Friday, May 13, 2016

SOAL Jawab : Ada tak bekalan / stok organ di hospital untuk didermakan kepada kawan bapa saya?

Soalan : Adakah terdapat bekalan / stok simpanan organ di hospital untuk ditransplankan / didermakan kepada kawan bapa saya?



Jawapan :

Salam sejahtera. Terima kasih kerana menghubungi kami. 

Untuk maklumat anda, organ seperti jantung, hati, buah pinggang dan paru-paru tidak mempunyai stok simpanan. Organ adalah tidak sama seperti darah yang mempunyai bank simpanan. Ini kerana organ berfungsi dengan cara yang berbeza. Organ memerlukan darah untuk kekal 'hidup' dan berfungsi dengan baik. 

Maka, setiap organ yang dikeluarkan dari tubuh penderma organ memiliki jangka hayat yang tertentu yang amat singkat, sekalipun telah disimpan dalam larutan dan ais. Organ manusia, selepas dikeluarkan dari tubuh hanya mampu bertahan seperti berikut : 

- Jantung dan paru-paru : 2 hingga 4 jam 
- Hati : 6 hingga 8 jam 
- Buah pinggang : 8 hingga 16 jam 

Lebih lama masa yang diambil untuk proses pemindahan organ, lebih berkuranglah kualiti organ berkenaan. Oleh yang demikian, proses pendermaan dan transplantasi organ perlulah berjalan dengan cepat, lancar dan tetliti. 

Kami mencadangkan bapa kawan anda untuk mendapatkan penderma di kalangan ahli keluarga sendiri atau mendaftar sebagai penerima melalui pegawai perubatan pakar yang merawat beliau. 

Harap maklum. Terima kasih.


Mohon booth kempen kesedaran pendermaan organ

Pusat Sumber Transplan Nasional adalah badan kerajaan yang bukan sahaja menyalaras dan mengkoordinasi kes-kes pendermaan organ dan tisu, bahkan menjalankan program-program dan kempen-kempen kesedaran pendermaan organ di seluruh negara.




Progam kempen ini amat penting bagi menarik masyarakat dalam memahami hakikat pendermaan organ dan seterusnya memberi kesedaran kepada mereka untuk mendaftarkan diri sebagai pengikrar penderman organ.

Bagaimana anda boleh membantu?

Anda boleh membantu meluaskan lagi kesedaran pendermaan organ di kalangan masyarakat dengan menjemput kami membuka booth kesedaran  / pendaftaran ikrar derma organ di pejabat, kilang atau kolej anda. Perkhidmatan ini adalah percuma!

Anda boleh membuat pemohonan dengan mudah iaitu secara online.

 Nota Buat Penganjur
  1. 1. Sila kembalikan borang ini dengan lengkap selewat lewatnya dua (2) minggu sebelum tarikh program.
  2. 2. Booth termasuk 5 buah kerusi dan 1 buah meja.
  3. 3. Sekiranya booth yang disediakan penganjur berada di kawasan luar (outdoor), sila sediakan kipas angin bagi keselesaan petugas.
  4. 4. Penganjur diminta menyediakan refreshment kepada petugas sekiranya kempen melebihi 5 jam.
  5. 5. Petugas sukarelawan dari pihak penganjur amatlah dialu-alukan bagi melancarkan lagi perjalanan kempen.
  6. 6. Menyediakan plug elektrik untuk kegunaan petugas.
  7. 7. Penganjur perlu memastikan kehadiran hadirin yang
  8. 8. Tempat letak kereta untuk penceramah. Menggalakkan bagi program ceramah.
  9. 9. Menyediakan kemudahan WiFi (sekiranya ada).

Thursday, May 12, 2016

HAPPY Nurses Day!!!

Another year has arrived for nurses around the world to celebrate the International Nurses Day on the anniversary of the birth of Florence Nightingale, the founder of modern nursing. This year YB Health Minister joined close to 3000 nurses to celebrate the national level International Nurses Day here in Putrajaya.
Providing quality healthcare services to all people in need is the ethical and professional responsibility of nurses. As committed, innovative and solution oriented professionals, nurses continue to provide care with resilience and versatility even with little or no resources or organisational support. However, improving health systems’ resilience requires inter-sectorial efforts by all actors at all levels. Nurses, who deliver the majority of healthcare services in collaboration with colleagues in both and non-health sectors; have an important role in this process.
This year’s International Nurses Day theme: Nurses: A Force For Change – Improving Health Systems’ Resilience, call upon all nurses to play an integral role in leading change through personal core values, perceiving and applying fresh approaches to improve current thinking, relating to others by adapting to different standards and approaches, and developing capabilities by creating systems for succession.
Congratulations are also in order for the three exceptional nurses who have been awarded "Tokoh Jururawat" today in 3 categories: Service, Community & Education.
My best wishes go out to all nurses and on behalf of Warga KKM and everyone in Malaysia, have a very “HAPPY NURSES DAY 2016"

Datuk Dr Noor Hisham Abdullah
Director General of Health Malaysia 
and Senior Consultant in Breast, Endocrine 
and General Surgery, Putrajaya Hospital, Malaysia. 




