Na ɛktɔpik bɛlɛ? Lɛ wi fɛn ɔltin we wi nɔ de fred!

Yu kin dɔn yɛri bɔt ‘ɛktɔpik bɛlɛ’ frɔm yu padi ɔ fambul mɛmba. Ɔ yu kin wɔri bɔt am yusɛf. Pan ɔl we i kin tan lɛk se i de mek pɔsin fred, i impɔtant fɔ no bɔt am. Tide, wi go tɔk bɔt am ditayli ɛn insay wan rili simpul we.

So wetin na εktopik bεlε?

Fɔ tɔk am simpul wan, ɛktɔpik bɛlɛ na we dɛn gɛt bɛlɛ ausayd yu uterus. nכmal wan, di eg we dεn fεtilayz de travul dכn di Falopian tכb εn implant insεf insay di wכl na di uterus. Na da tɛm de di pikin kin bigin fɔ divɛlɔp fayn fayn wan. Bɔt insay dis kes, di eg we dɛn dɔn fɛtilayz kin stɔp ɔdasay bifo i rich na di uterus.

Bɔku tɛm, lɛk 90% pan di tɛm, dis kin apin na yu fallopian tubes . di fallopian tכb dεm na tu sכm sכm tכb dεm we de kכnekt yu ovaria dεm to yu uterus. Na sכm tεm we eg kin put insay di ovary, bεlε, כ sεviks.

di tin we imכtant pas כl na fכ bεlε lεk dis we de apin ausayd di bεlε nכ kin kכntinyu, biכs di envayroment we di pikin nid fכ gro na כnli insay di bכdi.

Bɔt i sɔri fɔ no se dis kayn bɛlɛ kin mek pɔsin in layf de pan denja. sכmtεm if di eg implant insay di fallopian tכb εn gro, di tכb kin rכp. dis dεn kכl am ``Ruptured ectopic pregnancy''. If dis apin, i kin mek pɔsin blɔd bad bad wan, infekshɔn, ɛn sɔntɛnde i kin ivin day. So, dis na mɛdikal imejensi . Dɔktɔ dɛn nid fɔ trit dis sik kwik kwik wan.

Aw dis sik kin kɔmɔn?

stεdi, εktopik bεlε de apin insay lεk 2 pan εvri 100 bεlε. Dis min se, pan ɔl we i nɔ kin tan lɛk se i nɔ kɔmɔn so, i kin apin to ɛnibɔdi.

Wetin na di sayn dɛm fɔ dis?

insay di fכs stej dεm, di simptom dεm fכ εktopik bεlε kin rili fiba di wan dεm fכ nכmal bεlε. Dat min se, tin dɛn lɛk we yu nɔ de gɛt mɔnt, we yu bɔdi de swɛt, ɛn we yu nɔ de fil fayn. Bɔt sɔm ɔda sayn dɛn kin de.

Di sayn dɛm wae yu kin si na di fɔs tɛm:

• Blɔd we nɔ kɔmɔn na di vagina: Dis kin bi layt brawn kɔlɔ, ɔ layt pink kɔlɔ, ɔ ivin dak rɛd. I go fil difrɛn frɔm yu nɔmal blɔd we yu de gɛt we yu de gɛt mɔnt.
• Pen na di lכw bכdi, di bכdi, εn di lכw bכk: Dis pen kin de na jכs wan say, כ i kin de כlsay na di lכw bכdi. Sɔntɛnde, dis pen kin wɔs.
• Fɔ fil se yu gɛt diziz ɔ yu wik.

Di bad bad sayn dɛm we kin apin if di fallopian tube brok:

Dis na di tɛm we denja pas ɔl.If di fallopian tube brok, di pen ɛn blɔd kin rili bad. Yu kin gɛt sɔm sayn dɛm bak lɛk:

• Nɔbɔdi nɔ kin no natin.
• Di blɔd prɛshɔn we de go dɔŋ wantɛm wantɛm (Hypotension).
• Pen na di say we yu sholda: Dis kin tan lɛk se yu sɔprayz smɔl, bɔt we blɔd gɛda na di bɛlɛ, yu kin fil pen na di sholda tru di nɛv dɛn.
• Prεshכn na di rεktal כ i at fכ defek.

