Bhgn 2: APA ITU BELL'S PALSY?

What is Bell’s palsy?

Bell’s palsy is a condition that causes a temporary weakness or paralysis of the muscles in the face. It can occur when the nerve that controls your facial muscles becomes inflamed, swollen, or compressed.

The condition causes one side of your face to droop or become stiff. You may have difficulty smiling or closing your eye on the affected side. In most cases, Bell’s palsy is temporary and symptoms usually go away after a few weeks.

Although Bell’s palsy can occur at any age, the condition is more common among people between ages 16 and 60. Bell’s palsy is named after the Scottish anatomist Charles Bell, who was the first to describe the condition.

SYMPTOMS

What are the symptoms of Bell’s palsy?

The symptoms of Bell’s palsy can develop one to two weeks after you have a cold, ear infection, or eye infection. They usually appear abruptly, and you may notice them when you wake up in the morning or when you try to eat or drink.

Bell’s palsy is marked by a droopy appearance on one side of the face and the inability to open or close your eye on the affected side. In rare cases, Bell’s palsy may affect both sides of your face.

Other signs and symptoms of Bell’s palsy include:

• drooling
• difficulty eating and drinking
• an inability to make facial expressions, such as smiling or frowning
• facial weakness
• muscle twitches in the face
• dry eye and mouth
• headache
• sensitivity to sound
• irritation of the eye on the involved side

Call your doctor immediately if you develop any of these symptoms. You should never self-diagnose Bell’s palsy. The symptoms can be similar to those of other serious conditions, such as a stroke or brain tumor.

CAUSES

What causes Bell’s palsy?

Bell’s palsy occurs when the seventh cranial nerve becomes swollen or compressed, resulting in facial weakness or paralysis. The exact cause of this damage is unknown, but many medical researchers believe it’s most likely triggered by a viral infection.

The viruses/bacteria that have been linked to the development of Bell’s palsy include:

• herpes simplex, which causes cold sores and genital herpes
• HIV, which damages the immune system
• sarcoidosis, which causes organ inflammation
• herpes zoster virus, which causes chickenpox and shingles
• Epstein-Barr virus, which causes mononucleosis
• Lyme disease, which is a bacterial infection caused by infected ticks

RISK FACTORS

What are the risk factors for Bell’s palsy?

Your risk of developing Bell’s palsy increases if you:

• are pregnant
• have diabetes
• have a lung infection
• have a family history of the condition

DIAGNOSIS

How is Bell’s palsy diagnosed?

Your doctor will first perform a physical examination to determine the extent of the weakness in your facial muscles. They’ll also ask you questions about your symptoms, including when they occurred or when you first noticed them.

Your doctor can also use a variety of tests to make a Bell’s palsy diagnosis. These tests may include blood tests to check for the presence of a bacterial or viral infection. Your doctor might also use an MRI or CT scan to check the nerves in your face.

TREATMENTS

How is Bell’s palsy treated?

In most cases, Bell’s palsy symptoms improve without treatment. However, it can take several weeks or months for the muscles in your face to regain their normal strength.

The following treatments may help in your recovery.

Medication

• corticosteroid drugs, which reduce inflammation
• antiviral or antibacterial medication, which may be prescribed if a virus or bacteria caused your Bell’s palsy
• over-the-counter pain medications, such as ibuprofen or acetaminophen, which can help relieve mild pain
• eye drops

Home treatment

• an eye patch (for your dry eye)
• a warm, moist towel over your face to relieve pain
• facial massage
• physical therapy exercises to stimulate your facial muscles

COMPLICATIONS

What are the potential complications of Bell’s palsy?

Most people who have an episode of Bell’s palsy will completely recover without complications. However, complications may occur in more severe cases of Bell’s palsy. These include the following:

• You may have damage to the seventh cranial nerve. This nerve controls your facial muscles.
• You may have excessive dryness in the eye, which can lead to eye infections, ulcers, or even blindness.
• You may have synkinesis, which is a condition in which moving one body part causes another to move involuntarily. For example, your eye may close when you smile.

