Hari ni nak menaip mengenai EBM dan pengendaliannya (betul ke word ni?)..Base on my experience menyusukan baby selama 10 bulan 2 minggu (laa baru 10 bulan 2 minggu)..Alhamdulillah....
Mengepam di tempat kerja.(Kena pam la kalau tak mcm mana nak buat stok EBM;expressed breastmilk).
Barang-barang yang diperlukan.(Nak kena bawa gi office nih)
1.Breast pump (kalau cekap perah guna tgn tak payah pump..saya guna yg avent manual at office)
2.Botol susu (saya bawa 4 botol 4 oz everyday + disposable plastic cap avent...in case botol tak cukup...kena plak hari rajin mengepam.)
3.Cooler bag & chiller (saya guna yg cap medela)kain lap (nak guna lap pump lps cuci)
Cara menyimpan susu (ketika di office)
Boleh simpan dalam fridge office jika ada
Jika tiada boleh simpan dalam cooler bag.(saya simpan dalam cooler bag walaupun ada fridge kat office...
Pagi2 datang tumpangkan kejap chiller dalam freezer then lps pam dalam pkl 11am tu ambil chiller masukkan dalam cooler bag simpan....)
Sampai aja kat rumah terus transfer susu ke dalam fridge/freezer
Tempoh penyimpanan susu
- ruangan beku peti sejuk 2 pintu- 3 bulan
- ruangan beku peti sejuk 1 pintu- 2 minggu
- ruangan sejuk peti sejuk - 1-3 days
Cara nak bagi kat baby
susu yg beku- cairkan semalaman dgn meletakkan di ruangan sejuk peti ais ataupun dicairkan dgn merendam/melalkan dgn air biasa...
bila dah cair panaskan dgn merendamkan dalam air panas/suam..agak2 suam2 kuku gitu blehlah diberi kepada baby.
susu sejuk-panaskan dgn merendam ke dalam air panas.
Bagaimana bawa ke nursery?
Saya gunakan coleman Xtreme double cooler bag.Ada 2 tingkat satu tingkat susu satu tingkat bubur.
chiller: guna techni ice
perhatian:
- Susu yg sudah dicairkan dalam ruangan sejuk peti sejuk boleh dibiarkan didalam ruangan sejuk selama 24 jam
- susu yg sudah dicairkan dan dipanaskan tidak boleh di simpan/disejukkan/dibekukan semula
- susu lebihan bayi minum boleh tahan lebih kurang 1 jam under room temperature..Kalau tak habis juga..kena buang..alahai sayangnya....
- Labelkan susu dgn nama baby,tarikh dan masa.
Macam mn nak tahu susu masih elok..
rasa-kalau masih manis tu ok lg...bau-kalau bau tak masam okNote: EBM yg telah dibekukan memang bau pelik sikit..ada bau mcm sabun sikit....Tetapi jgn risau susu tu masih OK..masih berkhasiat.Insya Allah
Kat office pam kat mana? (Ikut persekitaran tempat)
saya pam kat in house klinik.ada kawan2 yg pam kat suraukalau ada bilik sendiri lagi bagus.kat store pun ada org pam.
Kat Office macam mana cuci pam?
Mmm..saya cuci dgn air paip kemudian saya cuci pula dgn air panas.kemudian lap dan simpan utk digunakan.Berapa kali pam sehari?
Kalau kat office selalunya pam 2 kali..kadang pam 3 kali..
Jadual pam kat office:
sesi1 : pukul 11am-12am
sesi 2 : pukul 3pm-4pm
Kat rumah:
week day - pukul 8-9pm & 5-6am
weekend -
sesi 1 : Pukul 6-7am
sesi 2 : Pukul 10-11am
sesi 3 : Pukul 4pmSesi 4 :Pukul 10pm
Kalau weekend ni depend juga..kadang2 pam setiap kali baby menyusu kecuali waktu malam.Kalau time stok tak ada tu..Pergi berjalan2 pun bawa pump hehehehe...