Saturday, May 7, 2016

KEPADA Siapa Harus Aku Berbakti?

Abu Hurairah melaporkan, "Nabi ditanya, 'Wahai Rasulullah, kepada siapa aku harus berbakti?" 

"Ibumu," jawab baginda. 

Dia bertanya, 'Kemudian siapa?' 

"Ibumu," jawab baginda. 

Dia bertanya, 'Kemudian siapa?' 

"Ibumu," jawab baginda. 

Dia bertanya, 'Kemudian siapa?' 

Dia menjawab, "Ayahmu."

- Hadis Sahih (Albani), Al-Adab Al-Mufrad 5

Selamat Hari Ibu.

America’s Heroin Epidemic Is Actually Helping Those Waiting For Organ Transplants

 Original post here
America’s heroin epidemic is an unprecedented tragedy that continues to affect people of all walks of life. Yet, in a morbid twist of fate, it has also positively impacted another problem within the United States health care system: an ever-growing need for organ donors.
As the number of people who have lost their lives from heroin overdoses has increased, so have the number of people on the organ transplant list who have received life-saving organ donations. "It's a silver lining to what is absolutely a tragedy,” Alexandra K. Glazier, the New England Organ Bank's CEO and president, told U.S. New & World Report.
In March 2015, the Centers for Disease Control and Prevention released a report indicating that death rates tied to heroin overdoses had quadrupled over the past decade. And while this research showed heroin-induced deaths, other statistics show how a rise in prescription opioid painkiller abuse has opened the gateway for more widespread heroin use.
According to data gathered by the United Network for Organ Sharing, the number of donors who died of overdoses increased from 230 in 2006 to 848 in 2015, representing a 270 percent surge. Some of these donors had given consent to use their organs prior to their death, while others were signed up postmortem by a family member.
"Many of the families we encounter have been going through this addiction for several years," Glazier explained. "It's almost as if the families were preparing for this death; many feel great comfort in knowing that some good has come out of it."
The overdose victim is a relatively new kind of organ donor. While the number of people who fall into this slot has increased, victims of cardiovascular issues, gunshot wounds, blunt injuries, and asphyxiation remain the most common types of organs donors.
It is estimated that around 22 people die each day while waiting for an organ donation in the U.S. But while the heroin deaths may help to save these lives, some worry about the quality of the tissue, which, when it comes down to it, is donated by someone suffering from a drug addiction. Similar concerns have been raised over the use of HIV-positive organ transplants.
In 2013, President Barack Obama signed the HIV Organ Policy Equity Act, which allowed for HIV-positive organs to be donated to HIV-positive patients. Before then, the use of organs from an HIV-positive patient was strictly forbidden for any purpose, and all HIV-positive organs had to be discarded.
That said, the HOPE Act has opened the door for research on infected organ donors. Not only would this help to improve HIV-positive patients’ lives, it would help anyone who is waiting on a transplant list.

Thursday, May 5, 2016

PERLUKAH SAYA MENJALANI PEMERIKSAAN KESIHATAN ATAU UJIAN SARINGAN UNTUK MENDAFTAR SEBAGAI PENGIKRAR PENDERMA ORGAN?


Tiada sebarang pemeriksaan atau saringan diperlukan untuk mendaftar sebagai pengikrar penderma organ. Sesiapa sahaja layak mendaftarkan diri sebagai pengikrar, sekalipun mempunyai penyakit seperti darah tinggi, kencing manis atau masalah jantung. Ini kerana, saringan, ujian dan pemeriksaan sebenar akan dijalankan apabila tiba masa menjadi penderma organ sebenar kelak.

Tuesday, May 3, 2016

What Brain Death is and Why it Matters

Original article here



Technology brings with it new understandings about nature and possibilities never before imagined, along with complications and an ethical path much thornier, and harder to discern. Scientists and policymakers have long bemoaned the lag between runaway new technologies and the moral, legal, and procedural issues needed to wrangle them in. In many ways, medical science has changed how we define the most pivotal moments in life, particularly its bookends.


