Yu sɛviks go opin bifo tɛm? (Incompetent Cervix) - Nɔ fred, lɛ wi no bɔt dis!

Di gladi at we yu kin gɛt we yu de tink se yu go bi mama, wi nɔ go ebul fɔ ɛksplen am. Bɔt, i nɔmal fɔ mek yu fred ɛn wɔri bɔt ivin di smɔl smɔl tin dɛn. Tide wi go tɔk bɔt wan kɔndishɔn we sɔm mama dɛn kin gɛt we dɛn gɛt bɛlɛ, bɔt we dɛn nɔ kin tɔk bɔt bɔku. dat min se di sεviks de wik, sכt כ opin bifo tεm. Dɔktɔ dɛn kin kɔl dis `(Incompetent Cervix)` ɔ `(Cervical Insufficiency)`. Nɔ frayd we yu yɛri dis, bikɔs if dɛn tɛl yu fayn fayn wan bɔt dis ɛn gɛt di tritmɛnt we yu nid, bɔku tɛm yu kin briŋ wɛl bɔdi pikin kam na dis wɔl we nɔ gɛt ɛni prɔblɛm.

Wetin na di sɛviks? Wetin mek i rili impɔtant?

Okay, fɔs lɛ wi jɔs ɔndastand wetin na dis sɛviks. di uterus na di say we yu pikin de gro na yu bεlε. di lכw pat pan di uterus, we lεk di mכt fכ bכtul, usay i de kכnεkt to di vagina, na in wi kכl di sεviks.

Tink bɔt am lɛk sef domɔt . Dis domɔt nid fɔ lɔk ɛn tayt ɔl di tɛm we uman gɛt bɛlɛ. Na da tɛm de nɔmɔ di pikin go gro sef wan insay di uterus te di de we i fɔ bɔn. as di pikin de kam nia fכ bכn, dat min se we di pikin de kam nia, dis sεviks de sכft sכ mtεm, i de sכt (wi kכl dis `effacement`) εn i de bigin fכ opin (dεn kכl dis `dilation`) . Na da tɛm de nɔmɔ di pikin go kɔmɔt izi wan.

So wetin na dis `(Incompetent Cervix)`?

Naw yu ɔndastand aw di sɛviks impɔtant. insay wan kכndishכn we dεn kכl ``Incompetent Cervix'' כ ``Cervical Insufficiency'', dat sef dכn we wi bin tכk bכt, di sεviks, de wik, sכt, כ bigin fכ opin bifo di pikin ful divεlכp, bifo di bεlε tεm ivin 37 wik.

Dis tan lɛk we yu opin di domɔt kwik kwik wan. Wetin go apin if dis apin? di pikin kin bכn bifo tεm, dat na fכ bכn bifo tεm . Sɔntɛnde, mɔ insay di sɛkɔn tri mɔnt (bitwin wik 14 ɛn 27), dis sik kin mek bak uman nɔ gɛt bɛlɛ . dis kin mek bak pikin bכn we i day, we na we pikin de lכs afta 20 wiks we i bεlε.

De impɔtant tin na dat, if yu no am kwik kwik wan ɛn gi yu di rayt tritmɛnt, dat kin ridyus dis prɔblɛm bad bad wan. So nɔ panik.

Aw kɔmɔn dis sik (Incompetent Cervix)? Udat dɛn de pan big risk?

stεdi sho se dis kכndyushכn (Incompetent Cervix) kin apin pan lεk 1 pan 100 bεlε. Dat min se i nɔ kɔmɔn so, bɔt i nɔto sɔntin fɔ ignore sɛf.

Pan ɔl we ɛnibɔdi kin gɛt dis sik, sɔm pipul dɛn kin gɛt dis sik pasmak. Si if dɛn tin ya apin to yu:

• if yu gεt di uterus כ sεviks shep we yu bכn wit: Dis risk kin apin bikoz fכ difrεns pan di we aw di uterus כ sεviks de insay sכm pipul dεm.
• If yu bin dɔn gɛt bɛlɛ we yu bɔn na di sɛkɔn tri mɔnt ɔ yu bɔn pikin bifo tɛm we yu bin gɛt bɛlɛ bifo: Dis na rili impɔtant tin we kin mek yu gɛt prɔblɛm.
• If di sεviks כ di uterus dεn dכn pwεl di tεm we dεn bin bεlε כ bכn pikin bifo.
• If yu dɔn gɛt ɔpreshɔn pan yu sɛviks: Fɔ ɛgzampul, afta dɛn dɔn du tɛst ɔ tritmɛnt lɛk `(LEEP)`.
• Sɔm jɛnɛtik kɔndishɔn: Pipul dɛn we gɛt jɛnɛtik sik we de wik we de mek di kɔnektiv tisu wik, lɛk Ehlers-Danlos syndrome, kin gɛt wik sɛviks bak.
• Sɔm stɔdi dɔn sho se blak uman ɛn mama dɛm we de ɛkspɛkt twin ɔ triplɛt (mɔltipɛl) dɛnsɛf kin gɛt dis sik smɔl.