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Monday, July 31, 2006
Wednesday, July 26, 2006
aduhaiii...toddler diarrhea.
Gundah gulana....Sekarang stok EBM Alhamdulillah tgh bnyk ada about 30 X 4oz i guess...Ini membuatkan hati ini gundah gulana...takut power tripping lagi....dah fobia ngan peristiwa lalu...kalau nak keluar rumah asyik check pintu freezer aja rapat ke tak..balik terus gi buka freezer tgk ebm ok ke tak..adeiii..ponatlah kalau gini ada susu bnyk pun susah hati tak bnyk lg susah hati.....Mmm..my baby sekarang ni kena toddler diarrhea.
Toddler diarrhea is a common pediatric condition. In infants it is referred to as chronic diarrhea of infancy and in older children as irritable bowel syndrome. Common clinical characteristics include:
Age between 6-30 months. Most are better by 4 years of age
2-6 watery stools per day. There can be periods of days without stools. Many stools contain undigested material and may drip down the child's leg from the diaper.
Normal weight, height, and head circumference growth curves without falling off
No evidence of infection
Stools are hematest negative
The child looks well and there is no evidence of malnutrition and no history of abdominal pain
Growth may be compromised if the diet manipulations that have been tried to control the diarrhea have not been enough calories.
There is often a history of colic, gastroesophogeal reflux, and family history of irritable bowel syndrome.
Differential Diagnosis
Malabsorption secondary to pancreatic insufficiency or intestinal mucosal injury
Children are frequently irritable and have loss of appetite
Stools are foul smelling and greasy
Poor weight gain and abdominal distention.
The child is often weak and displays decreased activity.
Anemia, hypoproteinemia, vitamin deficiencies.
Allergies to Food
Vomiting, diarrhea, and blood in stool
+ family history of atopy
Failure to gain and grow
History of eczema, reactive airway disease, urticaria, and allergic rhinitis
Loss of protein in the gut may lead to hypoproteinemia and edema
Lactose Intolerance
Genetic lactase deficiency is rare in young children and will manifest later on in life
Secondary lactase deficiency following gastroenteritis is usually transient and is improvedwithin 2 weeks
Giardia Infection
Foul smelling watery stools
Gassy and abdominal distention
Can develop into chronic condition and diagnosed by inspecting stool or duodenal fluid for cysts.
Usually waterborne but can be from person to person transmission
Cryptosporidium
Watery, foul smelling stools that may be mucousy.
Crampy abdominal pain
+ oocysts in stool specimen
Waterborne or animal or person to person transmission.
Pathogenesis
Increased colonic transit time and decreased inhibition of post-prandial transit time
Decreased fat in diet because of diarrhea that is needed to decrease transit time
Fluid load is increased because of fear of dehydration and this aggravates the condition
Increase sugar in diet that acts as an osmotic diuretic and causes more water in the gut.
Treatment
Increase fat in the diet
Decrease fluid in the diet
Avoid fructose and sorbitol- decrease fruit juices
Increase dietary fiber
Normal diet for age
Reassurance- this is difficult because parents have been to many physicians and are convinced that their child has a serious illness. It is important after making your recommendations to follow-up soon to reassure again and watch weight and height gains.
There is no role for medications.
The parents should be told that there is no serious sequelae and this is not a precursor to inflammatory bowel disease, chronic diarrhea as adults, or cancer
Most children are better by 4 years of age, and are better by the time they become potty trained.
Toddler diarrhea is a common pediatric condition. In infants it is referred to as chronic diarrhea of infancy and in older children as irritable bowel syndrome. Common clinical characteristics include:
Age between 6-30 months. Most are better by 4 years of age
2-6 watery stools per day. There can be periods of days without stools. Many stools contain undigested material and may drip down the child's leg from the diaper.
