If yu de op fɔ bɔn pikin, yu go mɔs dɔn yɛri di stori bɔt "yu wata de brok" ɔ "yu wata de brok." Sɔntɛnde, lɛk aw yu kin si na fim, yu wata kin brok wan tɛm, ɔ i kin brok smɔl smɔl. Bɔt dis nɔ kin apin fɔ ɔlman. Sɔntɛnde, ivin wit leba pen, yu wata nɔ kin brok. If na so i bi, yu dɔktɔ go nid fɔ brok yu wata. We wi de tɔk bɔt mɛrɛsin, dɛn kin kɔl dis amniotomy. Lɛ wi tek tɛm luk wetin i bi, wetin mek dɛn du am, ɛn wetin yu nid fɔ no bɔt am.
Fɔ tɔk am simpul wan, wetin na amniotomy?
we yu bεlε, dεn kin kכba yu pikin fayn fayn wan insay wan sak we fulכp wit wata insay yu uterus. dis dεn kכmכn fכ kכl am "bag fכ wata" εn dεn kכl am fכ mεdikal "amniotic sac." di wata we de insay dis sak dεn kכl am "amniotic fluid." Dis wata de wok lɛk kusɛn fɔ yu pikin ɛn i de protɛkt am frɔm bad tin we i de muv rawnd.
we di tεm kam fכ bכn di pikin, dis bag fכ wata de bכs nכmal wan εn di amniotic fluid de kכmכt. Dis na wetin wi kɔl "di wata we de brok." Bɔt fɔ sɔm mama dɛn, dis bag nɔ kin brok pan ɔl we dɛn de bɔn pikin. Da tɛm de, di dɔktɔ kin brok dis bag we gɛt wata, we dɛn kɔl amniotomy ɔ Artificial Rupture of Membranes (AROM) . we di bag we di wata de brok dis we, di kכntrikshכn dεm na di uterus de bכku, we de εp di sεviks fכ opin.
Wetin mek di dɔktɔ go disayd fɔ du sɔntin lɛk dis?
Bɔku tɛm dɛn kin du amniotomy fɔ mek yu bɔn kwik kwik wan. Bɔt i nɔ fayn fɔ ɔlman bikɔs i kin gɛt sɔm prɔblɛm dɛn. Bɔku men rizin dɛn de we mek yu dɔktɔ disayd dis.
| Rizin | Wetin kin apin wit dis? |
|---|---|
| Fɔ mek dɛn ebul fɔ bɔn pikin kwik kwik wan ɔ fɔ bigin fɔ bɔn pikin | We yu wata brok, ɔmon dɛn kin kɔmɔt we kin mek yu uterus kɔntrakt mɔ pawa. Dɔn bak, we yu wata brok, di pikin in ed kin prɛs yu sɛviks dairekt wan. dis prεshכn de mek yu sεviks opin kwik kwik wan. |
| Fɔ mek dɛn ebul fɔ wach di pikin in kɔndishɔn bɛtɛ bɛtɛ wan | Sɔntɛnde yu nid fɔ si yu pikin in at bit kɔrɛkt wan. pas fכ put εksternal monita na yu bεlε, sכmכl monita we dεn put na yu pikin in ed (intanal fetal monita) kin gi klia data. Fɔ du dis, yu wata go dɔn brok. |
| Fɔ chɛk di amniotic fluid | we pikin gεt in fכs bכdi na di bכdi, dεn kכl am mεkoniכm. Dis kin denja if i go insay di pikin in lɔng. Dɔktɔ dɛn kin chɛk di wata we de kɔmɔt we di wata brok fɔ si if i de de, ɛn if na so i bi, dɛn kin rɛdi fɔ sok di pikin in nos ɛn in mɔt afta dɛn bɔn am. |
Bɔt difrɛn opinion dɛn de bitwin dɔktɔ dɛn bɔt aw dis amniotomy prosidur go wok fayn. Sɔm stɔdi dɛn sho se we uman gɛt bɛlɛ we gɛt wɛlbɔdi, i nɔ de mek di pikin bɔn kwik kwik wan, ɛn i bɛtɛ fɔ lɛ di natura l prɔses tek in kɔs. Bɔt ɔda data sho se i kin mek di pikin we de bɔn kwik kwik wan fɔ lɛk wan awa so.
Aw yu kin du dis? Yu tink se i de mek pɔsin fil bad?
Dis na tin we rili simpul fɔ du.
Fɔs, yu dɔktɔ go chɛk yu sɛviks fɔ si if i dɔn rɛdi fɔ bɔn pikin. dis min se yu sεviks saf, tכn, εn yu pikin in ed dכn fulכp. Dɔn, dɛn go put pad ɔ tawɛl dɛn we de absɔb ɔnda yu fɔ absɔb ɛni wata we kɔmɔt.