OUTLOOK

What is the long-term outlook for people with Bell’s palsy?

The outlook for people with Bell’s palsy is usually good. Recovery time may vary depending on the severity of nerve damage. In general, however, people can see an improvement within two weeks after the initial onset of symptoms. Most will completely recover within three to six months, but it may be longer for people with more severe cases of Bell’s palsy. In rare cases, symptoms may continue to return or may be permanent.

Call your doctor immediately if you’re showing any signs of Bell’s palsy. Prompt treatment can help speed up your recovery time and prevent any complication

Source: https://www.healthline.com/health/bells-palsy

Bhgn 1: HEMIFACIAL SPASM vs. BELL'S PALSY

Pernah dengar yang namanya Hemifacial Spasm? Sila baca artikel dibawah ni untuk maklumat lanjut. Adakah ia sama dengan Bell's Palsy

What is a hemifacial spasm?

Hemifacial spasms happen when the muscles on only one side of your face twitch without warning. These types of spasms are caused by damage or irritation to the facial nerve, which is also known as the seventh cranial nerve. Facial spasms occur when the muscles contract involuntarily because of this nerve irritation.

Hemifacial spasms are also known as tic convulsif. At first, they may appear only as small, barely noticeable tics around your eyelid, cheek, or mouth. Over time, the tics may expand to other parts of your face.

Hemifacial spasms can happen to men or women, but they’re most common in women over 40. They also tend to occur more often on the left side of your face.

Hemifacial spasms aren’t dangerous on their own. But a constant twitch in your face can be frustrating or uncomfortable. In severe cases, these spasms can limit function due to involuntary eye closing or the impact they have on speaking.

In some cases, these spasms may indicate that you have an underlying condition or an abnormality in your facial structure. Either of these causes can compress or damage your nerves and make your face muscles twitch.

Source: https://www.epainassist.com/face-mouth-throat/hemifacial-spasm

SYMPTOMS

What are the symptoms of hemifacial spasms?

The first symptom of a hemifacial spasm is involuntarily twitching on only one side of your face. Muscle contractions often begin in your eyelid as mild twitching that may not be too disruptive. This is known as a blepharospasm. You may notice that the twitching becomes more pronounced when you’re anxious or tired. Sometimes, these eyelid spasms can cause your eye to close completely or cause your eye to tear up.

Over time, the twitching may become more noticeable in the areas of your face that it already affects. The twitching may also spread to other parts of the same side of your face and body, including the:

• eyebrow
• cheek
• area around your mouth, such as your lips
• chin
• jaw
• upper neck

In some cases, hemifacial spasms can spread to every muscle in one side of your face. Spasms may also still happen while you’re sleeping. As the spasms spread out, you may also notice other symptoms, such as:

• changes in your ability to hear
• ringing in your ears (tinnitus)
• ear pain, especially behind your ear
• spasms that go down your entire face

CAUSES

What causes hemifacial spasms?

Your doctor may not be able to find out the exact cause of your hemifacial spasms. This is known as an idiopathic spasm.

Hemifacial spasms are often caused by irritation or damage to your facial nerve. They’re commonly caused by a blood vessel pushing on the facial nerve near where the nerve connects to your brain stem. When this happens, the facial nerve may act on its own, sending out nerve signals that cause your muscles to twitch. This is known as an ephaptic transmission, and it’s one of the main causes of these spasms.

An injury to your head or face can also cause hemifacial spasms because of damage or compression of the facial nerve. More uncommon causes of hemifacial spasms can include:

• one or more tumors pushing on your facial nerve
• side effects from an episode of Bell’s palsy, a condition that can cause part of your face to be temporarily paralyzed

TREATMENT

How can I treat hemifacial spasms?