Normal weight, height, and head circumference growth curves without falling off
No evidence of infection
Stools are hematest negative
The child looks well and there is no evidence of malnutrition and no history of abdominal pain
Growth may be compromised if the diet manipulations that have been tried to control the diarrhea have not been enough calories.
There is often a history of colic, gastroesophogeal reflux, and family history of irritable bowel syndrome.
Differential Diagnosis
Malabsorption secondary to pancreatic insufficiency or intestinal mucosal injury
Children are frequently irritable and have loss of appetite
Stools are foul smelling and greasy
Poor weight gain and abdominal distention.
The child is often weak and displays decreased activity.
Anemia, hypoproteinemia, vitamin deficiencies.
Allergies to Food
Vomiting, diarrhea, and blood in stool
+ family history of atopy
Failure to gain and grow
History of eczema, reactive airway disease, urticaria, and allergic rhinitis
Loss of protein in the gut may lead to hypoproteinemia and edema
Lactose Intolerance
Genetic lactase deficiency is rare in young children and will manifest later on in life
Secondary lactase deficiency following gastroenteritis is usually transient and is improvedwithin 2 weeks
Giardia Infection
Foul smelling watery stools
Gassy and abdominal distention
Can develop into chronic condition and diagnosed by inspecting stool or duodenal fluid for cysts.
Usually waterborne but can be from person to person transmission
Cryptosporidium
Watery, foul smelling stools that may be mucousy.
Crampy abdominal pain
+ oocysts in stool specimen
Waterborne or animal or person to person transmission.
Pathogenesis
Increased colonic transit time and decreased inhibition of post-prandial transit time
Decreased fat in diet because of diarrhea that is needed to decrease transit time
Fluid load is increased because of fear of dehydration and this aggravates the condition
Increase sugar in diet that acts as an osmotic diuretic and causes more water in the gut.
Treatment
Increase fat in the diet
Decrease fluid in the diet
Avoid fructose and sorbitol- decrease fruit juices
Increase dietary fiber
Normal diet for age
Reassurance- this is difficult because parents have been to many physicians and are convinced that their child has a serious illness. It is important after making your recommendations to follow-up soon to reassure again and watch weight and height gains.
There is no role for medications.
The parents should be told that there is no serious sequelae and this is not a precursor to inflammatory bowel disease, chronic diarrhea as adults, or cancer
Most children are better by 4 years of age, and are better by the time they become potty trained.
Wednesday, July 19, 2006
Ayam masak masala kering
Ayam masak masala kering
Bahan-bahan
Halba campur
Bawang merah/bawang putih/bawang besar (di potong)
daun kari
halia (dipotong nipis-nipis)
cili kerng (dipotong)
garam
gula
ayam
serbuk ketumbar
serbuk kari ayam
serbuk kunyi atau kunyit hidup ditumbuk halus
asam jawa (diambil airnya)
serbuk pati ayam (jika suka)
kulit kayu manis/bunga lawang etc..
minyak masak
air
Cara-cara memasak
Panaskan minyak masak
setelah minyak panas tumiskan halba campur dan kulit kayu manis, bunga lawang etc serta daun kari..
kemudian masukkan bawang putih, bawang merah, bawang besar,halia ,cili kering
Biarkan bahan-bahan yg telah dimasukkan itu garing dan naik bau, masukkan ayam.
Setelah ayam empuk sedikit maskkan serbuk kari, serbuk kunyit dan serbuk ketumbar.kacau hingga rata.Masukkan air asam dan sedikit air.
Masukkan serbuk pati ayam (jika suka).
Tambahkan garam dan gula.Jika anda menggunakan serbuk pati ayam tidak perlu menambahkan garam.
kacau perlahan hingga sebati
Apabila sudah kering (basah sikit-sikit) tutup api...
Taraaa..sedia utk dihidang...
Note:
Sukatan bahan ikut selera masing2..
Ayam juga boleh digantikan dgn ikan atau udang.Jika anda menggunakan ikan atau udang, sila guna serbuk kari ikan/udang dan tak perlu masukkan serbuk pati ayam.