If yu gɛt pen wantɛm wantɛm, shap, we yu nɔ go ebul fɔ bia na yu bɛlɛ, dat kin bi sayn fɔ se yu fallopian tyub dɔn brok. Dis na mɛdikal imejensi! Yu fɔ go to yu dɔktɔ wantɛm wantɛm ɔ go na di imejensi rum na di ɔspitul we de nia yu.

Wetin mek dis de apin? Wetin na di rizin dɛn?

bכku tεm, di men rizin fכ εktopik bεlε na biכs sכmtin de blכk di fεtilayz eg in joyn tru di fallopian tכb to di uterus. Dis min se di eg in joyn de slo ɔ stɔp ɔltogɛda. Bɔku rizin dɛn de we mek dis kin apin:

• Ska tisu, adheshon, ɔ inflammatory kondishɔn na di pelvik eria frɔm di ɔpreshɔn we dɛn bin dɔn du bifo. Fɔ ɛgzampul, if yu bin dɔn du sizarian ɔ yu bin dɔn du ɔpreshɔn fɔ pul wan tumbu, dɛn ɔpreshɔn dɛn de kin mek chenj dɛn we nɔ klia na di say we de rawnd yu fallopian tyub dɛn.
• di damej we di fallopian tyub dεm de damej: di men tin we kin mek dis apin na di infεkshכn dεm we dεn kin gεt wit mami εn dadi biznεs (STI). fכ egzampl, infεkshכn lεk Klamidia kin pwεl di fallopian tyub dεm εn mek dεn blכk.
• fכ gεt wan kכnεkshכn malfכmeshכn fכ di fallopian tכb dεm.
• fכ gεt sכm kayn growth (lεk tכmכro) we de blכk di fallopian tכb.

Aw a go no if a gɛt dis risk?

difrεn tin dεm de we de mek di risk fכ bεlε na di εktopik. If yu dɔn gɛt sɔntin lɛk dis, yu kin gɛt prɔblɛm smɔl:

• If yu dɔn gɛt bɛlɛ we nɔ de na di bɛlɛ bifo, dis na di men tin we kin mek yu gɛt bɛlɛ.
• If yu gɛt histri fɔ pelvik inflammatory disease (PID). PID na infεkshכn we kin mek ska tisu fכm na εria dεm lεk di fallopian tyub, uterus, ovaria, εn sεviks.
• If yu dɔn du ɔpreshɔn pan yu fallopian tubes, fɔ ɛgzampul, if yu dɔn du tubal ligation as famili planin prosidur, ɔ if yu dɔn du ɔpreshɔn pan ɔda ɔgan na di pelvik eria.
• If yu dɔn du tritmɛnt fɔ infɛtiliti bifo, mɔ di tritmɛnt dɛn lɛk In Vitro Fertilization (IVF).
• If yu gɛt wan sik we dɛn kɔl endometriosis.insay dis, wan kayn tisu we de insay di uterus de gro ausayd di uterus, na כda ples dεm.
• If yu gɛt sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs wit ɔda pɔsin (STI).
• If yu bin gɛt intrauterine device (IUD) we dɛn put insay yu uterus di tɛm we yu gɛt bɛlɛ. If yu gɛt bɛlɛ we di IUD de, chans de fɔ mek i gɛt bɛlɛ we nɔ de na di bɛlɛ.
• If yu gɛt histri fɔ smok tabak.

mɛmba mɔ: If yu gɛt intrauterine device (IUD) we yu kam fɔ no se yu gɛt bɛlɛ, ɔ if yu dɔn gɛt tubal ligation, yu fɔ go to dɔktɔ wantɛm wantɛm. dis na biכs di risk fכ bεlε na di εktopik bכku bכku wan pan dεn kes dεm ya.

Dɔn bak, dis risk kin go ɔp wit di ej. Uman dɛn we dɔn pas 35 ia kin gɛt bɔku prɔblɛm pas di wan dɛn we yɔŋ pas dat.

bכt, i sɔprayz fכ no se, te to 50% pan di uman dεm we gεt εktopik bεlε kin nכ gεt εni wan pan dεn risk fכs dεm ya. So, e fayn fɔ no bɔt dɛn sik ya.

Us prɔblɛm dɛn dis kin mek?

