Wednesday, October 29, 2008

Extragenital Endometriosis







Endometriosis is a pathological process, characterized by abnormal growth of cells that is similar to the cells lining in the uterus. There can be found elsewhere outside the uterus. As for the implant growing at different organs and system, they are termed extragenital Endometriosis.
The endometrial cells share the same properties with the original one inside the uterus, they shed and bleed in each menstrual cycle.
The implants can be in the urinary bladder, intestine, kidneys, lungs, esophagus, post operative scar, conjunctiva, brain.

causes: still unknown by the experts. They are suggesting the immune and the hormonal system play an important role.

Theory 1:
Back flow of the menstrual blood carrying endometrial cells into the target site, via bloodstream or lymphatic system, they reach to other organs and system. This could also happen during abdominal operation, c-section, uterine perforation, conservative myomectomy. This is the most likely explanation for the rare cases of endometriosis that develop in the brain and other organs distant from the pelvis, thus migration theory.

Theory 2: embronic genesis. There are areas lining the pelvic organs possess primitive cells that are able to grow into other forms of tissue, such as endometrial cells. (This process is termed coelomic metaplasia.)

Theory 3:
Dysfunction of the immune response system, which may affect the body's natural ability to recognize and destroy any misdirected growth of endometrial tissue.

Theory 4: Hormonal disorder. Steroidal and gonadotropic hormones disorder. Hyperestrogeny and increase FSH( follicle stimulating hormone) lead to rise of the activity of the implant endometrial cells.

Who is affected?
( MedicineNet.com)
Women in their 25-35. Some reports show girls as young as 11 years of age.
More commonly found in white women as compared with African American and Asian women. Studies further suggest that endometriosis is most common in taller, thin women with a low body mass index (BMI). Delaying pregnancy until an older age is also believed to increase the risk of developing endometriosis.

clinical picture:
1. Intestinal endometriosis: abdominal pain coinside with menstruation. Sometimes intestinal obstruction.

2. Endometriosis of the urinary bladder: disordered micturation or even blood in urine, ( hematuria).

3. Endometriosis of the lung: coughing with blood ( hemoptysis) and chest pain during menstruation.

4. brain endometriosis: headache and seizures.

How is extragenital endometriosis diagnosed?



Other symptoms related to endometriosis include:pain during intercourse, lower abdominal pain, diarrhea and/or constipation, tenesmus( bowel evacuation) during menstruation, low back pain, irregular or heavy bleeding( menorrhagia), hematuria.

In rectovaginal exam (one finger in the vagina and one finger in the rectum), the doctor can feel nodules (endometrial implants) behind the uterus and along the ligaments that attach to the pelvic wall. At other times, no nodules are felt, but the examination itself causes unusual pain or discomfort.

Chest xray
Ultrasound: reveal nodules or endometriotic cysts
laparoscopy: corroborated with biopsy. therapeautic laparoscopy can also be done during this manipulation.
endoscope

tumor marker test: Cancer antigen 125 (CA 125) in blood, but it's not as sensitive to mild or moderate disease. As with cancer, CA 125 doesn't perform well as a screening test for endometriosis because it's least sensitive when the disease is in its earliest stages.

treatment:
depends on severity and the implants.
2 types: medication or surgery

For pain: NSAIDS (ibuprofen)
For the hormones:
1. Goserelin:Zoladex

2. Norcolut

3. Utrogestan


as for endometriosis the treatment as below:

Gonadotropin-releasing hormone analogs (GnRH analogs)

Gonadotropin-releasing hormone analogs (GnRH analogs) have been effectively used to relieve pain and reduce the size of endometriosis implants. It prevents menstruation and lowers estrogen levels, causing endometrial implants to shrink.


Oral contraceptive pills

Oral contraceptive pills (estrogen and progesterone in combination). The most common combination used is in the form of the oral contraceptive pill (OCP).

Progestins

Progestins (Provera, Cycrin, Amen) are more potent than birth control pills and are recommended for women who do not obtain pain relief from or cannot take a birth control pills. But not recommended in women with plan pregnancy.

Danazol (Danocrine)

a synthetic drug that creates a high androgen (male type hormone) and low estrogen hormonal environment by interfering with ovulation and ovarian production of estrogen. Eighty percent of women who take this drug will have pain relief and shrinkage of endometriosis implants, but up to 75% of women develop side effects from the drug.

