Bɛlɛ na tɛm we ɔl mama gɛt bɔku op, bɔt i kin fred smɔl bak. Wi kin tink ɔltɛm bɔt di pikin in wɛlbɔdi ɛn if ɔltin go fayn. Na dis kayn tɛm, wi de tɔk bɔt wan kɔndishɔn we yu nɔ go dɔn yɛri bɔt, bɔt we rili fayn fɔ no bɔt. Dat na sεvikal insufisεns, כ as dכkta dεn kכl am , ‘Incompetent Cervix’ כ ‘Cervical Insufficiency’ . Nɔr frayd we yu yɛri dis nem, if dɛn tɛl yu fayn fayn wan bɔt dis ɛn gɛt di rayt tritmɛnt, yu kin ebul fɔ manej am witout ɛni prɔblɛm bɔku tɛm.
Fɔ tɔk am simpul wan, wetin na inkɔmpɛtɛnt sɛviks?
Tink bɔt yu uterus (di sak usay yu pikin de) lɛk smɔl os. Di sɛviks na di domɔt fɔ da os de. dis doa nid fכ klos tayt te yu pikin fulכp, we na arawnd 37-40 wik. Na da tɛm de nɔmɔ yu pikin go ebul fɔ de insay yu bɛlɛ sef wan.
כltu, insay wan kכndishכn we dεn kכl ‘Incompetent Cervix’, dis doa de stat fכ opin witout eni rizin כ pen, arawnd di mid-bεlε, bifo di pikin ivin fulכp divεlכp. di sεviks kin wik, sכt, εn i kin opin.
So wetin mek dis na prɔblɛm?
Imajin, wetin go apin if dɛn opin di pikin in domɔt tumɔs? Di pikin go gɛt fɔ kɔmɔt na do. Bɔt da tɛm de, di pikin in impɔtant pat dɛn lɛk in lɔng ɛn in at nɔ bin de gro fayn fayn wan. Dis kin mek tu big prɔblɛm dɛn:
1. di sεkכn trimεst miskεri: Na di pikin we de lכs bifo 20 wiks we i bεlε.
2. Fɔ bɔn pikin bifo tɛm: Fɔ bɔn pikin bifo 37 wik.
dis kכndyushכn kin apin pan lεk 1 pan 100 bεlε, so i implεnt fכ no am.
Udat de pan denja pas ɔl fɔ gɛt dis sik?
Dis sik kin apun to ɛnibɔdi, bɔt sɔm pipul dɛn kin gɛt bɔrku risk. Yu dɔktɔ go aks yu bɔt yu wɛl bɔdi istri fɔ si if yu gɛt ɛni wan pan dɛn tin ya we kin mek yu gɛt prɔblɛm.
| Risk factor | Wan simpul ɛksplen |
|---|---|
| Miskrɛj bifo ɔ bɔn pikin bifo tɛm | wan big tin we kin mek yu gɛt bɛlɛ na we yu gɛt histri bɔt di bɛlɛ we nɔ gɛt pen, mɔ insay di sɛkɔn tri mɔnt (bitwin wik 14-27) we yu gɛt bɛlɛ bifo. |
| Damej na di sεviks ɔ di uterus | If di sεviks dεn dכn pwεl biכs fכ bכn pikin bifo, wan prכsidכm lεk we di sεviks tear, D&C, כ כda kכz. |
| Ɔpreshɔn dɛn we dɛn kin du na di sɛvikal | afta wan prosidכs lεk LLETZ כ kכn bayopsi fכ sεvikal kεnsar, di sεviks kin sכt εn wik. |
| difεkt dεm we dεn bכn di uterus כ di sεviks | sכm uman dεm kin bכn wit abnכmal tin dεm na di shep fכ dεn uterus כ sεviks, we kin mek bak di sεviks wik. |
| Di kɔndishɔn dɛn we de na di jɛnɛtiks | If yu gɛt sik dɛn we yu gɛt frɔm yu jɛnɛtiks we de mek di bɔdi in kɔnektiv tisu dɛn wik, lɛk Ehlers-Danlos syndrome , yu sɛviks kin wik bak. |
| Bɔku bɔku bɛlɛ dɛn | dis risk kin bכku bak we bכku pikin dεm lεk twins כ triplet dεm de na di bכdi di sem tεm, biכs di uterus εn sεviks de mכr prεshכn. |
Di tin we impɔtant pas ɔl na fɔ tɛl yu dɔktɔ ɔl di tin dɛn bɔt di bɛlɛ we yu bin gɛt trade ɛn di ɔpreshɔn we yu bin dɔn du ɛn yu nɔ go ayd ɛnitin . Da infɔmeshɔn de go ɛp am fɔ kia fɔ yu gud gud wan.
