???

tetiba kan xtau nak buat ape..

mmm..

sepatutnye ada sesuatu.. tp ter update blog..


tp ade sesuatu..ape ek??

owhh..kenapa rasa blur ni??

neuron.. laju sikit bergerak boleh?..
owh..sekarang ingatan da xbrape ok. past 5 min conversation. terus xingt.. huh. byk mkn semut??..



tolong2..sy xsuke blur.. eh..tp habang bler jgn terasa eh..

cepat2..sy kena berfikir..putar2..

ok.NOTES.

check kat noc the latest sites for evry acc.
check kat project manager for any upgrade or terminated sites.
if xde serang ae/am kat menara senget tu.
check any changes kat working then buat bil.

ok..tu untuk finance.

untuk cru itself.
call am menara senget ask for agreement.
seb baek dpt customer yg xbrape aktif. so tggl nk follow up outstanding bill je.
TAPI. sape sabotaj my customer nih??..abis sume hardcopy and soft copy xde..
mana nk cekau?..aiyark..
pastu2.. brape byk network diagram yg msti ada dlm satu file?..ish..serabut la.

dah2..g keje.

yeaayy!!

kita mulakan hari isnin dgn cerita2 yg best hokeh!!

dah selamat smpi KL. huh. penat sbb rush masa nak balik. tp seb baek sempat bungkus pizza tuk mr.k.

oohh yee... cerita cheese cake saya!!

berjaya2!!..yeay!!

dengan jayanya sy berjaya buat oreo cheese cake. my new feveret...*tetibe terliur..sluurrpp

hepy sgt sbb 1st time buat. mm..lembik sket sbnrnya..sbb terlebih whipped cream.. so rupa dia xsecantik secret recipes la kan..tp tetap sedap..*xmalu naik lift tekan sndr..haha..eh..mestila kan.

kali ni buat sndr..mak xpegang pape pun..cuma dia monitor dr jauh je.. then lagi awin buat choc moist cake..

cake ni xbrape moist..mak tanya kenapa.. mano la den tau mak eh..huhu

tu mlm sabtu.. tgh hari..mak masak kitorg wat pizza plak.. gile kn tgh2 ari wat pizza..huhu..

suka2 letak mcm2.. for first trip bakar.. roti naik mcm bukit.. sbb mak lupa nk cucuk tepung roti tu.. *mak lg yg dipersalahkan..hehe.. sory la mak.. u r d sifu..

xpe2..after this beli bbq sauce.. udang n ketam plak..wat seafood pizza..nyum2..

then surprisingly!!..sy dah boleh mkn KERANG..yeay!!.. xtau la mcm mana boleh terlalu.. tolong mak kopek kerang tu..bau mcm best je..so, terus ngap masuk mulut..lapar kot.. ttbe masuk lagi..masuk lagi.. smpi mak alihkan..takut habis..*mak kejam..

so, if sampai masa kena mkn kerang byk nnti da xde masalah. i have to.

abis daa cerita psl mkn2.. ada yg terliur ke?..
dah. sambung keje..

home sweet home

arrived safely.. alhamdulillah

sakit kepala..huuu

ada org bwk balik org baru..hehe.. but it supposed to be me.. tp xpe la..dulu kan yg "matang" dulu..ngeee

*lupe plak nk citer ape td..haiihh..

owhhh..esk byk keje nk buat.. seb baek mak pggl bibik.. so esk leh jd mandur je..yahaha

eh..perasan. sy kan sinderela.. ada 2 dapur nk kemas. MESTI. almari pun nk kena kemas.

okeh2..mari kita plan.

1. bgn lambat sket la esk..*da tau byk keje lg ada hati nk bgn lambat.

2. terus keluarkan mangkuk2 dlm almari. SEMUA. lap almari. basuh semua mangkuk2 tu semula. dah dpt izin tuk buang semua balang2 kuih yg lama. sbb da beli yg baru tuk raya tahun ni. *gile cepat kan

3. mangkuk2 kat tingkat pinggan pun kena basuh. SEMUA.

4. fridge XYAH basuh..YEAY!!.. mak beli fridge baru. so cantik lagi. hehe..

5. eh2..lupe.. ada oven baru jugak. jom wat CHEESE CAKE!!..ke nak wat pizza ek??

6. rumah ngn toilet bibik kemas.

7. tingkap. suh bibik basuh gak la. 

8. so, boleh kemas rumah depan. semua cd2 xpakai boleh buang.

eh..byk kan bnda baru??

maaaaaakkk...nak mak baru. eh silap...nak kereta baru...

*pang pang pang pang

da2..sakit pale.. ada sumting nak ckp td..tp lupa..

xpe la..

nyte all~

STUPIDITY

sedey. x. marah. x. menyesal. x. bengang. pun x..

rasa ape skrg??..suam2 kuku... argh. merepek.

wuaaaaaaaaaaaaaaaa!!!!..tu sbnrnya.. rasa nak menjerit. kwn2!!..bile nk broga ni??

sy xtahan...

huuu... bukak2 mata je..ada msg.

"aunty tough minta kita pg tm seminar. 8.30 arini hotel istana."

oooo..ok..so terfikir..msti arini sorg2 kat ofis..xpe la..not a big deal.

TAPI!!..kunci ofis xde. pd aunty tough.so how to masuk ofis?..

"kunci?"

"aunty tough mungkin pegi sana. kita dua jumpa dia kat sana pastu ambik kunci."

"hah?..jap2..so i have to go gak ke?"

