For members & internal circulation only
February - May 2016
A Newsletter by Mended Hearts Penang
Tel: + 604-222 7344
Email: mendedheartspenang@pah.com.my
Mended Hearts Penang is a support group initiated by Penang Adventist Hospital for the benefit of heart patients and care givers.
Message from the
Chairperson
Dear friends,
There are few nick names in life we do not
want to be associated with, for example, to be
called the fattest girl or boy.
Malaysia has just gotten itself such a nick
name: we are the “fattest” nation in South East
Asia.
Surely this is a name we are not proud of. But
the fact remains: about 50% of adult
Malaysians are considered overweight and
obese. Medical and health experts today
concur that obesity is a gateway to many
chronic diseases, including heart disease.
But obesity is not some incurable disease. So
it is heart disease. Obesity and heart disease
are preventable and reversible, if we make
healthier choices every day, starting today!
Healthy diet, regular exercise, abstaining from
smoking and alcohol are some important
ways we can do to prevent or minimise the
complications of heart disease.
“Life after Heart Surgery”
In this issue we address a number of topics
relating to life after heart procedure, whether
it is bypass, angioplasty or stenting.
Our Cardiac Rehabilitation program is a good
place to start after your heart procedure. Our
team will assist you in a structured exercise
program, with continual education to support
your new lifestyle (see page 4 for more
information).
And if you’re looking for ideas for heart
healthy meals, turn to page 6. Want to
understand the many different types of heart
medications? See page 12. And yes, you don’t
have to be shy to ask if you could resume a
normal sex life after bypass (see page 3)!
I hope to see you in one of our health classes.
Happy reading!
Dr Yen Ang
DrPH, RD, ACSM
Mended Hearts Chairman
When is
A heart felt record of
gratitude and appreciation
I’m a 63 year old male expatriate working here in
Penang. Team work in my employment
environment is very important both to me as a
team leader and the whole organization that
ensures we produce the required end product. I
have always thought that the teams I have worked
with over the years have been rather good and
special but I have had to change my view
following recent personal events.
Why you may ask, well following an Atrial Heart
Flutter episode in October 2015 that caused me to
visit the Adventist Accident & Emergency
department. This I assumed to be a minor heart
rhythm defect that had occurred some three
years previously went from a small to a larger issue
with a coronary Angiogram finding Left Main
coronary vessel disease with ischaemic heart
disease. The result was to have a Quadruple Artery
Bypass Graft that was performed on 26th October
2015. I was exposed to the most amazing team
effort that has not only ensured a healthy blood
supply to my heart but placed it on a firm footing
for years to come providing I play my part in
weight control, good diet and exercise.
I write this article in praise for the whole team at
the Adventist, whilst I was directly involved with
two specialists, Dr. Chang Sau Kong, the
Cardiologist who diagnosed the problem and Dr.
Talal Ahmed Reda, the Cardiothoracic Surgeon,
who operated on my heart, both of which I am
sincerely grateful for their professionalism as well
as being truly nice people. I also interfaced with
the support team members that ranged from the
accounts admission team all the way through to
the cardiac rehabilitation team. The individual
names are too numerous to mention – another
endorsement of the number of team players that
were involved in my diagnosis, my operation and
my recovery – but nevertheless all played an
important role in a very friendly and again
professional manner.
02
l February - April 2016
sex safe after bypass surgery?
Source UpToDate
Written by T. M. Scott
I am not going to suggest that you must try this as
it was a good experience, as I wish you good
health and not to have to undertake heart disease
corrective surgery, But if you were unfortunate to
be affected by heart disease, I can say that there is
no better team to be entrusted to help you with a
caring and professional approach to making you
both feel better and also making you better.
The Adventist Hospital Core values come to mind
here being expressed using the acronym CARING
"Community Achievement Relevance Integrity
Nurture Godliness
The statement throughout the stay in hospital was
themed on "God heals, We help" from my
personnel perspective is that the “we help” part
that is a fully integrated and professional help
teams that makes all of the difference. The initial
shock to my system being informed that I had
severely blocked arteries was managed in a very
positive fashion by the team, the arrangements to
be booked into the ward and prepared for surgery
was comforting, the actual operation involved
many skilled personnel which combined as the
theater team which did a great job, the HDU
team that initially brought me back to normality
and of course the ward team that laid the
foundation for the recovery that released me from
the hospital to be supported by the cardiac
rehabilitation team that gradually have helped my
physical improvement to being able to walk and
exercise for an hour each day without any issue
after only 6 weeks following the graft procedure.
A really big appreciative thank you to all of the
staff teams at the Penang Adventist Hospital both
from myself and my wife for not only a great piece
of work but the manner in which it has been and
continues to be undertaken.
An important issue for many patients who have
had bypass surgery is when sexual activity can be
safely resumed. In the first two weeks after an
uncomplicated heart attack, most people are at
high risk of heart-related problems during sex as a
result of a rise in the heart rate and blood
pressure. However, this risk becomes much
smaller by six weeks after the heart attack.
Your doctor can help answer your questions about
resuming sexual activity. It is important that your
doctor sees how you tolerate gradually increased
exercise and activity after you leave the hospital.