Wetin na di sayn dɛm fɔ dis sik?
Dis na di big big prɔblɛm we de ya. Bɔrku tɛm, nɔr klia sayn nɔr de fɔ ‘Incompetent Cervix’. Nɔr kɔntrakshɔn nɔ de lɛk we yu de kam bɔn pikin, ɛn yu wata nɔ de brok. Ɔltin kin apin kwayɛt wan.
Bɔt sɔm pipul dɛn kin gɛt sɔm kayn sik lɛk dis bitwin wik 14 ɛn 20:
- Fɔ fil se yu de prɛs ɔ yu de ebi na yu bɛlɛ we de dɔŋ.
- I kin tan lɛk se a de at smɔl na mi bak.
- chenj na di vagina dischaj (i kin bi wata, lεk mכkus, כ gεt sכm bכdi).
- Fɔ si tin.
Dɛn sik ya kin so klia dat sɔm tɛm dɛn kin fɔgɛt bɔt dɛn as nɔmal tin we kin mek pɔsin nɔ fil fayn we i gɛt bɛlɛ. So if yu fil ɛnitin we nɔ kɔmɔn, ilɛksɛf na jɔs smɔl tin, nɔ ɛva shem fɔ tɛl yu dɔktɔ.
Aw dɔktɔ kin fɛn dis?
Bɔku tɛm dɛn kin no dis sik bay we dɛn de wach uman we bin dɔn gɛt prɔblɛm we i bin dɔn gɛt bɛlɛ bifo. If yu gɛt ɛni wan pan di prɔblɛm dɛn we wi dɔn tɔk bɔt, yu dɔktɔ go tek kia ɔf yu spɛshal wan.
Wi kin no dis bay tu men we dɛn:
1. Wɛlbɔdi istri: Di dɔktɔ go aks yu ditayli bɔt di bɛlɛ we yu bin gɛt trade, di bɛlɛ we yu bin gɛt, ɛn di ɔpreshɔn we yu bin dɔn du.
2. Transvaginal Ultrasound: Dis na di bεst we fכ no dis kכndyushכn. insay dis, dεn de put sכmכl instrכmεnt tru di vagina εn dεn de mכsu di sεvikal lεngth prεsis. dis skan kin si klia wan if di sεviks de sכt כ i de opin as di bεlε de go bifo. Fɔ di wan dɛn we de pan denja, di dɔktɔ kin se dɛn fɔ ripit dis skan wan ɔ tu wik afta di wik we mek 16 we uman gɛt bɛlɛ ɛn bak afta di wik we mek 24.
Wetin na di tritmɛnt ɛn aw fɔ mɛn dis?
If dεn no dis kכndyushכn, sεvεra tritmεnt dεm de we dεn kin yus fכ lכng di pikin in tεm na di bεlε, we kin εp fכ mek i nכ bכn bifo tεm. Yu dɔktɔ go disayd di tritmɛnt we go fayn fɔ yu bay aw yu sik ɛn aw yu gɛt wɛlbɔdi.
