Yu tink se di de we yu fɔ bɔn pikin de kam nia? Lɛk ɔlman, sɔntɛm yu de wet wit ɔl yu pikin fɔ kam, nɔto so? Nɔmal wan, as di pikin de kam nia fɔ bɔn, wi sɛviks de sof smɔl smɔl, tan lɛk tin, ɛn bigin fɔ opin fɔ mek say fɔ mek di pikin kɔmɔt na do. Bɔt fɔ sɔm mama dɛn, ivin afta sɔm dez dɔn pas, di sɛviks nɔ kin rɛdi gud gud wan. Na dat mek tide wi go tɔk bɔt wan spɛshal prɔsidyu we dɔktɔ dɛn kin ɛp wit dɛn kayn tɛm ya.
Fɔ tɔk am simpul wan, wetin na fɔ rayp di sɛvikal?
'Sεvikal Ripin' dεn translet am tru "Sεvikal Ripin". Bɔt lɛ wi ɔndastand am simpul wan. Imajin se bifo yu bɔn pikin, yu sɛviks dɔn lɔk tayt ɛn tik. Lɛk raw frut. fכ mek di pikin kכmכt tru di vagina, dis sεviks nid fכ rili sכft, tכn, εn opin (dilated) . Lɛk frut we de saf. Na dat wi kin kɔl ‘Cervical Ripening’.
Bɔku tɛm, dis kin apin bay insɛf. i de kכz fכ di כmon dεm we de chenj εn di prεshכn we di pikin in ed de kכmכt pan di sεviks. Bɔt fɔ sɔm pipul dɛn, i nɔ kin apin kwik kwik wan. If na so i bi, yu dɔktɔ go yuz mɛrɛsin, spɛshal tin, ɔ ɔda we fɔ ɛp fɔ pripia yu sɛviks. Infakt, dis na wan pan di impɔtant tin dɛn we nid fɔ apin bifo tru tru leba bigin.
Udat nid dis?
dis sεvikal prεparashכn prכsεs kin εp if yu nid fכ mek yu bכn. Bɔku tɛm i kin nid fɔ mek dɛn bɔn pikin fɔ dɛn rizin ya:
- If di de we yu fɔ bɔn dɔn pas: If yu bɛlɛ dɔn 41 wik ɔ pas dat.
- If prɔblɛm dɛn de we kin mek yu gɛt wɛlbɔdi: If yu ɔ yu pikin gɛt ɛni prɔblɛm wit yu wɛlbɔdi. fכ egzampl, kכndyushכn dεm lεk hεy blכd prεshכn we uman bεlε (preeclampsia) כ gestational diabetes.
- If yu de fa frɔm di ɔspitul: Sɔntɛnde, if di ɔspitul de tu fa, yu kin nid fɔ mek yu plan fɔ bɔn pikin.
Aw di dɔktɔ no se a nid dis?
Yu dɔktɔ go du wan sɛvikal ɛgzam fɔ si aw i saf, tan, ɛn opin. afta dat, dεn go yuz spεshal skכring sistεm fכ mכsu aw yu sεviks rεdi fכ leba. Dɛn kɔl dis di ‘Bishop score’ .
Dis tan lɛk we yu de gi mak pan ɛgzam. Dɛn kin gi am frɔm 0 to 13. If yu Bisop skɔ nɔ rich 6, i min se yu sɛviks nɔ rɛdi yet fɔ lɛ i bɔn. So di dɔktɔ go nid fɔ pripia (rayp) yu sɛviks. If di mak pas 8, dat min se yu bɔdi de rɛdi fɔ bɔn pikin. Dɔn dis we aw dɛn kin du tin nɔ go nid fɔ du dat.
Wetin na di difrεns bitwin we yu rayp di sεviks εn we yu bigin fכ bכn (indukshכn)?
Bɔku impɔtant tin dɛn de we difrɛn bitwin dɛn tu wɔd ya. Mek wi luk dem laik tebul.
| Di kwaliti we pɔsin gɛt | Di sɛvikal we de rayp | Leba Indukshɔn |
|---|---|---|
| Nechɔ | Dis na wan prɔses. fכ sof εn pripia di sεviks fכ opin. | Dis na wan mɛdikal intavɛnshɔn. i involv fכ mek di uterin kכntrikshכn εn fכ bigin fכ bכn. |
| Tɛm | Dis kin apin smɔl smɔl fɔ sɔm dez ɔr wik. | Dɛn kin du am wantɛm wantɛm we di pikin nid fɔ bɔn kwik kwik wan. |
| Ples we dɛn de ple di fim | I kin apin na ɔspitul, na di dɔktɔ in ɔfis, ɔ sɔntɛnde ivin na os (ɔnda dɔktɔ advays). | Dɛn kin du am ɔltɛm na ɔspitul ɔ say usay dɛn kin bɔn pikin. |
aw dεn kin du dis sεvikal prεparashכn prכsεs?