You may be able to reduce your symptoms at home simply by getting plenty of rest and limiting how much caffeine you drink, which can calm your nerves. Having certain nutrients can also help reduce your spasms, including:

• vitamin D, which you can get from eggs, milk, and sunlight
• magnesium, which you can get from almonds and bananas
• chamomile, which is available as a tea or as tablets
• blueberries, which contain muscle-relaxing antioxidants

The most common treatment for these spasms is an oral muscle relaxer that keeps your muscles from twitching. Your doctor may recommend one or more of the following medications to relax your face muscles:

• baclofen (Lioresal)
• clonazepam (Klonopin)
• carbamazepine (Tegretol)

Botulinum toxin type A (Botox) injections are also commonly used to treat hemifacial spasms. In this treatment, your doctor will use a needle to inject small amounts of Botox chemicals into your face near the muscles that are twitching. Botox makes the muscles weak and can reduce your spasms for three to six months before you need another injection.

Talk to your doctor before taking any of these medications about any possible side effects or interactions with other medications you may already be taking.

If medications and Botox aren’t successful, your doctor may also recommend surgery to relieve any pressure on the facial nerve that may be caused by a tumor or a blood vessel.

A common surgery used to treat hemifacial spasms is called a microvascular decompression (MVD). In this procedure, your doctor makes a small opening in your skull behind your ear and puts a piece of Teflon padding between the nerve and the blood vessels pushing on it. This surgery only takes a few hours at most, and you’ll likely be able to go home after a few days of recovery.

Source: https://www.healthline.com/health/hemifacial-spasm

Medically reviewed by Seunggu Han, MD on August 22, 2017 — Written by Tim Jewell

https://www.movementdisorderscenter.org/2017/10/13/what-is-hemifacial-spasm/

KELIRU APA PERBEZAAN EXPIRED DATE, USE BEFORE & USE BY? BACA PENJELASAN INI, PENTING!

Anda mesti dah biasa nampak perkataan EXPIRED DATE, USE BEFORE dan USE BY dekat makanan yang anda beli kan? Ke anda terus beli saja tanpa periksa dulu? Jangan tau, sebab date tu semua sangat penting untuk anda tahu sama ada makanan tersebut masih selamat dimakan ataupun tidak!

Setiap proses makanan yang dijual mesti ada tarikh yang ditetapkan pada label plastik, ini bertujuan untuk menjaga tahap kualiti makanan tersebut. Tetapi, anda kena tahu jugak perbezaan label Expired Date, Use Before dan Use by!

1. Best Before

Biasanya, kalau label Best Before ini ada pada makanan yang di pek segar selama 90 hari atau kurang. Ia juga dilabelkan begitu sekiranya makanan atau item tersebut di pek di tempat lain dan bukannya dijual terus di kedai tempat produk itu dibeli.

Paling penting sekali, anda kena tahu setiap kesegaran makanan selepas tarikh Best Before akan berkurangan dan ia bergantung kepada cara penyimpanan produk tersebut. Contohnya, roti.

Kiranya, label Best Before memberi info mudah iaitu: selepas tarikh ini ; kesegaran, rasa, nutrisi malah tekstur makanan boleh berubah!

Anda boleh gunakan deria hidu, bau dan rasa untuk menilai kualiti makanan tersebut. Jika ragu, buang saja.

2. Use Before/ Use By

Label ini biasanya digunakan untuk produk makanan yang perlu dimakan sebelum tarikh yang dicetak. Tujuannya untuk menjaga kesihatan dan keselamatan pengguna. Kalau makanan yang rosak anda termakan mesti mengundang bahaya! Sebab itu, sebelum makan, andakene check dulu label sebelum makan!

Beza Use Before dan Best Before??

Use Before: Tidak boleh dimakan selepas tarikh dicetak. Peniaga juga tidak boleh menjual barangan yang melebihi tarikh Use Before.

Best Before: Masih boleh dimakan namun kualiti dan kesegaran makanan sudah berkurangan. Masih boleh dijual atau dipamerkan di rak jualan.