Sedap dimakan bersama nasi putih panas dan juga ketupat serta lemang...
Bahan-bahan
Halba campur
Bawang merah/bawang putih/bawang besar (di potong)
daun kari
halia (dipotong nipis-nipis)
cili kerng (dipotong)
garam
gula
ayam
serbuk ketumbar
serbuk kari ayam
serbuk kunyi atau kunyit hidup ditumbuk halus
asam jawa (diambil airnya)
serbuk pati ayam (jika suka)
kulit kayu manis/bunga lawang etc..
minyak masak
air
Cara-cara memasak
Panaskan minyak masak
setelah minyak panas tumiskan halba campur dan kulit kayu manis, bunga lawang etc serta daun kari..
kemudian masukkan bawang putih, bawang merah, bawang besar,halia ,cili kering
Biarkan bahan-bahan yg telah dimasukkan itu garing dan naik bau, masukkan ayam.
Setelah ayam empuk sedikit maskkan serbuk kari, serbuk kunyit dan serbuk ketumbar.kacau hingga rata.Masukkan air asam dan sedikit air.
Masukkan serbuk pati ayam (jika suka).
Tambahkan garam dan gula.Jika anda menggunakan serbuk pati ayam tidak perlu menambahkan garam.
kacau perlahan hingga sebati
Apabila sudah kering (basah sikit-sikit) tutup api...
Taraaa..sedia utk dihidang...
Note:
Sukatan bahan ikut selera masing2..
Ayam juga boleh digantikan dgn ikan atau udang.Jika anda menggunakan ikan atau udang, sila guna serbuk kari ikan/udang dan tak perlu masukkan serbuk pati ayam.
Sedap dimakan bersama nasi putih panas dan juga ketupat serta lemang...
Monday, July 17, 2006
Ikan Asam berlobak Putih
ikan asam berlobak putih
bahan-bahan A
3 keping ikan tenggiri
sedikit kunyit
minyak masak
sedikit garam
bahan-bahan B
1 batang lobak putih (dikikis kulitnya)
5 ulas bawang merah dihiris nipis
1 inci halia muda dihiris nipis
1 biji cili merah dihiris nipis
125 ml perahan air asam jawa
garam
30ml minyak masak
2g serbuk lada sulah
gula
cara membuat
1. perap ikan tenggiri bersama garam dan kunyit. dengan menggunakan minyak yang panas, gorengkan ikan sehingga ia menjadi kekuningan
2. panaskan minyak di dalam kuali. tumiskan bahan-bahan hiris
3. masukkan serbuk lada hitam/lada sulah, garam gula dan air asam, kacau rata masukkan ikan dan lobak putih. kacau sebati sebelum hidang
resepi ilham: Pn sara
bahan-bahan A
3 keping ikan tenggiri
sedikit kunyit
minyak masak
sedikit garam
bahan-bahan B
1 batang lobak putih (dikikis kulitnya)
5 ulas bawang merah dihiris nipis
1 inci halia muda dihiris nipis
1 biji cili merah dihiris nipis
125 ml perahan air asam jawa
garam
30ml minyak masak
2g serbuk lada sulah
gula
cara membuat
1. perap ikan tenggiri bersama garam dan kunyit. dengan menggunakan minyak yang panas, gorengkan ikan sehingga ia menjadi kekuningan
2. panaskan minyak di dalam kuali. tumiskan bahan-bahan hiris
3. masukkan serbuk lada hitam/lada sulah, garam gula dan air asam, kacau rata masukkan ikan dan lobak putih. kacau sebati sebelum hidang
resepi ilham: Pn sara
Wednesday, July 12, 2006
pam jangan tak pam
New pump
I bought new pump; spectra3 last night hehehehee.....Then trylah guna...Tak pandai nak guna kena "study" more....
Alahai...Ramai kata massager tu bagus..nak kena beli massager plak ke ni hehehe....
$$$$$ lagi...kalau buat "proposal" ade ke org nak approve nih?Mmmm....