Wetin na di sayn dɛm fɔ `(Incompetent Cervix)`?

Na ya i kin kɔnfyus smɔl. Bɔrku tɛm, no klia sayn nɔ de fɔ se pɔsin nɔ ebul fɔ du di bɛlɛ. lεk insay di pikin we dεn bכn bifo tεm, di kכntrikshכn כ wata we de brok nכ kin notis fכs.

Bɔt sɔm pipul dɛn kin gɛt sɔm sayn dɛn lɛk dis:

• Fɔ fil se yu gɛt ebi ɛn prɛshɔ na yu bɛlɛ we de dɔŋ.
• Bɛlɛ de at.
• Wan wan tɛm we dɛn kin spɔt.
• wan chenj na di vagina dischaj (wata, viskɔs, ɔ blɔd).

Bikɔs dɛn sik ya nɔ kin izi fɔ yu, yu kin tink se nɔto siriɔs tin. Na dat mek i impɔtant fɔ tɔk opin ɛn ɔnɛs wit yu dɔktɔ bɔt yu ful wɛlbɔdi istri, mɔ ɛnibɔdi we dɔn bɔn bifo tɛm ɔ we yu bɔn bifo tɛm. Dɔn yu dɔktɔ kin no if yu de pan denja ɛn tek ɛkstra tin dɛn fɔ tek tɛm wit if nid de.

Wetin kin mek `(Incompetent Cervix)`? na us tεm we uman bεlε dis kin apin?

fכ bi כnεst, dεn nכ dכn fכ no di εksakεt kכz fכ ``Incompetent Cervix'' yet. Bɔt dɔktɔ dɛn no se di tin dɛn we kin mek pɔsin gɛt dis sik we wi bin dɔn tɔk bɔt (lɛk fɔ pwɛl di bɛlɛ, ɔpreshɔn, ɛn fɔ bɔn pikin we nɔ fayn) kin mek i apin.

pan ɔl we dis kכndyushכn kin apin εni tεm we uman bεlε, i kin kכmכn pas כl insay di sεkכn trimεst we di bεlε, bitwin wik 14 εn 27.

Aw Inkɔmpɛtɛnt Sɛviks kin mek uman gɛt bɛlɛ?

di bεlε na we di pikin day bifo 20 wiks we i bεlε. tink dis we: di sεviks na di opin bitwin di uterus (we dεn bכn di pikin) εn di vagina. dis opin fכ de klos te dεn bכn di pikin. bכt insay di kes fכ ``Incompetent Cervix``, dis opin de opin bifo tεm. afta dat di pikin kin kכmכt bifo di pikin in כgan dεm εn bon dεm dכn fulכp. dis ``Incompetent Cervix`` kכndishכn de rispansabl fכ bכt 25% pan כl di sεkכn trimεst miskεri.

Bɔt, di tin we impɔtant pas ɔl na dat di tritmɛnt dɛm fɔ dis kin ɔltɛm gɛt bɔku sakrifays. So nɔ wɔri.

Pɔsin we gɛt ``Incompetent Cervix`` kin gɛt pikin na tɛm?

Yɛs, i rili pɔsibul! If yu gɛt di rayt tritmɛnt, i pɔsibul. di men gol fכ trit dis kכndyushכn na fכ mek di pikin nכ bכn bifo tεm εn kip di pikin insay di bεlε fכ lכng as i posbul, fכ mek in כgan dεm divεlכp fayn fayn wan.

Aw fɔ no di kɔndishɔn `(Incompetent Cervix)`?

Ɛvri tɛm we yu go na di klinik we de bifo yu bɔn pikin, di dɔktɔ go aks yu kwɛstyɔn bɔt yu wɛlbɔdi istri ɛn di sayn dɛm we yu gɛt bɛlɛ. If yu bin dɔn gɛt bɛlɛ bifo ɔ dɛn bin dɔn du ɔpreshɔn pan yu sɛviks, nɔ fɔgɛt fɔ tɛl di dɔktɔ. Bay dɛn tin ya we kin mek yu gɛt prɔblɛm, di dɔktɔ kin disayd fɔ tek kia ɔf yu sɛviks mɔ.

Tu men we dεn de we dεn kin yuz fכ no di kכndyushכn ``Incompetent Cervix``:

1. Pεlvik εgzam: Di dכkta de egzamin di sεviks.

2. transvagina ultrasound scan: insay dis, dεn de put wan sכmכl instrכmεnt tru di vagina εn dεn de mכsu di lεngth εn di opin fכ di sεviks.

