Dr Cheong Jack Pein Ear,Nose & Throat ENT,Head &Neck Surgery Clinic 耳鼻喉頭頸專科

16/11/2025

Baru lepas buat pembedahan tonsil (tonsillectomy)?

Ini panduan penjagaan selepas pembedahan yang wajib anda tahu!

✨ Membantu anda sembuh lebih cepat & elakkan komplikasi seperti pendarahan!

⸻

🔹 1. Kawalan Sakit

✅ Ambil ubat tahan sakit seperti yang diarahkan doktor
✅ Jika sakit terlalu kuat, hubungi doktor segera
❌ Elakkan Aspirin — ia boleh meningkatkan risiko pendarahan

⸻

🔹 2. Pemakanan

✅ Minum air yang mencukupi (air sejuk atau suam) untuk elakkan dehidrasi
✅ Pilih makanan lembut & sejuk seperti:
🍦 Ais krim, yogurt, minuman kultur
🥣 Bubur, nasi lembik, sup
🥚 Telur kukus, telur hancur, tauhu lembut
🥔 Kentang lecek, kek/mufin lembut
🍌 Pisang, betik, jus buah sejuk

❌ Elakkan makanan:
🌶 Pedas, masam, panas (kari, cili, lemon)
🍗 Keras atau rangup (ayam goreng, biskut, roti bakar)
🥤 Minuman berkafein atau berkarbonat

📅 Jadual Cadangan Makanan Lembut

🔹 Hari 1–5 → Makanan sangat lembut & sejuk
🔹 Hari 6–10 → Boleh tambah makanan lembut yang sedikit bertekstur
🔹 Hari 11–14 → Jika tiada pendarahan atau sakit teruk, perlahan-lahan kembali ke diet normal

⸻

🔹 3. Perkara Yang Perlu Dielakkan

❌ Jangan batuk atau “clear throat” dengan kuat
❌ Jangan hembus hidung terlalu kuat
❌ Kurangkan bercakap & elakkan menjerit
❌ Elakkan aktiviti lasak selama sekurang-kurangnya 2 minggu

⸻

🔹 4. Penjagaan Tekak & Hidung

✅ Jika tekak kering, berkumur perlahan dengan air garam sejuk (jangan kuat)
✅ Jika hidung kering, guna spray air garam (saline nasal spray)
✅ Gosok gigi dengan berus lembut, elakkan terkena kawasan luka

⸻

🔹 5. Tanda Bahaya : Bila Perlu Ke Hospital?

✅ Normal: Air liur sedikit berdarah (warna merah jambu / kecoklatan) pada 1–2 hari pertama

❌ Tidak normal:
• Darah merah segar keluar dari mulut atau hidung
• Pendarahan meleleh & tidak berhenti
• Demam tinggi (>38.5°C) atau nafas berbau sangat kuat

❗️Risiko pendarahan lewat biasanya lebih tinggi sekitar satu minggu selepas pembedahan tonsil. Ini berlaku kerana lapisan ‘scab’ pembedahan mula tertanggal daripada dinding luka sebagai proses penyembuhan biasa. Untuk mengelakkan ia tertanggal terlalu awal, pastikan minum air secukupnya. Hidrasi yang baik membantu melindungi kawasan luka.

⚠️ Jika ada tanda-tanda ini, datang ke hospital SEGERA!

⸻

✨ Peringatan penting:
🔸 Lapisan putih/kuning di tekak selepas pembedahan adalah tisu penyembuhan, bukan jangkitan
🔸 Ia akan tertanggal sendiri pada hari ke-10 hingga 14 👉🏻 ⛔️jangan kopek ‼️
🔸 Minum banyak air, makan makanan lembut, dan elakkan panas & pedas

