Mi pikin de divεlכp ausayd di uterus? Ɔltin bɔt (Ectopic Pregnancy) na simpul tin.

Yu kin dɔn yɛri di wɔd `(Ectopic Pregnancy)`, ɔ yu kin no pɔsin we dɔn gɛt dis sik. I kin rili mek yu fred smɔl, bɔt if yu no dis fayn fayn wan, if yu no am kwik, yu kin ridyus bɔku prɔblɛm dɛn. So tide wi go tɔk rili simpul wan bɔt wetin na `(Ectopic Pregnancy)` ɔ bɛlɛ we de na do na di uterus, wetin mek i kin apin, wetin na in simptom dɛm, ɛn aw dɛn kin trit am.

Wetin na nɔmal bɛlɛ? Lɛ wi ɔndastand dat fɔs.

Fɔ tɔk am simpul wan, we uman gɛt bɛlɛ we gɛt wɛlbɔdi, di eg we dɛn dɔn fɛtilayz, we na di smɔl smɔl embryo we de kɔmɔt frɔm di mama ɛn papa in sɛl dɛn, kin put insɛf dairekt insay di mama in uterus . di uterus na sכmכl ples we lεk sak, na say we sef fכ kia fכ pikin, gi am tin fכ it, εn gro fכ nayn mכnt. I gɛt ɔl wetin di pikin nid fɔ mek i go bifo.

So wetin na εktopik bεlε?

Naw yu go dɔn ɔndastand di nɔmal we. bכt insay `(Ectopic Pregnancy)`, di eg we dεn fεtilayz nכ de rich di uterus, bכt i de implant insεf כdasay. כl di tεm dεm, dat na lεk 90 pan 100, dis eg de implant insεf insay di `(Fallopian tubes)` . dis fallopian tכb dεm na tu tכn tכb dεm we de kכri di eg frכm di ovary to di uterus. dis na di rizin we mek dεn kin kכl am `(Ectopic Pregnancy)` `(Tubal Pregnancy)`.

Bɔt nɔto jɔs insay di fallopian tyub dɛn, bɔt i nɔ kin apin so ɔltɛm, dis eg kin put insay di ovary , sɛviks , ɔ ivin insay di bɛlɛ .

Jɔs tink, if wi plant smɔl plant na ples we gɛt fayn fayn grɔn ɛn ples, i go gro ɛn tɔn to big tik. di sem we, di εmbrayo nid uman in bεlε fכ divεlכp fayn fayn wan.

nכn pan dεn ples dεm ya, dat na, insay fallopian tube כ ovary, nכ spεs כ fasiliti de fכ di εmbrayo fכ gro εn fכ it fayn fayn wan. so as di εmbrayo de gro de, di כgan we dεn put am insay (fכ egzampl, di fallopian tube) nכ de ebul fכ sכpכt am. As tɛm de go, i kin bɔs . If dat apin, i kin mek di blɔd kɔmɔt pasmak ɛn ivin bad bad wan pan di mama in layf. Na dat mek dis rili denja.

כda tin na dat, di εmbrayo we dεn put na do na di uterus dis we i nכ go divεlכp fכ bi hεlty pikin.

Wetin mek dis kin apin? Wetin na de risk factor wae kin afekt dis?

I at fɔ tɔk fɔ tru wetin na di wangren tin we mek i apin. Bɔt sɔm tin dɛn kin mek di chans fɔ gɛt bɛlɛ we nɔ de na di bɛlɛ, ɔ risk.

• If yu dɔn gɛt bɛlɛ we nɔ de na di bɛlɛ bifo: Pɔsin we dɔn gɛt dis sik wan tɛm go gɛt am bak.
• If di fallopian tyub dεm dεn dכn pwεl:If di fallopian tyub dεm dεn dכn pwεl, blכk, כ skata bikoz fכ wan infεkshכn, lεk pelvic inflammatory disease (PID) , we kכz fכ infεkshכn we dεn kin gεt wit mami εn dadi biznεs (STI), di eg nכ go ebul fכ rich di uterus fayn fayn wan.
• If yu dɔn gɛt ɔpreshɔn pan yu fallopian tyub dɛm: Fɔ ɛgzampul, if yu dɔn tay yu fallopian tubes ɛn afta dat dɛn atak dɛn bak (rivɛl di tubal ligation).
• Sɔm tritmɛnt dɛm fɔ bɔn pikin: Dis risk kin go ɔp smɔl, mɔ wit tritmɛnt dɛm lɛk IVF.
• If yu de smok: Dis risk kin bɔku fɔ uman dɛn we de smok.
• If yu dɔn pas 35 ia.
• If yu gɛt bɛlɛ we yu gɛt IUD: IUD na wan we we rili fayn fɔ mek yu nɔ bɔn pikin. Bɔt i nɔ kin izi fɔ mek yu gɛt bɛlɛ we yu gɛt IUD. If yu du dat, di bɛlɛ go mɔs bi ɛktɔpik.