Those on either side of the abortion debate still argue over when conception begins. Meanwhile, on the other end, technology has allowed us to prolong life far past what we would consider a natural end, making what death is, and what it should be, extremely difficult for some to decipher, particularly when it means letting go of someone in their family. The Terry Shiavo case was an example of this. It also brings up the question of what is a dignified death, as typified by California’s new Right to Die law.


The very concept of death has been shaken up by life support technology. The heart may beat on for weeks in a living cadaver. The skin may feel warm to the touch. But without activity inside the brain, the person is dead without question. Still, with these signs, it’s hard for a family to let go. Once the brain stem is gone, they are no longer with us.





Here is where the controversy comes in. There are cases where medical professionals say a person is brain dead, while the family fights to keep their loved one on life support. For instance, the 2013 case of Jahi McMath. The thirteen year-old Oakland, Calif. native was undergoing routine surgery for sleep apnea. Surgeons were removing her tonsils and some other soft tissue, and elected procedure to help her sleep better. Unfortunately, something terrible happened while she was on the operating table.


McMath was declared brain dead on December 12 of that year. The family fought in court to keep her on the ventilator, and she was moved to another, unnamed medical facility across the country. Despite the lack of activity in her brain, her other life signs registered normal. Another case surrounded Marlese Munoz, a women 14 week pregnant who on November 26, 2014 suffered a pulmonary embolism. She was soon pronounced brain dead at John Peter Smith Hospital in Fort Worth, Texas. Here, the family insisted she be taken off life support, while the hospital refused, citing a Texas law that states such support cannot be withdrawn from a pregnant patient.


We tend to think of brain death and a coma as the same thing. In medicine, they are worlds apart. Coma is a state of unconsciousness, according to the Mayo Clinic. Generally speaking, a coma doesn’t last more than a few weeks. After that, the person awakens. Best case scenario, they regain full cognitive and physical functioning. Worst case, they remain in a persistent vegetative state. Terry Schiavo was an example of this. Such a person may move their eyes or make sounds. Yet, they cannot understand speech or respond to it. Fortunately, most comatose patients recover with time.





A brain dead person however is technically dead. They will never recover, and once removed from the machines, all bodily functions will eventually cease. The Uniform Determination of Death Act states that the cessation of respiratory or heart functions, or of brain functioning inside the brain stem constitute brain death.


Lower brain functions derive from the top portion of our spinal cord. This is responsible for body function regulations such as breathing, heartbeat, the reflexes, sleep-wake cycles, and body temperature. The Upper Brain is where higher functions take place, such as the five senses. With brain death, neither the upper nor the lower part of the brain functions. But certain body functions, including the heartbeat, may go on. Though these give some families hope, unless it is a case of misdiagnosis, the patient will never recover.


Physicians say it is difficult for many grieving families to understand that a person is dead, even when their heart is still beating. Whereas the heart usually stops at some point within the first 72 hours, in can in some cases continued to beat for a week or more. Without brain function, someone on a ventilator may look like their breathing. But they could never do it on their own.


The American Academy of Neurology updated the guidelines for brain death in 2010. Here, doctors must go through a checklist including 25 separate items before brain death can be declared. All the criteria must be met. However, these definitions vary legally from one state to the next. Even so, no one has ever been declared brain dead and survived.





Brain death was a term first created for the routinization of organ and tissue harvesting. That’s according to Margaret Lock, a medical anthropologist at McGill University in Montreal. In an article called, “Inventing Death and Making it Believable,” she writes that the concept of brain death only exists to give legal parameters in cases where the organs were still viable, yet the patient is longer alive. This designation became protection for medical professionals and organizations to handle such organs without fear of legal reprisal.


Many countries today argue over just what brain death actually means. There is no conception of this in Japanese culture for instance. They do not discriminate between the heart and the mind, which in the West comes from Descartes. Whereas, in America, it has a hard and detailed definition. Without this designation, organ donation would be hobbled.


That doesn’t stop unscrupulous organ traders and medical centers from harvesting organs even before families are made aware that their loved one is deceased. Since a large number of accidents and incidents of violence happen in the inner cities of America, a disproportionate number of organs come from these places. Many times the families are not made aware, or medical centers don’t do everything they can to make sure families know before their loved ones organs are made into a commodity. Medical technologies have bred so much advancement, and have helped improve human life in tremendous ways. But the ethical lag means that there are a lot of dark corners and niches that cause waste, deceit, denial, and harm. How we move forward in these instances, and what motivations are involved must also be considered.


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