⸻

📞 07-2573906
📍 Dr Cheong ENT Clinic, KPJ Pasir Gudang Specialist Hospital

18/10/2025

孩子打呼、张嘴睡觉？可能是腺样体肥大！

这段影片是鼻内视镜下看到的腺样体（Adenoid）。
它位于鼻腔深处、鼻后方，当腺样体长期肿大时，
会阻塞孩子的呼吸通道，让他们只能用嘴巴呼吸。

🎥 影片说明：
在影片中可以看到——
腺样体组织肿大、柔软且呈粉红色，
几乎堵住了鼻咽部通道。
这种情况在儿童中很常见，是打鼾、鼻塞、张口呼吸的常见原因。

⸻

👦 什么是“腺样体面容”（Adenoid Facies）？

当孩子长期通过嘴巴呼吸时，
脸部会逐渐出现典型的外观变化：
• 脸型变长，下巴显得短
• 嘴巴常张开，上门牙外突（龅牙）
• 鼻唇沟变浅，表情呆滞
• 眼神疲倦，常伴黑眼圈
• 发音鼻音重、不清楚

这些改变不仅影响外观，
更会影响面部骨骼发育、牙齿排列与睡眠品质。

⸻

🌿 早期发现与治疗非常重要！

✅ 由耳鼻喉专科医生进行鼻腔内视镜检查
✅ 判断腺样体肥大的程度
✅ 依据情况给予药物或腺样体切除手术
✅ 改善鼻塞、打鼾与面部发育问题

⸻

👃 提醒家长：
若孩子长期打鼾、张嘴呼吸或鼻塞不愈，
别只当作“睡觉习惯”或“感冒未好”。
腺样体肥大若延误，会影响孩子的发育与学习。

#腺样体肥大 #腺样体面容 #儿童打鼾 #鼻塞 #耳鼻喉科

08/09/2025

择期手术前后注意事项:
(Sebelum & Selepas Pembedahan Elektif)

如果您有 口服避孕药（避孕丸）使用史，需要在 手术前至少 2 周停药，因为避孕药会增加血液凝固的风险。

手术和麻醉后，如果长时间卧床不动，也会增加下肢血栓（血块）的机会。血栓一旦跑到肺部，会有危险。

因此，手术后在安全的情况下，请您 尽早下床走动，哪怕只是轻轻在房间里走一走，也能帮助：
• 促进血液循环
• 预防血块形成
• 加快康复速度

👉 简单来说：手术前停用避孕药，手术后 2 周可重新开始服用；同时术后尽早走动，能降低血块风险，让您恢复更快。

__________________________________________

Jika anda ada sejarah mengambil pil perancang (OCP), anda perlu berhenti sekurang-kurangnya 2 minggu sebelum pembedahan elektif. Pil perancang boleh meningkatkan risiko darah mudah membeku.

Selepas pembedahan dan bius, jika berbaring terlalu lama, risiko darah beku di kaki juga akan meningkat. Darah beku boleh berbahaya jika bergerak ke paru-paru.

Oleh itu, selepas pembedahan, bila keadaan selamat, sila bangun dan berjalan awal walaupun perlahan di dalam bilik. Ini dapat membantu:
• Melancarkan peredaran darah
• Mencegah darah beku
• Mempercepatkan pemulihan

👉 Ringkasnya: Hentikan pil perancang 2 minggu sebelum pembedahan, boleh disambung semula 2 minggu selepas pembedahan, dan berjalan awal selepas pembedahan untuk kurangkan risiko darah beku serta pulih lebih cepat.

__________________________________________

If you have a history of taking oral contraceptive pills (OCP), you should stop them at least 2 weeks before elective surgery. OCPs can make the blood more likely to clot.

After surgery and anesthesia, lying in bed too long also increases the risk of blood clots in the legs. These clots can be dangerous if they travel to the lungs.

That’s why, once it is safe, you should get up and walk early after surgery — even gentle walking in your room is enough. This helps to:
• Improve blood circulation
• Prevent blood clots
• Speed up your recovery

👉 In short: Stop OCPs 2 weeks before surgery, resume them 2 weeks after surgery, and walk early after surgery to reduce clot risk and recover faster.

