Dis tɔpik kin bi sɔntin we rili impɔtant ɛn we bɔku pipul dɛn kin tink bɔt. Ɛn sɔm pipul dɛn kin shem fɔ tɔk bɔt am. Bɔt i rili impɔtant fɔ no di kɔrɛkt mɛrɛsin infɔmeshɔn bɔt dis. So tide, lɛ wi tɔk bɔt fɔ dɔn bɛlɛ wit pils, ɔ wetin wi kɔl ‘Medical Abortion’.
Fɔ tɔk am simpul wan, wetin na ‘Mɛdikal Abɔshɔn’?
Dis na we we nɔto ɔspitul fɔ dɔn di bɛlɛ we yu gɛt kwik kwik wan bay we yu de yuz spɛshal pils dɛn we dɛn gi yu. Dɛn kin yuz tu men kayn mɛrɛsin fɔ dis. Dɛn na mifepriston ɛn misoprostol .
Imajin, wi bɔdi gɛt wan ɔmon we rili impɔtant fɔ mek wi gɛt bɛlɛ, ɛn dɛn kɔl am prɔjɛstɛron .
- Di fɔs mɛrɛsin (Mifepristone): Dis kin mek di prɔjɛstɛron ɔmon we a bin tɔk bɔt nɔ wok. we dis כmon dכn dכn, di uterin wכl kin tכn εn di bεlε nכ kin ebul fכ liv igen.
- di sεkכn mεdikeshכn (Misoprostol): Dis kin mek di uterus kכntrakt, i kin mek i bכn εn i kin fil pen, εn i kin dכn di tin dεm we de insay di uterus.
Sɔm pipul dɛn kin tɔn to dis we bikɔs nɔto ɔpreshɔn. כltu, dεn kin כnli du dis insay di fכs wik dεm we di bεlε de. If di bɛlɛ dɔn let, yu dɔktɔ kin tɔk bɔt ɔda we dɛn lɛk ɔpreshɔn we dɛn kɔl D&C (Dilation and Curettage) .
Wetin mek pɔsin go disayd fɔ du dis kayn tin?
Dis na tin we pɔsin kin disayd fɔ du ɛn we nɔ izi fɔ disayd. Dis disishun kin difrɛn difrɛn wan bay di tin dɛn we de apin na pɔsin in layf.
- Mama ɛn papa dɛn kin disayd dis we dɛn kam fɔ no se dɛn pikin gɛt sik we dɛn bɔn wit ɔ we dɛn bɔn wit .
- Sɔntɛnde i kin bi bikɔs ɔf bɛlɛ we i nɔ bin de ɛkspɛkt.
- כlso, insay kes dεm we di pikin dכn day na di bεlε bכt i nכ kכmכt na di bכdi (wi kכl dis ‘missed abortion’), dכkta dεm dεn kin yuz dεn sem mεdikeshכn dεm ya bak fכ pul dεn tisu fragmεnt dεm.
- If ɛni risk de fɔ di mama in layf bikɔs ɔf di bɛlɛ, dɛn kin du dis bak pan dɔktɔ advays.
Ɔlman in sityueshɔn difrɛn, so i bɛtɛ fɔ mek yu disayd fɔ du sɔntin bay we yu tɔk to dɔktɔ we no yu mɛdikal histri ɛn ɔndastand wetin yu nid.
Udat dis we ya nɔ fayn fɔ?
