Sɔm tin dɛn we kin apin na layf kin tan lɛk se pɔsin de fil dip dip ɛn stif we dɛn bɛr insay in at. We pikin we nɔ gɛt bɛlɛ na wan pan dɛn tin ya we kin apin to pɔsin—na pen we i nɔ kin izi fɔ tɔk bɔt, i kin rili fil bad, ɛn bɔku tɛm i kin de in wan. If yu de rid dɛn layn ya, yu go de strɛs wit da kwɛstyɔn de we rili tranga: "Wetin mek dis apin to mi?" Duya, nɔ tink dis kayn we. Dis nɔto yu fɔlt atɔl. Di wet we de na yu at, da pen de, dɛn kwɛstyɔn dɛn de—ɔl dis na kɔmplit valid ɛn na mɔtalman insay dis mɔnt.
Tru dis atikul, a want fɔ sho sɔm layt pan di kwɛstyɔn dɛn we dɛn bɛr na yu at, ɛp yu fɔ fil se nɔto yu wan de, ɛn gi yu smɔl trɛnk fɔ ɛp yu fɔ go na dis tranga waka. Wi go tɔk bɔt ɔl dis, stɛp bay stɛp, saful saful?
Di trut we ayd biɛn di wɔd "Miscarriage".
Ivin if wi yuz di wɔd " miscarriage ," bɔku ɔda tin dɛn de ɔnda di surface fɔ ɔndastand.
Aw dɔktɔ dɛn kin ɛksplen dis?
Dɔktɔ dɛn kin kɔl dis "Spontaneous Abortion." Fɔ tɔk am simpul wan, i min se bifo yu smɔl pikin—di embryo—de divɛlɔp inof fɔ liv ausayd di bɛlɛ (bɔku tɛm bifo 20 wiks we i gɛt bɛlɛ), di waka kin dɔn fɔ insɛf, ɛn yu ɔ ɛni ɔda pɔsin nɔ go ambɔg am. I tan lɛk flawa we de bɔn we de fɔdɔm na grɔn we yu nɔ de ɛkspɛkt. If dis sad tin apin afta 20 wik, dεn kin mεdikal kכl am "Stillbirth," we na difrεnt sכmtεm.
Yu tink se difrɛn kayn we dɛn de we uman kin gɛt bɛlɛ?
Yɛs, jɔs lɛk aw difrɛn chapta dɛn de na wan stori, difrɛn we dɛn de we uman we nɔ gɛt bɛlɛ kin sho. Dɔktɔ dɛn kin put dɛn insay difrɛn difrɛn we dɛn:
Na jɔs fɔ mek pɔsin fred? – Threated Miscarriage
If na so i bi, yu kin gɛt sɔm layt vagina blɔd we yu gɛt bɛlɛ kwik kwik wan. Bɔt i sɔprayz fɔ no se di sɛviks kin stil lɔk. Dis min se pan ɔl we dɛn bin de fred fɔs, sɔm op stil de, ɛn bɔku tɛm di bɛlɛ kin kɔntinyu fayn fayn wan.
Yu tink se dɛn nɔ go ebul fɔ sev am igen? – Miskɛri we nɔ go ebul fɔ avɔyd
na ya, wit blɔd ɛn bɛlɛ pen, di sɛviks dɔn ɔlrɛdi opin. Jɔs lɛk domɔt we dɛn nɔ go ebul fɔ lɔk wans dɛn dɔn opin am, dɔktɔ dɛn kin disayd se, na dis stej, i nɔ kin izi fɔ sev di bɛlɛ.
Sɔm tisu dɛn dɔn lɛf? – Miskrɛj we nɔ kɔmplit
dis kin apin we na כnli pat pan di bεlε tisu כ plasεnta dεn kכl dεm, we sכm de de insay di uterus .
Yu tink se ɔltin dɔn dɔn? – Kɔmplit Miskɛri
as di nem sho, di εmbrayo, di plasεnta, εn כl di tisu dεm we di bεlε de kכmכt kכmplit wan kכmכt na di uterus. I tan lɛk se yu dɔn dɔn di las pej na buk.
Yu tink se i bin apin kwayɛt wan? – Mis Miskɛri
Dis na tin we kɔmpleks smɔl. di εmbrayo dכn stכp fכ divεlכp, bכt i de stil de na di uterus we yu nכ gεt bכku bכku bכdi כ כda klia simptom dεm. Bɔku tɛm, na we dɛn de skan am ɔltɛm.
Yu tink se dis kin apin bak? – Miskɛri we de kam bak ɔltɛm
Dis kin min fɔ tri ɔ mɔ we dɛn kin lɔs bɛlɛ kɔnsɛkutiv wan. If dis apin, i kin tan lɛk se yu de liv tru di sem drim bɔku bɔku tɛm. Dɛn nid fɔ du patikyula mɛdikal invɛstishɔn fɔ no di ɔndalayn kɔz.