3. Tarikh Luput (Expiry Date)

Expired Date selalunya boleh tengok pada produk seperti cecair formula, suplemen dan susu formula bayi. Diingatkan! Selepas tarikh luput, produk tersebut tidak mempunyai nutrisi yang sama seperti pada label. Ia tidak boleh dimakan dan perlu dibuang.

Jadi, lepas ini kalau anda nak beli sesuatu barang makanan, anda mesti kene periksa dulu semua label tarikh yang ada tau! Jangan ambil mudah perkara ini, sebab kalau anda termakan makanan yang sudah rosak, pasti akan menjejaskan tahap kesihatan! JAGA-JAGA!

Sumber: Pamapedia

Dipetik daripada https://www.hijabnheels.com, yang disediakan oleh: hazurin

PERNAH TAK CALL RADIO, LEPAS TU REKOD SUARA SENDIRI BILA ON AIR?

Siapa yang pernah telefon stesen radio? Susah ke senang nak lepas? Nak dapat cakap dengan DJ bertugas tu berapa kali try? Biasanya kalau call untuk join contest memang susah, Line busy la.. engaged la... eh! lama tak gunakan term ni... "engaged" HAHAHAHA!

Nak recall sket... throwback la sikit kisah call radio ni. 

REDIFFUSION FM: Cinta Antara Benua

1. Zaman matrikulasi tahun 1997 kalau tak silap. Drama "Cinta Antara Benua" terbitan Kuasatek Pictures tengah meletop. Arni Nazira yang naynyi lagu tema drama tu pun tengah popular. Guna public phone je masa ni call radio Rediffusion FM. Sekarang dah takde dah radio ni. Makanya.... dapatlah bercakap dengan Arni Nazira waktu tu. Tapi tak rakam sebab tak ada walkman. Zaman ni mana ada smartphone lagi.

Kau Yang Bernama Seri - Handy Black

2. Kali kedua masa ni tengah dalam kereta. My good friend Fadzli yang drive. Stesen radio mana dah tak ingat. Tapi masa ni kumpulan rock Handy Black tengah meletop dengan lagu "Kau Yang Bernama Seri". Tak sangka pulak bole get thru masa tu. Bila DJ tanya nak cakap ngan siapa antara ahli Handy Black... aku beri jawapan selamat sebab tak kenal nama diaorang. Hahahahaha... " Saya nak cakap dengan vokalis, boleh?" Maka si Zul le yang cakap. Bijak kan? hehehe..

Soalan apa yang ditanya.... ah sudah! bukan plan pun nak tanya soalan apa tadi. Just try je call, dapat pulak.  Makanya.... "Rasa-rasanya lagu Kau Yang Bernama Seri ni nanti ada sambungannya ke tidak?" Ini lah soalan yang terlintas difikiran waktu tu.  Apa dia jawab aku dah tak ingat dah.

Hot FM: Bulasi Pak

3. Yang ni call ke Hot FM rasanya. Dapat cakap dengan DJ masa tu Kieran Jakiran. Topik masa tu pasal salah faham. Orang cakap lain, dia faham lain. Aku buka kisah zaman form 5 masa kelas subjek Bahasa Arab. Kami bagitau Ustaz supaya dapat peluang menonton filem Jurassic Park kat bilik sumber. Tapi Ustaz dengan Bulasi pak (sebutan Bola Sepak ikut slang Arab). Maka esoknya kami sekelas main bola sepak kat gelanggang bola keranjang. Sambil belajar position dalam bola sepak orang arab sebut apa. Contohnya, Penjaga Gol ialah Harisul Marma. Yang ni dapat rekod guna telefon Nokia sebab dah ada fungsi Voice Recorder.

Kool FM: Kisah Nama Panjang

Yang terkini.... Kool FM pulak. Hehehehe... Korang dengar sendiri lah video kat atas tu. Panjang lebor nak bercakap. DJ pun susah nak cari ruang nak mencelah. Kisah bagi nama anak kembar ni ada dikongsi kat entry sebelum ni. Sila baca di SINI

MARILAH MARI... KITA MENGUNDI

Mari tunaikan kewajipan pada negara.. Marilah mari... Kita mengundi...

