{"id":9275,"date":"2017-07-31T20:07:29","date_gmt":"2017-07-31T12:07:29","guid":{"rendered":"http:\/\/drzubaidi.com\/blog\/?p=9275"},"modified":"2024-07-15T11:47:02","modified_gmt":"2024-07-15T03:47:02","slug":"perlukah-pembedahan-ovarian-drilling-pada-pesakit-pcos","status":"publish","type":"post","link":"https:\/\/drzubaidi.com\/blog\/perlukah-pembedahan-ovarian-drilling-pada-pesakit-pcos\/","title":{"rendered":"PERLUKAH PEMBEDAHAN OVARIAN DRILLING PADA PESAKIT \u00a0PCOS"},"content":{"rendered":"
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“Assalamualaikum, doktor. Saya seorang pesakit PCOS berusia 36 tahun. Sudah berkahwin 5 tahun tetapi tetapi belum lagi hamil. Saya pernah menjalani rawatan kesuburan dan baru-baru ini doktor mencadangkan saya menjalani pembedahan \u2018ovarian drilling\u2019. Perlukah saya melakukan pembedahan tersebut? \u00a0Terima kasih”<\/em><\/div>\n<\/div>\n
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WA ALAIKUM MUS SALAM.<\/span><\/div>\n<\/div>\n
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Tidak semua wanita yang mengalami masalah PCOS harus menjalani pembedahan ini. Namun saya percaya doktor sedang cuba melakukan yang terbaik untuk puan. <\/span><\/div>\n<\/div>\n
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Pembedahan \u2018ovarian drilling\u2019 ini adalah rawatan yang kedua selepas rawatan dengan pil clomid tidak berjaya bagi pesakit PCOS.\u00a0<\/span>Pembedahan ini dilakukan dengan memberikan bius pengsan, dan teknik pembedahan laparoskopi. Doktor akan membuat 5-10 lubang-lubang kecil pada setiap ovari.<\/div>\n
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Dengan menebuk ovari sebegini diharapkan\u00a0<\/span>mengakibatkan kerosakan sel-sel theca yang terlibat dalam penghasilan hormon androgen. Dengan ini, penghasilan hormon androgen dapat dikurangkan dan penghasilan hormon FSH akan meningkat. Ini akan menyebabkan keseimbangan hormon di dalam badan, dan berlakukan ovulasi dan seterusnya berlakulah kehamilan.<\/div>\n
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Tidak semua pesakit dinasihatkan melakukan rawatan ini. Ia dilakukan untuk pesakit yang telah mencuba rawatan dengan pengambilan pil clomid tetapi tidak berajaya.<\/span><\/div>\n
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Pesakit yang mengalami masalah berikut, juga mungkin tidak layak diberikan \u00a0rawatan ini. <\/span><\/div>\n<\/div>\n
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1. Pesakit telah mengalami masalah kesuburan lebih dari 3 tahun.<\/span><\/div>\n<\/div>\n
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2. Pesakit yang mempunyai berat badan berlebihan (BMI melebihi \u226535) <\/span><\/div>\n<\/div>\n
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3. Pesakit yang mempunyai paras darah hormon testosteron yang melebihi 4.5nmol\/L<\/span><\/div>\n<\/div>\n
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4. Pesakit yang mempunyai masalah kesuburan lain seperti saluran fallopian tersumbat atau masalah kesuburan disebabkan pasangan lelakinya.<\/span><\/div>\n<\/div>\n
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Pesakit sebegini mungkin lebih baik menjalani rawatan kesuburan seperti penggunaan gonadotrophin dan rawatan IVF.<\/span><\/div>\n<\/div>\n
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Banyak kajian yang dijalankan di kalangan pesakit PCOS selepas menjalani \u2018ovarian drilling\u2019, sebanyak 80% yang berjaya ovulasi. Seramai 60% dari mereka yang berjaya hamil.<\/span><\/div>\n<\/div>\n
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Namun begitu, pesakit boleh memilih rawatan lain yang sama berkesan. Sebagai contoh, rawatan metformin bersama clomid adalah sama berkesan seperti pembedahan \u2018ovarian drilling\u2019.<\/span><\/div>\n<\/div>\n
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Oleh itu, sekiranya pesakit PCOS itu tidak berjaya dengan rawatan cloimid, mereka perlu menurunkan berat badan yang berlebihan, dan penggunaan ubat metformin bersama clomid diberikan, sebelum meneruskan rawatan untuk menjalani pembedahan \u2018ovarian drilling\u2019.<\/span><\/div>\n<\/div>\n