"dah mandi belum?..kita gerak sekali.."

"alamak!!"

semlm balik pakai selipar..heels tinggal kat ofis. xkan masuk seminar pakai selipar bodo ni??..

aaaaaaaaaaaaarrrrrrrrrrrrrrrrrrr!!!

ok..rasa mcm nak main langgar je.. kalau pegi sana. seperti memperbodohkan diri. kalau balik ofis. pun memperbodohkan diri. so conclusion nya.. I'm stupid!

dah separuh jalan. pikir2 xpe la.. terus pegi istana ambik kunci then balik. xyah masuk seminar. harap2 aunty tough bagi la..

masuk je hotel.. owwwhhh..

rasa mcm ayam naik monorail...wwuuuaaaa!!

semuanya corporate attire.. ngn mat2 salleh..mati la!!

pegi toilet..pegi toilet.. tempat yg paling selamat nk sembunyi.

tunggu aunty tough..

"its ok.. diorg xnotice pun your selipar..masuk je"

"wuaaa..xmo doc.. all my confident level da xde. zero"

"then. xpe la..take this key.. and on my desk ada something to be fax"

"oraite.. tq doc"

fuuuuhhh..lega teramat.

blah2..rasa kalo boleh tembus dinding tu nk terus lalu je.. xnk da tgk org2 keliling..huuu

tp rase rugi.. new product launch HSBB.. pastu mkn sedap2...

rugi2...haaaiiiihh..

padan muka. lain kali. spare je ofisware kat rumah..FAHAM??

so skrg..sy di ofis. sorg2.. bersama printer yg berhantu. paper jam paper jam. dah abis xde paper da dlm tu. kang tuang jem bebtul kang.. 

bencila!

hehu..

arghh..sakit pale..tp nak gak update..sbb ape??..sbb nak la..

haaaaa jimmy chooo!!...

ish..byk habuk la...

balik td.. ada la sorg minah ni..pki baju kait2.. mcm back sheet sofa tu.. corak dia sebijik mcm mak punya..cuma minah ni pkai kaler2.. *ttbe teringat time hari raya..msti letak bnda tu kat sofa..n muka ni la yg selalu jd tukang pungut bila bdk2 dtg raya..

balik pd cter minah tu.. tgh sesak2 org nak keluar..xingt la kat stesen mana td.. bj dia sangkut..

"wait!!..wait!..wait!!..waiitt!!"

haa..pakai lg baju cam tu..lubang2.. seb baek org tu xheret je..huu.. nk tergelak pun ada.. kesian pun ada..

i have a sweater yg jenis kait jugak.. org slalu noticed baju tu terbalik.. tp eee...kerit!!.. mmg baju tu kat bahagian bahu dia nampak mcm terbalik..

tau kerit tu ape??.. xtau la ni bhs johor or bhs kg AB je.. tp kitorg selalu guna tuk malu kan org masa zaman skolah..

like..

mr k : eh. awak.. dia kata awak kem slm kat sy..awak suka sy eh?

saya : eh..ada ke?.. sy xpenah ckp ngn dia.. kerit je awak ni..

mr.k : (jln laju2 sambil cover macho..)

kiranya plg sedap guna  kalo org tu syok sendiri...

*ni contoh je..xde kena mengena antara hidup dan mati..

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-

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-

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masa2 yg sepatutnya..perlu di isi dgn minda yg kreatif.. tuk menghabiskan masa tunggu nak balik td.. sy telah mengahsilkan sesuatu.. tadaaa...

sebenarnya nak potong recycle paper ni kck2 senang utk note.. tp bila da ptg byk2..xtau nak letak mana.. dan hasil ke kreatifan dan kebijaksanaan.. guna recycle paper jugak tuk buat kotak ni.. comel2 kan??..

kalau ada pen kaler2 bole lukis2.. pastu leh terus jual kat memory lane kan.. eh.. terberangan jauh..

p/s: walaupun kotak tu nampak mcm biasa.. tp dia tegap tau.. keras n kemas.. bukan mcm kotak2 biasa yg di lipat2 je..

***perlu ke promote??

gigi bongsu

sakit gigi..wuaaa!!..(T_T)

gigi bongsu nak tumbuh rasa nya..isskk

lepas mkn je sakit..lepas mkn je sakit..tp da lama2 xsakit sgt da..huhu
tp skrg tgh sakit...huuu

org kata mmg sakit kan kalo tumbuh gg bongsu ni?..eh..lepas tumbuh nnti da xtggi ea?.. tp besar x?.. kalo xbesar leh mkn byk2 lagi kan..hehehe..

dah2...smbg sakit..uuuuuhhh..uuhh..

100

entry ke seratus nk ckp...


SAYA RINDU BUDAK NI!!

GERAM!! GERAM!! GERAM!! 




semua gamba dicilok dr facebook mummy inara..






p/s: sape yg buang2 baby tu mmg kejam kan.. mm

hot migrate sites

hah!!

The Mercedes-Benz CLK-Class was a mid-size rear-wheel drive coupé/convertible. While it was based on the W202 and W203 platforms of the C-Class, its styling cues, engine, and price range are closer to that of the E-Class, with Mercedes-Benz slotting the CLK as a coupé version of the W210 and W211 E-Class sedan/wagon. The CLK succeeded the W124 E-Class Coupe and it was in turn replaced by the W212 E-class Coupe.

The SLK is a compact roadster manufactured by Mercedes-Benz in two generations, R170 and R171, since 1997.