Aromatase inhibitors

they block the conversion of hormones such as androstenedione and testosterone into estrogen and by blocking the production of estrogen from endometrial implants themselves. This deprives endometriosis of the estrogen it needs to grow. Early studies suggest that aromatase inhibitors are at least as good as other hormonal approaches and may be better tolerated. Also used in treating breasts cancer.
Lupron
  • Lupron depo shot is also a gonadotropin and is used to lower the hormone levels in the woman's body to prevent any growth of endometriosis. The lupron shot is given in 2 different doses a once a month for 3 month shot with the dosage of (11.25mg) or a once a month for 6 month shot with the dosage of (3.75mg). This puts the body into a "medicated menopause", resulting in side effects such as mild to severe hot flashes or a drop in bone density (which usually recovers after treatment). The therapy is less invasive than surgical approaches.
surgical:
Laparoscopy. Endometrial implants may be excised or obliterated by laser. If the disease is extensive and anatomy is distorted, laparotomy (opening of the abdominal wall via a larger incision) may be required.
Hysterectomy
In severe cases of endometriosis, a total hysterectomy and the removal of both ovaries may be the best treatment.
Surgery is always combined with oral medication to suppress recurrent.

Sunday, October 26, 2008

Reincarnate from chocolaty heaven!

Craving cakes make me indulge into heaven..atonia for awhile and reincarnate.

Today i just had a ride to heaven..

I took the recipe from a friend of mine, thinking of making my own home-made choc-moist steam cake. Had the recipe but we had trouble in finding the ingredients from a single supermarket.Eventually we had to run into 2 different places to get the ingredients. Russians do have their own way of cultivating their boring lifestyle and we have to put them together by running here and there. Is finding enjoyment that hard here in Russia? Please prove me wrong if you could..well never mind,it is my final year here and I'd like to make my year as happening and meaningful as possible...(with my coolest and best friends a.k.a housmies)



Mum...you would be proud of me..love.

Friday, October 24, 2008

Bad Hair Day?

Which hair style suits me the best?ha ha...recently found a pretty playful and creative site to simply make a fool on yourself.

Granny from padi field


Afro from the church choir



Mdm xxx who teaches History

Wednesday, October 22, 2008

Last leaf before en route

Final autumn in a foreign land,
i treasure every moments that bring me gaiety,
and scribble every thoughts and inspiration,
and pictures telling their own stories.
HQ08




Dubai Burj Al Arab lookalike apartment standing arrogantly facing the Volga river next to my kvatira.




Golden hue of autumn




crimson leaves

Sunday, October 19, 2008

Getting down-under

Guys, i've promised to post about this in my last post...so here you are...enjoy!

Panties and knickers, they are actually the same piece of garments covering the genital parts ,meant to be worn under garments = underwear, below the waist level. Panties are used by the American and Canadian, whereas British and other commonwealths call them knickers.

Some history about panties:


Before the 60's, grannypanties were worn. In the 70's , when the sexual revolution took place, the public had taken sexuality into the next level. The concept of " free love" had taken the world by storm, with young people embracing the ethos of hippie and preaching the power of love and the beauty of sex as a natural part of ordinary life. So, panties had gotten smaller and skinnier to be more openly sexualised.

They are divided into various types based on such criteria as amount of rear coverage, width at the sides, and height at which they are worn.


Bikini:
Worn lower then the waistband. Has narrower strip and skinner touch.



Tanga:
Fuller coverage til waistband but the strips are reduced at the sides.



Thongs/ G-string/ T-back:
Like tanga but the rear coverage is not that full. It has a string strip designated to slip between the wearer's buttocks and becomes wider when it comes towards the top.



V-strings:
even less coverage then thong:


boy-shorts:
Boy shorts often cover most of the buttocks area, evolute from boys' shorts, sometimes we call it shorties. And they don't ride up like the thongs.(Embarrassing!)


Cheeky:
This style covers a little more area, but exposes the bottom part of the buttocks. Some wear as bikinis bottom.



Garters:
They are bands of fabrics to keep the stockings up.

