We yu de op fɔ bɔn pikin, yu kin gladi ɛn fred, nɔto so? Bɔt if di dɔktɔ se, "Yu go gɛt fɔ du C-section," da fred de kin jɔs go ɔp. Bɔku mama dɛn kin fred we dɛn nɔ nid fɔ fred bikɔs dɛn nɔ no bɔku tin bɔt am. So tide, lɛ wi tɔk bɔt di sizarian sɛkshɔn, ɔ C-sekshɔn, frɔm A to Z. Dis atikul go ansa ɔl yu kwɛstyɔn dɛn.
Fɔs, lɛ wi si, wetin na sizarian sɛkshɔn (C-Section)?
Fɔ tɔk am simpul wan, sizarian na ɔpreshɔn fɔ bɔn pikin we i nɔ pɔsibul fɔ bɔn di pikin nɔmal wan ɔ bay vagina. Na ya, di dɔktɔ kin kɔt yu bɛlɛ ɛn yu uterus ɛn pul di pikin tru am. Dis kin apin nɔmɔ if dɛn no se fɔ bɔn pikin we nɔmal wan denja fɔ di mama ɛn di pikin in layf .
Us sityueshɔn dɛn nid fɔ mek dɛn du C-section?
Tu kayn sizarian sɛkshɔn de. Wan pan dɛn na ɔpreshɔn we dɛn plan fɔ du ɛn dɛn kin du am di sem de. Di ɔda wan na ɔpreshɔn we dɛn kin du we dɛn de tink se dɛn go bɔn di pikin we nɔmal bɔt dɛn kin du am bikɔs ɔf imejensi we kin apin da tɛm de.
C-Sɛkshɔn we dɛn dɔn plan
Sɔntɛnde, we yu gɛt bɛlɛ, yu dɔktɔ kin disayd se C-section na di bɛst fɔ yu. Di tebul we de dɔŋ ya sho sɔm pan di rizin dɛn we kin mek dis apin.
| Rizin | Fɔ ɛksplen am simpul wan |
|---|---|
| di saiz fכ di pikin (Cephalopelvic Disproportion - CPD) . | di pikin in ed כ bכdi tu big fכ fit tru di mama in bכdi. Ɔ di mama in bɛlɛ tu smɔl. |
| Bikɔs dɛn bin dɔn du C-sekshɔn bifo tɛm | Nɔto ɔlman we dɔn du sizarian sɛkshɔn bifo kin gɛt vagina bɔn bak. Di dɔktɔ go disayd bay tin dɛn lɛk di kayn say we dɛn kɔt di uterus we dɛn bin dɔn du di ɔpreshɔn bifo. |
| Twins ɔ mɔ | Ivin twins dɛn kin bɔn sɔm tɛm dɛn nɔmal wan. Bɔt if i pas tu pikin dɛn ɔ i dipen pan usay di twins dɛn de, i kin nid fɔ mek dɛn du C-section. |
| Plɛsinta Previa | di plasεnta de na di bכtכm pat pan di uterus, we de kכba di opin (sεviks) we di pikin de kכmכt tru. Dis na tin we de mek pɔsin denja. |
| Bebi in prɛzɛntɛnshɔn | di pikin de na brich כ transvas posishכn na di uterus, nכto in ed dכn. |
| Mama in wɛlbɔdi kɔndishɔn | If di mama nɔ ebul fɔ bia di strɛs we nɔmal fɔ bɔn bikɔs ɔf tin dɛn lɛk ay blɔd prɛshɔn ɔ at sik. כlso, if infεkshכn lεk jεnital hεpi de aktif di tεm we di pikin de bכn. |
C-Sɛkshɔn we nɔ plan/Imejɛnsi
Sɔntɛnde, we yu rɛdi fɔ bɔn nɔmal pikin, we yu tink se ɔltin go go fayn, wan prɔblɛm kin kam wantɛm wantɛm. Dɔn, fɔ sev mama ɛn pikin, di dɔktɔ dɛn disayd fɔ du C-sekshɔn we dɛn nid fɔ du am kwik kwik wan.
Nɔ panik insay dis sityueshɔn. Mɛmba se di mɛdikal tim de disayd dis fɔ mek yu ɛn yu pikin sef pasmak.
| Imejɛnsi sityueshɔn | Fɔ ɛksplen am simpul wan |
|---|---|
| Fɔ Leba fɔ Fɔ lɔng tɛm | di sεvikal dilayshכn de stכp כ di pikin stכp fכ kam dכn. |
| Prɔblɛm dɛn we de na di ɔmbilik kɔd | di כmbilikal kכd we de rap rawnd di pikin in nεk (Kכd kכmpreshכn) כ di כmbilikal kכd we de kכmכt na di vagina bifo di pikin bכn (Kכd Prolaps). |
| Plasεnta Abrupshכn | di plasεnta de kכmכt frכm di uterin wכl bifo dεn bכn di pikin. Dis kin mek yu blɔd bɔku. |
| Fetal distress we pɔsin kin gɛt | di at bit we nכ de bit rεgulεr biכs fכ sכm diskכmfכt na di pikin we i de bכn. Dis kin bi monitar wit CTG tep. |
Wetin kin apin bifo dɛn du di ɔpreshɔn?
If yu de plan fɔ du C-section, dɛn tin ya go apin bifo di ɔpreshɔn:
- Yu fɔ sayn fɔm dɛn fɔ gri fɔ du sɔntin we gɛt fɔ du wit di ɔpreshɔn.
- Di dɔktɔ we de anestez go tɔk to yu bɔt di anestezi. Bɔku tɛm, dɛn go gi yu spɛshal blɔk ɔ epidural . Yu go fil wan tingling senseshɔn frɔm yu chɛst dɔŋ, bɔt yu go kɔnshɛns.