Aw dɛn kin trit `(Incompetent Cervix)`?

di men gol fכ tritmεnt na fכ mεnten di bεlε fכ as lכng as i pɔsibul. Bikɔs i nɔ kin izi fɔ no dis sik, i impɔtant fɔ no bɔt di tin dɛn we kin mek yu gɛt dis sik. Yu dɔktɔ go disayd di bɛst tritmɛnt bay di sik we yu gɛt ɛn di mɛrɛsin histri.

Bɔku men we dɛn de fɔ trit pɔsin:

1. Sɛvikal sɛrklɛj

Dis na di tritmɛnt we dɛn kin yuse pas ɔl ɛn we kin wok fayn. Fɔ tɔk am simpul wan, i min fɔ ɔpreshɔn fɔ stich yu sɛviks, lɛk we dɛn tay bag fɔ lɔk. dis kin bi bitwin 12 εn 14 wiks we uman bεlε. afta dat, we di pikin fכ bכn, arawnd 37 wik, dεn kin pul di stich dεm. Dɔn yu kin gɛt nɔmal vagina bɔn pikin.

Yu dɔktɔ kin tɛl yu fɔ tek Cerclage pan dɛn kayn tin ya:

• If yu bin dɔn gɛt bɛlɛ fɔ di sɛkɔn tri mɔnt bifo dis tɛm.
• If yu dɔn gɛt sɛrklɛj we dɛn bin dɔn du we yu bin gɛt bɛlɛ bifo.

Bɔt nɔto ɔlman kin gɛt sɛrklɛj. Dɔktɔ dɛn nɔ kin du dis ɔpreshɔn pan kes dɛn lɛk dɛn wan ya:

• If yu de ɛkspɛkt twins, triplet ɔ mɔ. (No klia pruf nɔ de fɔ se sɛrklɛj de ridyus di risk fɔ bɔn pikin bifo tɛm pan dɛn kayn tin ya.)
• if yu sεviks dεn dכn כlrεdi bכt 4 sεntimita dilayt.
• If yu wata bag dɔn brok (di mɛmbran dɛn dɔn brok).

2. Prɔjɛstɛron sɔpɔtmɛnt dɛn

If yu de pan risk fɔ gɛt ``Incompetent Cervix,'' yu dɔktɔ kin tɛl yu fɔ tek supamakit (pil ɔ vagina pessaries) we gɛt di ɔmon ``Progesterone'' frɔm di sɛkɔn trimɛst. Dis ɔmon de ɛp fɔ mek di bɛlɛ kɔntinyu fɔ de.

3. Inkris monitarin wit ɔltra saund skan

if yu gεt risk fכ `(Cervical Insufficiency)`, yu dכkta kin mכnitor yu sεviks wit rεgulεr `(Transvaginal ultrasound)` skan te lεk 24 wiks we yu bεlε. if i tan lεk se yu sεviks de sכt, yu dכkta kin rεkomεnd fכ `(Cerclage)`. כltu, dεn kin כnli du wan `(Cerclage)` te lεk 24 wiks we di bεlε de.

Wetin na di poshubul komplikashכn dεm fכ `(Incompetent Cervix)`?

di sεviks we nכ kכmכt kin mek i gεt kכmplikεshכn, mεntal wan we uman kin bכn pikin εn we i bכn bifo di tεm .

Na smɔl tɛm nɔmɔ, sɛrklɛj kin mek sɔm prɔblɛm dɛn. Ɛgzampul dɛn:

• di uterin we de brok
• Blɔd we de kɔmɔt insay pɔsin in bɔdi
• Lasereshɔn na yu sɛviks
• Sik we de prɛd

Bɔt dɛn tin ya na tin dɛn we nɔ kin apin so ɔltɛm. Dɔktɔ dɛn kin rili wɔri bɔt dis.

Yu kin ebul fɔ stɔp `(Incompetent Cervix)`?

Infakt, nɔbɔdi nɔ go ebul fɔ mek di sɛviks we nɔ ebul fɔ wok fayn fɔ mek i nɔ divɛlɔp. Bɔt tin dɛn de we yu kin du fɔ ɛp fɔ mek shɔ se yu gɛt wɛlbɔdi bɛlɛ. Dɛn tin ya kin ɛp indaykt wan:

• Atɛnd di klinik dɛn we dɛn kin gɛt bɛlɛ pan di de dɛn we dɛn dɔn sɛtul.
• It fayn it ɛn balans it.
• Gɛt di rayt wet we yu gɛt bɛlɛ.
• Nɔ drink rɔm, sigrɛt, ɛn ɔda drɔgs kpatakpata.
• Tek di vaytamɛn we yu dɔktɔ tɛl yu fɔ tek bifo yu bɔn.
• Aks yu dɔktɔ bifo yu tek ɛni ɔda mɛrɛsin ɔ sɔpɔtmɛnt.