Bεlε we de na di εktopik na mεdikal imejensi . As a bin dɔn tɔk, di uterus na di wangren ɔgan we kin ebul fɔ tek di pikin we de gro. i kin strεch εn εkspεnd as di pikin de gro. Bɔt yu fallopian tyub dɛn nɔ kin ebul fɔ chenj lɛk dat. Dɛn nɔ ebul fɔ bia wit di prɛshɔn. as di eg we dεn fεtilayz de gro, di fallopian tכb kin bכs.

If dis apin, i kin mek bad bad blɔd kɔmɔt insay di bɔdi, we kin mek pɔsin in layf de pan denja. Dis na tin we rili denja. fכ dat, dεn fכ trit `Ectopic pregnancy` kwik kwik wan fכ mek i nכ damej di fallopian tube εn כda כgan dεm, intanεt bכdi, εn i kin ivin day.

Aw dɛn kin no dis?

Bɔku uman dɛn kin jɔs no se dɛn bɛlɛ nɔ de na di bɛlɛ afta dɛn dɔn du dɔktɔ ɛgzam, blɔd tɛst, ɔ ɔltra saund skan ali we dɛn gɛt bɛlɛ. Yu dɔktɔ kin sɔprayz dis bay wetin yu tɔk na dis apɔntinmɛnt, ɔ bay di tɛst dɛn we dɛn kin du.

Fɔ no if yu gɛt bɛlɛ we nɔ de na di bɛlɛ, yu dɔktɔ go du bɔku tɛst dɛn. dis inklud fכ egzamin di vagina εn kכnfכm se i bεlε.

Di tɛst dɛn we dɛn kin du na:

• Yurin tɛst: Insay dis, yu kin pis pan tɛst strip na di dɔktɔ in ɔfis, ɔ yu kin pis insay kɔp ɛn afta dat yu kin put tɛst strip pan am. Dis kin sho yu if yu gɛt bɛlɛ ɔ yu nɔ gɛt bɛlɛ.
• Blɔd tɛst: Yu dɔktɔ go mɛzhɔ di kayn `HCG (Human Chorionic Gonadotropin)` we de na yu blɔd.Dɛn kin chɛk di lɛvɛl we di ɔmon de. Dis ɔmon de kɔmɔt na di bɔdi nɔmɔ we yu gɛt bɛlɛ. we di fεtilayz eg implant insay di uterus, di lεvεl fכ `HCG` de inkrεs kwik kwik wan. כltu, insay `Ektopik bεlε`, dis `HCG` lεvεl kin lכs pas insay nכmal bεlε, כ i nכ kin inkrεs lεk aw dεn bin de εkspεkt.
• Ultrasound scan: Ultrasound de yuz sawnd wev fɔ mek pikchɔ fɔ di ɔgan dɛn we de insay di bɔdi. Yu dɔktɔ go yuz dis tɛst fɔ si usay dɛn dɔn put di eg we dɛn dɔn fɛtilayz. if nכ εmbriyo nכ de na di uterus εn di HCG lεvεl dεm hכy, dεn kin sכspεkt se i gεt bεlε na εktopik.

Na smɔl tɛm nɔmɔ, if pɔsin tink se di bɛlɛ we nɔ de na di bɛlɛ dɔn brok, dɔktɔ dɛn kin du wan tɛst we dɛn kɔl kuldosɛntɛsis . Bɔt, dɛn nɔ kin yuz dis igen.

we yu dכkta dכn kכnfכm se yu gεt εktopik bεlε εn fכ no usay di eg we dεn fεtilayz de, dεn go tכk bכt yu fכ tritmεnt plan. Mɛmba se dis na imejensi, so i rili impɔtant fɔ gɛt tritmɛnt.

Aw kwik wi go no dis?

כltu dεn kin fכnshכn εktopik bεlε ali we uman bεlε. Bɔku tɛm, dɔktɔ dɛn kin no se i gɛt am insay di fɔs tri mɔnt, we na lɛk 12 wik. כltu, bכku uman dεn nכ kin fכnכt se dεn gεt εktopik bεlε te lεk 8 wik insay dεn bεlε.

Aw dɛn kin trit dis?

Dɔktɔ dɛn kin trit uman we gɛt bɛlɛ we nɔ de na di bɛlɛ wit mɛrɛsin ɔ ɔpreshɔn.

