang berperang untuk merebutkannya. Maka terbunuh sembilan puluh sembilan daripada seratus orang yang berperang. Dan masing-masing yang terlibat berkata, "mudah-mudahan akulah orang yang terselamat itu". Di dalam riwayat lain ada disebutkan; "Sudah dekat suata masa di mana sungai Furat akan menjadi surut airnya lalu ternampak perbendaharaan daripada emas, maka barangsiapa yang hadhir di situ janganlah ia mengambil sesuatu pun daripada harta itu".H.R.Bukhari Muslim