darah yg hyper




Entry kali ni sy cerita sikit pengalaman kena darah tinggi time pregnant.

Rabu Lepas Medina bgn menyusu pukul 6 mcm biasa. Lepas nyusu maknye tertido kat sofa. Jaga2 dah pukul 7 am.kalut gile bersiap nak pegi keja.slalu 7.15 am dah kena kuar umah. Sampai ofis kul 8.30 am. kepala dah pening2. cari punya cari panadol kat meja ofis, terjumpa botol Trandate.

Trandate ni ekceli ubat masa mengandung dulu. Function die bukan mcm multivitamin, tapi sebagai ubat utk special preggie who are diagnosed with gestational hypertension. According to doctor, hypertension boleh terjadi pada ibu2 mengandung dan hilang selepas bersalin.mcm diabetes jugak. Klo cite kat org2 tua, diorg kate ‘pembawakan budak’. What cause this to happen to pregnant women, masih belum diketahui.

So, I was one of them. Lucky huh? My blood pressure started to rise during my third trimester. Mcm mane bleh detact? Masa tu monthly check @ 30 weeks. Mw amik my BP reading. “eh, tggi ni puan.memang ade darah tggi ke?” “takde pun” “mm..takpe.nanti doctor explain”.it was 140/90. (kot)

Doctor pun explain. Ni ekceli penyakit yg tak merbahaya. Tapi klo BP terlalu tinggi,bleh bawa maut pada baby and mummy. My condition is considered ‘under controlled’.  

Me: kena pantang ke doctor ,mcm org tua sakit darah tinggi?
Dr: eh, tak payah.ni bukan sakit org tua.
Me: fast food, makanan masin2 pun boleh makan.
Dr: tu org mengandung biasa pun kena kurangkan makan. Makan macam biasa. Cuma kena slalu check BP. At this stage, kite patut jumpa 2 minggu skali. But, in your condition, we’ll meet once a week.
Me: ok! (girang!dpt scan baby tiap2 minggu.langsung tak risau pasal sakit)
sehari sebelum kn masuk ward untuk BP monitoring (lek je gi amek gambar pre-beranak)..sponsor by kak ifah

  
So, tiap2 minggu la pegi check up.setiap minggu pun BP reading consistent (140-150/90-110) eventough dah makan 100mg of Trandate (3 kali sehari). Sampai satu hari (@33 weeks), time tu kat ofis, lepas lunch je kepala jadi pening. Trus amik half day balik umah. Jalan plak jam. Kluar kul 2pm,kul 330pm baru sampai umah.trus pegi Klinik Shuhaimi utk check BP. 178/110. Gulp! Sendiri pun terkejut. Doktor suh gi gyny. Balik umah,semayang zohor n baca yassin, kluar balik gi Klinik Kita (to get 2nd opinion). 165/110. still high. Hmm nak gi ke tak PCMC ni.Dr aziz bukan ade. Bincang ngan hubby,malam tu decide pegi PCMC. Pegi PCMC, BP reading dah turun (150/90). Dr Aziz suh die increasekan ubat to 200mg and MC 3 hari sementara next check-up in 5 days time. 

Ms check-up Dr Aziz suggested suh stay kat ward for 3 days for monitoring. 3 hari yg membosankan.lebih pada holiday dari sakit. Makan sedap2 (tengok gamba kat bawah).tgk astro sambil main katil naik turun (mcm budak2). 3 hari rehat atas katil (tak boleh byk bergerak/aktiviti), lampu kena malap and no visitors.Tujuan die nak suh kite relax and BP trun.sehari 6 kali die dtg amik BP reading and wat CTG. Oh satu lagi, die suh kite record brape byk minum, n brape byk kite buang (ml). Sebabnye, bila BP kite tinggi, aliran darah ke organ mcm kidney and placenta will affected. Urine test pun diorg akan wat, sbb klo ade protein dlm urine, dah jadi pre-eclampsia (ni yg boleh membawa maut klo severe).

 terasa best warded dkt PCMC sbb makan bess...keh keh


Ok..cukup tgk makanan..sambung cerita

Antara Symptoms of hypertension / pre-eclampsia:

  1. bengkak yg melampau / oedema (muka, tgn, kaki)
  2. rapid weight gain due to water retention
  3. pandangan kabur
  4. pening kepala

Kesan pada ibu dan bayi:
  1. baby tak dpt oxygen supply yg secukupnya
  2. placenta bleh tertanggal dari dinding rahim
  3. baby tak cukup nutrients as makanan tak sampai (baby kecik/ tak cukup matang)
  4. mummy bleh kena stroke and kidney,heart,liver failure


Takut tak? takutkan..lagi takut as for me, kepala tak rasa pening pun bile BP naik.so tak tau yg ekceli kite dlm bahaya. Bergantung pada mood utk check BP guna machine electronic kat umah je. Tau2 tinggi. So, kena la kerap2 check. Ubat pun tak bleh miss.
medina @ 30 weeks (doktor ukur saiz kepala ~ 31 weeks)..so kira normal la...tak semua hypertension pregnant mum anak jadik kecik 

Alhamdulillah..my condition tak severe (tak progress to pre-eclampsia) even sampai masa delivery. Doktor pun kate I can still have normal delivery. Ape yg Dr Aziz plan, die akan induce bagi baby kuar awal on 38 weeks. But, what happened was my BP shot up sampai 180/115 and he decided to do caesarean utk kuarkan Medina.Medina tak sabar nak kuar eeehh? Dr expected my BP to return to normal after delivery. Tapi lain jadinya. My BP lagi naik! Penah cecah 203/120! So, kena tahan lagi seminggu lepas bersalin n Dr Aziz panggil cardiologist (Dr Deevan) utk attend my case.

Sepanjang seminggu tu, diorg adjust ubat and tgk trend BP camne. Lepas tambah ubat xx (lupa lak nma ubat ni), baru BP turun sket2. Memandangkan dah nak puasa, Dr Aziz bagi balik berbekalkan berbotol2 trandate and ubat xx Lepas 2 minggu, check up balik.BP dah turun sket. Dr Deevan kurangkan dose trandate from 200mg to 100 mg. Lepas sebulan, die buang ubat xx. lepas 6 minggu, I’m free from any medicine! Alhamdulillah, BP dah normal.
budak yg menyebabkan mak dia kna darah tinggi...lek je buat muka comel sambil kenyit kenyit mata


So, klo ade mom-to-be out there yg ade hypertension, jgn stress..nanti BP lagi cepat naik.relax je..but at the same time, monitor ur BP and bykkan rehat. gud luck mommies

Jumpa lagi dalam next update...InsyaAllah