As one of the first modern retractable hardtop convertibles, the SLK followed the 1995 Mitsubishi 3000GT Spyder and preceded other retractable hardtops such as the Peugeot 206cc, Lexus SC, Mercedes-Benz SL-Class, Pontiac G6 and the Chrysler Sebring.

hah!..sape kata xde CLK.. haaa..tu la..pandang rendah kat org..ingt org xtau ke??..huh!..

hambik skali..org google ngn wiki..xcaya..g sini. 

huhu..gaduh2 ngn mr.k sbb dia kata mana ada merc CLK..SLK ada la.. haa..tgk2.. ade tak? ade tak?..

*mase tu da cuak gak..sbb ish..dia lelaki mesti dia lagi tau psl kete..da la i ni jenis yg confirm dan berkeyakinan tinggi je kalau berckp..haha.. 

patutnye masa tu jwb  

"yeke xde?"

tp sbb nk cover malu nih... tetaaapp jugak ckp "ada la!!..xpe nnti kita google tgk..".. 

dlm hati da cuak abis da.. sbb tau kalau betul xde dia msti gelak guling2 punya..

tp ada kan?...blueekkkk..

**hey kamu... yg senyum2 kambing tu..walaupun janggut kambing kamu da xde..tethapi..senyoman mu tetap cam kambing..eh.

ok..semalam kena buat translation..surat2 utk abg2 polis..oo..aunty tough was purely from india..eventhough she can speak malay but she's not really expert in writing.. kdg2 ada insan2 terpilih yg kena taip kan sms dia..lg2 tuk org2 gov.. 

owh..aunty L dtg..fuuhhh..cuak kejap.. selalu dia lalu laju2.. kalini dia singgah plak..huhu.. seb baek tgh pegang2 byk kertas ni..ngaahaha..

ok..smbg...

ok..apa kata korg tolong translate kan nih.

"L** was received in the month of April 2009 where it was backdated to start from 2nd February 2008."

ok..backdated.. rujuk pada oxford..pengunduran tarikh.. mcm pelik x kalau..

"L** telah diterima pada bulan April 2009 dimana ia telah diundurkan tarikh kepada 2 Feb."

owh..xtau la kalau ada yg rasa xpelik..BM saya xberapa ok..lama dah xbuat karangan...huhu..

"extra effort to contact **** and *** once**** could not provide the info reqiured. but the pegawai at the sites were reluctant to give info as authorized to do so or do not understand the details of the project."

"usaha utk menghubungi ** dan ** apabila ** tidak dapat memberikan info yg diperlukan. tetapi pegawai di kawasan2 tersebut enggan memberikan makluman yg dibenarkan atau tidak memahami perincian projek." 

thats what i've understand apa yg cuba disampaikan..tp ayat ni mcm menyalahkan sebelah pihak plak.. kang kena tembak kang..

so arini.. cik tim aka iron girl tlg wat double check.. ish..xleh maen2.. siyes nnti abg2 polis tu bwk masuk mahkamah.. 

banyak lagi..xnak la cter sume kat sini..kena saman kang..huhu

sebenarnya benda kecik je..but when it comes to formal things and gov we have to be reaaaaallly careful. salah sikit mmg kena balik.. dah la semlm semua org kuat xde.. en fahrin xde.. kak putri lindungan bulan pun xde.. cik y4545 pun dah xde.. dia la kamus bergerak aunty tough sebelum ni..

mintak2 la semua ok..

"hot migrate sites"...."kawasan peralihan yg panas" 

* tetiba terbayang unta2 dipadang pasir tgh angkut brg2 sebab nak buat proses pemindahan.. mencari kawasan yg lembap..

metallic pink

owh..td sy nampak jazz pink..caaaaaaannntteeekknyeeeeee!!

xkesah la kereta ape..bile ia bewarna pink metallic.. sgt comel. kan2?

dulu pernah nampak swift kaler pink.. pastu gle tgk swift. smpai mak ckp if nmpak swift its remind her of me..tp skrg..rase minat tu da kurang..lgpun tau..xkan mampu punye..hak3..

 cantikkan?..ye ye..sy tau.. tp nk wat cane..sob2

viva kaler pink pun cute ape...ngeee..mati la mr.k xmo naik.. cik patin pun harus geli2 je nk naik..kan2?

nak berangan jap la.. saper geli tutup pc.

pki suar kaler kelabu..baju putih ada line2 pink sket.. tight in.. pki belt kaler pink..bwk planner warna pink..smbil pegang blackberry pink. pastu bwk tote bag..keluar plak dr viva warna pink.. eh..ape class viva..jazz la kan..rambut terbang2 tiup angin.. pki wayfarer..jln catwalk sket sbb pki wedges...perghh.. baru la nampak cam acc manager kan... comelnye sayeeee....

*wuuuueeeekkkk...wueeekk..muntah la nak muntah.. 

sekali tgh cantik catwalk..terpijak ekor kucing. * for org like me yg penakut kucing.. akan terkejut beruk punye la..pastu abis la jatuh sume planner ngn bb... kucing tu pulak.. marah..tarik2 rambut.. abis separuh botak gugur.. so sbb suar ketat mase duk gaduh2 ngn kucing tu..terkoyak plak.. sbb bum terlebih besar...

moral of the story.. xpyh gatal nak berpink2..pastu ttbe la plak free hair kan..sukati je.. balik kmpg nnti kena sagat ngn mak..

bile da pink2 tu kan..ttbe rase mcm nak bertukaaaaaaar....

hiiyyyyaaaaa!!..sape muntah sy karate..

ape yg merepek pepagi ni???...ngantuk eh?..meh sini.. 

paaaaaaanggg!!...sedar da?

dah..g smbg keje...

owh..syg..tu la brg2 tuk 9 dulang nnti ea.. dah ada 8 da tu...

