As mama we de bɔn pikin, yu kin fred smɔl bak ɛn want fɔ no mɔ bɔt bɔn pikin, nɔto so? sכmtεm, ivin afta lכng tεm we di pikin dכn bigin fכ bכn, tεm de we di uterus nכ de kכntrakt fayn fayn wan. Ɔda tɛm dɛn, ivin we di de we dɛn fɔ bɔn pikin dɔn rich, i nɔ kin bigin fɔ leba atɔl. We dɛn kayn tin ya apin, dɔktɔ dɛn kin yuz wan spɛshal mɛrɛsin we dɛn kɔl ɔksitɔsin fɔ ɛp fɔ bɔn pikin. Bɔku mama dɛn kin fred smɔl we dɛn yɛri dis nem. Bɔt we yu no gud gud wan wetin i bi, wetin mek dɛn gi am, ɛn wetin kin apin wit am, da fred de nɔ de igen. So lɛ wi tɔk bɔt am tide.
Wetin na dis Ɔksijɛn?
Fɔ tɔk am simpul wan, ɔksitɔsin na ɔmon we wi bɔdi kin mek na wi bɔdi. Dɛn kin kɔl am bak di "lɔv ɔmon." na di sem כmon we de εp di uterus fכ kכntrakt (swεl) we i de bכn pikin εn i de εp fכ fכlכ di milk we i de gi in bεlε.
Bɔt sɔntɛnde, di ɔksijɛn we di bɔdi de mek nɔ kin du fɔ am. Na da tɛm de dɛn kin gi yu sɛntetik ɔksijɛn as injɛkshɔn. Dis gɛt tu men tin dɛn:
1. Fɔ bigin ɔ fɔ mek di pikin bɔn kwik kwik wan: if di uterus nɔ kɔntrakt fayn afta lɔng tɛm we di pikin bigin fɔ bɔn, dɛn kin gi dis mɛrɛsin fɔ mek i wok fayn fayn wan. Dɛn kin yuz am bak fɔ mek dɛn bɔn pikin if dɛn nid fɔ mek dɛn bɔn pikin kwik kwik wan bikɔs ɔf sɔm mɛdikal rizin dɛn.
2. Fɔ stɔp fɔ blɔd pasmak afta di pikin bɔn: Sɔntɛnde afta dɛn bɔn di pikin, di uterus nɔ kin kɔntrakt fayn, we kin mek i blɔd pasmak. Dis na tin we rili denja. So fכ mek i nכ de כ trit am, dεn kin gi dis כksijεn injεkshכn fכ εp di uterus kכntrakt fayn fayn wan εn stכp di bכdi we de kכmכt.
Na Sri Lankan ɔspitul dɛm, dɛn kin si dis mɔ ɔnda di brand nem `(Pitocin)`.
Wetin na di tin dɛm we yu fɔ tɛl di dɔktɔ bifo yu gi am dis mɛrɛsin?
Ɔksijɛn nɔto wan saiz mɛrɛsin we pɔsin kin gɛt. Yu dɔktɔ go nid fɔ no yu kɔmplit mɛdikal istri bifo i disayd fɔ gi yu am. So, mek shɔ se yu tɛl yu dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya:
| Situeshɔn we dɛn fɔ ripɔt | Diskripshɔn (ɛgzampul) . |
|---|---|
| Risk dɛn we pɔsin kin gɛt we i bɔn pikin | If di vagina dilivri de risky biכs fכ rizin dεm lεk sεvikal kεnsar, wan aktif jεnital hεpi infεkshכn, כ di pikin in ed big pas di mama in bכdi. |
| di posishכn fכ di pikin, di plasεnta, כ di כmbilikal kכd | if di pikin na brich, di plasεnta de lכw na di uterus (placenta previa), כ prכblεm posishכn de na di כmbilikal kכd. |
| Di ɔpreshɔn dɛn we dɛn bin dɔn du fɔ di uterin bifo dis tɛm | If yu dɔn du sizarian sɛkshɔn ɔ ɔda ɔpreshɔn pan di uterus bifo. |
| Bɔku bɔku bɛlɛ dɛn | If yu dɔn bɔn pikin bɔku tɛm bifo (bɔku tɛm pas 5). |
| כva stimulashכn fכ di uterus | If di uterus dɔn ɔlrɛdi tayt pasmak ɔ i gɛt kɔntrakshɔn ɔltɛm. |
| Alɛji dɛn we pɔsin kin gɛt | If yu nɔ gɛt alɛji fɔ ɔksitɔsin ɔ ɛni ɔda mɛrɛsin, it, ɔ tin we de mek yu nɔ pwɛl. |
Aw dɛn kin gi ɔksijɛn injɛkshɔn ɛn wach am?
Dis nɔto mɛrɛsin fɔ tek na os. Dɛn kin gi am ɔltɛm na ɔspitul ɔ klinik. Dɛn kin gi am sloslo tru wan salin sɔlvushɔn (intravenous infusion).