Pilihanraya Umum ke 14 akan berlangsung April ini. 10 April 2018, SPR dah pun keluar kenyataan rasmi berkaitan pelaksanaan PRU14.

Berikut adalah tarikh-tarikh penting untuk perhatian kita rakyat Malaysia yang bertanggungjawab.

TARIKH KELUAR WRIT: 11 APRIL 2018 (RABU)

HARI PENAMAAN CALON : 28 APRIL 2018 (SABTU)

HARI MENGUNDI AWAL: 5 MEI 2018 (SABTU)

HARI MENGUNDI: 9 MEI 2018 (RABU)

Mana-mana yang dah cukup umur untuk mengundi tu, elok la buat semakan. Bagi yang dah mendaftar, bolehlah buat semakan melalui laman web, SMS dan juga talian telefon. 

a) Semakan melalui laman web
1. Pergi ke laman web SPR : http://www.spr.gov.my/ atau click button link macam kat bawah ni : 

SEMAK

2. Masukkan No. K/P (tanpa tanda - ) dan taip semula Aksara Captcha seperti yang tertera. Kemudian, clik SEMAK.

3. Hasil semakan daftar pemilih akan memaparkan butiran seperti Kad Pengenalan, Nama, Tarikh Lahir, Jantina, Lokaliti, Daerah Mengundi, DUN, Parlimen dan Negeri. Sekiranya ingin mencetak semakan yang telah dibuat, sila click PRINT.


b) Semakan melalui SMS
 Taip SPRSEMAKNo. K/P dan hantar ke 15888

c) Semakan melalui talian telefon
Sila dail 03-8885 6565 (jam 8.00 pagi hingga 5.00 petang)


SEMAKAN PEMILIH ISI RUMAH
Sekarang di laman web SPR boleh buat semakan untuk membuat semakan lebih daripada 1 pemilih. Ini dipanggil Semakan Pemilih Isi Rumah. Senang sikit tak perlu berkali-kali nak patah balik ke mainpage semakan.
Linknya seperti berikut:
https://pengundi.spr.gov.my/isirumah2/



Oleh kerana hari keluar mengundi adalah pada hari Rabu, di tengah-tengah minggu, maka rancanglah perjalanan anda. Yang perlu balik kampung dan menepuh perjalanan jauh tu semoga dipermudahkan. Bukan selalu pun nak kena mengundi ni. Jadi, pilihlah dengan bijak pemimpin dan wakil rakyat yang bertanding.

UNDI ANDA AMAT BERHARGA

UNDI ANDA ADALAH RAHSIA

UNDI ANDA PENENTU MASA DEPAN NEGARA

JADILAH PENGUNDI YANG BIJAK

#THROWBACK: WAKTOM YANG BANYAK BERJASA

Kesan cat tidak berkualiti di bonet depan.

Mesin jentera ni kami panggil Waktom. Kenapa WAKTOM? Macam nama jawa je....

Sejak jadi kenderaan rasmi pada 2010, 2 kali Waktom eksiden. Yang paling teruk pada 2013. Boleh baca kisahnya di sini. Kali kedua eksiden melibatkan bahagian depan. Bonet kemek dan terangkat. Rupa-rupanya melibatkan radiator alami kebocoran. Tapi kesannya ambil masa lama jugak baru ketara. Jadi, cuma repair bonet je la. ganti bonet baru dan cat baru. Ingatkan cat ok, sampai masanya jadi berbelak. Kuangajo punye bengkel, buat keje nak nipu je. Kualiti cat menghampakan. akhirnya jadilah macam kt gambar atas tu. Sampai tertanggal cat. Bertompok tompok. tu le pasal nama dia Waktom.... tompok tompok....

Family time: Kita main sabun!

Habis kuyup semua.

Lepas make over. Front bumper pulak takde. Nampak gonjeng je.