Wetin na di sayn dɛm fɔ dis? Aw wi go no am kwik?

Dis na impɔtant tin, bikɔs if dɛn no am kwik, i kin izi fɔ trit ɛn di risk kin smɔl.

Jɔs lɛk aw i kin gɛt bɛlɛ we nɔmal, .

• Di we aw i de stɔp fɔ gɛt mɔnt
• Breast pen, tayt
• Di sayn dɛm lɛk fɔ vɔmit ɛn nɔs kin apin fɔs.

כltu, fכs simptom dεm de we spεshal fכ ``Ektopik Bεlε'' εn we yu fכ rili no bɔt :

• Wan-sayd bɛlɛ pen: Dis na di men sayn. I kin bigin lɛk dɔl , pen we de at na wan say na di bɛlɛ (ilɛksɛf na di rayt ɔ lɛft), ɛn sɔntɛnde i kin rili bad, i kin chuk pɔsin, ɔ chuk pɔsin. Dis pen kin de ɔltɛm ɔr kin kam ɛn go.
• Blɔd we nɔ kɔmɔn na di vagina: Dis nɔ tan lɛk nɔmal tɛm we pɔsin kin gɛt mɔnt. I kin layt, brawn, ɔ wata. Insay sɔm pipul dɛn, i kin ivin bi dak rɛd.
• Sɔlda tip pen: Dis kin tan lɛk wan strenj sayn, bɔt if blɔd de kɔmɔt insay di bɛlɛ, dis kayn pen kin apin bikɔs di blɔd de mek di dayafragm, we na wan mɔsul, wok.
• Fɔ fil pen we yu de pul yu dɔti ɔ yu de pis.
• Wik, diziz, faint: Dɛn tin ya na sayn dɛm wae de rili denja. Dɛn min se bɔku blɔd de kɔmɔt insay yu bɔdi ɛn yu kin go insay shɔk . If sɔntin lɛk dis apin, yu fɔ go na ɔspitul ɛn nɔ de te.

Imajin yu padi, lɛ wi se Shyama. I kin gɛt bɛlɛ let, dɛn kin tɛst am fɔ no if i gɛt bɛlɛ na os, ɛn i kin rili gladi. Bɔt afta sɔm dez, i kin bigin fɔ fil pen na wan say na in bɛlɛ, ɛn blɔd kin kɔmɔt smɔl. I tink se, "O, maybe dis na ɔda tin we di pikin atak." Bɔt di pen kin bɔku smɔl smɔl.Na lɛk dis tɛm dɛn kin rili nid fɔ go to dɔktɔ.

Aw ɛksaktɔli dɔktɔ kin no bɔt dis?

If yu gɛt ɛni wan pan di sayn dɛn we wi dɔn tɔk bɔt ɛn yu tink se yu gɛt bɛlɛ, i go fayn fɔ mek yu go to dɔktɔ kwik kwik wan. Di dɔktɔ go aks yu kwɛstyɔn dɛn ɛn chɛk yu. Dɔn i kin du bɔku tɛst fɔ no if i gɛt di sik.

• Test fɔ yu urine ɔ blɔd tɛst: Chɛk if yu gɛt bɛlɛ.
• Transvaginal Ultrasound: Dis na di skan we impɔtant pas ɔl . dis skan involv fכ put sכmכl instrכmεnt tru di vagina εn i de mek yu si klia wan if di εmbrayo de insay כ ausayd di uterus.
• bכdi tεst fכ chεk di lεvεl fכ di כmon `(hCG)`: `(hCG)` na כmon we de kכmכt we uman bεlε. insay nכmal bεlε, di lεvεl fכ dis כmon de inkrεs kwik kwik wan. כltu, insay `(Ectopic Pregnancy)`, di rεt fכ inkrεs kin slo, כ i kin stil de na di sem lεvεl. Dɛn kin du dis blɔd tɛst lɛk ɛvri tu dez.
• Sɔntɛnde dɛn kin du `(Laparoscopy)` ɔpreshɔn: If ɔda tɛst dɛn nɔ ebul fɔ fɛn di rayt tin we mek dɛn du am, ɔ if na imejensi, dɛn kin put wan tin we gɛt smɔl kamɛra insay di bɛlɛ ɛn luk am dairekt wan. Dɛn kɔl dis `(Laparoscopy)`.

Wetin na di tritmɛnt dɛm fɔ dis?

if dεn kכnfכm ``Ectopic Pregnancy'', dεn nכ kin kכntinyu di bεlε biכs i de mek di mama in layf de pan denja. fכ dat di men gol fכ tritmεnt na fכ pul di fetal tisu we dεn implant ausayd di uterus εn protεkt di mama.

Bɔku tritmɛnt dɛn de we yu kin gɛt. i dipכnt pan bכku tin dεm, lεk aw di εmbrayo big, usay i de, if bכdi de bכn, εn yu jεnarכl hεlth.