Miskɛri kin bɔku pas aw yu tink
We yu de bia dis pen, yu kin aks se, "Wetin mek dis de apin to mi nɔmɔ?" Di tru tin na dat, we uman we gɛt bɛlɛ kin afɛkt bɔku famili dɛn. stεdi, dכkta dεn ripot se lεk 10% to 20% pan di bεlε dεm we dεn no kin εnd wit bεlε. Fɔ tru, i go mɔs bi se di nɔmba go bɔku, bikɔs sɔm pikin dɛn we kin kɔmɔt na bɛlɛ kin apin so ali dat uman nɔ kin ivin no se i gɛt bɛlɛ, bɔku tɛm i kin mistek fɔ se di blɔd we de kɔmɔt na di bɛlɛ we nɔ kɔmɔn smɔl . כl di pikin dεm we kin kכmכt na di bεlε kin apin insay di fכs tri mכnt (di fכs 12 wik dεm).
Wetin yu bɔdi de tɛl yu: Sayn ɛn aw fɔ no dɛn
Yu bɔdi kin tray fɔ sho se di bɛlɛ de apin ɔ i dɔn apin. I impɔtant fɔ no dɛn sayn ya.
Men simptom dɛm fɔ luk fɔ
Di sayn dɛm we kin sho se pɔsin nɔ gɛt bɛlɛ na:
- Blɔd we de kɔmɔt na di vagina: Dis na di sayn we kin apin kwik kwik wan. I kin jɔs bi layt spat ɔ i kin ebi pas wan tipik tɛm.
- Yu bɛlɛ de pen ɔ yu de kramp: Dis kin tan lɛk se yu de kramp bad bad wan na yu bɛlɛ ɔ sɔntin we strɔng pas am.
- di tisu we de pas tru di vagina: Yu kin notis se di tisu ɔ klot de kɔmɔt wit di blɔd.
- Bak pen: Sɔm kin gɛt lɔwa bak pen nia di bɛlɛ diskɔmfɔt.
- di simptom dεm we de sho se uman bεlε de dכn: Na di sayn dεm lεk we yu bכst de tεnd כ mכnin sik de sכmtεm כ wan wan.
Aw dɔktɔ dɛn kin kɔnfirm am?
If yu gɛt dɛn sik ya, dɔktɔ go du dɛn tin ya:
- Pεlvik εgzam: fכ chεk if di sεviks opin כ klos εn fכ ases di bכdi we de bכn.
- Ultrasound Scan: dis na di mכst definitiv tεst fכ chεk fכ di pikin in at bit εn di kכndishכn fכ di uterus.
- Blɔd tɛst: Dɛn tɛst ya fɔ di hCG ɔmon, we de go ɔp we uman gɛt bɛlɛ. If di lɛvɛl nɔ de go ɔp lɛk aw dɛn bin de tink ɔ i de go dɔŋ, i kin sho se i nɔ gɛt bɛlɛ. Dɛn kin chɛk di prɔjɛstɛron lɛvɛl bak.
Di kwɛstyɔn we de mek pɔsin in at pwɛl na "Wetin mek?": Di tin dɛn we kin mek uman nɔ gɛt bɛlɛ
Dis na di big kweshon fo most: "Wetin mek dis hapm to mi?" Fɔ tru, bɔku pan di pikin dɛn we kin kɔmɔt na bɛlɛ nɔto ɛnibɔdi in fɔlt.
Di tin we kin mek i apin mɔ: Di tin dɛn we kin mek pɔsin gɛt jɛnɛtiks
di mεdikal masta sabi pipul dεm se lεk af pan כl di bεlε we dεn kin bכn na di fכs we dεn kin kכz fכ sכm sכm, random vεryushכn dεm na di jεnεtik mεkכp—spεshal wan di kromozom dεm —di sem tεm we dεn bכn. Jɔs lɛk fayn flawa we kin blo wan wan tɛm wit smɔl tin we nɔ pafɛkt, dis nɔto di mama ɔ di papa fɔlt; i jɔs tan lɛk tin we pɔsin nɔ go ebul fɔ no, we i kin apin.
Di tin dɛn we di mama gɛt wɛlbɔdi ɛn di tin dɛn we kin apin to dɛn layf
Ɔda tɛm dɛn, sɔm ɔndalayn wɛlbɔdi prɔblɛm dɛn ɔ di we aw di mama de liv in layf kin mek di pikin nɔ gɛt bɛlɛ.
- di ej we di mama de ol: Di risk fɔ mek di pikin nɔ gɛt bɛlɛde inkrεs sכmtεm as yu pas 35 ia.
- Krεse sik dεm: Wεlth εshyu dεm we dεn nכ de mεnεj lεk dayabεtis , tayroyd dizכrd , hεy blכd prεshכn , כ כ toimyun sik dεm (εgz., Systemic Lupus Erythematosus).
