Yu dɔn ɛva yɛri bɔt sɔntin lɛk dis afta dɛn dɔn du sizarian? (Isthmosele / Sizarian Ska Difɛkt)

Yu no, we wi de tɔk bɔt C-section, wi nɔ kin tɔk bɔku tɛm bɔt di kɔmplikeshɔn dɛn we kin apin afta am. Semweso, sɔm pipul dɛn kin gɛt smɔl prɔblɛm afta dɛn dɔn du C-section if di say we dɛn kɔt di uterin nɔ wɛl fayn fayn wan. Dis na wetin dɔktɔ dɛn kin kɔl Isthmocele ɔ Cesarean Scar Defect. Nɔ wɔri, dis nɔ kin apin to ɔlman, bɔt i impɔtant fɔ no bɔt dis, mɔ if yu dɔn du C-section ɔ yu de plan fɔ du am tumara bambay.

So, wetin na dis isthmosele?

Fɔ tɔk am simpul wan, isthmus na smɔl pɔkit ɔ dipreshɔn na di wɔl na yu uterus usay yu bin du sizarian sɛkshɔn. Fɔ tɔk di kɔrɛkt tin, i kin apin na di layn we de na di uterus. dis ‘uterine niche’ de apin we di insishכn we dεn mek we dεn de du sizarian sεkshכn nכ de hεl kכmplit wan. Sɔntɛnde dis kin mek i nɔ izi fɔ gɛt bɛlɛ (infertility), i kin gɛt prɔblɛm dɛn we i gɛt bɛlɛ tumara bambay, ɛn bɔku ɔda prɔblɛm dɛn.

Udat de pan ay risk fɔ gɛt isthmus defect (Cesarean Scar Defect)?

Pan ɔl we dis kin apin to ɛnibɔdi we dɛn du sizarian, sɔm pipul dɛn kin gɛt smɔl prɔblɛm. Lɛ wi tek wan luk pan udat dɛn bi:

• If yu ova wet /fat bifo ɔ we yu gɛt bɛlɛ.
• If yu gɛt ɛni mɛrɛsin we de ambɔg di wund we de wɛl.
• di sizarian sekshכn dεn bin du am as imejensi disizhכn, lכng afta di bכn (dεn bin plan c-sεkshכn let insay di leba prכsεs).
• If yu gɛt dayabitis ɔ if yu gɛt dayabitis we yu gɛt bɛlɛ (gestational diabetes).
• If yu dɔn du bɔku sizarian sɛkshɔn dɛn .
• If yu de smok ɔ yuz ɔda tin dɛn we dɛn kin yuz fɔ smok .

If wan ɔ mɔ pan dɛn tin ya apin to yu, i go fayn fɔ tek tɛm smɔl. Bɔt mɛmba se ivin wit dɛn tin ya we kin mek pɔsin gɛt dis sik, nɔto ɔlman go gɛt am.

Aw kɔmɔn dis isthmus kɔndishɔn?

Akɔdin to di risach ripɔt dɛm, bitwin 24% ɛn 70% pan di uman dɛm we dɔn gɛt at le wan sizarian sɛkshɔn kin gɛt dis sik. As di nɔmba fɔ di sizarian sɛkshɔn de bɔku ɔlsay na di wɔl, dis sik de kam mɔ ɛn mɔ naw. fכ egzampl, lεk 30% pan di pikin dεm we dεn bכn na Amɛrika dεn kin bכn bay sizarian. So i impɔtant fɔ no bɔt dis sik.

Wetin mek dis sizarian ska dɛfɛkt (Isthmocele) kin apin?

Imajin, we dɛn de du sizarian, dɛn kin kɔt tu say dɛn. Wan na di bɛlɛ, ɛn di ɔda wan na di uterus. If di say we dɛn kɔt na di uterus nɔ wɛl, .Okay, ɔ sɔntɛm we yu kɔt bɔku bɔku tin dɛn na di sem ples, di tisu we de na da say de kin tan lɛk tin. Na da tɛm de wan say we tan lɛk sak kin fɔm, lɛk di wan we yu tɔk bɔt, ɛn i kin bigin fɔ ful-ɔp wit wata ɛn blɔd.