Your doctor will also use the results of your
treadmill test to help deciding when you can
resume sexual and other forms of activity.
Patients with complications of a heart attack,
such as recurrent chest pain, abnormal heart
rhythms (arrhythmias), or heart failure are at
intermediate or high risk of heart-related
problems during sex. People in these risk groups
need further evaluation and/or treatment before
attempting to have sex.
Sexual problems – Sexual problems after a bypass
surgery are common, occurring in one-half to
three-quarters of patients. Both men and women
may have less or feel less satisfied with sexual
activity. A variety of factors may contribute,
including side effects of drugs, depression, and
fears about triggering a new heart attack or dying.
Since sexual activity is a type of physical activity,
exercise testing can be used to determine if a
person is at any risk of heart problems related to
sex.
For men with erectile dysfunction, medications to
treat this are highly effective. There have been
concerns that these agents might cause side
effects or increase the risk of heart attack in
people with coronary heart disease. However, if
used appropriately, these drugs appear well
tolerated and safe. Unfortunately, these
medications are not usually helpful for women
with sexual problems after a heart attack or
bypass surgery. Other treatments are available for
women.
None of the medications for erectile dysfunction
should be used for a person who regularly or
intermittently requires nitrates for recurrent chest
pain. This combination of medication can cause
life-threatening drop in blood pressure. Nitrates
are prescribed drugs used to treat angina (chest
pain). Examples of nitrates are nitroglycerin
patches, Angised (Glyceryl Trinitrate) under the
tongue tablet, Isoket spray, Isorsobide Trinitrate,
Isosorbide Mononitrate, etc.
Thus, if a person develops chest pain after taking
the erectile dysfunction medication, he should
not take nitrates for 24 hours (or longer in some
cases). Instead, the person should rest and wait 10
minutes to see if the pain resolves. If the pain does
not resolve or if the chest pain is severe, medical
attention should be consulted immediately.
Patient must also alert medical personnel about
the consumption of the erectile dysfunction
medication.
It is normal for the person recovering from a heart
attack to feel awkward when first returning to
sexual activities. You and your partner may feel
anxious. You may even fear that you will not be
able to perform sexually. Return to sexual relations
gradually. Discuss your fears or anxieties with your
partner. Reassurance and communication will
help resolve anxiety and prevent depression.
T. M. Scott
February - April 2016
l
03
Medical History
Penang Adventist Hospital
Cardiac Rehabilitation Program
What is Cardiac Rehabilitation?
Cardiac rehabilitation is a medically supervised
program that helps improve the health and
well-being of people who have heart problems.
Penang Adventist Hospital Cardiac Rehabilitation
Program generally includes exercise training,
education on heart healthy living, and counseling
to reduce stress and help you return to an active
life. Please enquire the rehabilitation team
whether your package is inclusive of some of the
programs.
Overall, cardiac rehabilitation can help you:
1. Recover after a heart attack or heart surgery
2. Prevent future hospital stays, heart problems,
and death related heart problems
3. Address risk factors that can lead to heart
problems, such as high blood pressure, high
blood cholesterol, overweight or obesity,
diabetes, smoking, lack of physical activity, and
any emotional health concerns.
Penang Adventist Hospital Cardiac Rehabilitation
team will help you design a program that meets
your needs and help you in every step of your
recovery. You should share questions and
concerns with the team. This will help you reach
your goals.
Outlook
People of all ages and ethnic backgrounds and
both sexes can benefit from cardiac rehabilitation.
The lifestyle changes made during rehabilitation
have few risks. Rehabilitation can help people
who have had:
1. A heart attack
2. Percutaneous coronary intervention (PCI),
sometimes referred to as angioplasty
3. Coronary artery bypass grafting (CABG)
4. Heart valve repair or replacement
5. Heart transplant or a lung transplant
6. Stable angina
7. Heart failure
What to Expect
When Starting
Cardiac
Rehabilitation?
Your doctor may
refer you to
cardiac
rehabilitation during an office visit or while you're
in the hospital recovering from a heart attack or
heart surgery. If your doctor doesn't mention it,
ask him or her whether cardiac rehabilitation
might benefit you.
There are four phases of cardiac rehabilitation
programs. Placement in the programs depend on
your condition, the date of the cardiac event and a
physician’s order. Generally, Phase I and Phase II
always require a physician’s order before you can
participate.
Phase I: If you're recovering from major heart
surgery, your cardiac rehabilitation program starts
while you're still in the hospital. You may begin
with non-strenuous activities, such as sitting up in
bed, range-of-motion exercises and self-care, such
as shaving. You then progress to walking and
limited stair climbing. You'll engage in the kinds
of activities you'll encounter once you're back at
home.
Phase II begins after you leave the hospital and is
often done in an outpatient setting, which is at
the Cardiac Rehabilitation Centre located at the
second floor of the Heritage Wing of Penang
Adventist Hospital. You will need to travel back
and forth from your home to a rehabilitation
center for this phase of your recovery.
This phase is a structured, medically supervised,
outpatient program for patients with heart
disease that incorporates regular exercise along
with other services that may include nutritional
counseling, stress management, and smoking
cessation. During this phase, you gradually
increase your activity level, usually under the close
supervision of your cardiac rehabilitation team.