- di uterus anomalies: di abnכmaliti dεm na di shep כ di intanεt strכkchכ fכ di uterus (εgz., uterin septum כ fibroids) kin mek di εmbrayo nכ implant כ divεlכp fayn fayn wan sכmtεm.
- di hכmon imbalans: kכndishכn dεm lεk we di prכjεstεron nכ de כ PCOS (Polycystic Ovary Syndrome).
- Infεkshכn: Baktri כ vayral infεkshכn lεk listeriosis, toxoplasmosis, rubella, כ cytomegalovirus.
- Di tin dɛn we kin mek pɔsin liv in layf: Fɔ smok, fɔ drink rɔm, ɔ fɔ tek drɔgs we nɔ rayt.
- Wae yu de wɔri bɔt yu wet: Fɔ gɛt bɔku bɔku bɔdi ɔr nɔr gɛt bɛtɛ wet (malnutrition).
- Istri bɔt di pikin dɛn we kin kɔmɔt na bɛlɛ bak ɔltɛm.
Blighted Ovum (Anembryonic bεlε) .
Dis na ɔda tin we dɛn no se kin mek uman gɛt bɛlɛ. insay dis kes, fεtilayz eg de implant insay di uterin wכl εn wan jεstεshכnal sak de fכm, bכt wan εmbrayo nכ de divεlכp insay. Bɔku tɛm dis kin bi bikɔs di kromozom dɛn nɔ de wok fayn.
di kכmplikεshכn dεm na di bכdi εn di imכshכnal impak afta di bכdi we dεn bכn
Miskɛri na ɛkspiriɛns we nɔ jɔs de afɛkt yu bɔdi, bɔt yu filin fayn bak.
Di prɔblɛm dɛn we kin apin na di bɔdi
- di bכdi we nכ kכmplit: if di tisu we de kכmכt na di bεlε כ di plasεnta de stil de na di uterus, i kin mek di bכdi de kכntinyu fכ bכn כ infεkshכn.
- Infεkshכn: Yu kin de pan risk fכ gεt infεkshכn na di uterus כ di εria we de rawnd di bכdi (lεk Pεlvik Inflammatory Disease).
- Ɛmoraji: Pan ɔl we i nɔ kin apin so ɔltɛm, i kin blɔd bad bad wan, we kin mek i nid fɔ go to dɔktɔ kwik kwik wan.
Imɔshɔnal lod ɛn saykolojik impak
Fɔ gɛt prɔblɛm wit bɛlɛ na big big lɔs, we fiba fɔ kray fɔ ɛni ɔda big chenj na yu layf. Na nɔmal tin fɔ fil bad, vɛks, fil gilti, fred, wɔri, ɔr pwɛl hat. Fɔ navigate dɛn filin ya kin tek tɛm ɛn sɔpɔt.
Aw yu dɔktɔ go ɛp: Fɔ kɔntrol di pikin we nɔ gɛt bɛlɛ
Di mɛrɛsin we dɛn kin tek kin dipen pan tin dɛn lɛk di kayn we aw di bɛlɛ kin kɔmɔt, di stej we yu gɛt bɛlɛ, aw di sik dɛn we yu gɛt, di wan ol wɛlbɔdi we yu gɛt, ɛn wetin yu lɛk.
Ekspekt Manejmɛnt
Dis min se yu fɔ alaw yu bɔdi fɔ pas di tisu we lɛf we yu gɛt bɛlɛ bay we yu nɔ gɛt ɛni mɛrɛsin ɔ ɔpreshɔn. Dis prɔses kin tek sɔm dez to wik, we yu dɔktɔ go wach yu gud gud wan.
Medikal Manejmɛnt
yu dכkta kin gi yu mεdikeshכn (εgz., misoprostol), we dεn tek am wit yu mכt כ we dεn put am insay di vagina, fכ εp di uterus kכntrakt εn kכl di tisu we rεst.
Ɔpreshɔn Intɛrvɛnshɔn dɛn
sכm sכm tin we dεn kin du, lεk Dilayshכn εn Kכretεj (D&C) כ Dilayshכn εn Evakueshכn (D&E), dεn kin du fכ pul di tisu we de rεst na di uterus sef wan. Dɛn kin advays yu fɔ du dis if yu de gɛt bɔku blɔd, sayn dɛn fɔ se yu gɛt di sik, ɔ if ɔda we dɛn nɔ dɔn wok fayn.
Rh factor kɔnsidareshɔn dɛn
if yu na Rh-negativ εn di bεlε bin Rh-positiv, yu bכdi kin divεlכp antibodi dεm we kin afekt di bεlε we yu go gεt tumara bambay. Fɔ mek dis nɔ apin, yu dɔktɔ go gi yu wan Anti-D immunoglobulin injɛkshɔn.