10/05/2025

🛌 刚做完扁桃体切除手术？这是你必看的术后护理指南！

✨ 帮助你更快康复，避免并发症！

🔹 一、疼痛管理
✅ 按照医生指示服用止痛药（如 Paracetamol 或 Ibuprofen）
✅ 若疼痛太强，请及时联系医生
❌ 切勿服用 Aspirin，以免增加出血风险

🔹 二、饮食建议
✅ 多喝冷水或温水，避免脱水
✅ 选择柔软、清凉的食物，例如：
🍦 冰淇淋、优格、乳酸饮料
🥣 粥、软饭、汤类
🥚 蒸蛋、炒蛋、嫩豆腐
🥔 马铃薯泥、软糕点
🍌 香蕉、木瓜、冷果汁

❌ 避免以下食物：
🌶 辣、酸、热（咖喱、辣椒、柠檬）
🍗 硬或脆（炸鸡、饼干、烤面包）
🥤 碳酸或含咖啡因饮料

📅 软食建议时间表
🔹 第1–5天 → 以非常柔软且偏凉的食物为主
🔹 第6–10天 → 逐渐加入温和、略有口感但仍柔软的食物
🔹 第11–14天 → 若无出血或明显疼痛，可慢慢恢复正常饮食

🔹 三、避免事项
❌ 不要用力咳嗽或清喉咙
❌ 不要大力擤鼻涕
❌ 减少说话、避免大声喊叫
❌ 至少两周内避免剧烈活动（跑跳、打闹）

🔹 四、咽喉与鼻腔护理
✅ 喉咙干涩时，可用冷盐水轻轻漱口（不可用力）
✅ 鼻腔干可用生理盐水喷剂
✅ 刷牙用软毛牙刷，避免碰伤伤口

🔹 五、警示症状 – 何时就医？
✅ 正常现象：术后1-2天内唾液微量带血（粉红或棕色）
❌ 异常警示：
• 嘴或鼻持续流出鲜红血液
• 滴血超过 5 毫升不止
• 发高烧（>38.5°C）或口臭严重

⚠️ 出现以上情况请立刻前往医院！

✨ 温馨提醒：
🔸 术后咽部会出现白色或黄色痂层，这是正常的“愈合组织”，不是感染
🔸 此痂层会在术后第7-14天间自然脱落，千万不要剥除
🔸 多喝水、吃软食、避免热和辛辣，有助顺利恢复

💻 想了解更多耳鼻喉资讯？请浏览我们官网 👉 www.johorentdoctor.com

#扁桃体切除 #手术后护理 #耳鼻喉科

09/05/2025

【手术前控制高血压的重要性】

如果你准备接受手术，请务必注意你的血压！
高血压如果控制不好，在麻醉、手术过程中可能引发严重风险。

⸻

⚠️ 可能的并发症：

❤️ 心脏问题
• 心肌梗塞
• 心律不整
• 心力衰竭

🧠 中风
• 高血压会增加脑出血或血管阻塞风险

🩸 出血风险加大
• 血压太高容易术中出血多、伤口愈合慢

🧪 肾脏功能下降
• 血压波动可能伤害肾脏，特别是已有慢性病者

📉 血压不稳
• 麻醉中容易发生血压忽高忽低，危险！

⸻

✅ 手术前你可以这样做：

💊 按时吃降压药，不要自行停药！
🩺 若感觉不适，务必提前告诉医生
✔️ 确保手术前血压控制在 140/90 mmHg 以下

⸻

温馨提醒：

高血压就像“沉默的杀手”，
即使没有症状，也要认真对待！
控制好血压 = 更安全的手术 + 更顺利的恢复！

08/05/2025

🩸 正在吃阿司匹林或其他“血薄药”？即将动手术的你一定要注意！ 🩺

如果你正在服用 阿司匹林（Aspirin） 或 氯吡格雷（Plavix / Clopidogrel） 等抗血小板药物（俗称“血薄药”），而即将接受择期手术（非紧急手术），务必要提前和医生讨论药物的安排。

📌 这些药物有助于预防中风、心脏病发，但也会增加手术出血风险。

✅ 千万不要自行停药！必须先和医生确认安全时机。

⏱️ 一般建议如下：
• 阿司匹林：术前 5–7 天 停用
• 氯吡格雷（Plavix）：术前 5–7 天 停用
• 手术后若无明显出血，通常 1–3 天后可恢复

💡 如果你只是糖尿病病人、为了预防风险而吃阿司匹林，通常属于低风险，可以停药。
但如果你曾经放过心脏支架、中风或心脏病发作，则为高风险，可能需要继续用药或个别评估。

🗓️ 请在手术前 至少 2–3 周 通知你的诊所，以便我们为你做出合适安排。

📞 有疑问？欢迎向我们咨询。手术期间的安全，从正确处理“血薄药”开始！

#手术前停药须知 #阿司匹林资讯 #血薄药注意事项

12/02/2025

Just had a tonsillectomy? Here’s your essential guide to a smooth recovery!