*dush3..kene sekeh plak.

biar la..

boleh x nak buat list preparation tuk bertunang??

ape nk kena beli..ape nk letak for hantaran..budget..

bole x?..bole la..bole la...hikss



hati: oi!!..gedik! 

mulut: biar la..sukati la..

hati:..lambat lg..jgn nak perasan.. 


mulut: at least ada list..nti da tau... xyah pening2 nk pikir..xde yg tertggl... 

hati: mcm da xsbr plak...meroyan ke??.

mulut: bukan xsbr la..nk budget. nk kumpul duit..ni org pgl planning.

hati:..eleehh..gedik ckp je la...

mulut: *muncung*



ni kena jangkitan anis la ni..*ttbe salah kan org

TMJ II

Contributing Factors

I realize now that there were a multitude of factors that contributed to my TMJ. My body alignment problems were one, but there were also other factors. These were:

I had a hereditary connective tissue disorder called Ehlers-Danlos syndrome. TMJ is common in people with Ehlers-Danlos syndrome, Marfan syndrome or other connective tissue disorders. Besides TMJ, other common features of connective tissue disorders are mitral valve prolapse, hypermobile joints (also called being double jointed), myopia (nearsightedness), irritable bowel syndrome, fibromyalgia, pectus excavatum (sunken chests), scoliosis, hearing problems, anxiety disorders, heart palpitations, poor wound healing and bleeding problems. Some people, especially women, with connective tissue disorders have what is called a Marfan habitus or mitral valve prolapse syndrome. They are tall and thin with long arms and legs, scoliosis and/or a chest deformity such as pectus excavatum or pectus carinatum. 

A study from Sweden found, "an association between joint hypermobility, abnormal skin connective tissue composition, mitral valve malfunction, and musculoskeletal disorders in young women with TMJ dysfunction, especially internal derangement." Basically, TMJ, hypermobility, defective connective tissue and MVP seems to occur together, either in people with defined connective tissue disorders such as Ehlers-Danlos syndrome or people in the general population with mild connective tissue abnormalities. 

See my home page for more information on connective tissue disorders. I had most of the problems listed above and a lot more. I never knew they were all interrelated, or that there was a name for my health problems, until I was diagnosed by a rheumatologist with Ehlers-Danlos syndrome. After my diagnosis, I started looking up things on the Internet and everything started to click. I put up this web site describing my health problems, what seemed to help me, and how I thought my symptoms were all logically interrelated and related to nutrition. Now I literally get hundreds of thousands of visitors a year from people with variations of many the same symptoms as I have had, including TMJ. 

I also suspect that I had a problem with defective hyaluronic acid. Hyaluronic acid is also called Hyaluronan, or HA. Hyaluronic acid is a component of connective tissue that functions to cushion and lubricate various body parts.  HA occurs throughout the body in abundant amounts in many of the places people with TMJ also have problems, such as other joints, eyes and heart valves. A study on PubMed showed that people with TMJ had abnormalities of hyaluronic acid compared to people without TMJ. Interestingly, one of the latest treatments for TMJ is injections of hyaluronic acid or oral supplements focused on improving hyaluronic acid. 

Overuse of my hand on the side where I had TMJ was another contributing factor. I had TMJ on my right side where I used a computer mouse for hours at a time. I think the tightness caused from gripping the mouse all day tightened my muscles on that entire side of my body and contributed to my TMJ pain and fibromyalgia. My TMJ pain also developed after I had kids and spent a lot of time pushing baby strollers, so I think that was another contributing factor. I have two sons close in age, so when they were little I had two babies to take care of at one time. I would push both of them around in a very heavy, double stroller. I think the gripping and pushing action from pushing the stroller around tightened my hand and shoulder muscles and also contributed to my TMJ. To make things even worse, I used to purpose push their stroller uphill for exercise. In hindsight this tightened the muscles too much in the front of my shoulder on my right side. I know now I should have embarked on a more balanced program of stretching and strengthening. 

I also suspect that I had a magnesium (Mg) deficiency. As you can see from the chart below, many of the conditions that are linked to TMJ such as mitral valve prolapse and fibromyalgia are also linked to low levels of magnesium. Mg deficiencies can cause both tight muscles and defective connective tissue. One of the things that helped my MVP, fibromyalgia and TMJ was adding more foods rich in this important mineral to my diet. 

Conditions Linked to TMJ	Conditions Linked to Magnesium Deficiency
migraines and other types of headaches	migraines and other types of headaches
mitral valve prolapse	mitral valve prolapse
fibromyalgia	fibromyalgia
hearing loss	hearing loss
tinnitus	tinnitis
menstruating women	menstruating women
vertigo	vertigo

According to the TMJ Association web site, "The majority, as high as 90 percent, of TMJ patients are women in their childbearing years." Interestingly, most of the people who get mitral valve prolapse and fibromyalgia are also women in their child bearing years. TMJ, fibromyalgia and mitral valve prolapse all commonly occur together, all occur primarily in women of child bearing age, and at least two of the three conditions (MVP and fibromyalgia) have been linked to magnesium deficiencies. Interestingly, excessive menstruation has been linked to magnesium deficiency, which may explain why women of childbearing age (menstruating women) then have more conditions linked to magnesium deficiency than the population in general. 