1. Mɛdikal manejmɛnt:

• Insay dis, dɛn kin gi wan mɛrɛsin we dɛn kɔl ``Methotrexate'' as injɛkshɔn. dis mεdisin de stכp di growth fכ di sεl dεm we de divayd kwik kwik wan (i.e. di εmbrayonik sεl dεm).
• dis tritmεnt kin כnli if dεn no di εktopik bεlε rili ali , di εmbriyo nכ big, εn di fallopian tכb nכ rכp.
• afta dεn gi `(Methotrexate)`, dεn de du bכdi tεst כltεm te di `(hCG)` lεvεl dכn.

2. Ɔspitul manejmɛnt:

• Laparoscopy (keyhole surgery): Dis na di tin we dɛn kin du mɔ. Dɛn kin du di ɔpreshɔn tru sɔm smɔl smɔl say dɛn we dɛn kɔt di bɛlɛ, ɛn dɛn kin yuz kamɛra ɛn fayn fayn tin dɛn. Tu we dɛn de we dɛn kin du am:
• Salpingostomy: dεn kin kכt di fallopian tכb, na di fεtilayz tisu nכmכ dεn kin pul, εn dεn kin lεf di tכb intakt. Dɛn kin du dis so dat dɛn go yuz di tiub bak tumara bambay, pas nɔmɔ di damej bad bad wan.
• Salpingɛktɔmi: .di wan ol fallopian tכb we gεt di εmbriyo dεn de kכl am. Dɛn kin du dis if di tiub dɔn pwɛl bad bad wan ɔ if i de blɔd bad bad wan.
• Laparotomy (open surgery): If ɛnitin apin we di fallopian tube dɔn brok ɛn blɔd de kɔmɔt pasmak, dɛn kin nid fɔ du big ɔpreshɔn we dɛn kin kɔt di bɛlɛ.

Di dɔktɔ dɛn go tek tɛm chɛk yu sik ɛn tɔk to yu us tritmɛnt go fayn fɔ yu.

Wetin kin apin afta dis? A kin bɔn ɔda pikin?

``(Ectopic Pregnancy)`` na tru tru difrεnt εkspiriεns fכ uman, pan in bכdi εn maynd.

• Saikɔlɔjik impak: Yu kin fil bad, fil bad, ɛn ivin vɛks fɔ lɛ yu nɔr gɛt op igen. I rili impɔtant fɔ tɔk to yu man, yu fambul, ɛn padi dɛn bɔt dis ɛn aks fɔ dɛn ɛp dis tɛm. Yu kin aks fɔ advays bak if nid de. Mɛmba se nɔto yu wangren de.
• Fɔ wɛl bɔdi: If dɛn dɔn du ɔpreshɔn pan yu, i go tek sɔm tɛm fɔ mek yu wɛl. Fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we.
• fכs bεlε: bכku uman dεm kin gεt bεlε we de kכmכt fayn fayn wan afta dεn gεt bεlε we dεn kכl εktopik. Bɔt if dɛn dɔn pul wan fallopian tyub ɔ if di tiub dɛn dɔn pwɛl, di chans fɔ gɛt bɛlɛ bak kin smɔl smɔl. כlso, di risk fכ כda εktopik bεlε de hכy sכmtεm.

So if yu de tink bɔt fɔ bɔn pikin bak, i rili impɔtant fɔ tɔk to yu dɔktɔ bɔt am ɛn aks am fɔ advays. insay yu nεks bεlε, i fכ go to dכkta kwik εn mek yu skan fכ kכnfכm se i stil de na di uterus.

Di impɔtant tin dɛn we wi nid fɔ lan frɔm dis

Okay, so frɔm wetin wi dɔn tɔk bɔt tide, a op se yu dɔn gɛt bɛtɛ ɔndastandin bɔt `(Ectopic Pregnancy)`. Na sɔm pan di impɔtant tin dɛn we yu fɔ mɛmba:

• Ectopic Pregnancy na siriɔs sik , bɔt dɛn kin trit am fayn if dɛn no am kwik.
• If yu gɛt ɛni wan pan di tin dɛn we kin apin we yu gɛt bɛlɛ, lɛk we yu de fil pen na wan say na yu bɛlɛ, we yu de blɔd we nɔ kɔmɔn, ɔ we yu gɛt pen na yu sholda , go to dɔktɔ we yu nɔ go te.
• Dis nɔto ɛnibɔdi in fɔlt.
• Gi yusɛf tɛm fɔ wɛl pan yu bɔdi ɛn maynd afta yu dɔn gɛt tritmɛnt. Gɛt di ɛp we yu nid.
• Bɔku pipul dɛn go ebul fɔ bɔn pikin we gɛt wɛlbɔdi tumara bambay. Kip yu op dɛn.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ aks yu dɔktɔ. Stay wit wɛlbɔdi!

` Ɛktopik Bɛlɛ, Miskɛri, Falopian Tiub, Ɛktopik Bɛlɛ, Bɛlɛ, Uman dɛn Wɛlbɔdi, Imejɛnsi Keya