Minggu-minggu terakhir khidmat Waktom untuk kami sekeluarga.

Sebenarnya, lepas eksiden teruk pada tahun 2013 tu, banyak juga kos membela dan membaikpulih Waktom ni. Macam-macam hal. Ada je yang nak kene repair. Tak kisahla... pasal tayar la, drive shaft la, radiator la, motor fan la, aircond la, alternator la, battery pun iye jugak. Pernah juga buka enjin bengkel kata piston punya hal. Pengalaman berhenti tepi jalan tu banyak kali. Wife pun dah naik fedup. Kesian kat anak2 yang kepanasan masa tu. Sekarang ni kalau nampak kereta rosak tepi jalan, rasa kesian sangat. Selalu doa semoga Allah permudahkan urusan diaorang.

Disebabkan eksiden tu juga lah nilai semasa Waktom ni jadi jatuh merudum. Nak trade in tu nilainya terlalu murah. Sekarang ni kalau terfikirkan balik kes eksiden tu... rasa nak tomoi je driver Fortuner tu. 

Bila ada rezeki sikit pada 2015, terus rasa nak make over sket Waktom. Hantar untuk cat balik fullbody. Mujurlah tokei bengkel yang banyak kali repair Waktom ni dan handle urusan cat ni sudi untuk beli Waktom pada harga RM10K. Nilai tertinggi yang diterima. Kalau kat used car dalam RM7-8 ribu je. Ni semua pasal eksiden tu la. Lagi satu perangai Proton ni, suka keluarkan model sama tapi buang aksesori jadi harga jadi murah. Contohnya Persona Elegance ni harga dalam RM59K. 3-4 tahun lepas tu keluar pulak Persona SV dalam harga sekitar RM49K. Habis efek kene kat semua model Persona. 

Mileage Waktom memang tinggi. Ni je kenderaan yang ada. Gi kedai ke.. yang dekat ke yang jauh semua naik Waktom. Pernah bawak sampai ke Legoland, JB. Sampai ke Arau dan Penang. Buat trip ke Pantai Timur. Boleh baca trip kami di sini. Last sekali trip kami ke Bukit Merah. Risau jugak masa tu takut2  breakdown je. Tapi alhamdulillah.... selamat pergi dan balik.

Berikut ni gambar-gambar sebelum pergi nak ambil pengganti Waktom. Model apa dan jenama apa.... silalah scroll down....

Lama dah survey... bila launch je model ni terus gi showroom. Buat la comparison dengan yang sekelas dengannya. Dan ternyata... ini adalah pilihan tepat kami. Pasal warna tu.... pilihan no 1 ada lah Putih. Tapi memandangkan nak dapat cepat, maroon ni yang available. OK jgk kan kaler maroon?

Bersesuaian dengan perkembangan saiz keluarga, anak2 dan 3 orang. Barang pun makin banyak nak bawa kalau balik kampung. Yang penting boleh ajak tumpangkan tetamu lain. Yang ni kan 7-seater. Kalau Waktom tu kitaorang je dah penuh.

Masih mengkalkan nombor yang sama macam Waktom.

Kesian WAKTOM yang kat seberang sana tu, dah ada pengganti.

Hello fren.... how are you?

Gambar berikut ni adalah sewaktu nak hantar Waktom kepada pemilik barunya. Rasa sebak je masa ni.

Saat sedih sewaktu nak hantar Waktom kepada owner baru.

Waktu menulis kisah ni pun ada rasa touching bila tengok gambar2 Waktom. Terkenangkan saat2 kami sekeluarga berjalan jauh, tersadai kat tepi jalan, berpanas bila aircond rosak dan macam-macam lagi. Anak-anak berkaraoke lagu2 kegemaran diaorang... Haish.... macam-macam la...

Dulu masa nak beralih daripada Saga Kereta Kebal ke Waktom pun sedih jugak. Huahuahua...

Kenangan Abadi bersama Waktom.