Interestingly, magnesium is needed to make hyaluronic acid, so it is not surprising that conditions linked to magnesium deficiencies and conditions linked to hyaluronic acid abnormalities tend to go hand in hand. Besides TMJ, conditions where magnesium deficiency may play a role include fibromyalgia, keratoconus, nystagmus, insomnia, asthma, allergies, attention deficit disorder and migraine headaches. Headaches and TMJ commonly occur together. Many people believe the TMJ causes headaches, which seems highly plausible. However, since headaches are linked to magnesium deficiency, another possibility to consider is that TMJ and headaches are both manifestations of a common root cause--a magnesium deficiency.

Diet Treatments That Helped My TMJ

There's a whole list of diet changes that I made to help my pain problems, including my TMJ, in my section on Fibromyalgia Diet. I've included a few of the diet changes here that I believe helped my TMJ the most below:

• Cutting back on salicylates. I believe this masy be at least in part because salycilates block vitamin K. (See my section on health conditions linked to vitamin K deficiencies for more on salicylates.)
• Cutting back on wheat and dairy, especially whole grains.
• Avoiding foods and supplements with a lot of vitamin C or iron. While
• Avoiding foods with sugar, yeast and preservatives.
• Eating more fat, especially moderate amounts of saturated fat.*
• Eating more red meat for zinc, iron and vitamin B12.
• Eating organ meat occassionaly for micronutrients.
• Eating vegetable soup with a lot of vegetables and beans for magnesium, meat and sometimes broth made from animal parts (bones, tendons, etc. for hyaluronic acid.)

Treatment Summary

 

The treatments that ended up helping my TMJ the most involved improving my overall posture and body alignment and loosening up my tight muscles. My TMJ pain came from tight muscles in my hands, shoulders and other parts of my body pulling on my jaw. I suspect that may be a cause of TMJ pain for other people, too.

TMJ impacts women of childbearing age more frequently than it effects other segments of the population. TMJ commonly occurs along with fibromyalgia, tinnitus, migraines, mitral valve prolapse and other conditions linked to magnesium deficiencies. A major factor in all of these associations may be that because magnesium gets depleted through the menstruation process, women of child bearing age are more likely to be at risk for conditions linked to a deficiency of this mineral.

Here's a recap of what helped me:

• Changing my diet, especially to get more magnesium.
• Improving my computer workstation set up and switching to an optical scanner mouse.
• Using a fanny pack instead of a purse.
• Using extra sharp knives in the kitchen.
• Seeing a physical therapist who specialized in ergonomics and posture.
• Doing yoga postures and ergonomic stretches every day.
• Using a styrofoam back roller.
• Using trigger point therapy and moist heat to relax my muscles.
• Reading and studying the books listed above on yoga, repetitive stress injuries and body alignment 

sumber:

• http://www.emedicinehealth.com/temporomandibular_joint_tmj_syndrome/article_em.htm#TMJ%20Overview
• http://daffodilmuslimah.multiply.com/journal/item/217/Gangguan_Sendi_Rahang_TMJ
• http://www.ctds.info/tmj.html

TMJ I

TMJ Syndrome Overview

Temporomandibular joint (TMJ) syndrome or TMJ joint disorders are medical problems related to the jaw joint. The TMJ connects the lower jaw (mandible) to the skull (temporal bone) in front of the ear. Certain facial muscles control chewing. Problems in this area can cause head and neck pain, a jaw that is locked in position or difficult to open, problems biting, and popping sounds when you bite.

TMJ Syndrome Causes

TMJ syndrome can be caused by trauma, disease, wear due to aging, or habits. 

Bruxism: Teeth grinding as a habit can result in muscle spasm and inflammatory reactions, thus causing the initial pain. Changes in the normal stimuli or height of the teeth, misalignment of the teeth, and changes in the chewing muscles may cause temporomandibular joint changes. Generally, someone who has a habit of grinding his or her teeth will do so mostly during sleep. In some cases, the grinding may be so loud that it disturbs others.

Clenching: Someone who clenches continually bites on things while awake. This might be chewing gum, a pen or pencil, or fingernails. The constant pounding on the joint causes the pain. Stress is often blamed for tension in the jaw, leading to a clenched jaw.

bila stress sakit rahang. bila sakit rahang. stress..aaargghh!!

in case xfhm kat atas..

Kelainan TMJ meliputi bermacam kondisi yang menimbulkan rasa sakit dan perih di sendi rahang (TMJ). TMJ adalah sebuah sendi yang berupa sambungan dari tulang rahang bawah ke tulang tengkorak anda di kedua sisi kepala. Rahang bawah (mandibula) berhubungan dengan tulang temporal dari tengkorak anda.

Rahang bawah memiliki ujung yang bundar (kondilus) yang bertaut dengan tulang temporal dari tengkorak dan akan bergerak keluar masuk (sebetulnya gerakannya berputar, tapi kondisi khusus sendi rahang membuatnya terlihat seperti keluar masuk) ketika anda berbicara atau mengunyah makanan. Permukaan kondilus dan soketnya di tulang temporal dilapisi oleh jaringan kartilago (tulang rawan) dan dipisahkan oleh sebuah piringan kecil yang akan meredam benturan dan menjaga pergerakannya tetap lembut. Otot di sekitar rahang anda menjaga agar sambungan ini tetap dalam posisinya.

Kebanyakan kasus dapat diatasi oleh si penderita sendiri atau tanpa tindakan pembedahan. Tapi, kasus yang lebih parah mungkin membutuhkan tindakan yang lebih serius oleh dokter gigi atau dengan tindakan bedah.

