If yu gɛt bɛlɛ, sɔntɛnde yu go de wɔnda, ‘Dɛn go bɔn mi pikin bifo tɛm?’ Dis frayd kin pasmak wae yu fil smɔl smɔl pen ɛn pen, lɛk kramp. Dis na sɔntin we bɔku mama dɛn kin gɛt. So, tide wi go tɔk bɔt wan spɛshal tɛst we go ɛp yu fɔ no gud gud wan if yu de pan denja fɔ bɔn pikin bifo tɛm. Wi kɔl dis di fFN tɛst.
Fɔ tɔk am simpul wan, wetin na dis fetal fibronectin (fFN)?
Okay, dis nem kin saund likli komplikayt, bot e akchuali kwik kwik wan. Imajin se yu pikin de insay bag we ful-ɔp wit wata. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis di amniotic sac. dis bag nid fכ tay fayn fayn wan na di wכl na yu uterus. dis nεchכral "gכm" we de εp fכ kip da atachmεnt strכng dεn kכl am fetal fibronectin. Dis na wan kayn prɔtin.
i nכmal fכ dis fFN protin fכ de insay di vagina dischaj fכ di fכs 22 wik dεm we di bεlε de. כlso, we di bεlε de dכn, afta 35 wik, as di pikin rεdi fכ bכn, dεn kin si dis fFN protin bak insay di vagina dischaj.
כltu, bitwin 22 εn 34 wik , dis fFN protin nכ fכ de na di vagina dischaj. if i de, i min se di "gכm" dכn lכs εn di sak we gεt di pikin de bigin fכ separet frכm di uterin wכl. Dat na sayn we de sho se i de pan denja fɔ bɔn pikin bifo tɛm.
In wich kes dεm dεn kin du dis fFN tεst?
Dis nɔto tɛst we dɛn kin du fɔ ɔl uman we gɛt bɛlɛ. Yu dɔktɔ go jɔs tɛl yu fɔ du dis tɛst if i tink se yu de pan denja fɔ bɔn pikin bifo tɛm. Tu rizin dɛn de we kin mek wi du dis.
1. If yu de sho sayn dɛm fɔ bɔn pikin bifo tɛm.
2. If yu gɛt ɔda tin dɛn we de mek yu gɛt mɔ chans fɔ bɔn pikin bifo tɛm.
Lɛ wi luk dɛn tu pɔynt dɛn ya wan bay wan.
1. Di sayn dɛm we de sho se uman gɛt bɛlɛ kwik kwik wan
If yu gɛt wan ɔ mɔ pan dɛn sik ya bifo 37 wik, yu dɔktɔ kin disayd fɔ du fFN tɛst.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| di uterin we de kכntrakt | Mi bɛlɛ kin fil lɛk se i at lɛk rɔk, i kin go afta sɔm tɛm, dɔn i kin kam bak. If dis kin apin pas 4 tɛm insay di awa, yu fɔ wɔri. |
| Bɛlɛ de pen ɔ nɔ de fil fayn | A kin gɛt bɛlɛ we kin at, jɔs lɛk we a kin gɛt mɔnt. |
| Spinal kɔd injuri | Wan strenj pen we de kɔntinyu fɔ de na di ɔda pat na di bɔdi. I nɔ de go ivin we a chenj pozishɔn. |
| di chenj dεm we de apin na di vagina dischaj | Wan wata we de kɔmɔt na di vagina we gɛt wata, we tan lɛk mכkus, ɔ we gɛt smɔl blɔd insay. Na laik se wi de go tru 'sho'. |
| Sayn dεm fכ di sεvikal dilayshכn | Dis kin bi bay we dɛn du tɛst we dɔktɔ du. |
| Prεshכn na di pεlvik εria | wan filin na di lכw bכdi we de fil lεk di pikin de push dכn. |
| Wata bag rupchɔ `(PPROM)` | di amniotic sak de rupchכ bifo tεm, we de mek wan wata we de fכlכ tru di vagina. |
Di tin we impɔtant pas ɔl na dat if yu notis wan sayn lɛk dis, nɔ ignore am as sɔntin we smɔl, bɔt tɛl yu dɔktɔ wantɛm wantɛm .