Your team might suggest exercises you can safely
do at home, such as walking and gentle
calisthenics.
In this phase, before you start cardiac
rehabilitation, your rehabilitation team
will assess your health. This includes
taking your medical history and doing a
physical examination.
04
l February - April 2016
A physical therapist or nurse will ask you:
i. About your previos heart problems, heart
surgery, and any heart-related symptoms you
have.
ii. Whether your family has a history of heart
disease
iii. What medicines you take, including
over-the-counter medicines and dietary
supplements (such as vitamins and herbal
remedies) Describe how much, how often, and
when you take each medicine.
iv. Whether you smoke and how much
v. If you have diabetes, how you check your blood
sugar level, and how often you do it
vi. Whether you've ever had hyploglycemia, which
is low blood sugar. This condition can occur in
people who take medicine to control their
blood sugar levels
Your answers to these questions will help your
rehabilitation team assess your quality of life and
well-being. Your rehabilitation team will also
assess your physical activity level to learn how
active you are at home, at work, and during
recreation. If your job includes heavy labor, the
team may recreate your workplace conditions to
help you practice in a safe setting. You'll work with
the team to find ways to safely add physical
activity to your daily routine.
Physical Exam
A physical therapist or nurse will do a physical
exam to check your overall health, including your
heart rate, blood pressure, oxygen saturation and
rate of perceived exertion (RPE)/Borg Scale. The
physical therapist will conduct a
Six-minute-walking-test (6MWT), a sub-maximal
test of aerobic capacity or endurance. This test will
be a benchmark to track your progress
throughout the program.
Program Structure
Basically Penang Adventist Hospital Cardiac
Rehabilitation program includes 18 sessions over
the course of three months, with two to three
sessions weekly. Your rehabilitation team will work
with you to create a safe, easy-to-follow exercise
plan. Each session lasts about one hour, with an
exercise period incorporated between
instructor-led warm-up and cool-down sessions.
Your plan might include aerobic exercise and
muscle-strengthening activities. Aerobic exercise
is any exercise in which your heart beats harder
and you use more oxygen than usual. Examples of
aerobic exercise are walking, cycling, rowing, or
climbing stairs.
Your rehabilitation team will likely ask you to do
muscle-strengthening activities 2 or 3 days per
week. Your exercise plan will list each exercise and
how many times you should repeat it. Examples of
muscle-strengthening activities are lifting weights
(hand weights, free weights, or weight machines),
using a wall pulley, or using elastic bands to
stretch and condition your muscles.
Throughout each session, your heart rate is
monitored by the cardiac rehabilitation team.
Exercise levels are adjusted regularly by a team
member, based on heart rate performance, your
level of comfort and your physician’s directions to
provide maximal safe progress in exercise
capacity.
Exercise training as part of cardiac rehabilitation
may not be safe for all patients. For example, if you
have very high blood pressure or severe heart
disease, you may not be ready for exercise training.
Or, you may be able to handle only very light
conditioning exercises. The rehabilitation team
will determine what level of exercise is safe for
you. If you have diabetes, the rehabilitation staff
may suggest that you test your blood sugar before
and after exercising to watch for numbers that are
too high or too low. The rehabilitation staff will tell
you what numbers to look for.
Phase III and Phase IV is a long-term
maintenance program — something to follow for
the rest of your life. By this point, you probably will
have developed your own exercise routine at
home or at a local gym. You may also continue to
exercise at a cardiac rehabilitation center. You
may remain under medical supervision during
this time, particularly if you have special health
concerns. Education about nutrition, lifestyle and
weight loss may continue, as well as counseling.
For best success, make sure your exercise and
lifestyle practices become lifelong habits.
References:
California Society for Cardiac Rehabilitation (2016) What is Cardiac Rehabilitation [Online] Available at: http://www.cscr.org/what-is-cardiac-rehab
[Accessed: 21 March, 2016].
National Heart, Lung, and Blood Institute (2013) Cardiac Rehabilitation [Online] Available at:
http://www.nhlbi.nih.gov/health/health-topics/topics/rehab [Accessed: 8 March, 2016].
February - April 2016
l
05
This is a vegan
kung pao tofu recipe
developed based
on kung pao chicken
.
Vegan
Kung Pao Tofu
Prep Time: 10 minutes
Total Time: 40 minutes
Cook Time: 30 minutes
Serve: 2
ฟᗍᯰᨢᘢใ්
Ingredients
Stir-fry Sauce
•
•
•
•
•
•
•
•
•
•
•
•
•
•
1 pound firm tofu or extra firm tofu
3 tablespoons vegetable cooking oil
1 green pepper sliced
1 red pepper sliced (or with dried chili pepper)
3 garlic cloves, minced
1 inch root ginger sliced
5 scallions get the white part for stir-frying and the green
part for garnish
1 tablespoon light soy sauce
2 teaspoons dark soy sauce
2 teaspoons sugar
1 teaspoon cornstarch
2 teaspoons black vinegar
1 teaspoon sesame oil
1 tablespoon water
౅஧὇̠͊Ὀ
• ˏᮣ˖‫ۋ‬ᯰᨢᘢ
• ½ᮣฟᗍѬጹʷ
• ഼ഐෳ
•ᄡ
• ᄆᑊ೴
• ៯ูܷ౓
• ᭞೴ḚᜈᯎNjុ։ၸḛ
ͺก
Instructions
1. Cut the firm tofu into cubes
around 4~6 cm long. And then
drain to remove the water on the
surface.
