Bɛlɛ na spɛshal tɛm na mama in layf. Bɔt, bɔku wɛlbɔdi prɔblɛm dɛn kin apin insay dis tɛm. fכ sכm mama dεm, di sεviks kin bigin fכ opin fכ wik bifo di de we dεn tink se dεn go bכn. Dis kin mek dɛn bɔn pikin bifo tɛm. Tide, wi de tɔk bɔt wan spɛshal tritmɛnt we dɔktɔ dɛn kin advays pan dɛn kayn tɛm ya we pɔsin kin gɛt prɔblɛm. dat min se, fכ put sutura na di sεviks, כ insay mεdikal tεm dεm (Cervical Cerclage) .
Wetin na Sɛvikal Sɛklaj?
Dis na tin we rili simpul fɔ ɔndastand. Tink bɔt yu uterus lɛk smɔl sak. di pikin de gro sef wan insay dis sak. di sεviks na di mכt fכ da sak de. nכmal wan, di mכt fכ dis sak, di sεviks, fכ de tayt tayt wan te dεn bכn di pikin.
Bɔt sɔntɛnde dis sɛviks kin wik. Dɔn, as di pikin de gɛt mɔ wet, di sɛviks kin bigin fɔ opin bifo tɛm. (Cervical Cerclage) na we dεn stich di sεviks we de kam opin wit strכng tכd εn tayt am. Fɔ tɔk di kɔrɛkt tin, i tan lɛk we yu tay bag wit strɛch . dis na fכ mek di pikin sef insay di uterus te di de we i fכ bכn.
Wetin mek yu nid fɔ du sɔntin lɛk dis?
Yu dɔktɔ nɔ de gi yu dis tritmɛnt fɔ natin. Sɔntɛm sɔm patikyula rizin dɛn de fɔ dat.
- Inkɔmpɛtɛnt Sɛviks: Dis na di men tin we kin mek i apin. di כpεrayshכn dεm we dεn bin dכn du bifo di sεvikal, lεk di LEEP prosidכs, kin mek di sεviks wik.
- Miskɛri we yu bin dɔn gɛt bifo: If yu dɔn gɛt bɛlɛ, mɔ insay di sɛkɔn tri mɔnt we yu gɛt bɛlɛ, dat na bitwin mɔnt 3 ɛn 6, di tin we kin mek yu gɛt bɛlɛ kin wik.
- abnכmal tin dεm na di shep fכ di uterus: sכmtεm dis kכndyushכn kin kכz bak fכ sכm chenj dεm we dεn bכn na di uterus.
So if yu bin dɔn gɛt ɛni prɔblɛm wit bɛlɛ we yu bin dɔn gɛt bifo ɔ yu dɔn gɛt bɛlɛ, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl dɛn tin ya.
dis stich dεn kin put am bitwin 12 εn 14 wiks we di bεlε de, dat na bifo di sεviks bigin fכ tכn.
Wetin kin apin bifo ɛn we dɛn de trit am?
Bifo dis, di dɔktɔ go rivyu yu kɔmplit wɛlbɔdi istri. Dɔn i go chɛk yu.
Bifo dɛn trit am
dεn go egzamin yu sεviks wit spεkul, we lεk Pap tεst. Yu kin gɛt transvaginal ɔltra saund skan bak. Dɛn go advays yu bak fɔ avɔyd fɔ du mami ɛn dadi biznɛs fɔ lɛk wan wik bifo di tɛst. Na nɔmal tin fɔ fil smɔl fred ɔ wɔri bifo dis tɛst. Dis na fayn tɛm fɔ aks yu dɔktɔ ɛni kwɛstyɔn we yu gɛt.
We dɛn de du tritmɛnt
Bɔku tɛm, dis kin dɔn insay sɔm minit.
1. Dɛn go aks yu fɔ ledɔm pan ɛgzamin tebul ɛn put yu leg dɛn pan sɔpɔt dɛn we dɛn mek spɛshal wan.
2. Dɔn dɛn go gi yu wan lokal anestetik fɔ mek di say we yu de nɔ fil fayn . Yu go fil smɔl prik we dɛn gi yu di injɛkshɔn, bɔt yu nɔ go fil ɛni pen afta dat.
3. Afta we di dɔktɔ dɔn numb, i kin yuz strɔng trɛd fɔ put sutura rawnd di sɛviks, tay am, ɛn tay am.
Ɛni pen de afta di tritmɛnt?
I nɔmal fɔ gɛt sɔm smɔl smɔl kramp ɛn spat we tan lɛk we yu de gɛt mɔnt fɔ sɔm dez afta yu dɔn trit yu. Nɔ wɔri. Bɔku tɛm, dɛn kin kɔntrol di pen wit parasetamol.
Bɔt mɛmba se if yu gɛt bɛlɛ pen we yu nɔ go ebul fɔ bia , yu fɔ kɔl yu dɔktɔ wantɛm wantɛm.