Fɔ mɛn yu bɔdi ɛn maynd: Fɔ kia fɔ yusɛf afta yu dɔn pwɛl bɛlɛ
Fɔ mek pɔsin wɛl, i kin tek tɛm. Dɛn tin ya kin ɛp yu fɔ wɛl pan bɔdi ɛn filin:
- Fɔ rɛst fɔs: Gi yu bɔdi ɛn yu maynd tɛm fɔ mek dɛn wɛl.
- Manej di pen: Yuz mɛrɛsin fɔ mek yu nɔ fil pen lɛk aw yu dɔktɔ tɛl yu.
- Monitor di simptom dɛm: If yu gɛt ay fiva, yu bɛlɛ de pen bad bad wan, ɔ yu gɛt dischaj we de smɛl fayn, go to dɔktɔ wantɛm wantɛm na di imejensi dipatmɛnt.
- Nɔ mek tin dɛn we de mek yu vɛks: Nɔ du mami ɛn dadi biznɛs ɛn nɔ yuz tampon fɔ di tɛm we yu dɔktɔ tɛl yu fɔ mek yu nɔ gɛt di sik.
- Risum aktiviti smɔl smɔl: Nɔ rɔsh bak fɔ du tin dɛn we de mek yu tranga.
Fɔ luk fɔ tumara bambay: Fɔ rɛdi fɔ gɛt bɛlɛ we gɛt wɛlbɔdi
Na nɔmal tin fɔ lɛ pɔsin wɔri bɔt di tumara bambay afta we di bɛlɛ dɔn pwɛl.
Miskɛri we kin apin ɔltɛm
If yu gɛt wan bɛlɛ we nɔ gɛt bɛlɛ, dat nɔ de mek yu gɛt mɔ chans fɔ gɛt ɔda bɛlɛ. כltu, fכ εkspiriεns tri כ mכr miskεrishכn dεm dεn dεfεn am as "recurrent pregnancy loss." If na so i bi, i fayn fɔ go to spɛshal pɔsin fɔ chɛk di tin dɛn we kin mek i apin.
Fɔ fɛn op bak
If yu de plan fɔ gɛt ɔda bɛlɛ, tink bɔt fɔ advays yu dɔktɔ bifo yu gɛt bɛlɛ. If yu kɔntinyu fɔ liv fayn layf—i de it tin dɛn fayn fayn wan, yu de du ɛksɛsayz ɔltɛm, yu de tek di tin dɛn we yu de it fɔlik asid, yu de kɔntrol di tin dɛn we de apin to yu we nɔ de mɛn, ɛn yu nɔ de strɛs—i kin rili ɛp yu fɔ gɛt wɛlbɔdi bɛlɛ.
Fɔ mɛn yu filin wund dɛn: Fɔ fɛn sɔpɔt
Di filin fɔ fil bad, sɔri, ɛn vɛks afta we di bɛlɛ dɔn pwɛl, na tin we rayt ɛn kɔmɔn. Bi gud to yusɛf as yu de woke tru dɛn filin ya, ɛn go to pɔrsin wae sabi du yu wok ɔr advays if yu fil se yu de fil bad.
- Gri ɛn tɔk bɔt aw yu de fil: Gi yusɛf di rayt fɔ fil bad. Ilɛksɛf yu nid fɔ kray ɔ jɔs tɔk bɔt aw yu de fil, fɔ fri dɛn filin ya na impɔtant tin fɔ mek yu wɛl.
- Lian pan yu sɔpɔt sistɛm: Go to yu patna, yu fambul, ɛn yu tayt padi dɛn. We yu no se nɔto yu wangren de, dat go mek yu gɛt bɔku trɛnk insay dis tranga tɛm.
- Luk fɔ pɔsin we sabi du in wok if nid de: Fɔ kɔnɛkt wit pɔsin we de gi advays ɔ we de mɛn pɔsin, dat min se yu gɛt maynd, nɔto fɔ se yu wik. Fɔ tɔk tru yu pen wit pɔrsin wae sabi du yu wok na valyu we fɔ bigin fɔ wɛl pan yu filin.
- Join sɔpɔt grup dɛm: Fɔ ɛnjɔy wit ɔda pipul dɛm we dɔn sheb di sem kayn ɛkspiriɛns kin rili validet. Fɔ bi pat pan kɔmyuniti de mɛmba yu se dɛn de sɔpɔt yu ɛn nɔ ɛva rili yu wan.
Duya mɛmba se, pan ɔl we dis lɔs na chapta we de mek yu fil pen, i nɔ de difayn yu ɔl yu joyn. Na Nirogi Lanka, wi want mek yu no se bɔku pipul dɛn de we rɛdi fɔ sɔpɔt yu ɛn waka nia yu tru dis hiling prɔses.