POST-TONSILLECTOMY CARE GUIDE
1. PAIN MANAGEMENT
✅ Take pain relief medication as prescribed by the doctor (Paracetamol or Ibuprofen if allowed).
✅ Inform the doctor if the pain is too severe.
❌ Do not take Aspirin as it increases the risk of bleeding.

2. FOOD & DRINKS
✅ Drink plenty of cold or warm water (avoid dehydration).
✅ Soft & cold foods are better for the throat:
• Ice cream, yogurt
• Porridge, soft rice
• Mashed potatoes, soup
• Scrambled eggs, soft tofu
❌ Avoid foods that may injure the surgical site:
• Spicy, sour, or hot foods (chili, lime, curry)
• Hard or crunchy foods (crackers, biscuits, toast, fried chicken)
• Carbonated or caffeinated drinks

3. THINGS TO AVOID
❌ Do not cough or clear the throat forcefully.
❌ Do not blow your nose too hard.
❌ Avoid excessive talking or shouting.
❌ Refrain from running, jumping, or rough play for at least two weeks.

4. THROAT & NOSE CARE
✅ If the throat feels dry:
• Gargle with cold salt water (but do not gargle too forcefully).
• Use saline nasal spray if the nose feels dry; Gengigel for the throat.
✅ Use a soft toothbrush to avoid bleeding.

5. WARNING SIGNS – WHEN TO SEEK HELP!
✅ NORMAL: Slightly blood-streaked saliva (pink or brownish) in the first 1-2 days.
❌ NOT NORMAL:
• Bright red bleeding from the mouth or nose.
• Persistent dripping of fresh blood (>5ml).
• High fever (>38.5°C) or foul-smelling breath.
➡️ Go to the hospital immediately if any of these signs appear!

✨ ADDITIONAL TIPS
✅ Encourage the child to rest well for faster healing.
✅ Ice cream or cold foods can help reduce throat pain.
✅ Avoid hot environments, as heat can increase the risk of bleeding.

After surgery, a white or yellowish layer (called fibrin slough) will form at the surgical site. This is normal and essential for healing.
🚫 It is NOT an infection unless accompanied by:
• Fever
• Increasing pain
• Foul-smelling breath
This layer will gradually disappear between days 7 to 14.
❌ Do not scrape or remove it, as this can cause bleeding.
💧 To aid healing, ensure the child drinks plenty of water, eats soft foods, and avoids spicy or hard foods.

SUITABLE SOFT FOODS AFTER TONSILLECTOMY
After a tonsillectomy, patients should consume soft, cool, and non-spicy foods to reduce pain and promote healing. Avoid hard, crunchy, and spicy foods that may injure the throat.
✅ Recommended Soft Foods
🥣 Porridge & Soft Rice
✔ Plain porridge / chicken porridge (without chili)
✔ Soft rice with clear soup (e.g., chicken soup, fish soup, vegetable soup)
✔ Rice soaked in soup (easier to swallow)
🍜 Soups & Liquid-Based Foods
✔ Chicken soup (without black pepper)
✔ Fish soup / vegetable soup
✔ Soft, watery dishes (without chili)
🥛 Dairy Products & Cold Drinks
✔ Cold milk (without thick chocolate)
✔ Vanilla or mild-flavored ice cream
✔ Yogurt (without fruit chunks)
✔ Lassi or cultured milk drinks (non-carbonated)
🍌 Soft Fruits
✔ Soft bananas / papayas
✔ Boiled or blended apples (cold apple juice is also fine)
✔ Watermelon juice (without ice)
🍞 Soft Breads & Carbohydrates
✔ White bread soaked in milk/soup
✔ Mashed potatoes
✔ Soft desserts such as steamed cakes, Seri Muka, or Kuih Kaswi
✔ Caramel pudding or soft custard

