H1N1 ( Tips )

salam..

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Aku dah byk dengar rungutan dari kawan2 dan patients aku yg mereka tidak diperiksa sewajarnya bila di refer ke hospital gomen...ie diambil sample throat swab..

Aku nak advise di sini(based on info from my colleague in G) bahawa Pekeliling menyatakan hanya highly suspected case/high risk patient & those admitted will eventually undergo the test.

The ultimate, time consuming test ialah PCR(Polymerase Chain Reaction)..100% confirmation. Problem is, ia mahal dan ambil masa 3-5 hari..

So, most private hosp dah ada the Rapid Detection Test Kit..but minds u that this test will not give a a confirmatory 100%...Yes, the manufacturers claim kalau test dibuat properly(ie ketika sampling ), the sensitivity is up to 80%..but major reports from studies in the States and from Europe claimed that only up to max 40-50%.

So, if u think u are infected, but not in the high risk categories, dan korang masih boleh berjalan, appear fit, dan takmau kecewa menunggu lama di G hospital, but then lepas di check fizikal disuruh balik dgn Paracetamol dan Ubat batuk, boleh pergi ke private hospital for this Rapid test.

TETAPI, ingat bahawa kalau Rapid Test is NEGATIVE, there are as high as 40% chances sebenarnya u are infected.(20% kalau ikut manufacturer's claim).

I am telling this so that u guys tak buang masa dan have some ideas what to do, what to expect..

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so what option do we have?
nampaknya terpaksa pergi private hospitallah kan? tp tak accurate pulak, tp kalau di campur dgn xray lung?

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Lungs X ray tidak boleh digunakan sebagai diagnostic tool for Influenza, termasuk type A H1N1..

Changes in the lungs X ray boleh dikesan, tetapi bila dikesan ianya disebabkan oleh complication H1N1..seperti pneumonia, pulmonary odema dan lain lain..

So, senang cerita, kalau dah ada something wrong in your chest X ray, bermakna dah terlewat lah pengesanan H1N1 tu, ie dah masuk complication's stage.

To make a diagnosis, kena lihat;

1. Simptoms pesakit
2. Confirmatory test for viral count---Real time PCR atau Viral culture.Sample diambil dari tekak(throat swab).
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camna test yg diorg run yer..sekali run satu sampel ker?..sebb setahu saya dalam mesin PCR tu ada 96 well..pastu seingat saya kalau kita run PCR nih paling lama overnight..bukan nak kondem..just bg cadangan..ngapa tak minta institusi Biotech/research center/ipt yg ada kelengkapan PCR bantu run test..rasanya dalam keadaan camni goverment kena gunakan semua resource yg ada..kalau nak harap IMR jer mmg tak dayalah..hospital pun setahu saya tak semua yg dilengkapi dgn alat termocycler tuh..sampel yg nak ditest makin hari makin bertambah..ye tak?

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kepada kami2 ni yang orang2 kampung, apa patut kami buat untuk mendapatkan rawatan sewajarnyaaa , kesian kami, ade kesedaran tapi beginilah pula perihalnya
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Begini lah..

Sekiranya u demam dah masuk 3-4 hari tak OK jugak PLUS ada batuk/selsema, sakit tekak-----jumpa je doc kat hospital..biar mereka periksa..kalau u tak admitted, dan tiada throat swab diambil, saya rasa InsyaAllah tidak serious..

Dan sekiranya u tak demam, or demam dah kebah, but tiba tiba sesak nafas, sila ke hospital ASAP..

Yg lain lain tu, berdoa lah mintak perlindungan.
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