Sɔntɛnde, di say we dɛn kɔt di say we dɛn de du sizarian kin afɛkt dis bak. if dεn mek di say we dεn sכk tu lכw na di uterus, chans de fכ big ska. כltu, dεn kin mek dis kayn lכw insishכn we dεn du sizarian sεkshכn lכng afta di bכn. dεn se bak if dεn yuz wan layεr nכmכ fכ sutura we dεn de kכloz di uterin insishכn insted fכ tu , di risk fכ fכmeshכn isthmus kin bכku.

Yu tink se sizarian ska kin mek pɔsin nɔ ebul fɔ bɔn pikin?

Yɛs, sɔntɛnde dis sizarian skata kin mek pɔsin nɔ ebul fɔ bɔn pikin . Bɔt di gud nyus na dat if dɛn trit dɛn fayn, bɔku pipul dɛn kin gɛt bɛlɛ we gɛt wɛlbɔdi bak. If yu fil se yu gɛt sɔm sayn dɛm fɔ wan isthmus, ɔ if yu dɔn de tray fɔ gɛt bɛlɛ fɔ wan ia (ɔ siks mɔnt if yu dɔn pas 35 ia) ɛn yu nɔ ebul fɔ gɛt bɛlɛ, mek shɔ se yu go to yu dɔktɔ ɛn tɔk bɔt am.

Wetin na di sayn dɛm fɔ dis isthmus kɔndishɔn?

Pan ɔl we nɔto ɔlman kin gɛt dis sik, sɔm pipul dɛn kin gɛt:

• Di we aw uman kin gɛt mɔnt we nɔ kin apin .
• Menstrueshɔn we de mek pɔsin fil pen (Dysmenorrhea).
• Pen we yu de du mami ɛn dadi biznɛs (Dyspareunia).
• Pen na di bɛlɛ .
• bכdi we de kכmכt na di vagina כ di uterus bitwin tu mεnstral saykl dεm.
• Dischaj we nɔ de kɔmɔt na di vagina .

If yu kɔntinyu fɔ gɛt wan ɔ mɔ pan dɛn sik ya, i go fayn fɔ mek yu tɔk to dɔktɔ bɔt am.

Wetin na di prɔblɛm dɛn we kin kam wit di isthmus cyst?

If dɛn nɔ trit dis sik fayn, sɔm prɔblɛm dɛn kin apin. Dɛn tin ya na:

• di risk fכ komplikεshכn dεm we de inkrεs we dεn de du di gεnεkכlכjik prכsidכs.
• Placenta accreta ( plasεnta we de atak tu dip pan di uterin wכl ).
• Plasεnta we de bifo.
• ska bεlε - dis na wan kayn εktopik bεlε bak, usay di fεtilayz eg de implant insay ska na di uterus.
• sεkכnd infεtiliti - dis min se i nכ kin ebul fכ gεt bεlε bak afta yu bεlε we bin de bifo.
• di uterin dehiscence ( we di uterus de te כ we di uterus de te na di say we di uterin ska de ).

Dɛn kɔmplikeshɔn ya kin mek yu fred fɔ yɛri bɔt. Bɔt mɛmba se dɛn nɔ kin apin to ɔlman. If yu no di sik kwik kwik wan ɛn trit yu, dat kin ridyus dɛn prɔblɛm ya bad bad wan.

Aw yu kin no dis isthmus kɔndishɔn?

Fɔ no di IsthmusSpɛshal imej ɛgzam dɛn na dɛn kin wok fayn pas ɔl. Di bɛst tɛm fɔ du dɛn tɛst ya na jɔs afta yu mɔnt saykl dɔn. Dis na bikɔs di nich kin ful-ɔp wit blɔd da tɛm de, we kin mek i izi fɔ si na di ɛgzam.