Afta di tritmɛnt, dɛn go de wach yu na di ɔspitul fɔ sɔm awa, ɛn if prɔblɛm nɔ de, dɛn go sɛn yu na os di sem de. Dɛn kin gi yu sɔm antibayɔtik bak fɔ mek yu nɔ gɛt di sik. I bɛtɛ fɔ lɛ yu rɛst fayn da de de. Bikɔs i kin tek lɛk 10 dez fɔ mek di stich dɛn wɛl, di dɔktɔ advays yu fɔ avɔyd fɔ wok tranga wan ɛn du mami ɛn dadi biznɛs insay da tɛm de.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis tritmɛnt de gi?
Cervical Cerclage na di bεst εn ifektiv we fכ mek dεn nכ bכn pikin bifo tεm pan pכsin we wik sεviks. Di bɛnifit dɛn we i de gi klia. Bɔt lɛk ɛni ɔda tritmɛnt, i gɛt sɔm prɔblɛm dɛn bak. Dɔktɔ go tɛl am ɔltɛm if di bɛnifit dɛn pas di prɔblɛm dɛn we i go gɛt.
| Risk / Kɔmplikɛshɔn | Fɔ ɛksplen am simpul wan |
|---|---|
| Sik we de prɛd | sכm chans de fכ infεkshכn na di say we dεn sutura כ na di uterus. |
| Damej to di sεviks | Smɔl damej kin de na di sɛviks we dɛn de trit am. |
| di membran dεm we de brok bifo tεm | di pikin de insay wan bag wata we dεn kכl amniotic fluid. Smɔl risk de fɔ mek dis go bɔs bifo tɛm. |
| Fɔ bɔn pikin bifo tɛm | Sɔntɛnde dis sem tritmɛnt kin mek dɛn bɔn pikin bifo tɛm. |
| di sεvikal rכpshכn | if di pikin bigin fכ bכn we di stich dεm de insay, i de fכ mek di sεviks כ di uterus te. |
Ustɛm dɛn kin pul di stich dɛn?
Dɛn kin lɛf dɛn stich ya na dɛn ples te yu gɛt bɛlɛ dɔn, we na lɛk 37 wiks . Fɔ pul di stich dɛn rili simpul. Yu kin du am rayt na yu dɔktɔ in ɔfis.
Jɔs lɛk we dɛn put stich dɛn, dɛn go mek yu ledɔm na tebul fɔ ɛgzamin, ɛn dɛn go pul di stich dɛn insay sɔm minit. Dis nɔ ivin nid fɔ gɛt anestezi. dilivεri kin apin εni tεm afta dεn dכn pul di stich dεm. If fɔ sɔm rizin yu wata brok bifo da tɛm de, ɔ if leba bigin, dɛn go pul di stich dɛn bifo da tɛm de.
Ustɛm yu fɔ kɔl di dɔktɔ wantɛm wantɛm?
If yu gɛt ɛni wan pan dɛn tin ya afta yu dɔn gɛt tritmɛnt, yu fɔ kɔntak yu dɔktɔ wantɛm wantɛm ɛn nɔ de te .
| Di sayn we de sho se di sik de | Wetin fɔ pe atɛnshɔn to |
|---|---|
| Ay fiva | di tεmprachכ na di bכdi pas 100°F (37.7°C). |
| Pen we kin kam ɔltɛm | if di pen na di lכw bכdi, lεk di leba pen, kam εn go na wan sεt tεm (kכntrakshכn). |
| Wan wata we de kɔmɔt na di vagina we de smɛl fayn | If yu gɛt dɔti smel na yu vagina dischaj kin bi sayn fɔ se yu gɛt infekshɔn. |
| Wata bag brok ɔ wata lik | kכntinyu fכ kכntinyu fכ kכl wata we de kכmכt na di vagina. |
| Blɔd we de kɔmɔt pasmak | Nɔto jɔs sɔm drop blɔd, bɔt ebi ebi blɔd de kɔmɔt. |
Na nɔmal tin fɔ fil smɔl frayd we yu yɛri bɔt dis tritmɛnt. Bɔt na tritmɛnt we kin wok fayn lɛk 90% . if dis kכndyushכn apin insay wan bεlε, i go bi fכ apin insay di bεlε we de afta dat. So i impɔtant fɔ tɔk opin wan wit yu dɔktɔ ɛn plan fɔ gɛt bɛlɛ we gɛt wɛlbɔdi.
Mɛsej we dɛn kin kɛr go na os
- Sɛvikal Sɛklaj na wan tritmɛnt we rili fayn fɔ mek di sɛviks we wik strɔng ɛn fɔ mek dɛn nɔ bɔn pikin bifo tɛm.
- dis kin bi bitwin 12-14 wiks we uman bεlε.
- Na nɔmal tin fɔ gɛt sɔm kayn pen ɛn blɔd fɔ sɔm dez afta dɛn dɔn trit yu. Bɔt if yu fil bad bad wan, yu gɛt fiva, ɔ yu gɛt bɔku blɔd, yu fɔ go to dɔktɔ wantɛm wantɛm.
- I rili impɔtant fɔ fala yu dɔktɔ in advays, mɔ we i kam pan aw fɔ rɛst ɛn aw fɔ du tin.
- Nɔ ɛva shem fɔ tɔk to yu dɔktɔ opin wan bɔt ɛnitin we de mɔna yu ɔ we yu de fred.
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