21/07/2025
Paru-Paru Berdarah
(Kisah Benar Seorang Pesakit Yang Akhirnya Menyerah Pada Ketakutannya Sendiri)
“Doktor, saya takut… tapi sekarang dah terlambat ke?”
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“Assalamualaikum doktor… saya nak bawa kakak saya jumpa doktor. Dia susah nafas sejak dua minggu lepas. Sekarang jalan pun tercungap-cungap,” kata seorang wanita muda dalam nada cemas di ruang konsultasi saya.
“Siapa namanya?”
“Cik Alisya. Umur 41. Dia kat luar tu, tunggu dalam kerusi roda.”
Saya keluar ke ruang menunggu dan terpaku seketika melihat wajah wanita yang pucat, matanya kuyu, tubuhnya sangat kurus, dan nafasnya… pendek dan laju.
“Cik Alisya?”
Dia hanya angguk perlahan, cuba senyum tapi tidak terdaya.
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Seminggu Sebelumnya…
Cik Alisya sebenarnya sudah lama tahu ada sesuatu tak kena dengan tubuhnya.
“Saya dah lama rasa ketulan kat payudara kiri tu, doktor. Sejak enam tahun lepas.”
“Kenapa tak terus datang hospital masa tu?” saya tanya perlahan.
“Saya takut… saya fikir ia akan hilang sendiri.”
Air matanya tumpah tiba-tiba. “Saya takut dengar perkataan ‘kanser’, doktor.”
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Setahun yang lalu, berat badan Cik Alisya mula susut, tapi dia masih boleh bekerja. Masih boleh memandu, beli barang dapur, hantar anak ke sekolah. Tapi bila adiknya tegur,
“Kak, kenapa makin kurus? Kak makan tak?”
Dia hanya jawab, “Penat kerja… mungkin stress.”
Tiga minggu lepas, perubahan ketara berlaku. Cik Alisya jadi diam. Tak banyak bercakap. Kadang termenung. Kadang marah-marah tanpa sebab.
Dan dua minggu terakhir ini — nafasnya semakin sempit. Dah tak mampu tidur baring. Dah tak larat nak turun tangga.
Dan pagi itu, keluar darah bila batuk. Banyak.
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Saya segera aturkan CT scan. Dalam masa 24 jam, laporan keluar.
Saya duduk di hadapannya, hati saya berat.
“Cik Alisya… keputusan CT scan dan biopsi paru-paru dah keluar.”
Saya genggam tangan dia perlahan.
“Doktor… tolong beritahu saya. Tapi perlahan-lahan…” katanya sambil menahan nafas.
“Cik… ketulan di payudara itu… sebenarnya kanser. Dan ia telah merebak.”
Saya tahan nafas. “Ke paru-paru, tulang belakang, hati… dan juga otak.”
Cik Alisya menekup mulut. Matanya membesar. Badannya menggigil.
“Paru-paru saya… berdarah sebab… kanser tu?”
Saya angguk perlahan.
“Dah tahap berapa, doktor?”
“Tahap akhir… stage 4.”
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“Kak… kenapa tak beritahu awal-awal? Kak janji dulu dengan mak nak jaga kesihatan…” Adiknya menangis, suara tersekat-sekat.
Cik Alisya diam. Lama. Kemudian dia berkata,
“Saya sangka… kalau saya tak tahu, dia tak wujud. Tapi rupanya, diam saya… membunuh saya.”
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Kami teruskan rawatan paliatif. Pasukan onkologi, radiologi, psikiatri semua terlibat. Tapi Cik Alisya makin lemah hari demi hari.
Hari terakhir saya bertemu dengannya, dia pandang saya dan kata:
“Doktor… saya redha. Tapi doktor, tolong pesan pada semua wanita — jangan jadi macam saya. Jangan takut nak periksa.”
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Pengajaran:
1. Jangan tunggu sehingga terlambat. Rasa takut itu normal, tapi bertindak awal boleh menyelamatkan nyawa.
2. Berat badan turun tanpa sebab dan susah nafas bukan tanda biasa. Ia perlu disiasat segera.
3. Ketulan pada payudara, walaupun tidak sakit, bukan perkara remeh. Jangan tunggu bertahun.
4. Kanser payudara boleh merebak ke paru-paru, tulang, otak dan hati. Bila ini berlaku, peluang sembuh sangat tipis.
5. Sayangi diri sendiri sebelum terlambat. Rawatan awal jauh lebih baik daripada penyesalan akhir.
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Jika anda atau orang tersayang alami gejala seperti Cik Alisya — ketulan di payudara, batuk berdarah, sesak nafas, susut berat badan secara mendadak — jangan tunggu.