Tanda dan gejala

Tanda-tanda dan gejala gangguan TMJ adalah :

• Sakit atau perih di sekitar sendi rahang
  
• Rasa sakit di sekitar telinga
  
• 
  
  Kesulitan menelan atau perasaan tidak nyaman ketika menelan
• Rasa sakit di wajah
  
• 
  
  Suara clicking atau perasaan tidak mulus ketika mengunyah atau membuka mulut anda.
• Rahang terkunci, kaku, sehingga mulut sulit dibuka atau ditutup.
  
• Sakit kepala
  
• Gigitan yang rasanya tidak pas
  
• 
  
  Gigi-gigi tidak mengalami perlekatan yang sama karena ada sebagian gigi yang mengalami kontak prematur (lebih awal dari yang lain.

Bisa saja anda merasakan sakit ketika tidak menggerakkan rahang anda sekalipun. Tapi pada kebanyakan kasus, rasa sakit baru terasa ketika rahang mulai digerakkan.

Clicking rahang sering juga terjadi pada rahang normal dan belum tentu menandakan sebuah masalah. Jika tidak ada nyeri atau kekakuan yang membatasi pergerakan rahang, bisa jadi anda memang tidak mengalami gangguan TMJ.

Penyebab

Beberapa kasus TMJ ditelusuri lewat trauma yang dialami rahang, degenerasi jaringan di sekitar sendi rahang, osteoartritis, reumatoid artritis atau inflamasi.

Kebanyakan kasus gangguan TMJ, belum jelas penyebabnya. Beberapa ahli percaya respon terhadap stress dan kecemasan adalah hal utama yang berkontribusi terhadap terjadinya gangguan TMJ.

Jika anda sering menggemertakkan rahang anda ketika stress, merasa sakit atau sedang berkonsentrasi, otot-otot TMJ tetap dalam keadaan berkontraksi. Hal ini membuat otot mulut terganggu.

Kebiasaan lain yang mungkin juga mengganggu kondisi otot rahang adalah suka menggigit-gigit pulpen atau permen karet.

Posisi kepala, leher dan bahu yang tidak bagus, misalnya mendorong badan ke depan saat di depan komputer atau membaca sambil tiduran, akan memberi tekanan yang tidak ideal pada otot dan rangka tubuh yang percaya atau tidak juga berkaitan erat dengan otot rahang dan sendi rahang.

Diagnosis

Beberapa tes yang dilakukan untuk menetapkan bahwa anda mengalami gangguan TMJ adalah :

• 
  
  Riwayat kesehatan anda. Seperti berapa lama anda merasakan sakit pada rahang, apakah anda pernah mengalami cedera di rahang, atau apakah anda pernah mendapatkan perawatan gigi baru-baru ini.
• 
  
  Mendengarkan pergerakan rahang anda dan merasakan pergerakannya saat membuka atau menutup mulut.
• 
  
  Mengamati seberapa besar pergerakan rahang anda.
• 
  
  Menguji pengunyahan anda untuk melihat apakah ada sesuatu yang abnormal.
• 
  
  Memeriksa kondisi tambalan gigi apakah terlalu tinggi, gigi yang miring, gigi yang tanggal sebelum waktunya dan lain-lain yang bisa menimbulkan gangguan pergerakan rahang.
• 
  
  Memeriksa tanda-tanda bruxism pada gigi anda
• 
  
  Menekan-nekan daerah sekitar rahang anda untuk menemukan lokasi ketidaknyamanan.
• 
  
  Menanyakan apakah anda sedang stress atau mengalami anxietas (kecemasan)

Dokter anda juga akan memerintahkan foto rontgen kepala anda untuk mengetahui kondisi yang sebenarnya terjadi di rahang.

Perawatan

Tanpa bedah

Beberapa kasus gangguan TMJ akan berakhir dengan perawatan biasa yang bahkan mungkin tidak membutuhkan kehadiran dokter gigi di samping anda. Di antaranya :

• Mengubah kebiasaan buruk. Dokter gigi anda akan mengingatkan anda untuk lebih memperhatikan kebiasaan-kebiasaan anda sehari-hari. Misalnya kebiasaan menggemertakkan gigi, bruxism, atau menggigit-gigit sesuatu. Kebiasaan ini harus digantikan dengan kebiasaan baik seperti membiarkan otot mulut dalam kondisi rilex dengan gigi atas dan bawah tidak terlalu rapat, lidah menyentuh langit-langit dan berada tepat di belakang gigi atas anda.
  
• Mengurangi kelelahan otot rahang. Dokter gigi anda akan meminta anda tidak membuka mulut terlalu lebar dalam berbagai kesempatan. Contohnya jangan tertawa berlebihan.
  
• Peregangan dan pijatan. Dokter gigi akan memberikan latihan bagaimana caranya meregangkan atau memijat otot rahang anda. Sebagai tambahan juga mungkin akan diberikan petunjuk bagaimana posisi kepala, leher, dan bahu yang tepat dalam melakukan aktivitas sehari-hari.
  
• Kompres panas atau dingin. Dengan mengompress kedua sisi wajah anda baik dengan kompres panas atau dingin akan membantu relaksasi otot rahang.
  