2. Cut red pepper and green
pepper into small slices.
࠱ᯰᨢᘢᗡҁ᭣࣡ཿNjҙᄔḞ࠱ᯰᨢᘢ૱੆ชnj
Ժ႐і࠴‫߸ڰ‬ஞᄉᯰᨢᘢ‫ڰ‬Ḟ‫ܘ‬Ҫԯਕ
࠴༡Ҫབ഼ഐෳḞ࠱ฟᗍʷણ༱ᒯᤨ௙nj
࠱ᯰᨢᘢชNjᯰᨢᘢ‫ڰ‬உЙણ༱ሙnj
உЙ៯ูḚซ਒Ѿᝧ៯ูཱི໓ḛnj
‫ڨ‬ӈҪབՐஉЙ᤟᧙ᄉᄡˀᄆᑊ೴ុ։nj
ᄨᄧՐḞԺ̾உ࠵᝴᭞೴ʷϡᜈᯎnj
3. Heat up 3 tablespoons of peanut
oil in wok. And pan fry until tofu
becomes gold-brown in surface.
Move the tofu cubes out and
pour the extra oil out of the wok,
only left around 2 teaspoons in.
4. In a small bowl, mix all the
ingredients for stir-fry sauce.
5. Get ginger, garlic and scallions in
to stir-fry until you can smell the
aroma; return tofu cubes in
along with pepper slices. Stir-fry
until the pepper slices becomes
soft.
6. Add the sauce to wok and mix
well. If you want to add roasted
peanuts in, add it after pour the
stir-fry sauce in.
7. Transfer all the content to a
serving plate and garnish some
chopped spring onions.
06
l February - April 2016
February - April 2016
l
07
Heart Failure talk
Attentive audience
Health Class on January 6 th2016 Registration and PDM sale counter
The first health class for Y2016 was organized on
the 6th January 2016. The topic was on
‘Difficulty in Breathing’ by Dr Khoo Kah Fang,
Consultant Internal Physician from Adventist
Medical Centre.
Health Class on March 13 th2016 -
Heart Failure
BRAVO!! The response was overwhelming. One
hundred and thirteen people attended the talk
entitled ‘Heart Failure’ by Dr Chang Sau Kong,
Consultant Cardiologist and Physician of
Penang Adventist Hospital. People just filled up
the seats from left to right, front to back.
Dr Chang’s presentation was precise but
comprehensive, no fuss but humorous. The
participants were captivated by his interesting
manner of presentation. He also answered
quite a number of questions from the audience
though initially it was to be two questions.
Difficulty In Breathing
Dr Chang emphasized
the importance of
healthy lifestyle such as
cessation of smoking and alcohol intake and
early intervention to treat causes of heart failure.
It is also of great importance to continue certain
medications when the acute stage of heart
failure is resolved.
There can be many reasons for breathing
difficulty. One of them is Chronic Obstructive
Pulmonary Disease (COPD). Dr Khoo’s talk was
mainly on COPD which was a lower respiratory
lung disease. Cessation of smoking helped
tremendously in management of COPD.
l February - April 2016
50 people attended the talk. They went home
satisfied and happy. They were also presented
with a Master Q Diabetes comic book each,
contributed by Diabetes Malaysia.
The health class adjourned at 4.00pm. Everyone
was happy and impressed. We from Community
Health Department take this opportunity to
thank all involved such as personnel from
Marketing Department and members of
support groups for their help in making this
health class a success. To Dr Chang, thank you
very much for taking time off from your busy
schedule for this talk and we truly appreciate,
first and foremost your willingness to be the
speaker.
One of Dr Khoo’s slides
08
The talk was ended with question and answer
session. During the Q&A session, Dr Khoo also
dispelled the myth on E-cigarettes which was
not better than conventional cigarettes.