- Dɛn kin pul di ia na di say we dɛn du di ɔpreshɔn (lɔwa bɛlɛ).
- Dɛn kin put kateta fɔ mek di urine kɔmɔt.
- Dɛn kɔnɛkt monita dɛn we de mɛzhɔ tin dɛn lɛk yu at rit ɛn blɔd prɛshɔn.
- Dɛn kin put kanula (IV layn) na di an fɔ gi salin ɛn di mɛrɛsin dɛn we i nid.
- Yu dɔktɔ we de mɛn uman dɛn go ɛksplen di ɔpreshɔn to yu bak.
Insay imejensi C-section, nɔr kin gɛt bɔrku tɛm fɔ dɛn tin ya. Dɛn kin ivin gi yu jenɛral anestesia , we kin mek yu slip ɔl, bikɔs i kin wok kwik.
Aw na di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn?
C-section na big ɔpreshɔn, so i kin tek sɔm tɛm fɔ mek i wɛl.
- Yu fɔ de na ɔspitul: Bɔku tɛm, yu go gɛt fɔ de na ɔspitul fɔ tu ɔ tri dez.
- Pen: As di anestezi de west, yu go bigin fɔ fil pen na di say we dɛn kɔt am. Tek di pen kil we di dɔktɔ gi yu di rayt tɛm.
- Afta yu rich na os: I go tek lɛk 4 to 6 wiks fɔ mek yu wɛl ful wan. Yu go nid bɔku sɔpɔt insay dis tɛm.
- Nɔ es wet. Nɔ es ɛni ɔda tin pas fɔ kɛr di pikin.
- Nɔ go ɔp ɛn dɔŋ stej. Stay na wan ples as yu ebul ɛn rɛst.
- Nɔ du ɛksɛsayz.Nɔ ɛksesaiz pas fɔ waka layt te yu dɔktɔ gi yu di rayt fɔ du dat.
- Nɔ drayv. Nɔ drayv te yu ebul fɔ tɔn yu bɔdi ɛn brek izi wan.
- Nɔ du mami ɛn dadi biznɛs fɔ at le 6 wik, ɔ te yu dɔktɔ gi yu rayt.
- Blɔd: Yu kin gɛt blɔd na yu vagina fɔ sɔm wiks afta yu du di ɔpreshɔn. Dɛn kɔl dis `Lochia`. Dis na nɔmal tin. Bɔt if di blɔd bɔku ɔ i gɛt bad bad smel, tɛl yu dɔktɔ wantɛm wantɛm.
Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?
We yu rich na os afta dɛn dɔn du yu ɔpreshɔn, de wach fɔ dɛn sayn ya. If yu gɛt ɛni wan pan dɛn tin ya, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm.
- If di say we dɛn kɔt am rɛd ɛn swel .
- If pus ɔ ɔda wata de kɔmɔt na di say we dɛn kɔt.
- If di fiva ɔ di pen de wɔs .
- If yu gɛt ebi ebi blɔd na yu vagina (we yu de wet pas wan pad fɔ wan awa).
- If yu gɛt siriɔs pen na di say we yu de na di bɛlɛ.
- Swel ɔ pen na di leg (dis kin bi sayn fɔ se blɔd dɔn klot).
I pɔsibul fɔ gɛt nɔmal dilivri bak afta dɛn dɔn du C-section? (VBAC) ɛn di .
Yɛs! Dis na kwɛstyɔn we bɔku mama dɛn kin aks. Jɔs bikɔs yu bin gɛt C-section nɔ min se yu fɔ gɛt yu nɛks pikin bay C-section. Bɔku pipul dɛn kin bɔn pikin na dɛn vagina insay dɛn nɛks bɛlɛ. Dɛn kɔl dis VBAC (Vaginal Birth After Cesarean) .
Bɔt dis nɔ pɔsibul fɔ ɔlman. Yu dɔktɔ go rivyu di ditil dɛm fɔ di ɔpreshɔn we yu bin dɔn du bifo ɛn yu wɛlbɔdi stet fɔ no if yu kin gɛt VBAC. So if yu de op fɔ gɛt wan, mek shɔ se yu tɔk to yu dɔktɔ bɔt am.
Mɛsej we dɛn kin kɛr go na os
- Sizarian sɛkshɔn (C-Section) na wan rili impɔtant ɔpreshɔn we dɛn kin du fɔ mek di mama ɛn di pikin sef. Nɔ fred am we yu nɔ nid fɔ fred.
- Dɛn kin plan fɔ du di ɔpreshɔn bifo tɛm ɔ dɛn kin du am if ɛnitin apin. Di mɛdikal tim kin disayd ɔltɛm fɔ di bɛst fɔ ɔl tu di pati dɛn.
- I kin tek tɛm fɔ mek i wɛl afta dɛn dɔn du di ɔpreshɔn. Insay dis tɛm, i rili impɔtant fɔ mek yu rɛst bɔku tɛm, aks ɔda pipul dɛn fɔ sɔpɔt yu, ɛn fala wetin yu dɔktɔ tɛl yu fɔ du.
- If sayn dɛn de fɔ se yu gɛt infekshɔn na di say we dɛn kɔt am (rɛd, swel, pus), fiva, ɔ blɔd bɔku, go to dɔktɔ wantɛm wantɛm.
- chans kin de fɔ mek yu bɔn pikin bay vagina (VBAC) wit yu nɛks pikin afta dɛn dɔn du C-sekshɔn. Tɔk to yu dɔktɔ bɔt dis.
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