2. Ɔda tin dɛn we kin mek di risk fɔ bɔn pikin bifo tɛm
Sɔntɛnde, yu nɔ kin gɛt ɛni sayn fɔ sho se yu gɛt dis sik. Bɔt if yu gɛt dɛn tin ya we kin mek yu gɛt prɔblɛm, yu dɔktɔ kin ɔda dis fFN tɛst.
- We i dɔn bɔn di pikin bifo tɛm insay wan bɛlɛ we i bin dɔn gɛt bifo.
- We dɛn dɔn du ɛni ɔpreshɔn pan yu uterus ɔ yu sɛviks.
- di tin dεm we yu de liv in layf lεk fכ smok we uman bεlε εn fכ sכmtεm bכku bכku bכku wan bifo yu bεlε.
- Sכt sεviks: Dis na tin we dεn kin no tru skan.
- di tεm bitwin tu bεlε dεm rili sכt (e.g. less dan 6 mכnt).
Aw a fɔ pripia bifo di tɛst?
Dis rili impɔtant. Bikɔs, fɔ mek di tɛst rizɔlt kɔrɛkt, yu fɔ fala dɛn tin ya. Nɔ du dɛn tin ya fɔ 24 awa bifo yu tek di tɛst.
- Nɔ du mami ɛn dadi biznɛs.
- Nɔ put ɛnitin insay di vagina. Fɔ ɛgzampul, nɔ yuz lɔbrik, sop, sɔpɔsitɔri, ɔ dɔch.
- Nɔ fɔ du rutin pelvik ɛgzamin ɔ transvagina ɔltrasɔund.
- Nɔ du ɛnitin we go ambɔg di vagina, di sɛviks, ɔ di uterus ɛni ɔda we.
If yu du dɛn tin ya, di tɛst rizɔlt kin bi lay lay pɔsitiv . Dis min se yu kin gɛt lay lay pɔsitiv rizɔlt ivin if yu nɔ rili de pan denja. Dɔn bak, if yu gɛt smɔl ɔ ebi ebi blɔd na yu vagina, yu dɔktɔ nɔ go du dis tɛst. Dis kin chenj di rizɔlt bak.
Aw dɛn kin du di fFN tɛst? Yu tink se i de mek pɔsin fil bad?
Nɔ fred dis tɛst. I rili simpul ɛn i nɔ de mek pɔsin fil pen. I kin fil jɔs lɛk Pap smear.
Yu dɔktɔ go put wan lɔng, tin kɔtɔn swab insay yu vagina ɛn tek smɔl sampul pan di wata we de kɔmɔt na yu sɛviks. afta dat dεn go sεnd di sεmpl to wan labכtכri fכ tεst fכ di prεsεns fכ di fFN protin.
Wetin di tɛst rizɔlt dɛn se?
Di rizɔlt kin kam insay tu kayn: Pozitiv ɔ Negativ . I rili impɔtant fɔ mek yu no gud gud wan wetin dɛn tu tin ya min.
| Rizɔlt | Wetin dis min? | Wetin kin apin afta dat? |
|---|---|---|
| Gud | di fFN protin de insay yu vagina dischaj. Dis min se risk de fɔ gɛt bɛlɛ insay di nɛks wik ɔ tu wiks . | Di dɔktɔ go rɛdi yu fɔ bɔn kwik kwik wan. I go gi yu mɛrɛsin fɔ ɛp yu pikin in lɔng dɛn fɔ divɛlɔp, mɛrɛsin fɔ ridyus di uterin kɔntrakshɔn, ɛn i go wach yu gud gud wan. |
| Bad | nכ fFN protin de insay yu vagina dischaj. Dis min se di risk fɔ gɛt bɛlɛ insay di nɛks tu wiks rili smɔl . Dis na rizulyt we rili mek pɔsin gɛt kɔrej. | Dɛn go tɛl yu fɔ go na os. If yu sik nɔ de apin, dɛn kin aks yu fɔ tek ɔda tɛst insay wan ɔ tu wik. |
Di impɔtant tin ya na dat, if yu gɛt gud rizɔlt nɔ min se yu go mɔs gɛt pikin we yu go bɔn kwik kwik wan. I jɔs min se di risk de bɔku, so wi nid fɔ tek tɛm mɔ.
