S.O.B

Being a pregnant women not as easy than i thot. Now dekat 2nd trimester. 2nd trimester mmg bnyk dugaan. Mula2 kena biasekan diri dgn perubahan fizikal yg ketara. Tu ok lg. Tp yg paling wat kt stress is SOB yg makin worsen. (shortness of breath, nafas pendek). Boleh dikatakan waktu keje akan kena 2 kali attack. Kalau kat rumah tu jarang kena attack.



Case:
Malay, 25 years olds. 19 weeks pregnant women. Having recurrent SOB attack. From investigation the triggers are long standing n hot weather. Her face pink.



1. Probable diagnosis (gestational asthma)
Ape yg buat kt pk benda ni is rase mcm dh xde peparu time attack. Xkira r berape laju nafas yg kt amik still xde effect. So medication yg kt pk n plg safest tuk pregnant women mmg Salbutamol inhaler. The terjumpe lak article ni



Artikel ni ckp 8% pregnant women kena asthma attack disebabkan perubahan hormon yg extreme. Woah!!!!!!



2. Probable diagnosis (anemia)
Well anemia mmg selalu sgt attack pregnant women sbb pregnant women perlukan 40% lebih darah tuk tampung keperluan baby. Tp muke kt nmpk sgt pink. Or maybe ni disebabkan extra gum bleeding tiap kali kt berus gigi





Case discussion with 3 doctors
All of them think that i am anemic. Sbb symptoms more to anemic plus kt pregnant. But all diagnosis still xblh nk confirm lg sbb xde blood test. Last week ade wat blood test tp result ntah bile akan kuar. Ade call klinik swasta tuk dptkan rapid test tuk full blood count tp ahad xde, kena tggu isnin, if isnin pun result kuar 3 hari. Ape cerrr......nk tggu lame2. Satu lg option g gov hosp. Mmg leh dpt result cepat. Tp......gov xkan wat kan test if kt xsakit. Kena r g time kt kena attack bru dieorg akan buat test. So end up dgn ikut nasihat doctor 1 untuk increase fluid intake sementara tggu blood test. Kalau asthma n anemic bukan ape kah punca SOB tu? arrrrrrr.......




Complication to baby
Premature baby and/or low weight baby ;(