Participants are listening attentively
with Dr Khoo’s explanation
February - April 2016
l
09
Ѣᛝ‫˖ۋ‬᮲Ḽ
௃᝶௦Ꭴᛝ‫ۋ‬ᤆ௦
Ѿ᝜৵вԦnj
ʶ൒ԦͺՐᦏ᜵ྱ
˖᮲
˖᮲௦ᑧᛝክ਒ܰᄉίሥnj˙ࣽʼ࠱˖᮲ѫ˝̃ዜḬʶዜ௦
ᑧᛝಞኍलᡐᄉᎤᛝ‫˖ۋ‬᮲ḞԲʶዜ௦ᑧຼᛝ੝ᒰᄉѢᛝ‫ۋ‬
˖᮲njѢᛝ‫˖ۋ‬᮲ˀᰳᛝԌ࿭ཨӣᰳథСḞᎤᛝ‫˖ۋ‬᮲ˀᑧ
ҮᑡᆵӐᄯଋథСḞ‫ڙ‬ʼᤗˏዜᑧᛝክ਒ܰ˖Ḟ‫ځ‬ᰳᛝԌल
ᡐᄉᑧຼᛝዜѢᛝ‫˖ۋ‬᮲ఝ˝ܲ᜸nj
˙ࣽ᜹ࠢԦဗḞԀ΍௦ᆀఆবᄉᑧᎤᛝԦͺḞʶᓉ‫ࣱڙ‬
ЮጝథӦஜ̠в൒ԦͺnjᏪ˄ʶᓉᄉ᜺।௦в൒ԦͺᄉჁ
࿃ʶ൒ඊʶ൒᧗Ḟᫍᬥௐᫍʶ൒ඊʶ൒ᆀᣏॱ˖᮲ՐвԦḞ
˶͗႐ʽː᧗ᄉՐ᥋Ⴡኃʻ൒ԦͺᄉჀ൪ည‫̾ڙ‬ʼnj‫ځ‬
൤Ḟ௃᝶௦Ꭴᛝ‫ۋ‬ᤆ௦Ѣᛝ‫˖ۋ‬᮲Ḟʶ൒ԦͺՐᦏ᜵ྱѾ᝜
৵вԦnj
˖᮲᝜ઐड़Ѝ
̾ʽ੝Ѵᄉᦏ௦ʶ̎࣡᜸ᄉ˖᮲᝜ઐड़ЍḬ
• ቉ཨᄉ᭦ᦉNj੣ᒥ੊Ꮷᒑᦉ᳣ఱ੊ᏧᘾिḞ࠾Ф௦‫ڙ‬ӬΞ
ᢷͳʼnj
• ቉ཨᄉ਒ខຈ˼Njឬព੊ᏧူᝌᑞҦѢဗ᫇ᮤnj
• ቉ཨᄉӬᅊ੊ᏧԤᅊ᜼ྫྷഴዹnj
• ቉ཨᄉᛠᡋ‫ڇ‬ᬱNjܿ௚ᅊᔈḞܾԜࣰᛥ੊ᏧӨុᑞҦnj
• ቉ཨᄉNjԓ‫ځ‬ʿ௙ᄉː᧗ܿႺnj
‫ݟ‬౦;ซ਒ҁ̾ʼʶ˓੊Ꮷܲ˓ड़ЍḞឯӇ࿆៸nj˖᮲௦ʶ
ሗӝႤጊপ̂஋nj
ᒰႂ;ᄉপងӝႤనҫ఺ౝḞበԀҁӝᬒࡂӝḓ
ᮔ᫸˖᮲ᄉழก
;˶Ժ̾ᬋͯ˖᮲ᄉ᮲ᬖ֖ӿᬖḬ
˿ᝌ৥ᄉ˓̠᮲ᬖ‫ځ‬ገḬᰳᛝԌNjዽࡋჀ֖ᰳᛝᑟnj
ӂ̅ᤈᛠͳҦาҮࣲ߿యᤁҮnj
γ૆ϣऔᯌᮻḞܲᮻၸප౦֖ᘁᖜࣲђ࠵୉ЙᄡዜḞᝧᢵ
ͳγ૆ϣऔ࿃খࣲ࠱ᛝԌγ૆‫ڙ‬ᣖͯපࣰnj
ଌ҃ᦤዴ୉Ԩ᧙nj
ᥗБխཎnj‫ݟ‬౦ࣂፂ౿ʼխཎৎ˷ḞበԀࠬයࣞүੈ૿ཎ
ჷnj
ߥ͗ខѾ˖᮲ᄉ᝜ઐड़Ѝnj
10
l February - April 2016
ͯᄡᯌᮻ
˖᮲Ր᥋Ⴡ
˝ᬋͯԦၶ˖᮲ᄉ᮲ᬖḞඇܸतᝫᮻᄡ୉Й᧙ःͯ̅Аnj
ᮻᄡ͗΍ᛝԌපࣰʼӣnj
ᛝԌᡔᰳḞᎹৣ˖᮲ᄉ᮲ᬖࡂᡔᰳnj
੆ࣱ̠ඇܸᮻᄡ୉Й᧙ःͯ̅АḞᏪЇቧᄉ୉Й᧙ःឞ
ఝͯnj
ၿ̅ᛝԌපࣰᯪЎ௦̯Їቧయध‫ݼ‬ӣᰳᄉḞ‫ځ‬൤ः‫ڙ‬ឞ᫼
ൿध‫ݼ‬ːಪଌ҃ᄡዜ୉Ԩ᧙nj
ੇ͂୉ЙᄉᄡѫܷܲஜӉդ‫ڙ‬ඇ௅ᄉᮻֵ˖Ḟ‫ݟ‬᭦ӉNjᦴ
ඹNj‫֖᦯ݚ‬ҪࢹᐚዜḞ̾Ԣ‫ڙ‬ᮿಷʼཱི֖ᮻௐҪЙᄉᮻ
ᄡnj
ҰҦߥ͗˷਄ᮻၸͯᄡᮻֵḭϛ̾ௐ௅;͗ԦဗḞͯᄡᮻ
ֵԀ΍ʿඊᰳᄡᮻֵᎾ։ԺԯḞ˶ᑞᝧ;Ո३ศศథ։nj
Ⴚ჋
ᐪᒒᐜᐚჯდ௃กࣞүᐜᒉ࠱ʼᒥళቪ‫ڙ߿ڌ‬ᐪСᓫ˖njᒥ
ᒒ‫ځ‬൤͗ᑱሎСᓫḞ˝ৣᏧࣛ౎౜ቪ჋ᔪࣲ‫ݰ‬ᆽ੣ᦉ֖ᒥᒒ