Drug tritmɛnt: Mɛtɔtreksɛt

Sɔntɛnde, yu dɔktɔ kin tɛl yu fɔ yuz wan mɛrɛsin we dɛn kɔl mɛtɔtreks fɔ mek di eg we dɔn fɛtilayz nɔ gro. Dis go mek di bɛlɛ dɔn. Dis drɔg nɔ kin ambɔg yu fallopian tubes. Bɔt if yu fallopian tyub dɛn dɔn ɔlrɛdi blok, yu nɔ go ebul fɔ yuz dis mɛrɛsin.

Yu dɔktɔ go gi yu wan injɛkshɔn we gɛt mɛtɔtreksɛt. Pan ɔl we dis nɔ kin ambɔg pas ɔpreshɔn, yu go stil nid fɔ go to yu dɔktɔ fɔ chɛk yu hCG lɛvɛl. I impɔtant fɔ tek tɛm fala wetin yu dɔktɔ tɛl yu fɔ du. Na smɔl tɛm nɔmɔ, dɛn kin nid fɔ tek sɛkɔn injɛkshɔn if yu hCG lɛvɛl nɔ go dɔŋ inof wit wan doz mɛtɔtreksɛt. Tɔk to yu dɔktɔ bɔt di pɔsibul sayd ɛfɛkt ɛn risk dɛm fɔ mɛtɔtreks ɛn wetin fɔ ɛkspɛkt.

Ɔspitul tritmɛnt

If yu fallopian tube dɔn brok ɔ i de pan denja fɔ brok, yu dɔktɔ kin want fɔ ɔpreshɔn fɔ pul di bɛlɛ we nɔ de na di bɛlɛ. Dis na imejensi prosidur ɛn na tritmɛnt we de sev layf.

Bɔku tɛm, dɛn kin du dis ɔpreshɔn wit laparoskopik.Dis na ɔpreshɔn we dɛn kin du fɔ mek yu slip ɔnda anestezi, mek sɔm smɔl smɔl say dɛn na yu bɛlɛ, ɛn yuz kamɛra ɛn dilik inschrumɛnt dɛn. di dɔktɔ kin pul di wan ol fallopian tube we di eg stil de insay, ɔ (if i pɔsibul) i kin lɛf di fallopian tube intact ɛn pul di eg nɔmɔ kɔmɔt na di tube.

A kin gɛt bɛlɛ bak afta a dɔn gɛt bɛlɛ we nɔ de na di bɛlɛ?

bכku uman dεm we dεn bin gεt εktopik bεlε bifo kin gεt bεlε fayn fayn wan. Bɔt we yu dɔn gɛt bɛlɛ we nɔ de na di bɛlɛ, smɔl risk de fɔ mek i apin bak. So, i impɔtant fɔ tɔk to yu dɔktɔ bɔt wetin mek yu gɛt bɛlɛ na di bɛlɛ ɛn wetin de mek yu gɛt ɔda bɛlɛ we nɔ de na di bɛlɛ tumara bambay.

Aw lɔng a fɔ wet bifo a gɛt bɛlɛ bak?

Afta tritmεnt fכ εktopik bεlε, i implεnt fכ tכk to yu dכkta bכt di bεlε we yu go gεt tumara bambay. Pan ɔl we i pɔsibul fɔ gɛt bɛlɛ jɔs afta dɛn dɔn trit yu, i kin bɛtɛ fɔ wet fɔ lɛk tri mɔnt so. dis de gi yu fallopian tiub dεm tεm fכ hεl εn i de ridyus di risk fכ כda εktopik bεlε.

If dɛn pul wan pan mi fallopian tyub dɛn, a kin stil bɔn pikin?

Bɔku tɛm, yu kin stil bɔn pikin ilɛksɛf dɛn pul wan pan yu fallopian tyub dɛn. Bɔku uman dɛn kin bɔn wit tu fallopian tiub. Na wan fallopian tube nɔmɔ dɛn nid fɔ gɛt bɛlɛ. Eg kin stil travul dɔŋ yu fallopian tiub we lɛf. Apat frɔm dat, sɔm tritmɛnt dɛn de we dɛn kin ɛp fɔ mek yu bɔn pikin , lɛk in vitro fertilization (IVF), we nɔ kin gɛt fɔ du wit yu fallopian tyub dɛn. Tɔk opin wan wit yu dɔktɔ bɔt di tin dɛn we de mɔna yu bɔt di bɛlɛ we yu go gɛt tumara bambay. Tugeda, una kin mek plan ɛn tɔk bɔt aw fɔ ridyus di tin dɛn we kin mek una gɛt prɔblɛm.