🩺 Buat pemeriksaan segera.
📍Klinik Pakar Paru-paru, Sunway Medical Centre Velocity.
📅 Tempah temujanji: https://encoremed.io/smcv /154
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Here is the English translation of your Facebook story titled “Paru-Paru Berdarah” (Bleeding Lungs):
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Title: Bleeding Lungs
(A True Story of a Patient Who Was Eventually Defeated by Her Own Fear)
“Doctor… I was afraid… but is it too late now?”
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“Assalamualaikum, doctor… I want to bring my sister to see you. She’s been short of breath for two weeks now. She can barely walk without gasping,” said a young woman anxiously in my consultation room.
“What’s her name?”
“Cik Alisya. She’s 41. She’s outside now, waiting in a wheelchair.”
I stepped out into the waiting area and was momentarily stunned. A pale-faced woman, with sunken eyes, an extremely thin body, and rapid breathing was sitting in the wheelchair.
“Cik Alisya?”
She nodded slowly and tried to smile, but didn’t have the strength.
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A Week Earlier…
Cik Alisya had actually known something was wrong with her body for a long time.
“I’ve felt a lump in my left breast, doctor… since six years ago,” she confessed.
“Why didn’t you come to the hospital back then?” I asked gently.
“I was scared… I thought it would go away on its own.”
Tears welled in her eyes. “I was terrified of hearing the word ‘cancer’, doctor.”
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A year ago, Cik Alisya began losing weight, but she could still work. She could still drive, buy groceries, send her kids to school. But when her younger sister noticed,
“Sis, why are you getting so thin? Are you eating properly?”
She replied, “Probably just tired… work stress maybe.”
Three weeks ago, things changed drastically. She became quiet. She stopped talking much. Sometimes she’d stare blankly. Sometimes she’d lash out without reason.
And in the past two weeks — her breathing got worse. She couldn’t sleep lying down anymore. Couldn’t even go down the stairs.
Then that morning… she coughed up blood. A lot of it.
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I immediately arranged for a CT scan. Within 24 hours, the report came in.
I sat down in front of her, my heart heavy.
“Cik Alisya… the CT scan and lung biopsy results are back.”
I gently held her hand.
“Doctor… please tell me. But… slowly,” she whispered, holding her breath.
“Cik… the lump in your breast… it’s cancer. And it has spread.”
I took a deep breath. “To your lungs, your spine, your liver… and even your brain.”
Cik Alisya covered her mouth. Her eyes widened. Her body trembled.
“My lungs… are bleeding because of the cancer?”
I nodded slowly.
“What stage is it, doctor?”
“End stage… stage 4.”
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“Sis… why didn’t you tell us earlier? You promised mom you’d take care of your health…” Her sister wept, her voice choked with emotion.
Cik Alisya said nothing. After a long pause, she finally spoke:
“I thought… if I didn’t know, it didn’t exist. But it turns out… my silence… killed me.”
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We proceeded with palliative care. The oncology, radiology, and psychiatry teams were all involved. But day by day, Cik Alisya grew weaker.
On the last day I saw her, she looked at me and said:
“Doctor… I accept my fate. But please, doctor, tell all women — don’t be like me. Don’t be afraid to get checked.”
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Lessons from Her Story:
1. Don’t wait until it’s too late. Fear is normal, but early action saves lives.
2. Unexplained weight loss and shortness of breath are not trivial symptoms. They must be investigated immediately.
3. A lump in the breast, even if painless, is not something to ignore. Don’t wait years.
4. Breast cancer can spread to the lungs, bones, brain, and liver. Once it does, chances of recovery are very low.
5. Love yourself before it’s too late. Early treatment is far better than late regret.
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If you or someone you love has symptoms like Cik Alisya — a breast lump, coughing up blood, shortness of breath, unexplained weight loss — don’t wait.
🩺 Get checked immediately.
📍Lung Specialist Clinic, Sunway Medical Centre Velocity.
📅 Book an appointment: https://encoremed.io/smcv /154
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