🥚 Protein & Egg-Based Foods
✔ Scrambled eggs (soft and easy to swallow)
✔ Soft-boiled eggs
✔ Soft tofu (eaten with soup or light soy sauce)

❌ Foods to Avoid
🚫 Spicy or heavily seasoned foods (sambal, curry, tom yum soup, chili)
🚫 Hard & crunchy foods (crackers, dry biscuits, toast, crispy fried chicken)
🚫 Carbonated & caffeinated drinks (soda, teh tarik, coffee)
🚫 Sour or fibrous fruits (pineapple, lime, guava)
🚫 Hot foods that may trigger bleeding

⏳ How Long Should Soft Foods Be Taken?
🔹 Days 1-5 → Focus on very soft & cold foods.
🔹 Days 6-10 → Gradually introduce warmer & slightly textured foods (still soft).
🔹 Days 11-14 → Slowly return to a normal diet (if there is no bleeding or pain).

📌 Additional Tips
✅ Ensure the patient drinks plenty of water to prevent throat dryness and bleeding.
✅ Eat small, frequent meals to avoid excessive swallowing effort.
✅ Avoid using a straw, as sucking can disrupt healing.
✅ If pain worsens or bleeding occurs, seek medical attention immediately.



Check out https://www.johorentdoctor.com/ for more info!

27/11/2024

Had nasal surgery or planning one? Recovery is key to great results! Check out these 10 essential aftercare tips to make healing smooth and stress-free. From proper rest to managing swelling and knowing when to seek help, this guide covers it all.

👉 Read here: https://www.johorentdoctor.com/post/10-essential-nose-surgery-recovery-aftercare-tips

Share this with someone who needs it! Your journey to better breathing starts here.

Undergoing nose surgery is a significant step toward improving your quality of life, whether it’s for breathing, aesthetics, or correcting a medical issue. However, the surgery itself is just the beginning. Proper aftercare ensures a smooth recovery, reduces risks of complications, and sets the fo...

10/04/2024

Selamat Hari Raya Aidilfitri! Maaf Zahir Batin!

13/10/2023

Seborrheic keratosis on the ear is like a friendly, harmless visitor that occasionally drops by your earlobe. These noncancerous growths may resemble small, brownish patches or tiny bumps, adding a touch of character to your ear's landscape. Think of them as beauty marks with personality. While they might look unusual, seborrheic keratoses are more like your skin's artistic expression than a cause for concern. They don't intend to disrupt your ear's harmony; they just want to be a unique part of the scene. So, if one appears, rest assured it's just your ear's way of showing off its individuality.

Watch a video featuring the removal of ear keratosis in a 65-year-old and the subsequent skin graft to cover the defect.

To access additional educational content, please explore www.johorentdoctor.com .

13/10/2023

这个视频描述了我们对一个孩进行耳前脓肿排脓手术的过程。在这个视频中，您将看到我们如何进行手术，清除脓液，并对伤口进行处理。我将详细解释手术的步骤，以及为什么这个治疗对于缓解病人的疼痛和不适非常重要。我还将分享有关术后护理和康复的建议，以确保病人能够尽快康复。如果您对耳前脓肿排脓手术感兴趣或希望了解更多相关信息，欢迎观看这个视频。不要忘记订阅我的频道以获取更多医疗相关内容！

要了解更多信息，请访问 https://www.johorentdoctor.com/%E8%80%B3%E5%89%8D%E7%98%98%E7%AE%A1

#耳前廔管 #耳鼻喉科

09/07/2023

你知道手术前吸烟可能会增加你术后并发症的风险吗？为什么手术前戒烟那么重要？在我们的最新文章中，我们详细解释了这个问题。加入我们，了解更多关于健康生活的信息，并让我们一起迈向更健康的未来。👉阅读我们的全新文章：《手术前戒烟的重要性: 了解风险，选择健康》。你准备好开始戒烟，迎接更健康的自己了吗？
#戒烟 #手术 #健康生活

这篇文章揭示了吸烟如何显著增加手术后并发症的风险，详细解释了为何手术前一定要戒烟，以及手术前吸烟的危险性。我们通过科学的分析，生动的例子，以及深入浅出的解答，帮助读者理解手术前戒烟的重要性，希望鼓励更...