Jɔs lɛk ɛni ɔda tritmɛnt, dis nɔto fɔ ɔlman. I impɔtant fɔ tɔk bɔt yu kɔmplit wɛlbɔdi histri wit yu dɔktɔ fɔ mek shɔ se dis nɔ bad fɔ yu. Dis we ya nɔ sef atɔl if yu gɛt dɛn tin ya:
| Pozishɔn | Tɔk bɔt |
|---|---|
| We uman gɛt bɛlɛ | dis mכt nכ fayn if di bεlε de let bכku wik (mכr pas di limit we di dכkta gi). |
| Alɛji to mɛrɛsin | If yu gɛt alɛji fɔ di mɛrɛsin dɛn we yu de yuz. |
| Wan ɔda bɛlɛ we nɔ de na di bɛlɛ | if di bεlε de na do na di uterus (fכ egzampl, insay fallopian tube). Dis na tin we rili denja. Dis mɛrɛsin nɔ go wok fɔ am. |
| Yuz wan IUD | If yu gɛt intrauterine device (IUD) insay in ples. Bɔt dɛn kin du dis we afta dɛn dɔn pul di IUD. |
| Sɔm tin dɛn we kin apin to pɔsin we sik | If yu gɛt prɔblɛm we de mek yu blɔd klɔt, we yu nɔ gɛt bɛtɛ blɔd, yu de yuz kɔtikosterɔyd fɔ lɔng tɛm, ɔ yu adrenal nɔ de wok fayn fɔ lɔng tɛm. |
| Nɔ gɛt tritmɛnt we dɛn nid fɔ du kwik kwik wan | Dis we ya kin gɛt prɔblɛm if no say nɔ de fɔ go kwik kwik wan na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) if ɛnitin apin. |
Aw dis prɔses kin apin?
Dis na tin we yu kin du bɔku tin, ɛn ɔltin kin apin ɔnda yu dɔktɔ in sɔpɔtishɔn.
Step 1: Dɔktɔ in apɔntinmɛnt ɛn pripia
Fɔs yu nid fɔ go to dɔktɔ. Na dis na wetin go apin:
- If yu du urine ɔ blɔd tɛst, dat go mek yu no if yu rili gɛt bɛlɛ.
- Dɛn kin du ɔltra saund skan fɔ no ɔmɔs wik yu gɛt bɛlɛ.
- Dis ɔl prɔses, in risk ɛn sayd ɛfɛkt dɛn go ɛksplen to yu ditayli.
Step 2: Fɔ tek mɛrɛsin
I rili impɔtant na ya fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we .
1. Fɔs pil (Mifepristone): Dɛn kin gi yu dis pil bifo di dɔktɔ. Afta dis, yu kin go na os. Sɔm pipul kin gɛt smɔl blɔd afta dis, bɔt bɔrku pipul nɔr kin fil natin.
2. Sɛkɔn Pil (Misoprostol): Dɛn fɔ tek dis sɛkɔn pil 24 to 48 awa afta yu tek di fɔs pil. yu kin put am insay di mכt εn alaw am fכ sכlv, כ put am insay di vagina. Yu dɔktɔ go tɛl yu di rayt we fɔ du dis.
Step 3: Prɔses we de apin
Na afta di sɛkɔn pil yu kin bigin fɔ fil bɔku. Yu kin ɛkspɛkt dɛn tin ya:
- Bɛlɛ pen (kramp) ɛn blɔd kin bigin bitwin 1 ɛn 4 awa afta yu tek di mɛrɛsin.
- Insay di nɛks sɔm awa dɛn, yu go gɛt bad bad bɛlɛ pen ɛn yu go gɛt bɔku blɔd ɛn blɔd go klɔt . Dis go fil lɛk se na tɛm we rili ebi.
- Sɔm pipul dɛn kin gɛt smɔl fiva, kol, nɔs, ɛn bɛlɛ at fɔ lɛk wan de so.
I impɔtant fɔ rɛst na fayn ɛn sef ples dis tɛm. Na big ɛp if yu gɛt pɔsin we yu trɔst wit yu. Kip ɔt wata bɔtul nia yu fɔ ɛp fɔ mek yu fil pen, ɛn tek mɛrɛsin fɔ mek yu fil pen (lɛk ibuprofen) lɛk aw yu dɔktɔ tɛl yu fɔ du.
Wetin kin apin afta dɛn dɔn trit am?
Pan ɔl we bɔku blɔd ɛn pen go stɔp insay sɔm awa, yu kin gɛt smɔl blɔd fɔ sɔm dez ɔ wik, we fiba di nɔmal tɛm. Yuz sanitayz pad dɛn insay dis tɛm. Dis go mek yu ebul fɔ wach aw bɔku blɔd de kɔmɔt yu.
Di tin we impɔtant pas ɔl na fɔ go fɔ wan fɔlɔp apɔntinmɛnt wit di dɔktɔ. Dis kin bi insay lɛk tu wiks so. Na de, dɛn go du tɛst (skan ɔ blɔd tɛst) fɔ no if di bɛlɛ dɔn dɔn kpatakpata.
