Anda tahu apa itu penyakit Tetanus? (kancing gigi)

Bagaimana ianya berlaku?
Bangaimana untuk megelak dari mendapat tetanus?

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Pengenalan

Penyakit tetanus adalah penyakit yang serius berpunca daripada toksin bakteria yang merosakkan sistem saraf dan menyebabkan kekejangan otot yang menyakitkan terutama di bahagian rahang dan otot leher.
Tetanus boleh mengganggu sistem pernafasan anda dan membuat anda susah untuk bernafas.

Sakit Tetanus adalah sangat jarang berlaku di Malaysia disebabkan oleh program immunisasi yang diberikan oleh kerajaan Malaysia.
*Tiada ubat untuk menyembuhkan masalah tetanus. Rawatan hanya untuk merawat komplikasi sakit tetanus sehingga kesan toksin tetanus reda di dalam badan.
Simptom tetanus

Kebiasaannya penyakit tetanus berlaku apabila bakteria tetanus memasuki badan melaui luka. Simptom tetanus boleh berlaku dari beberapa hari hingga beberapa minggu dari sejarah luka berlaku.
simptom tetanus

-Kekejangan rahang
-Kekejangan otot leher
-Sukar untuk menelan makanan
-Rasa kejang di bahagian perut
-Kekejangan otot badan beberapa minit kebiasaanya disebabkan oleh bunyi bising, sentuhan fizikal atau cahaya terang.
Simptom lain tetanus
-Demam
-Berpeluh
-Tekanan darah tinggi
-Degupan jatung laju
Bila untuk berjumpa doktor?

- Jika anda sudah mengambil vaksin tetanus sebelum ini, anda perlukan suntukan tambahan (booster dose) jika dose terakhir 10 tahun lepas.
- Jika anda mempunyai luka yang dalam dan kotor dan tidak pernah mengambil booster dose dalam masa 5 tahun
Penyebab tetanus
- Oranisma = Clostridium tetani
- Organism ini terdapat di tanah, habuk dan najis haiwan
- Apabila ia memasuki luka -> membiak -> menghasilkan toksin yang kuat bernama tetanospasmin
- Tetanospasmin ini merosakkan sistem saraf dan menyebabkan kekejangan otot.
Risiko untuk mendapat tetanus

-Tidak divaksin
-Luka di bahagian badan
-Bendasing di bahagian badan seperti paku atau sembilu kayu
Komplikasi tetanus

- Tulang patah -> disebabkan oleh kekejangan melampau
- Pembuluh darah paru-paru tersumbat -> darah beku
- Kematian

Rawatan tetanus

- Tiada rawatan penyembuhan
- Penjagaan luka yang bagus
Ubat untuk mengawal serangan tetanus

- Antitoxin -> tetanus immunoglobulin
- Antibiotics -> metronidazole
- Vaksin
- Ubat penenang/ muscle relaxan -> untuk mengawal kekejangan otot

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More from @DIskandarmirza

28 Feb
For Junior Doctors and Pharmacists

Topic: The Pathophysiology of Thyroid Hormones and Anti thyroid Medications

Remember guys, to master the topic you first need to understand the pathophysiology of
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Follow this thread Image
Thyroid synthesis

1)Iodine transport

Iodide (I-) from the blood is actively transported into the follicular lumen Image
2)Thyroglobulin synthesis

Thyroglobulin is a protein that contains large numbers of tyrosine amino acids that go on to become individual thyroid hormone molecules. Thyroglobulin is synthesized within the follicular epithelial cell and secreted into the follicular lumen. Image
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Let us have a brainstorming session shall we?
Real patient with real management from me 😉

Scenario

40 years old
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This is his cxr prior to admission Image
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Do you really know how diabetic medications mechanism of action?

It is really important so that you know what to explain to the patient and thus making them more compliant towards their diabetic medications.

Follow this thread
First you guys need to understand how patient developed diabetes mellitus.

Refer to diagram below

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Now you understand right how hyperglycemia happened in diabetic patient? it took me all night to do all this diagram 😆

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Anda ada atrial fibrillation?

Anda faham apa itu atrial fibrillation?
Anda faham mengapa anda perlu makan ubat cair darah?

Follow bebenang ini

@MedTweetMYHQ
#MedTweetMY
Atria fibrillation adalah masalah rentak jantung yang tidak sekata dan ianya boleh menyebabkan rasa jantung berdenyut laju, berdebar dan rasa jantung turun-naik dengan cepat.
Simptom Atrial flutter adalah

- Jantung rasa berdebar secara tiba-tiba
- Cepat rasa penat
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- Rasa hendak pitam
- atau sesetengah pesakit tidak mempunyai apa- apa simptom
Read 7 tweets
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How to Decide on anticoagulant for Atrial Fibrillation

Follow this steps
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This is how you calculate a CHA2DS-VASc score
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>2 (male) or >3 (female) + OAC is recomended (Class 1A)

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Do you understand about the class of recommendation?

Just a little bit about it, because it is important for you guys to know it.

Class 1 means: it is recommended
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Have you guys heard of Chiladaiti syndrome?

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@MedTweetMYHQ
#MedTweetMY Image
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Cxr
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