ᄉऔ‫ܬ‬nj
˖᮲᝜ઐड़Ѝ
'"45ঋᤳ฽ណ௦ʶሗΦ̅ඇ˓̠᝭ॹᄉNjᑞܴү৥ខѾ˖᮲
ड़Ѝᄉథၸழกnj'"45ᤇ‫ߙ˓ٽ‬ආѫѾ̼ᛪ᭦ߗNj੣Njឬព
֖᧓ԨᛠҮᄉௐᫍḬ
ឯበԀᒰႂ৥ॆ‫ڠ‬ᄉপងӝႤనҫ఺ౝ੊ґज़ణᤂᄉӝᬒࡂ
ងnj᣽ᤳধᏥnjࡉ௉ᛠҮnj˖᮲௦ʶሗӝႤጊপ̂஋nj
ARMS
SPEECH
ᝢᅻᛯᤝ
˖᮲͗लᡐᝢᅻᛯᤝḞᏪᤇ˓ჀჁ‫˖ڙ‬᮲‫ܬ‬ԦՐ࠾˝௾᥅nj
൤ܰḞᝢᅻᛯᤝ˶ፂ࣡ͦᬣ‫ܬ‬Ԧব̍˙ࣽ˖᮲˓಴Ѣဗnjၿ
̅Ꭴ˫Ц‫ۋ‬ᄉ˖᮲Ⴡ࿃Ḟ̍˙ࣽ˖᮲࣡࣡௃กᜁᆷងnjᤇ̎
˓಴ज़ज़͗लᡐᡔ౎ᡔː᧗ᄉ૮ࠎࣲᬋͯৣᏧᄉॶఄᑞҦnj
Ⴣ૏࿃খ
Ⴣ૏࿃খዜͪ̅þХᆠ‫ڭ‬বᄉઙ኎࿃খÿnj‫ڙ‬ណ‫ڎ‬ሧҮ౼ʶ
ᐧͳௐḞ˖᮲ᤴ੆ᄉᑧ૮͝థௐϊ͗लᡐჯდবᐜᐚʿᒬ˞
அ᎕njᤇ͗̽‫ٽ‬ᐧᬝ̅Ѐᆵ֖፧ጊᄉ࿃খnjஅ᎕ᄉᐜᐚ࣡࣡
͗̽੣ᦉ֖੣ᒥᄉСᓫබˣব‫̅ܪڠ‬፧ጊ࿃খḞ̽੣ᦉ֖੣
ᒥյဗѢԪ्Ꮺ˄࣡࣡௦჋ᔪᄉ‫ލ‬Ҹnjॆᐜᐚ௃ก߸੆Ф߸
ஞᄉาҮௐḞФֆ‫ډ‬ᄉᐜᒉ֖ᣃጷጺ˶͗ጊ፧ᡐ౎njᤇ΍३
ડͨᐜᐚ਎Ҫ‫ڇ‬ᬱnj
᭦ߗ'BDF
೜ಉ̴͂ᄉ᭦ᦉnj
̴͂ᄉ٘ᝇ௦ՠᐁડʽ౎˿ḱ
੣"SNT
̴͂ᑞܴˠᡐԤᒥ՘ḱ
ឬព4QFFDI
̴͂ᄉԯᴐ௦ՠʿຌḱ
̴͂ᑞܴူᝌ৥ᄉឬព՘ḱ
ௐᫍ5JNF
ଁଦణ˝С᪃nj
‫ݟ‬౦;ซ਒ҁ͉ʹ᝜ઐड़ЍḞःበԀ᧓ԨᛠҮnj
FACE
ં᥷
Ϸ੝థː᧗ႼჀՐ᥋ჁʶಧḞ˖᮲Րᄉં᥷˶௦ॡ௾᥅ᄉnj
ၿ̅ᤇሗ˖᮲Ր᥋Ⴡ࣡లᜁᆷងḞৣᏧᄉऔ‫ܬ‬ᑞҦज़ज़‫ځ‬൤
ᬋͯḞၶา᠎᧙˶ᥒҁҏिnjჀჁᬓ˿ࠪ˖᮲ࣳߚᏧᤴ੆‫ڇ‬
੷Ḟఝ͗˝᠆᠉ཱᮎ̴͂ᄉᦠϥ੊Ꮷᤂ̝ࣛ౎ॕֽnjࠪ̅᝴
ܲৣᏧNjৣᏧᄉᦠϥ֖ߦߔ౎ឬḞᤇ௦ᭉ᜵᫁య᭦ࠪᄉʶ˓
᧗ઝnj
੣ᒥᄉჃ૏͗ᤴ੆ጊଦાܿNjाఛ੣ᐟ̾Ԣ੣ᒥጊጊ૗Ԍ‫ڙ‬
ᑛᦉኍৰхnjᤇ͗ː᧗ॕֽ˖᮲ࣳߚᏧᤈᛠቇᛧኍ௅࣡าҮ
ᄉᑞҦnjᒑᦉᄉჃ૏࿃খ͗लᡐᒛᄥЀᆵNj࠸ᡛ̾Ԣᡛᡡा
ఛnj੝థᤇ̎ჀჁᦏᑞܴᜁᆷងḞФ˖ܷܲஜჁ࿃ࣂథ᤟ၸ
ᄉ෴Ⴄழกnj
TIME
Source from:
http://www.worldstrokecampaign.org/zh/chinese-simp-world-stroke-cam
paign/chinese-simp-learn-about-stroke.html
February - April 2016
l
11
3 rd December 2015 - Mended Hearts
Medicines for the
Heart
Penang Social
Gathering
‘Drug’ in this article simply means medicine.