Wetin na di bad tin dɛn we kin apin ɛn di bɛnifit dɛn we pɔsin kin gɛt?
Dis we ya na lɛk 98% saksesful ɛn sef we dɛn du am ɔnda di rayt mɛdikal sɔpɔtishɔn.
Di bɛnifit dɛn we yu kin gɛt:
- dis kin bi di tεm we di bεlε de bigin.
- Bikɔs dɛn nɔ kin du ɔpreshɔn, no prɔblɛm nɔ de we kin apin we pɔsin du am.
- Yu kin du dis prɔses na kɔmfyut, prayvet ɛnvayrɔmɛnt (lɛk na os).
- Yu kin kip di pipul dɛn we de gi yu di sɔpɔt we yu nid nia yu.
Risk (rare, bɔt impɔtant fɔ no bɔt):
- Miskɛri: Sɔntɛnde di bɛlɛ nɔ kin dɔn. Ɔ sɔm tisu kin de na di uterus. If na so i bi, i kin nid fɔ mek dɛn mek D&C.
- Ebi blɔd: Blɔd we tu ebi fɔ stɔp.
- Infεkshכn: Sayn dεm fכ infεkshכn na fכ sכm sכmtεm frכm di vagina εn fiva we de te pas wan de.
- Alɛji to mɛrɛsin dɛn.
dis prosidur nכ go afekt di fכs bεlε (unless komplikashכn de). yu nכmal mεnstral saykl go bigin bak insay 4-6 wik.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu .
| Di sayn we de sho se di sik de | Wetin fɔ pe atɛnshɔn to |
|---|---|
| Ebi ebi blɔd we de kɔmɔt | If pas tu tik sanitayz pad dɛn wet ɔlsay insay wan awa . |
| Nɔbɔdi nɔ de blɔd | If blɔd nɔ bigin fɔ kɔmɔt 24 awa afta yu tek di sɛkɔn pil (misoprostol). |
| Sayn dɛn we de sho se pɔsin gɛt di sik | Fiva we de te pas 24 awa, we de kɔmɔt na di vagina we de smɛl fayn. |
| I kin fil pen bad bad wan | Bɔrku pen na yu bɛlɛ ɔr bak wae yu nɔr kin ebul fɔ kɔntrol ivin wit mɛrɛsin wae de mek yu fil pen. |
| di prεsεns fכ di bεlε simptom dεm | If yu stil gɛt bɛlɛ simptom dɛm lɛk fɔ nɔs ɛn fɔ mek yu bɔdi de swɛt afta sɔm wiks. |
Dis prɔses kin afɛkt yu bɔdi ɛn maynd. Na nɔmal tin fɔ fil difrɛn kayn filin, lɛk fɔ gladi, sɔri, fil gilti, ɛn strɛs. If yu nid pɔrsin fɔ tɔk to, fɔ tɔk to yu padi wae yu kin abop pan, yu fambul, ɔr pɔrsin wae de gi yu mɛntɛl hεlth kɔyl (tɛrapist) kin ɛp yu bad bad wan. Yu dɔktɔ kin ɛp yu bak fɔ du dis.
Mɛsej we dɛn kin kɛr go na os
- ‘Medical Abortion’ na mεdikal prosidכs we de εnd di fכs stej dεm fכ bεlε yuz pils, we nכ de כpεrayshכn.
- Dis fɔ bi ɔltɛm ɔnda di sɔpɔtishɔn fɔ wan kwalifay dɔktɔ . Nɔ tek mɛrɛsin fɔ yusɛf ɔ ɔda pipul dɛn advays fɔ ɛni rizin.
- Fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan rili impɔtant fɔ mek di tritmɛnt go bifo ɛn fɔ mek yu sef.
- Yu fɔ no bɔt sayn dɛn we de wɔn yu lɛk we yu de blɔd bɔku, we yu de fil bad bad wan, ɔ we de sho se yu gɛt di sik, ɛn go to dɔktɔ wantɛm wantɛm.
- Mental wɛlbɔdi impɔtant jɔs lɛk aw bɔdi wɛlbɔdi impɔtant. If yu nid saykolojik sɔpɔt, nɔ shek fɔ tɔk bɔt am.
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