Wetin di dɔktɔ kin du if di rizɔlt na pɔsitiv?
Nɔ panik if yu gɛt fayn rizɔlt. I min se yu dɔktɔ go tek step kwik kwik wan fɔ gi yu ɛn yu pikin di bɛst tritmɛnt we pɔsibul. Bɔku tɛm, dɛn kin du dis bay we dɛn:
- kכtikostεroyd injεkshכn fכ εp di pikin in lכng dεm fכ machכ: di big prכblεm fכ di pikin dεm we dεn bכn bifo tεm na dat dεn lכng dεm nכ de divεlכp ful wan. dis injεkshכn dεm de εp di pikin in lכng dεm fכ divεlכp kwik εn i de εp fכ mek i nכ gεt rεspiretכri distress sεndrכm (RDS) we kin apin afta dεn bכn am.
- fכ gi tokolaytik fכ stכp כ ridyus di uterin kכntrikshכn: If yu de gεt pen, we min se yu uterus de kכntrakt, dεn mεdikeshכn ya kin εp fכ stכp כ ridyus am. Dis kin gi wi sɔm dez mɔ fɔ mek di pikin kɔntinyu fɔ de na di bɛlɛ. Dis go ɛp bak fɔ mek di stɛroyd injɛkshɔn dɛn wok.
- Gi antibayɔtik: Sɔntɛnde, mɔ if yu wata brok ɔ yu gɛt grup B strep infɛkshɔn, dɛn kin gi yu antibayɔtik fɔ mek di infekshɔn nɔ go skata to di pikin.
Aw dis tɛst kɔrɛkt?
Dis na kwɛstyɔn we rili impɔtant.
- di nεgεtiv risכlt dεm rili kכrekt: If di fFN tεst kam bak nεgεtiv, yu kin bi 99% sכri se yu nכ go bεlε insay di nεks tu wik. So dis na rizulyt we rili mek pɔsin fil fayn ɛn we pɔsin kin abop pan.
- Di fayn tin we kin apin nɔ rili kɔrɛkt:Bɔku mama dɛn we dɔn gɛt fayn rizɔlt dɔn bɔn dɛn pikin dɛn na di ful tɛm. So nɔ fred di bad tin dɛn we go apin if yu gɛt gud rizɔlt. I jɔs min se risk de, so wi nid fɔ tek tɛm mɔ.
Bɔku tɛm, i kin tek 24 to 48 awa fɔ gɛt di rizɔlt. Tɔk to yu dɔktɔ bɔt dis ɛn no bɔt am bifo tɛm.
Mɛsej we dɛn kin kɛr go na os
- di fεtal fכbronεktin (fFN) na "nεchכral glu" we de stik di jεstεshכnal sak to di uterus. di fFN tεst de luk fכ dis insay vagina fכluid.
- Dis tεst dεn kin כnli du am bitwin wik 22 εn 34 if yu gεt simptom dεm fכ bכn pikin bifo tεm כ כda risk fכs.
- If di tɛst rizɔlt kam bak negatif , dat min se di risk fɔ gɛt bɛlɛ insay di nɛks tu wiks rili smɔl. Dis na big big rilif.
- If di rizɔlt na pɔsitiv , dat min se di risk de bɔku. Bɔt i nɔ min se yu go bɔn pikin we nɔ rich 18 ia yet. Yu dɔktɔ go tek tɛm wach yu ɛn yu pikin ɛn bigin di tritmɛnt we i nid.
- I impɔtant fɔ avɔyd fɔ du mami ɛn dadi biznɛs ɛn put ɛnitin insay di vagina fɔ 24 awa bifo di tɛst fɔ mek yu gɛt kɔrɛkt rizɔlt.
- Tɔk to yu dɔktɔ ɛn nɔ shem bɔt ɛni prɔblɛm, fred, ɔ dawt we yu go gɛt we yu gɛt bɛlɛ.
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