There are many different drugs that are used in
the treatment of heart disease. However, these
drugs belong to a few main types or categories.
Though these drugs are very similar, they do
have minor variations which are important for
some people. Doctors will prescribe the drugs
that suit the needs of each individual patient.
Several different drugs are available for treating
1 heart condition. Your doctor will choose the
one which, in your individual case, is the most
likely to be effective and at the same time safe.
Patients vary greatly, in how they respond to
individual drugs. Often the most appropriate
drug and dosage has to be found by trying it
out and getting feedback from you. Patients
may need to have their blood pressure recorded
regularly, or have blood tests, to establish the
correct dose.
Each drug has one official name; this is called
their “generic” name. They may be prescribed
under one or more trade names.
Route
Most drugs for heart are taken
by mouth (orally). These
tablets or capsule is to be
swallowed.
Orally
Sublingually
Drug is to be put under the
tongue until it dissolves.
Self-adhesive patch Patch that contains drug is put
on the skin. Drugs will be
absorbed through the skin.
Intravenously
Drugs are injected directly into
a blood vessel.
Intramuscularly
Drugs are given into muscle in
the buttock or thigh via
injection.
Subcutaneously
Drugs are given under the skin
via injection.
This year Mended Hearts Penang organized their
annual social gathering at Olive Tree Hotel,
Bayan Lepas on December 3, 2015.
Dr Yen gave a small appreciation
token to Mr Chua
Some drugs are being prescribed on when
necessary basis i.e when symptoms such as
angina develops. In most cases drug needs to
be taken regularly i.e for controlling blood
pressure or preventing angina. It is dangerous to
stop taking your drugs without medical advice.
Side Effects
Most drugs used in the treatment of heart
disease are very safe. Dangerous side effects are
extremely rare. Minor side effects however do
occur.
Some side effects may result from the action of
the drug. If you are given too large a dose of a
drug treating high blood pressure, your blood
pressure will fall too low and you may feel faint.
There area also other side effects which may not
be related to the main action of the drugs i.e
cough.
If you develop any new symptoms or concerns
after starting a new drug, it is important to tell
your doctor.
Angina
Angina is an uncomfortable feeling in the chest
and/or chest area which usually be brought on
by physical activity or emotional upset. Angina is
caused by an inadequate supply of oxygen to
the heart muscle. When the coronary arteries
become narrowed by a gradual build-up of fatty
material (atheroma) within their wall, it cannot
deliver enough oxygen-containing blood to the
heart. This condition is called “atherosclerosis”.
Heart Attack
High Blood Pressure
If blood pressure is persistently high it can
lead to coronary artery disease, heart failure,
stroke, and kidney damage. There is a wide
range of drugs available to control blood
pressure.
The program began with an opening speech by
Dr Yen Ang followed by the buffet dinner. The
objective was to create an opportunity for
members to have positive interactions with one
another, to support one another and to promote
friendships.
About 50 members and their families attended
the dinner. They enjoyed the delicious food and
lucky draw prizes. Many members are looking
forward to 2016 social gathering!
Heart Failure
Heart Failure occurs when an inadequate
pumping action of the heart leads to
breathlessness and fatigue. Many forms of
heart disease may cause heart failure.
Members
served
themselves
the delicious
food
Abnormal Heart Rhythm
Disorder of heart rhythm (electrical activities
in the heart) causing symptoms like
palpitation, fainting spell.
Valvular Heart Disease
Flow of the blood through the heart is
affected by diseased or damaged heart
valves. This causes strain on the heart and the
circulation.
Lucky draw
prizes
Coronary Artery Disease Prevention
Drugs may also be used to control some of
the risk factors responsible for coronary
artery disease, in addition to lifestyle
modifications. These include drugs to reduce
a high level of cholesterol in the blood
known as “cholesterol-lowering drugs”, drugs
to lower raised blood pressure, and to
prevent blood clotting.
This happens due to a blood clot blocking a
coronary artery which has been previously
narrowed by a gradual build-up of fatty material
(atheroma) within its walls.