• Obat anti inflamasi. Untuk mengurangi inflamasi (peradangan) dan rasa sakit, dokter gigi anda mungkin akan menyarankan aspirin atau obat anti inflamasi nonsteroid lainnya, misalkan ibuprofen (Advil, Motrin, dll)
  
• Biteplate. Jika TMJ anda mengalami kelainan pada posisi mengunyah, sebuah biteplate (pemandu gigitan) akan diberikan. Biteplate dipasang di gigi untuk menyesuaikan rahang atas dengan rahang bawah. Dengan posisi mengunyah yang benar tentunya akan membantu mengurangi tekanan di struktur sendi.
  
• Penggunaan night guard. Alat ini berguna untuk mengatasi kebiasaan bruxism di malam hari.
  
• Terapi kognitif. Jika TMJ anda mengalami gangguan karena stress atau anxietas, dokter gigi anda akan menyarankan untuk menemui psikiater untuk mengatasinya.

Perawatan lanjutan

Jika perawatan non bedah tidak berhasil mengurangi gejala gangguan TMJ, dokter gigi anda akan merekomendasikan perawatan berikut :

• Perawatan gigi. Dokter gigi anda akan memperbaiki gigitan dengan menyeimbangkan permukaan gigi anda. Caranya bisa dengan mengganti gigi yang hilang atau tanggal, memperbaiki tambalan atau membuat mahkota tiruan baru.
  
• Obat kortikosteroid. Untuk sakit dan peradangan pada sendi, obat kortikosteroid akan diinjeksikan ke dalam sendi.
  
• Arthrocentesis. Prosedur ini dilakukan dengan jalan menyuntikan cairan ke dalam sendi untuk membuang kotoran atau sisa peradangan yang mengganggu rahang.
  
• Pembedahan. Jika semua perawatan tidak berhasil juga, dokter gigi akan merujuk anda ke dokter gigi spesialis bedah mulut.

Kembangkanlah beberapa teknik berikut untuk mengurangi gangguan TMJ.

• Bernafas dalam. Orang dewasa kebanyakan bernafas dengan dada. Sementara itu anak-anak kebanyakan bernafas dengan diafragma. Diafragma adalah lapisan tipis yang memisahkan dada dengan perut anda. Teknik pernafasan ini akan membantu anda lebih rileks.
  
• Meditasi
  
• Musik, terapi seni
  
  
    

cerita kami

jumaat..

balik keje.. terus kemas2..siap2..nnti cik yayan nk jmput..yeaa!!..nak g kajang.. pastu pukul 8 lebih cik yayan call..ckp nak bwk jln2 pergi putrajaya dulu.. yeaa!! pergi putrajaya mlm2 tgk lampu2..

ni cik eyla..my ex-rumate masa f4..merangkap bff smpi skrg..nasib ktorg baik dpt matrix yg sama dulu..    :-*

ni cik yayan..my bff too..merangkap driver utk trip esk..

ktorg makan kat sini..nama kedai ni kedai kembar..tp kedai ni pelik.. dia mcm smbg tgh2.. tp adalah 2 kedai yg berbeza.. n waiter diorg akan berebut2 nk ambik customer.. smpi gaduh2..huhu.. kami kan tiga dara pinggitan..so mcm segan2 sket bile semua org tgk..mcm artis je rasa bila masuk situ..ahax..

pastu.. kedai yg guna meja biru..waiter dia pakai apron merah. kedai yg guna meja merah pakai apron biru..konpius2..

makanannya biasa saje..mamak..

da jln2 pusing2.. balik rumah.. wat pillow talk sampai 3 pagi..xsedar diri esk nak gerak pagi..hehe.. tp ni tradition.. kdg2 bila jumpa mcm ni..kitorg xkan tdo mlm..

owh korg!! jom kita g bercuti..ngee

sabtu

akhirnya...sgt2 suke this pic.. geng sailormoon dah bergabung kembali!!!..yeahh!!!.. rindu mereka..

this day is a big day for anis..her ENGAGEMENT day!.. yg pertama between 5 of us.. 

ok..rasa tergugat gak ni.. especially we have our agreement..ngeh.. we all dah ada contract says that whoever get married first between 4 of us.. the remain have to present the couple with a honeymoon package vacation..ooowwwhhh!!... sape xnak honeymoon sponsor kan??!!.. sbb 4 org je.. during the contract cik eyla xde.. well, actually dah lupa bila contract tu dibuat.. rupa2nya.. kitorg ada buat ala2 real contract yg semua org pun sign. unfortunately, yayan da lupa kat mana dia simpan contract tu.. huhu..

buat2 lupa boleh?..ngee

kelakar bila ingt2 semula.. masa tu.. cuti rasanya, n ramai yg balik kg til tinggal ktorg berempat je kat 4th floor.. in my room. konon2 stdy la sgt.. tp mengumpat je lebih..eehhh..borak la.. mcm mana tah terkeluar psl contract tu..hehe..yg gelak mcm nak mati smpai abis milo tumpah atas buku kimia anis n my bio..owh moment..rindunya..

well, masa tu takut gak sbb rasa nya chance mmg lebih kat cik anis ni.. yela.. yg laen semua single lg masa tu..including me..huk2.. tp gatal gak kan.. so nasib la pasni..

mr.k..jom kita kawin dulu..nnti dpt honeymoon free..nak2?

this is the hantaran..cantik sgt for both.. byk plak tu..huhu

this is the couple of the year dr skolah til now la.. jeles ngn diorg ni..

abaikan ojan tu..dia dr dulu mmg suka diri mcm tu..termasukla diri masa perhimpunan sekolah dulu..

upsiee..jgn marah.. cane2 pun..makin ensem plak ojan ni.. *owh..ade org jeling..

this is us..sory la said n ojan.. pic yg ada korg xterpilih tuk diupload..hak3..

walaupun i'm look very gemuk in this pic..but it still the best.

credit to nina (adik anis yg becok betul..tp comel)..

special wish:

to anis n ojan.

semoga sentiasa bahagia.. lepas ni mungkin byk lg godaan. so harap 2-2 bertambah matang utk hadapi semuanya sebelum melangkah ke life yg lg satu. this is just one step forward. kitorg sentiasa doakan yg terbaik utk korg berdua. rasa mcm nak suh korg nikah je terus haritu. haha.. n lagi. ojan jgn gatal2 lg bila da balik jepun nnti. ira siat2 smpi tinggal tulang. 