Dah try guna tapi tak dapat bnyk..Tidak tahu mcm mana..Betul kot sbb benda baru so belom arif lagi...So this coming weekend will be my "study time"...hehehee...Nak cepat-cepat pandai guna specra3 ni...
Avent manual kalau bleh nak guna kat office..spectra3 guna kat rumah..so that pagi2 taklah terkocoh2 nak cuci & sterile pam utk dibawa ke office....
Pagi tadi yang naik anginnya..Kalau guna Avent sure dapat 6-7oz..tp disbbkan guna spectra3 hanya dapat 3 oz je...
Walaubagaimana pun..Tadi kul 10:30am dah gi pam dapat lah 6oz..then pukul 2:30pm gi pam dapat lagi 8oz..Alhamdulillah..Nampak gayanya hari ni bleh buat bnyk sesi nih....Semoga dapat banyak susu Amin....
Tadi sambil2 dok kunyah kacang ni bacalah instruction book spectra3....Ada tulis..lagi bagus pam kerap tp sekejap dr pam jarang tp lama..soooo...this weekend aku plan nak pam every 2-3 hours sekali......Wish me luck...I will do it..I can do it...AKU BOLEH!!!!Insya Allah
I bought new pump; spectra3 last night hehehehee.....Then trylah guna...Tak pandai nak guna kena "study" more....
Alahai...Ramai kata massager tu bagus..nak kena beli massager plak ke ni hehehe....
$$$$$ lagi...kalau buat "proposal" ade ke org nak approve nih?Mmmm....
Dah try guna tapi tak dapat bnyk..Tidak tahu mcm mana..Betul kot sbb benda baru so belom arif lagi...So this coming weekend will be my "study time"...hehehee...Nak cepat-cepat pandai guna specra3 ni...
Avent manual kalau bleh nak guna kat office..spectra3 guna kat rumah..so that pagi2 taklah terkocoh2 nak cuci & sterile pam utk dibawa ke office....
Pagi tadi yang naik anginnya..Kalau guna Avent sure dapat 6-7oz..tp disbbkan guna spectra3 hanya dapat 3 oz je...
Walaubagaimana pun..Tadi kul 10:30am dah gi pam dapat lah 6oz..then pukul 2:30pm gi pam dapat lagi 8oz..Alhamdulillah..Nampak gayanya hari ni bleh buat bnyk sesi nih....Semoga dapat banyak susu Amin....
Tadi sambil2 dok kunyah kacang ni bacalah instruction book spectra3....Ada tulis..lagi bagus pam kerap tp sekejap dr pam jarang tp lama..soooo...this weekend aku plan nak pam every 2-3 hours sekali......Wish me luck...I will do it..I can do it...AKU BOLEH!!!!Insya Allah
Monday, July 10, 2006
EBM oh EBM......
Jumaat 7am
Dalam Freezer jumlah stok EBM = 0 (zero)
Jumaat 7pm
Dalam freezer jumlah stok ebm = 20oz
Sabtu 7pm
Dalam Freezer jumlah stok EBM = 32oz
Ahad 7pm
Dalam Frezer jumlah stok EBM = 48oz
Isnin 7am
Dalam Freezer jumlah stok EBM = 52oz
Isnin 7:15am
Dalam freezer jumlah stok EBM = 24oz
Aduh Jumaat hari tu stok habis terus..Bkn susu tak de tp Baby minum bnyk..So apa lg weekend baru ni aku pulun sakanlah Alhamdulillah dapat lah utk tampung keperluan dia...so minggu ni sehari at least aku kena kumpul 24oz..Insya Allah...
Aku skrg ambil suppliment food HPA industries punya product...