Group photo
Source - British Heart Foundation
12
l February - April 2016
February - April 2016
l
13
hormone ghrelin, which makes you crave carbs
and sweets. And when you're tired all the time,
you might not be able to turn the food you eat
into energy as efficiently, which can lead to
weight gain.
The good news? Treatment for sleep apnea can
make you feel better, with more energy for
exercise and other activities. Lose enough
weight, and you can cure OSA.
Adult asthma
7 Ways
Sleep Apnea
Can Hurt
Your Health
Snoring may seem funny, but if it’s
the result of obstructive sleep
apnea (OSA), it’s no joke. The
condition can raise your risk of
other health problems like high
blood pressure and diabetes. It can
even make you more dangerous on
the road. But when you treat sleep
apnea, you can ease, or even cure,
some of these issues.
Science hasn’t
proven a link to
OSA, but people
who get sleep
apnea treatment
may find they
have fewer
asthma attacks.
Acid reflux
High blood pressure
If you already have
it, obstructive sleep
apnea can make it
worse. Waking up
often during the
night can cause
your hormone
systems to go into
overdrive, which
boosts your blood pressure levels. When you
can’t breathe well in your sleep, the level of
oxygen in your blood drops, which may add to
the problem.
Treatment does make a difference, though.
Some people with high BP who get help for
sleep apnea can cut back on their blood
pressure medications.
Heart disease
People with OSA are more likely to have heart
attacks.
The causes may be low oxygen or the stress of
waking up often. Stroke and atrial fibrillation – a
problem with the rhythm of your heartbeat -are also linked with the condition.
14
l February - April 2016
Sleep apnea disrupts how your body takes in
oxygen, which makes it hard for your brain to
control how blood flows in your arteries and the
brain itself.
Type 2 diabetes
Sleep apnea is common among people with
this condition -- up to 80% of them have OSA.
Obesity raises a person’s risk for both disorders.
Although studies haven’t shown a clear link
between sleep apnea and type 2 diabetes, not
getting enough shut-eye can keep your body
from using insulin properly, which leads to
diabetes.
Weight gain
Extra pounds raise your
chances of getting
sleep apnea, and the
condition also makes it
harder to slim down.
When you’re
overweight, you can
have fatty deposits in
your neck that block
breathing at night. On the flip side, sleep apnea
can make your body release more of the
Fitness Facts
Exercise Boosts It'
s Not That
Brainpower
Ha
to Find Tim rd
e
for Fitness
Movement Melts
Away Stress
There’s no proof that sleep apnea causes this
kind of heartburn that doesn’t get better, but
many people say that it’s a problem. Treating it
seems to improve apnea symptoms, sleep
doctors say.
Car accidents
Here are seven health problems you might face
if you have OSA:
Top 10
When you feel
groggy, that can
raise your risk of
falling asleep at
the wheel. People
with sleep apnea
are up to five
times more likely
than normal sleepers to have traffic accidents.
Treatment for Sleep Apnea
All the health problems linked to this condition
can sound scary, but there are a lot of ways to
treat the disorder.
Your doctor may recommend a machine called
CPAP, short for continuous positive airway
pressure. The machine, with a mask attached by
a hose, can help you breathe better at night and
get the rest you need. It can take some getting
used to, but people who use CPAP when they
sleep feel better and are healthier.
Exercise
Helps
Ward Off
Disease
Weight Loss Is
Not the Most
Important Goal
Exercise Lets
You Eat More
Fitness Can
Help Build
Relationships
Fitness Pumps
Up Your Heart
Exercise Boosts
Performance
Exercise Gives
You Energy
There are other treatments, too, such as nerve
stimulators to keep your airways open and
several types of surgery. Talk to your doctor
about which option is most likely to help you
feel better and avoid other health problems.
Source: http://www.webmd.com/sleep-disorders/sleep-apnea/sleep-apnea
Source: http://www.webmd.com/men/features/exercise-benefits?p
February - April 2016
l
15
AUGUST
17/8/16, Wed
3 - 4 pm
Cooking Class
Ꮎᮻཙᯈာ
@ VIP Lounge
SEPTEMBER
OCTOBER
11/9/16, Sun
3 - 4 pm
9/10/16, Sun
3 - 4 pm
Coping with
Osteoarthritis
Colon Cancer
ܷᐥ჻
@ Auditorium
‫ʹݟ‬ःࠪᰣСᓫ༰
@ Auditorium
August - December 2016
Health
Class
NOVEMBER
27/11/16, Sun
3 - 4 pm
What is
Osteoporosis?
ᰣ᠎႟ౚჁ৥˿ᝌܲ࠵
@ Auditorium
DECEMBER
7/12/16, Wed
3 - 4 pm
Simple Baking Tips
ཋར࠴ଡᇧ
@ VIP Lounge
PENANG ADVENTIST HOSPITAL പ ߶ ӝ ᬒ
Operated by Adventist Hospital & Clinic Services (M) (255697-M)
465, Jalan Burma, 10350 Penang, Malaysia
Tel: (+604) 222 7200
LoCall: 1-300-88-4325
Fax: (+604) 228 0443
E-mail: enquiry@pah.com.my
Website: www.pah.com.my
Facebook: fb.com/pahpg
16
l February - April 2016