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|---|
| Sɛrvikal Sɛrklɛj | Dis na di we aw dɛn kin yuz mɔ ɛn we kin wok fayn pas ɔl. Fɔ tɔk am simpul wan, dɛn kin put wan strɔng sutura rawnd di sɛviks we wik ɛn tay am fɔ lɔk am. I tan lɛk bag we de tay di sɛviks lɔk. Dɛn kin du dis ɔpreshɔn bitwin 12 ɛn 14 wiks. afta dat, we di pikin dכn klos fכ bכn, arawnd 37 wik, dεn kin kכt di sutura dεm εn pul am. |
| Prɔjɛstɛron ɔmon tɛrapi (Projɛstɛron sɔpɔtmɛnt dɛn) . | Prɔjɛstɛron na ɔmon we de ɛp fɔ mek uman kɔntinyu fɔ gɛt bɛlɛ. fכ di wan dεm we gεt histri fכ bכn pikin bifo tεm, dεn kin gi dis כmon as pil כ as vagina suppository stat insay di sεkכn trimεst. dis de εp fכ ridyus di uterin kכntrikshכn dεm εn kip di sεviks strכng. |
| Fɔ de wach ɔltɛm | If risk de, bɔt di sik nɔ bad fɔ mek yu nid fɔ stich, yu dɔktɔ go du skan ɔltɛm fɔ wach yu sɛviks fɔ ɛni chenj we de na di lɔng. If dɛn notis ɛni chenj, dɛn kin bigin di tritmɛnt we dɛn nid wantɛm wantɛm. |
Yu tink se ɔlman kin gɛt sɛrklɛj?
Nɔ, sɔm tɛm dɛn de we dɛn nɔ kin se dɛn fɔ du dis ɔpreshɔn. Fɔ ɛgzampul:
- If yu gɛt twins ɔ mɔ.
- if di sεviks dεn dכn כlrεdi pas 4 sεntimita dilayt.
- If di mɛmbran dɛn dɔn brok.
- If infεkshכn de na di uterus.
Sɔntɛnde lɛk dis, yu dɔktɔ go tɔk to yu bɔt ɔda tin dɛn we yu go ebul fɔ du.
Yu kin tink bɔt di nɛks bɛlɛ we yu go gɛt?
Yɛs, i rili pɔsibul. Bɔt if yu bin gɛt ‘Incompetent Cervix’ insay wan bɛlɛ, yu de pan denja fɔ gɛt di sem kɔndishɔn insay yu nɛks bɛlɛ. So bifo yu tink bɔt fɔ bɔn ɔda pikin, mit wit yu dɔktɔ we de mɛn uman dɛn ɛn tɔk bɔt dis. afta dat, dεn kin wach yu gud gud wan frכm di biginin fכ yu nεks bεlε εn if nid de, tek stεp dεm lεk fכ put stich (cerclage) kwik.
Di gud nyus na dat cerclage na lɛk 90% saksesful. Dat min se yu gɛt gud chans fɔ kip yu pikin te di de we i fɔ bɔn. So nɔ wɔri.
We yu fɔ go to dɔktɔ wantɛm wantɛm
Ilɛksɛf yu de gɛt tritmɛnt fɔ dis sik ɔ yu nɔ de gɛt tritmɛnt, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm if yu gɛt ɛnitin we nɔ kɔmɔn we yu gɛt bɛlɛ. Ɛspɛshali if yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu.
- If wata lεk bכdi כ wata de kכmכt na di vagina.
- If yu fil pen na yu bɛlɛ we de dɔŋ ɔ yu de kɔntrakt.
- If yu gɛt bak pen we nɔ kɔmɔn.
- If yu fil prɛshɔn na yu bɛlɛ we de dɔŋ.
Mɛsej we dɛn kin kɛr go na os
- ‘Incompetent Cervix’ na we di sεviks wik εn bigin fכ opin bifo di pikin fulכp divεlכp. Dis na di men tin we kin mek dɛn bɔn pikin bifo tɛm.
- Bɔrku tɛm, no klia sayn nɔr de fɔ dis sik, so i rili impɔtant fɔ tɛl yu dɔktɔ ɔl di ditil dɛm bɔt di bɛlɛ we yu bin dɔn gɛt ɛn di ɔpreshɔn we yu bin dɔn du trade.
- wan transvaginal ultrasound skan kin no di sεvikal dilayshכn kwik kwik wan.
- Cervical cerclage na wan tritmɛnt we rili fayn fɔ dis.
- If yu gɛt ɛni dawt ɔ wɔri bɔt dis, nɔ shek fɔ tɔk bɔt am wit yu dɔktɔ. Yu sef ɛn yu pikin in sef na di tin we impɔtant pas ɔl.
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