Yu dɔktɔ kin tɛl yu fɔ du tɛst dɛn lɛk dɛn wan ya:

• Hysteroscopy: Dis min se di dɔktɔ de put wan tin we gɛt layt tru yu vagina ɛn chɛk di insay pat pan yu sɛviks ɛn yu uterus. Dis kin chɛk fɔ ɛni skata, abnɔmal tisu, ɔ ɔda prɔblɛm.
• Saline infusion sonohysterography: dis de gi mכr ditel pas wan rεgulεr transvaginal ultrasound. Na ya, di dɔktɔ kin ful-ɔp yu uterus wit salin (stɛrilayz sɔl wata) ɛn du di ɔltra saund. as di ‘sak’ de fulכp wit wata, yu kin si tin dεm lεk in saiz εn di wכl tik klia wan na di imej dεm.
• transvaginal ultrasound: dis involv fכ put ultrasound probe tru di vagina fכ luk fכ di ska εn di ‘niche’ na di uterus. I kin asɛs bak aw di ska tik.

Aw dɛn kin trit di skata dɛn we dɛn kin du sizarian sɛkshɔn?

Bɔku tritmɛnt dɛn de fɔ di isthmus cyst. Yu dɔktɔ go disayd us tritmɛnt go fayn fɔ yu bay aw yu sik, aw yu sik bad, ɛn if yu want fɔ bɔn pikin bak.

• Di tin dɛn we dɛn kin yuz fɔ mek uman nɔ gɛt bɛlɛ: Dɛn tin ya na pils fɔ kɔntrol pikin. Dɛn kin gi smɔl smɔl ɔmon dɛn. Dɛn ɔmon ya kin mek yu kɔntinyu fɔ gɛt mɔnt ɛn mek yu nɔ gɛt bɔku blɔd we yu de gɛt we yu de si yu mɔnt. Sɔmtɛm dis tritmɛnt kin shrink di sayz fɔ di ‘niche’ sote ɔpreshɔn nɔr nid fɔ de.
• Hysteroscopic resection (HR): We dɛn de du hysteroscopy, di dɔktɔ kin pul di ska tisu na di uterus. i kin opin di sayd dεm bak na di ‘nich’ fכ alaw bכdi εn wata fכ kכmכt. Dis nɔ nid fɔ kɔt ɛnitin na di bɛlɛ.
• Laparoscopic repair: Insay dis prosidur, di dכkta kin mek wan כ mכr sכm sכm sכm pat dεm na yu bεlε εn i kin put wan tint tiub we gεt layt (laparoscope) tru dεm fכ luk insay yu uterus. afta dat dεn kin pul di ska tisu εn di εksyכs tisu we de rawnd di ‘nich’. Dis na ɔpreshɔn we nɔ kin tek bɔku mɔni fɔ di skata dɛn we dɛn kin du sizarian sɛkshɔn. Dis kin ɛp yu fɔ wɛl kwik ɛn nɔr de fil pen.
• Di we aw dɛn kin pul di bɛlɛ:Dis min se dɛn fɔ pul di wan ol uterus. Dɛn kin du dis fɔ pipul dɛm wae gɛt siriɔs isthmus symptoms ɛn wae nɔr want fɔ bɔn pikin igen. Yu kin ebul fɔ du laparoscopic hysterectomy. Dis na tin bak we nɔ kin tek bɔku tin, we min se yu kin wɛl kwik ɛn nɔ kin gɛt bɔku pen we yu nɔ kɔt big big say.

Aw wi kin mek di isthmuses nɔ fɔm?