CONGRATS to BOTH OF U!!

xsuke

Xsuke!


Kdg2..bile xde mud..bnda kck pun bole jd emo..

Xsuke bila sidai kain pastu ade org alih2kan..pindah sesukati sbb dia nak letak bj dia plak.. dah tau ramai basuh bj..ampai xde..xyah la basuh dulu..if ada bj penting yg nk pki..basuh je bj tu je..ni nk jugak basuh byk2..
I’m fussy..yes..i know. Masa stay hostel dulu I’m kind of person yg sanggup naik tingkat 4 utk sidai kain..yg sanggup xkeluar dating the whole day sbb nak pusing2 kain tu every 10min supaya cepat kering..
Sgt cerewet..ye sgt cerewet.. sbb baju akan rosak if sidai lama bwh matahari.. baju akan busuk if sidai rapat2.. lg la kalo sangkut tu ramai.. guna lain2 sabun.. so nnti bj I da xde bau sabun I lg la..mencik!
Then if sidai secara tersusun..kan lawa..like this row hanya tuk towel..cadar..kain.. n another row sangkut bj2 tshirt..pastu seluar..kan comel kan?.. owh..ttbe rindu duk hostel yg ada ampai besar..huu

Xsuke org pijak tilam or naik atas katil terus letak kaki..xsuke.. my eyes sgt particular.. tgk if kaki that person bersih ke kotor..rase mcm meronta2 dlm hati nak basuh that cadar.. mlm pun tidur xkan lena sbb terpikir cadar tu ada org pijak..errrgghhh..

Xsuke org masak..lepas tu xterus basuh.. simpan la.. rendam la.. I mean ni yg stok2 2-3 hari pastu baru basuh.. oit. Org lain nk pki gak kuali periuk tu.. pastu barang2 dlm fridge main campak2 je.. xreti nk susun.. botol kicap leleh2 pun xreti nak lap.. hish.. xsuke2..

Xsuke org pas guna bilik air.. dinding tu ada baki2 sabun..xreti nak jirus.. or guna toilet bowl xreti nk tutup..erghh..guna sink..ada baki2 ubt gigi..ergghh..

tp bole bebel kat sini je tuk keselamatan sejagat..isskk

Ira. Ko kena duduk sorg..xleh duk ngn org..tau x??!!..huu

*diam*

sy xsuke bile sy jd kepoh.







sbb sy tau sy sbnrnya nak nangis...

occay!

owh..sh**

kena raba pg td..isk3...

haha..xde la..ish...............

.......but kena push dlm tren this morning, n i thought at my behind was a lady.. skali rupanya a guy.. baru realized his hand at my bum..dush3!!!!*..hopefully he's not pervert la kan.. but some other guy.. staring kat dada la plak.. hiiiyahh!!!!!..bg backhand sket*.. sukati je.. 

owh..so f****ng hate la bila ada org asing naik tren.. da la rapid kl penuh ngn diorg.. tren pun diorg gak..agk2 la wei..haiyoh.. kalo xpervert xpe..ni x.. nasib baik xpki bj kurung..kalo x lg smooth n clear diorg langgar2..xsuke! xsuke! xsuke!

abg putra..u have to take care for all this things la..tp mcm mana nk halang makhluk2 asing ni naik tren lak kan.. xkan nak tunjuk ic.. tp kebanjiran diorg dlm negara ni da xbole nak buat apa da.. sana sini diorg.. camne ek?..

da la hari ni kaki ni sakit sgt.. lebih sakit dr semlm.. tu la..jarang catwalk.. pasni kena praktis hari2.. maybe the whole day kena pakai heels arini..pagi2 td da ada meeting.. kan!..da la pki t-shirt bodo je.. huu.. pinjam aunty tough punye blazer.. *sukati pki blazer boss..haha..ok penyelamat ok.. even xmatching with seluar.. 

main tembak2 dlm meeting is a normal things.. luckily they don't have appropriate peluru for me yet..then i safe..but till when??..huu.. so, atok k just pesan.. we have to be aggressive like..auuuuuum.. grrrrrrr... or my be we need soft approach like..puurrrrrrr... put some make up on.. nice dress.. uishh..mcm nk jd penggoda plak...

pape je la.. sometimes i love this job.. but still don't know my capabilities.. can i get trough this?? sometimes i feel this job not suit for me.. but i do learn a lot here. to make up with people, i really don't have the so called aura. low self esteem.. people doesn't like me. muka ketat. xmesra. its me. i don't have that appeal things on me. dgn muka yg mcm hape skrg ni..seriously if jln rase cam nak sorok je muka skrg..isk..all the confident dah pegi mana tah plus kena speaking.. owh..my english sgt2 teruk..so sesuai ke keje ni for me??..mmm

p/s: mls nak pegi menara senget tu arini..sakit kaki la!!..sob3