Yu tink se dɛn kin mek uman gɛt bɛlɛ we nɔ de na di bɛlɛ?

i nכ pכsibul fכ kכmplit fכ mek di bεlε we de na di εktopik. Bɔt yu kin tray fɔ ridyus di prɔblɛm we yu gɛt bay we yu de yuz gud abit dɛn fɔ liv, lɛk fɔ nɔ smok, fɔ mek yu bɔdi gɛt wɛlbɔdi, ɛn fɔ avɔyd di sik dɛn we pɔsin kin gɛt frɔm mami ɛn dadi biznɛs (STI) . Bifo yu tray fɔ gɛt bɛlɛ, tɔk to yu dɔktɔ bɔt di tin dɛn we kin mek yu gɛt bɛlɛ.

A kin kɔntinyu fɔ gɛt bɛlɛ afta a dɔn gɛt bɛlɛ we nɔ de na di bɛlɛ?

כnכfכs, we uman bεlε na di εktopik de kil di pikin, εn yu bεlε nכ kin kכntinyu. wans eg implant na do na di uterus, no we de fכ mek i go bak insay di uterus. i imכtant fכ trit εktopik bεlε kwik kwik wan. if di eg implant dεm na di fallopian tכb εn di tכb rכp, siriכs blכd insay di bכdi kin kכmכt.

We uman gɛt bɛlɛ we nɔ de na di bɛlɛ kin bi sɔntin we yu nɔ bin de ɛkspɛkt ɛn we kin mek yu fred. Yu kin de fil bɔrku filin dis tɛm, lɛk fɔ fil bad, fɔ shɔk, ɛn wɔri. Ivin if yu nɔ bin plan fɔ gɛt bɛlɛ, fɔ go tru ɛktɔpik bɛlɛ kin mek yu fil bad. We yu tɔk to yu patna, dɔktɔ, ɔ pɔsin we de advays yu bɔt yu maynd, dat go ɛp yu fɔ dil wit aw yu de fil. As tɛm de go, yu go wɛl frɔm we yu gɛt bɛlɛ we nɔ de na di bɛlɛ. If yu plan fɔ gɛt ɔda bɛlɛ tumara bambay, mek shɔ se yu tɔk to yu dɔktɔ bɔt di risk fɔ gɛt ɔda bɛlɛ we nɔ de na di bɛlɛ.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

Okay, so, a op se yu dɔn gɛt bɛtɛ ɔndastandin bɔt `Ectopic Pregnancy` frɔm wetin wi dɔn tɔk bɔt. Lɛ wi mɛmba yu bak di tin dɛn we impɔtant pas ɔl:

• bεlε we de na di bεlε na di mεdikal imejensi, so na fכ no di sayn dεm.
• If yu gɛt sɔm sayn dɛn lɛk bad bad pen na yu bɛlɛ, blɔd we nɔ kɔmɔn, ɔ yu ed de tɔn, go to dɔktɔ wantɛm wantɛm. Nɔ west tɛm.
• If yu dɔn gɛt bɛlɛ we nɔ de na di bɛlɛ bifo, kɔndishɔn lɛk PID, ɔ if yu de smok, yu risk go bɔku. Tɔk to yu dɔktɔ bɔt dis.
• Tritmɛnt dɛn de. Dɛn kin trit dis sik wit mɛrɛsin ɔr ɔpreshɔn.
• Bɔku pipul dɛn kin gɛt bɛlɛ we go wok fayn afta we dɛn dɔn gɛt bɛlɛ we nɔ de na di bɛlɛ. Bɔt i impɔtant fɔ go to dɔktɔ bifo yu tray fɔ gɛt bɛlɛ bak.
• Dis na tin we nɔ kin izi fɔ du, ivin pan aw pɔsin de fil. If yu nid ɛp, nɔ fred fɔ tɔk bɔt am.

Yu wɛlbɔdi biznɛs na di tin we impɔtant pas ɔl. So, if yu gɛt ɛni dawt, nɔ ɛva shem fɔ go to dɔktɔ fɔ advays.

` εktopik bεlε, Bεlε ausayd di uterus, Falopian tyub, Abnכmal bεlε, Uman dεm in hεlth, Bεlε kכmplikεshכn, Imejensi tritmεnt