Bɔku we dɛn de fɔ du dis. Yu dɔktɔ go pik di we we go fayn fɔ yu bay di tin we de apin to yu.
Di we aw dɛn kin yuz mɛrɛsin
Prostaglandins, kεmεkal dεm we dεn kin mek na wi bכdi, de εp fכ mek di sεviks sof εn opin. Dɔktɔ dɛn kin yuz sintetik prostaglandin, we fiba dɛn wan ya. dis dεm de mek di sεviks sכft εn sכmtεm dεn kin stat di uterin kכntrikshכn.
Dɛn mɛrɛsin ya kin gɛt difrɛn we dɛn:
- As jel: di dכkta de put dis jel insay di sεviks yuz tכb lεk kateshכn.
- As pil: Dɛn kin gi yu pil fɔ swɛla.
- As suppository: Dɛn kin put dis mɛrɛsin dairekt insay di vagina ɛn afta dat dɛn kin absɔb am insay di bɔdi.
- As insert: Dɛn kin put smɔl tin we tan lɛk tampon insay di vagina. I de go insay smɔl smɔl, ɛn i de pul di mɛrɛsin insay di sɛviks.
di dכg dεm we dεn kin yus fכ dis na `(Dinoprostone)` εn `(Misoprostol)`. insay sɔm kes dεm dεn kin yuz `(Oxytocin)` bak.
Di we aw dɛn kin yuz spɛshal divays dɛn
‘Foley balloon’ na divais we dɛn kin yuz fɔ dis. I tan lɛk smɔl balyɔn. di dכkta de put dis balכn insay di sεviks tru wan kateta εn fulכp am wit salt wata. afta dat di mεkanikal prεsh כn de mek di sεviks opin sכmtεm. dis prεshכn de mek di bכdi bak fכ prodyuz ‘Prostaglandins’ nכmal wan.
Tru di we aw dɛn de du mɛrɛsin
- di mεmbran strip: di dכkta de put wan fכs fכ gכl insay di sεviks εn jεntli separet di amniotic sak frכm di uterin wכl. dis kin mek di bכdi prodyuz prostaglandin dεm.
- Amniotomy (we de brok di amniotic sac): di dכkta de yuz wan sכmכl instrכmεnt we lεk huk fכ brok di mεmbran dεm na di amniotic sak. dis dεn kכl am bak ``AROM - artificial rupture of membranes''. dis kin mek bak di ''Prostaglandins'' kכmכt.
Natural we dɛn
Sɔm pipul dɛn kin tray fɔ du natura l we dɛn insay di de dɛn bifo dɛn bɔn pikin, lɛk akupankcha, fɔ mek dɛn nipple stimulate, ɛn fɔ tek kastɔ ɔyl.
Bɔt mɛmba dis: No strɔng sayɛns pruf nɔ de fɔ sho se dɛn we ya de wok fayn. Ɛn sɔm pan dɛn kin denja. Nɔ tray ɛni wan pan dɛn tin ya fɔ yusɛf if yu nɔ tɔk to yu dɔktɔ fɔs .
Dis prosidur de mek yu fil pen? Ɛn wetin na di prɔblɛm dɛn we kin apin?
Dis nɔ kin rili bad lɛk di pen we yu de bɔn, bɔt yu kin gɛt sɔm prɔblɛm dɛn lɛk we yu de gɛt kramp we yu de gɛt mɔnt ɔ we yu de fil pen na di say we yu de bɔn.
Ɛni we fɔ du tin gɛt in yon prɔblɛm dɛn, ɛn wi fɔ no bɔt dɛn.
| Di we aw dɛn de du am/Rizin | Risk dɛn we kin apin |
|---|---|
| Mɛrɛsin we dɛn kin gi | Dayarɛa, fiva, nɔs ɛn vɔmit. sכm tεm, di uterin kכntrikshכn kin pasmak כ i kin te (dis kin denja fכ di pikin). |
| Ikwipmɛnt ɛn di we aw dɛn de du tin | blɔd we de kɔmɔt na di vagina, pen, infεkshכn na di mama ɔ di pikin, di pikin in at rit we nɔ de chenj, ɛn di ɔmbilikal kɔd we de prolaps ɔ kɔmprɛshɔn. |
| Natural methods (we nɔ gɛt dɔktɔ advays) . | Fɔ bɔn pikin bifo tɛm, nɔs, vɔmit, ɛn dayarɛa. |
Di men bɛnifit fɔ dis we aw dɛn kin du am na dat i kin mek di tɛm we i kin tek fɔ bɔn pikin shɔt . Dis min se yu nɔ de spɛn bɔku tɛm na ɔspitul ɛn yu kin ol yu pikin kwik.