Infakt, di wangren we fɔ mek dɛn nɔ gɛt isthmus kpatakpata na fɔ avɔyd fɔ du sizarian sɛkshɔn. Bɔt nɔto ɔlman go ebul fɔ du dat. If yu gɛt bɛlɛ ɛn yu de plan fɔ du sizarian sɛkshɔn, tɔk to yu dɔktɔ bɔt yu risk fɔ gɛt sizarian ska (isthmus). Yu kin ridyus yu risk bay wae yu du dɛn tin ya:

• Mek yu gɛt wɛl bɔdi wet bifo ɛn we yu gɛt bɛlɛ.
• Fɔ kɔntrol di sik we dɛn kɔl dayabitis .
• Fɔ avɔyd fɔ smok ɛn fɔ yuz ɔda tin dɛn we dɛn kin yuz fɔ smok .

Wetin na di wɛlbɔdi stet fɔ pipul dɛn we gɛt sizarian sɛkshɔn skata?

Di gud nyus na dat, sizarian sɛkshɔn ska (isthmus) na sik we pɔsin kin trit. Bɔrku pipul kin ebul fɔ gɛt bɛlɛ bak afta dɛn dɔn trit dɛn, so nɔr giv ɔp.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt isthmus we yu gɛt bɛlɛ, yu de pan denja fɔ mek yu uterus brok . Dis na mɛdikal imejensi . dis kin apin we di uterus ska separet εn di uterus de te. Dis kin mek yu ɛn yu pikin gɛt siriɔs wɛlbɔdi prɔblɛm.

If yu gɛt siriɔs pen na yu bɛlɛ, pen usay yu sizarian ska bin de, ɔ yu gɛt bɔku blɔd na yu vagina , dɛn tin ya kin bi sayn dɛn fɔ se yu uterin dɔn rɔp. If dis apin, go to dɔktɔ wantɛm wantɛm.

Isthmus na smɔl poket, ɔ ‘niche,’ we de fɔm na di wɔl na yu uterus. I kin bi bikɔs di sizarian insishɔn nɔ de wɛl fayn fayn wan. Dis kin mek yu vagina blɔd nɔ de kɔmɔt fayn, i kin mek yu gɛt pen na yu bɛlɛ, ɛn yu kin gɛt prɔblɛm wit yu mɔnt. I kin mek bak i nɔ ebul fɔ bɔn pikin ɔ i kin mek i gɛt prɔblɛm wit di bɛlɛ we i go gɛt tumara bambay. di tritmεnt we dεn kכmכn pas כl na כpεrayshכn we nכ de invayv fכ pul di εkstra ska tisu εn mek di ‘nich.’ Bɔrku pipul kin gɛt wɛl bɔdi bɛlɛ afta tritmɛnt.

Mɛmba di tin we impɔtant pas ɔl (Take-Home Message) .

• isthmocele na sכmכl ‘pauch’ we de fכm we di uterin insishכn nכ hεl fayn afta dεn sizarian sεkshכn.
• Pan ɔl we nɔto ɔlman kin gɛt dis, sɔm pipul dɛn kin gɛt dis sik, dɛn kin gɛt prɔblɛm wit dɛn mɔnt, ɛn dɛn kin gɛt prɔblɛm dɛn we dɛn go gɛt bɛlɛ tumara bambay.
• If yu gɛt sɔm sayn dɛn lɛk fɔ blɔd we nɔ kɔmɔn ɔ we yu de fil pen na yu bɛlɛ, go to dɔktɔ.
• Dɛn kin no dis sik ɛn trit am . Bɔku tɛm, dɛn kin gɛt bɛlɛ we go wok fayn afta dɛn dɔn trit am.
• If yu dɔn du sizarian sɛkshɔn, i rili impɔtant fɔ no bɔt dis. Natin nɔr de fɔ frayd, ɔltɛm tɔk to yu dɔktɔ bɔt dis.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ fred fɔ aks yu dɔktɔ we de mɛn uman dɛn. Dɛn go ɛp yu.

` Isthmocele, Cesarean Scar Defect, C-section, uterus, uman in hεlth, infεliti, sizarian sekshכn