Neks, di dɔktɔ kin yuz wan tin we tan lɛk plastic we dɛn kɔl amnihook . Na wan lɔng tin we tan lɛk nidul ɛn in tip we kɔba smɔl. i de insay tru di vagina, i de fɛn di bag we gɛt wata, ɛn mek smɔl ol insay. Dɔn di wata go bigin fɔ kɔmɔt.
So yu tink se dis kin mek pɔsin fil bad?
Nɔ, bɔku mama dɛn nɔ kin fil ɛni pen we dɛn du dis. Ɛspɛshali if dɛn dɔn ɔlrɛdi gi yu epidural, yu nɔ go fil natin. Di tin we impɔtant pas ɔl na dat, i nɔ de mek di pikin fil pen ɔ bad. Fɔ pɔsin we nɔ tek mɛrɛsin fɔ mek i fil pen, di amniohook kin fil smɔl we dɛn put am insay, bɔt i nɔ kin mek i fil pen.
Wetin na di bɛnifit ɛn di prɔblɛm dɛn we pɔsin kin gɛt we i du amniotomy?
Jɔs lɛk ɛni ɔda mɛrɛsin, bɛnifit ɛn prɔblɛm dɛn de. I impɔtant fɔ mek yu no ɔl tu.
| Di bɛnifit dɛn we pɔsin kin gɛt | Risk & Kɔmplikɛshɔn dɛn |
|---|---|
| Leba kin bi kwik. | di כmbilikal kכd prolaps: di כmbilikal kכd de dכn insay di vagina bifo di pikin bכn. Dis kin mek di pikin nɔ gɛt ɔksijɛn ɛn mek i gɛt ɛnitin fɔ du wit am . |
| dεn kin mכnitor di pikin in at bit kכrekt wan. | di כmbilikal kכd kכmכpshכn: di כksijεn saplai to di pikin de ridyus bikoz fכ di kכmpreshכn fכ di כmbilikal kכd. |
| Yu kin chɛk di wata fɔ mek i gɛt mɛkoniɔm. | Risk fɔ C-section: If di pikin tɔn brich afta di wata brok, yu kin nid fɔ du C-section. |
| Infεkshכn: Di bag we de insay wata na shild we de protɛkt di pikin. We i brok, di risk fɔ gɛt di sik kin bɔku as tɛm de go. | |
| di pen we de bכku: we di wata kushכn dכn go, di uterin kכntrikshכn (pen) kin bכku fכ sכm pipul dεm. |
Sɔntɛnde, i nɔ fayn fɔ brok di wata bag?
Yɛs, na fɔ tru. Sɔntɛnde, fɔ du dis kin denja. Di dɔktɔ no dis gud gud wan. Bɔku tɛm dɛn nɔ kin du amniɔtomi pan kes dɛn lɛk dɛn wan ya:
- if di pikin in ed nכ de fכs dכn (fכ egzampl, if dεn de na brich posishכn).
- if di pikin in ed nכ dכn fulכp insay di bכdi εn i nכ posishכn fayn, dכkta dεn kכl dis ‘fetal steshכn’.
- if di sεviks nכ "rεdi" fכ bכn (A "favorable" sεviks). Dat min se i nɔ saf, i tan, ɛn i nɔ opin inof.
- If yu gɛt wan sik we nɔ kin apin so ɔltɛm bɔt we rili denja we dɛn kɔl vasa previa, usay di pikin in blɔd vesel dɛn kin pas na di sɛviks, fɔ brok di bag we gɛt wata kin mek di pikin day.
כl di tεm, amniotomy na di prכsidכs we kin εp wit di leba prכsεs. Ɛni bɛlɛ kin difrɛn. I nɔ gɛt garanti fɔ mek yu wok kwik kwik wan. Dɛn kin disayd fɔ du dis bay bɔku tin dɛn, lɛk aw yu ɛn yu pikin gɛt wɛlbɔdi ɛn di tɛm we yu bɔn. Di tin we impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu.
Mɛsej we dɛn kin kɛr go na os
- Amniotomy na we dɔktɔ de brok di bag we gɛt wata fɔ ɛp am fɔ bɔn pikin. Bɔt nɔto sɔntin we ɔlman de du ɔ we fit fɔ.
- pan tap we dis gεt bεnεfit lεk fכ mek di pikin bכn kwik, i de kכri risk dεm bak lεk di כmbilikal kכd prכblεm εn infεkshכn.
- Na yu dɔktɔ nɔmɔ, we no yu ɛn yu pikin in wɛlbɔdi, go disayd if dis we fɔ du dis wok fayn ɔ nɔ fayn.
- If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis, nɔ fred fɔ tɔk to yu dɔktɔ bɔt am. If dɛn tɛl yu, dat go mek yu gɛt trɛnk fɔ bia wit dis tin wit kɔnfidɛns.
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