**A garter is often worn by newlywed, and the gloom will toss to the male guests during the deflowering and unmarried male wedding guest who successfully caught the garter was believed to be the next man to be headed to the altar from the group of single men at that wedding. Traditionally, the man who caught the garter and the lady who caught the bouquet will share the next dance.**

high-waist:
for high rear and tummy coverage.



No-show panties:
high-tech dry fit micro-smooth panties to let the skin breath and pulling away moisture from the skin. Invisible under the pants.



Briefs:
give a full coverage til up to the belly.

Thursday, October 16, 2008

How well you know about a woman?



Lingerie always give the idea of erotica. Actually the meaning of it is wider and covers variety of undergarments. The French applies the word lingerie to all undergarments for both genders.
Now, people designate lingerie to a narrower or i may say a more specific view, in which the undergarments are visually appealing and erotic.
Women select lingerie for 3 purposes: shaping, hygiene and modesty. The body shaping is altered by corsets, bras and girdles. And the makers assures that we got the intimate apparel which consists of brassieres, thongs, panties, bustiers, daywear.
As for bras, they are not just only an undergarment supporting the boobs, they bring different effect and serve different function.
Me myself love to shop for lingerie. It gives a confident boost once you try on the good ones. And i feel so happy that i'm a woman and i could enjoy my sexual priority in trying out different outfits.
So Guys, think that you can read a women from her external to her internal?

Push-ups:
Customize your own cleavage with removable push-up pads.


demi-bra:
Which supports halfway of the boobs




Full-cup:
Give support and lift



Seamless:
provide a skin touch piece of apparel (to wear under even the closest fitting styles.)




Strapless:
to show off your clavicles and toned shoulders:)




Nu-Bra:
Revolutionary self-adhesive bra invented for a backless and strapless purpose.Even the tightest outfit won't reveal the mark of the bra worn inside!



Feeling like showing some cleavage and more flesh?
Nipple patch to the rescue!

of course it comes in different sizes and shapes..not only flowers.......doink!



and here are some playful ones:




I'll post about the panties and thongs in my next post.... (pictures from Frederick's of Hollywood)

Wednesday, October 15, 2008

Burst! Show some attitude

Feeling like posting this before i head to class. Recently Our group is so into the bursting features in Nokia N-series. We have 2 Nokias in our group and rebut-rebut taking turn to show off our gadget.
Kaaatcchaa! Is our time to show our attitude!








Some are really good posers...but some are just stoned .

An Artwork of disguise

To seal the disguise of me,
to hide the emotional strain out from me,
hereby created a loud art,
to strewth my dismay.

Sunday, October 12, 2008

Shuffle your 41,000


It's a fancy world where all the bling-bling have crazed the new era.
$41,000, for shuffling your feet and blasting your head off.


video

Raya with joy

My final Raya here in Volgograd had put a contentment as an ending. As this is the final year, i decided to look around for baju to greet this Sunday open house at Hiroshima.
It started at 2pm, and by the time me and my housemates reach there, people already started flooding the hall where we were arranged to take our food in a buffet manner.
There were performance played by the newbies and video clips for reminding us about our root, our Malaysia.
And during the Best costume session.... i turned out to be the winner..goooosh...i was in the middle of munching and chewing my stubborn beef tendon when suddenly i saw all the faces looking at my side and fingers pointing and waving to call me out to the stage....help me and save the beef!
i was so malu that i wanted to hide myself into a hole...eventually i went out to recieve a jar of cookies and candies.Phew
Then we had a great picture session.Batch photo, groups photo, random taking, housemates gang, kvatira gang,etc...


FUN!

Saturday, October 11, 2008

shooting dream


I wonder why I didn't have ballet lesson when i was young.
My parents would sent me to drawing class, chinese caligraphy, swimming lesson, comic class, piano, but not ballet.
I asked mum one day:' Ma, why you never let me learn ballet?'
Ma:' I heard that ballet might injure your joint and slows down your bone development.'
I guess ma should had thought of letting me join the lesson (ironically I'm short).

Tuesday, October 7, 2008

Sale


2nd hand United Colors of Benetton for SALE!
size:s
color: beige
age:3years
price: 2000rubles
tel: 89272505742

Friday, October 3, 2008

Iphone unlock software



The globe is crazy about Iphone. Check out this link to get yourself the unlock software.
https://paydotcom.com/r/47886/chiiliyeow/2078036
 
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