Ustɛm a fɔ go to di dɔktɔ?
If yu gɛt ɛni kwɛstyɔn bɔt di sɛvikal dilayshɔn ɔ indukshɔn, mek shɔ se yu tɔk to yu dɔktɔ. Nɔ ɛva tray fɔ mek dɛn bɔn pikin na os fɔ yusɛf. Yu dɔktɔ go ɛksplen to yu us we fɔ du am bɛtɛ fɔ yu ɛn wetin na di gud ɛn bad tin dɛn.
Dɔn bak, if yu gɛt di uterin kɔntrakshɔn, wata brok, ɔ yu vagina blɔd we yu gɛt bɛlɛ, tɛl yu dɔktɔ wantɛm wantɛm.
we wi yεri di wכd "rayp," wi nכ kin tink bכt di sεviks, bכt dכkta dεn kin yuz di tεm fכ dεskrεb di we aw di sεviks de sכft εn opin bifo di pikin bכn. Dis nɔto natin fɔ fred. Na jɔs wan mɛrɛsin we de ɛp yu fɔ bɔn yu pikin di rayt tɛm ɛn fayn fayn wan.
Mɛsej we dɛn kin kɛr go na os
- ‘Cervical Ripening’ na we di sεviks de sכft εn opin bifo i bכn. Sɔntɛnde, dis kin nid dɔktɔ fɔ ɛp am.
- Dis kin nid fɔ bi if di de we dɛn fɔ bɔn pikin dɔn pas ɔ if di mama ɔ di pikin gɛt wɛlbɔdi prɔblɛm.
- dis involv fכ yuz mεdikeshכn, spεshal tin dεm (lεk Foley balכn), εn mεdikal prosidכs (lεk mεmbran strip).
- Yu dɔktɔ go disayd us we fɔ du am bɛtɛ fɔ yu.
- Nɔ ɛva tray fɔ yuz natura l mɛrɛsin na os we yu nɔ gɛt dɔktɔ advays fɔ ɛni rizin. I kin denja.
- If yu gɛt ɛni kwɛstyɔn bɔt dis, nɔ fred fɔ aks yu dɔktɔ.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Wetin na Dray Mɔt / Xerostomia? Dis na nɔmal tin we pɔsin kin gɛt?
Dis nɔto nɔmal tɔsti we yu kin pul if yu rɔn ɛn drink sɔm wata! ‘Dray Mɔt (Xerostomia)’ na wan sik we di ‘saliva’ we di saliva gland dɛn we de na yu mɔt de mek kin stɔp ɔltogɛda ɛn fɔ ɔltɛm, we kin mek di insay pat pan yu mɔt dray lɛk dɛzat we de kil, we kin mek i nɔ izi fɔ it ɔ swɛla it, ɛn i kin mek yu nɔ gɛt saliva bad bad wan! Dis kin mek di tut rɔtin kwik kwik wan.
💬 Wetin na di men tin we kin mek yu mɔt dray bikɔs yu nɔ gɛt saliva?
Di men ɛn nɔmba 1 rizin fɔ dis na ‘Side effects of medications’! (Spɛshal wan: blɔd prɛshɔn pils, antidipreshɔn, ɛn antihistamin). 2) ‘Dayabetes’ - We di shuga lɛvɛl go ɔp, ɔl di wata we de na di bɔdi de go insay di urine, we kin mek di mɔt dray. 3) ‘Sjogren’s Syndrome’ - Dis na ɔtoimyun sik, usay di imyun sistɛm de kray ɛn pwɛl di kray wata ɛn saliva gland dɛn. 4) Siriɔs panik ɛn wɔri.
💬 Wetin na di 'dangerous situations' we yu fɔ go si dɔktɔ wantɛm wantɛm/go na di imejensi dipatmɛnt we yu nɔ drink wata we yu mɔt dray?
If yu drink bɔku wata ɛn it gɔm we nɔ gɛt shuga, dat kin ɛp fɔ kɔntrol dis smɔl. Bɔt di big denja! 1) If di mɔt we dray de wit ‘nɔ urinate insay di de/urine tɔn dak yɔlɔ/kɔfi-kɔlɔ (Oliguria),’ di pɔsin de sɔfa wit siriɔs dɛhydration ɛn di kidni dɛn de fel! 2) If di dray mɔt de wit ‘dray yay we de fil dray ɛn grit ɔltɛm’, i kin bi Sjogren in sik! Yu nid fɔ go na ɔspitul wantɛm wantɛm!
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