Wetin a fɔ ɛkspɛkt if a gɛt ``Incompetent Cervix''?

Nɔ wɔri. Cerclage na 90% saksesful tritmεnt fכ wan inkכmpεtεnt sεviks. Dis min se bɔku mama dɛn dɔn ebul fɔ bɔn pikin we gɛt wɛlbɔdi nia di de we dɛn fɔ bɔn bikɔs ɔf dis tritmɛnt.

If a bin gɛt ``Incompetent Cervix'' bifo, i go apin bak if a gɛt bɛlɛ?

Yes, if yu bin gɛt ``Incompetent Cervix`` we yu bin gɛt bɛlɛ bifo, yu de pan risk fɔ gɛt di sem kɔndishɔn insay yu nɛks bɛlɛ. So if yu de op fɔ gɛt ɔda pikin, i rili impɔtant fɔ go to dɔktɔ ɛn tɔk bɔt dis bifo yu gɛt bɛlɛ. Dɔn di dɔktɔ kin gi yu di advays we yu nid ɛn ɛp yu fɔ gɛt bɛlɛ we sef ɛn we gɛt wɛlbɔdi. Yu kin ivin ebul fɔ mek dɛn du wan ``Cerclage`` kwik kwik wan.

Ustɛm a fɔ go to di dɔktɔ?

Bɔku tɛm, dɔktɔ dɛn kin no se pɔsin in sɛviks nɔ ebul fɔ du am afta we i dɔn bɔn di bɛlɛ insay di sɛkɔn tri mɔnt ɔ we i bɔn bifo tɛm. Bɔt if yu si sɔm sayn dɛn we de sho se di bɛlɛ nɔ de kɔmɔt na di bɛlɛ we yu gɛt bɛlɛ, lɛk we yu gɛt blɔd, we yu bɛlɛ de pen, ɔ we yu bɛlɛ de kramp , go to dɔktɔ wantɛm wantɛm.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

If dɛn no se yu gɛt ``Incompetent Cervix'' kɔndishɔn, yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk:

• Aw risky i bi fɔ mi fɔ gɛt ``Incompetent Cervix''?
• Us sayn dɛm fɔ kɔmplikeshɔn a fɔ luk fɔ?
• Aw a go no if di tritmɛnt dɔn wok fayn?
• A kin kɔntinyu fɔ du tin dɛn we a kin du ɛvride lɛk aw a nɔmal fɔ du?

Ustɛm a go ebul fɔ go bak to mi nɔmal tin dɛn?

כl di pipul dεm we gεt sεviks we nכ kכmכt nכ nid fכ sכmtεm dεn du tin dεm we dεn de du εvride we dεn bεlε. Bɔt i go fayn fɔ mek yu tɔk bɔt dis wit yu dɔktɔ fɔ mek shɔ se, i go dipen pan di tin we de apin to yu.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Okay, so frɔm wetin wi dɔn tɔk bɔt, a op se yu dɔn gɛt bɛtɛ ɔndastandin bɔt `(Incompetent Cervix)` ɔ `(Cervical Insufficiency)`.

mεmba se ``Incompetent Cervix'' na we di sεviks wik, sכt, כ bigin fכ opin bifo tεm. Dis kin mek di pikin nɔ gɛt bɛlɛ ɛn bɔn pikin dɛn bifo tɛm.

Dis sik kin tranga fɔ no bikɔs nɔto ɔlman gɛt klia sayn dɛm. Na dat mek i impɔtant fɔ tɛl yu dɔktɔ yu ful mɛdikal istri, mɔ ɛnibɔdi we dɔn bɔn bifo tɛm ɔ we yu bɔn bifo tɛm. Dɔn bak, tɛl yu dɔktɔ bɔt ɛni ɔda kayn sik we yu gɛt we yu gɛt bɛlɛ. Dis infɔmeshɔn go ɛp yu dɔktɔ fɔ no if yu de pan denja fɔ `(Cervical Insufficiency)`.

di gud nyus na dat, bכku tεm, dεn kin trit dis kכndyushכn fayn fayn wan wit כpεrayshכn we dεn kכl ``Cerclage''. So nɔ fred. Tɔk to yu dɔktɔ bɔt ɔltin opin wan. Mek yu fɛn di trɛnk fɔ briŋ wɛlbɔdi bebi na dis wɔl!

` sεvikal wik, inkכmpεtεnt sεviks, sεvikal insufisεns, bεlε, bכn bifo tεm, aboshכn, sεrklaj, prכjεstεrכn, uterus, uman dεm hεlth