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Oleh itu pesakit PCOS yang tidak mempunyai masalah kesburan lain (seperti tiub fallopian yang tersumbat atau masalah kesuburan pada pasangan mereka), saya mencadangkan agar menurunkan berat badan yang berlebihan dengan diet pemakanan yang betul, sbelum mencuba rawatan pembedahan ini, atau rawatan menggunakan ubat metformin, clomid atau gonadotrophin atau pembedahan \u2018ovarian drilling\u2019.<\/span><\/div>\n<\/div>\n
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Rujukan: <\/span><\/div>\n<\/div>\n
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Ovulation Induction using laparoscopic ovarian drilling in women with polycytic ovarian syndrome: predictors of success<\/em>. Amer SAK, LI TC, Ledger WL. Human Reproduction (2004);19(18):1719-1724.<\/span><\/div>\n<\/div>\n
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KONSULTASI BERSAMA DR ZUBAIDI<\/strong><\/p>\n

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https:\/\/needsvenue.onpay.my\/order\/form\/20mindrz<\/a><\/p>\n

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\u00a0 “Assalamualaikum, doktor. Saya seorang pesakit PCOS berusia 36 tahun. Sudah berkahwin 5 tahun tetapi tetapi belum lagi hamil. Saya pernah menjalani rawatan kesuburan dan baru-baru ini doktor mencadangkan saya menjalani pembedahan \u2018ovarian drilling\u2019. Perlukah saya melakukan pembedahan tersebut? \u00a0Terima kasih” \u00a0 \u00a0 WA ALAIKUM MUS SALAM. \u00a0 Tidak semua wanita yang mengalami masalah PCOS 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Baru-baru ini saya menjalani pemeriksaan antenatal di pusat kesihatan awam. Doktor yang memeriksa saya telah melakukan pemeriksaan ultrasound dan memberitahu bahawa uri (placenta) saya berada di bahagian bawah rahem. Ini merunsingkan saya. \u00a0 Usia kehamilan saya sudah memasuki 24 minggu. Bolehkah uri saya\u2026","rel":"","context":"In "Kehamilan"","block_context":{"text":"Kehamilan","link":"https:\/\/drzubaidi.com\/blog\/category\/koleksi-artikel\/pregnancy\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":6641,"url":"https:\/\/drzubaidi.com\/blog\/keratoacanthoma\/","url_meta":{"origin":9275,"position":2},"title":"Keratoacanthoma","author":"drzubaidi","date":"26\/10\/2014","format":false,"excerpt":"KERATOACANTHOMAS Seorang petani berusia 68 tahun datang ke klinik dengan menunjukkan masalah yang dialami pada jari kanannya. Seperti ada ketumbuhan \u00a0(nodule) dan sedikit nanan di tengah-tengahnya. 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Saya sering mengambil MC untuk berehat di rumah. Selain dari ubat-ubatan, apakah yang say perlu lakukan untuk\u2026","rel":"","context":"In "Doktor Menjawab"","block_context":{"text":"Doktor Menjawab","link":"https:\/\/drzubaidi.com\/blog\/category\/doktor-menjawab\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":6538,"url":"https:\/\/drzubaidi.com\/blog\/tabiat-makan-rambut-sehingga-perut-tersumbat\/","url_meta":{"origin":9275,"position":4},"title":"TABIAT MAKAN RAMBUT SEHINGGA PERUT TERSUMBAT\u00a0","author":"drzubaidi","date":"03\/10\/2014","format":false,"excerpt":"Seorang remaja bernama Ayperi Alekseeva, 18, telah dimasukkan ke Hospital Bishkek di ibu negara Kyrgyzstan, Bishkek, selepas tidak mampu lagi untuk makan atau minum. Para doctor mengambil keputusan untuk melakukan pembedahan setelah memerik beliau dan melakukan beberapa ujian xray. Mereka terkejut apabila mendapati dalam perut gadis itu ada 4 kg\u2026","rel":"","context":"In "Ulasan Berita"","block_context":{"text":"Ulasan Berita","link":"https:\/\/drzubaidi.com\/blog\/category\/koleksi-artikel\/ulasan-berita\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":7947,"url":"https:\/\/drzubaidi.com\/blog\/vitamin-c-untuk-kesihatan-kulit\/","url_meta":{"origin":9275,"position":5},"title":"VITAMIN C UNTUK KESIHATAN KULIT","author":"drzubaidi","date":"27\/01\/2016","format":false,"excerpt":"\u00a0 Pengambilan vitamin C melalui sumber makanan seperti buah-buahan (oren, jambu batu, kiwi, mangga, epal) dan sayur-sayuran (sawi, bayam, kangkung, cili) adalah amat penting dan patut diamalkan setiap hari. 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