Di tin we impɔtant pas ɔl na dat, we dɛn de gi yu dis mɛrɛsin, di dɔktɔ dɛn ɛn di wan dɛn we de wok na di nɔs dɛn go de wach yu ɛn yu pikin gud gud wan. di pikin in at bit go kכntinyu fכ de yuz CTG mashin. Dɛn go de chɛk tin dɛn bak ɔltɛm lɛk aw yu uterus de kɔntrakt ɛn yu blɔd prɛshɔn.
Bikɔs dɛn kin gi dis ɔnda dɔktɔ in sɔpɔtishɔn, di chans fɔ mek pɔsin tek am pasmak nɔ kin bɔku. Bɔt if dis kayn ɔvados apin, di wan dɛn we de wok na di ɔspitul go tek akshɔn wantɛm wantɛm. If dis kayn tin apin, dɛn go kɔntak di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital.Ɔ dɛn go tɛl di Imejɛnsi Tritmɛnt Yunit (ETU) we de nia yu ɛn dɛn go gɛt instrɔkshɔn dɛn we nid.
Ɔda mɛrɛsin dɛm wae kin miks wit dis mɛrɛsin
If yu de tek mɛrɛsin fɔ ɔda sik, i impɔtant fɔ tɛl yu dɔktɔ bɔt dat bak, bikɔs sɔm mɛrɛsin kin miks wit ɔksitɔsin.
- כda mεdikal dεm we de opin di sεviks כ kכntrakt di uterus (e.g., Dinoprostone, prostaglandin E2) .
- Sɔm mɛrɛsin dɛn we dɛn kin tek fɔ mek pɔsin gɛt ay blɔd prɛshɔn
- Drug dɛn we dɛn kin yuz fɔ gi anestezi (numbness) we dɛn de du ɔpreshɔn
So, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk di tradishɔnal Ayurveda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn sɔpɔtmɛnt dɛn.
Sɔm sayd ɛfɛkt dɛn we ɔksitɔsin kin gɛt
Lɛk ɛni mɛrɛsin, ɔksijɛn kin gɛt sɔm bad bad tin dɛn. Bɔt nɔto ɔlman go ɛkspiriɛns dɛn. Ɛn yu nɔ nid fɔ wɔri bikɔs dɛn go de wach yu ɔltɛm na di ɔspitul. Di impɔtant tin na fɔ no.
| Tayp fɔ di sayd ɛfɛkt | Karakta |
|---|---|
| Siriɔs sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ ɔ nɔs wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin rash, i kin it bad bad wan, yu fes, yu lip, yu tɔŋ ɔ yu trot kin swel, yu nɔ kin ebul fɔ blo. |
| Di chenj dɛn we de apin na di at rit | At bit kin rili fast, i nɔ kin de ɔltɛm, i kin gɛt diziz, i kin at na in chɛst. |
| Ebi ebi blɔd we de kɔmɔt | blɔd we de kɔmɔt na di vagina pasmak afta yu bɔn pikin. |
| Sayd ɛfɛkt dɛm wae nɔr kin bi kɔz fɔ wɔri, bɔt fɔ ripɔt if dɛn kɔntinyu | |
| Vɔmit | Fɔ fil lɛk se yu bɛlɛ de churn, fil lɛk se yu de kam fɔ vɔmit. |
| Fɔ vɔmit | Fɔ vɔmit. |
Mɛmba se di mɛdikal tim de pe atɛnshɔn gud wan if di uterus de kɔntrakt tumɔs we dɛn de gi dis mɛrɛsin ɔ if di pikin de gɛt ɛni prɔblɛm. If ɛni prɔblɛm de, dɛn go stɔp fɔ gi di mɛrɛsin wantɛm wantɛm ɛn du di tin dɛn we dɛn nid. So nɔ fred.
Mɛsej we dɛn kin kɛr go na os
- Ɔksijɛn na wan impɔtant mɛrɛsin we de ɛp fɔ bɔn pikin, i de kɔntrakt di uterus, ɛn i de stɔp fɔ blɔd afta yu bɔn pikin.
- Dɛn kin gi dis mɛrɛsin ɔltɛm na ɔspitul, ɔnda dɔktɔ in sɔpɔtishɔn.
- Tɛl yu dɔktɔ bɔt yu wɛlbɔdi prɔblɛm, ɔda mɛrɛsin dɛn we yu de tek, ɛn alɛji we yu nɔ ayd ɛnitin.
- Dɛn go de wach yu ɛn yu pikin gud gud wan we dɛn de gi yu ɔksijɛn, so nɔ fɔ fred we yu nɔ nid.
- Notis di dɔktɔ dɛn wantɛm wantɛm if yu gɛt ɛni bad bad sayd ɛfɛkt lɛk fɔ mek yu nɔ ebul fɔ blo fayn, yu at de bit kwik kwik wan, ɔ yu de blɔd pasmak.
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