Aku ambil
Spirumadu (sprulina+madu+pegaga) -wajib
Mega-3 Kapsul (dr ikan tenggiri) - wajib
Jus pegaga -wajib
Teh Herba - bila suka
Alhamdulillah....Bnyk jg susu....Aku ambil semua ni lps membaca buku product info dr seorang Doctor dr Indonesia..Dia ada tulis produk utk "membanyakkan ASI"..Apa lg kita pun pulun laa..hahahahaa
During weekend lps..tiap kali baby menyusu aku akan pam...mmg "double pumping" lah...Cuma mlm aja tak sbb baby tak nak nyusu diriba dia nak ajak baring...mmmm...
Dalam Freezer jumlah stok EBM = 0 (zero)
Jumaat 7pm
Dalam freezer jumlah stok ebm = 20oz
Sabtu 7pm
Dalam Freezer jumlah stok EBM = 32oz
Ahad 7pm
Dalam Frezer jumlah stok EBM = 48oz
Isnin 7am
Dalam Freezer jumlah stok EBM = 52oz
Isnin 7:15am
Dalam freezer jumlah stok EBM = 24oz
Aduh Jumaat hari tu stok habis terus..Bkn susu tak de tp Baby minum bnyk..So apa lg weekend baru ni aku pulun sakanlah Alhamdulillah dapat lah utk tampung keperluan dia...so minggu ni sehari at least aku kena kumpul 24oz..Insya Allah...
Aku skrg ambil suppliment food HPA industries punya product...
Aku ambil
Spirumadu (sprulina+madu+pegaga) -wajib
Mega-3 Kapsul (dr ikan tenggiri) - wajib
Jus pegaga -wajib
Teh Herba - bila suka
Alhamdulillah....Bnyk jg susu....Aku ambil semua ni lps membaca buku product info dr seorang Doctor dr Indonesia..Dia ada tulis produk utk "membanyakkan ASI"..Apa lg kita pun pulun laa..hahahahaa
During weekend lps..tiap kali baby menyusu aku akan pam...mmg "double pumping" lah...Cuma mlm aja tak sbb baby tak nak nyusu diriba dia nak ajak baring...mmmm...
Saturday, July 1, 2006
sibuk
Alahai minggu ni aku amatlah sibuk...balik rumah aja lps settle apa yg patut sure terlelap sedar2 dah 4am....bgn pam...then tido balik..milk production masih normal..Alhamdulillah blehla 20oz sehari gitu tp yg tak terkejarnya si montel tu minum 28oz sehari hahaa...mommy dapat 20oz je..kena guna stok2 yg ada...so kena pulun lebih laaaa.....
Fahaman org tentang 'indah dan mulianya' susu ibu ni masih ditahap 'kritikal'...Macam mn nak cerita ya ttg kebaikan penyusuan susu ibu ni ya..Dah naik penat dah nak berkata2....should i ignore them?Biarkan mereka terus begitu?Or should I make them clear about breastfeeding?Nak cerita kat diaorg ni yg susah ni....Almaklumlah kita ni baru jd ibu 9 bulan 2 weeks..diaorg dah lama dahhhh....Apa2lah kan..yg penting jgn interfere dalam hal rumah tangga dan pendidikan anak aku dah laaa.....Susu apa aku nak bg kat anak aku suka hati aku la...Yg pasti anak aku dapat susu yg paling baik di dunia..Alhamdulillah
Fahaman org tentang 'indah dan mulianya' susu ibu ni masih ditahap 'kritikal'...Macam mn nak cerita ya ttg kebaikan penyusuan susu ibu ni ya..Dah naik penat dah nak berkata2....should i ignore them?Biarkan mereka terus begitu?Or should I make them clear about breastfeeding?Nak cerita kat diaorg ni yg susah ni....Almaklumlah kita ni baru jd ibu 9 bulan 2 weeks..diaorg dah lama dahhhh....Apa2lah kan..yg penting jgn interfere dalam hal rumah tangga dan pendidikan anak aku dah laaa.....Susu apa aku nak bg kat anak aku suka hati aku la...Yg pasti anak aku dapat susu yg paling baik di dunia..Alhamdulillah
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