Yu bin blɔd bɔku bak afta yu bɔn pikin? Lɛ wi tɔk bɔt Postpartum Hemorrhage (PPH) .

I nɔmal fɔ mek yu blɔd smɔl afta yu bɔn pikin. Bɔt wetin yu go du if yu blɔd bɔku pas aw yu bin de tink? I kin rili mek pɔsin fred ɛn i kin denja. Dis na wetin wi kin kɔl postpartum hemorrhage (PPH) . Dis nɔto jok, na kɔndishɔn we nid fɔ go to dɔktɔ wantɛm wantɛm.

Wetin na blɔd we kin kɔmɔt afta dɛn bɔn pikin (PPH)? Mek wi ɔndastand gud gud wan?

Fɔ tɔk am simpul wan, di blɔd we kin kɔmɔt afta dɛn bɔn pikin (PPH) na we di blɔd kin kɔmɔt bad bad wan afta di pikin bɔn. Dis kin apin insay 24 awa afta di pikin bɔn. Wi de kɔl am ‘Praymari PPH’ . Bɔt sɔntɛnde, blɔd kin kɔmɔt fɔ sɔm dez, sɔm wiks, ɔ ivin te to 12 wiks afta di pikin bɔn. Dɛn kɔl dis ‘Sɛkɔndari ɔ Let PPH’ .

Wetin kin apin pan dis na dat bɔku blɔd kin lɔs na yu bɔdi wan tɛm. We dis kin apin, yu blɔd prɛshɔn kin go dɔŋ wantɛm wantɛm. Wetin kin apin da tɛm de? Di blɔd we de go na di at, di bren, ɛn ɔda impɔtant pat dɛn kin go dɔŋ. Dɛn kɔl dis haypovolɛmik shɔk . Dis kin mek pɔsin in layf de pan denja. So, dɔktɔ ɛn nɔs dɛn nid fɔ stɔp dis blɔd kwik kwik wan.

Mɛmba se if yu fil se yu de blɔd bɔku afta yu bɔn pikin, i kin mek yu fred. Bɔt di tin we impɔtant pas ɔl na fɔ nɔ panik, ɛn tɛl yu dɔktɔ ɔ midwayf wantɛm wantɛm. If yu no am kwik ɛn trit yu kwik, bɔku tɛm yu kin mek yu wɛl ful wan.

Aw bɔku blɔd PPH kin mek pɔsin gɛt?

Kin,

• If yu gɛt vagina delivri ɔ C-section, if yu lɔs pas wan lita (1000ml) blɔd, .
• Ɔ, if big chenj de na yu at rit ɛn blɔd prɛshɔn wit di bɔku blɔd we yu de lɔs, ɛn yu de sho sayn dɛn fɔ se yu de lɔs bɔku blɔd, dɛn kin tek am se na PPH.

dis kכndyushכn kin apin bitwin 1 εn 5 pan 100 pikin dεm we dεn bכn. Dat na bitwin 1% ɛn 5%. Bɔt wit tritmɛnt kwik kwik wan, bɔrku tɛm e nɔr kin de pan denja fɔ yu layf.

Aw a go no if a gɛt PPH? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

di men simptom fכ PPH na we i de kכntinyu, hεvi vagina blכd afta dεn bכn. Sɔntɛnde , blɔd we big pas gɔlf bɔl kin pas. If dis apin, i kin bi sayn fɔ se prɔblɛm de.

Ɔda sayn dɛn we de sho se yu gɛt dis sik na:

• Di sayn dɛm wae de sho se yu blɔd prɛshɔn smɔl: yu de tɔn, yu nɔr de si fayn, ɛn yu de fil lɛk yu nɔr de fil fayn.
• Di at rit we de go ɔp (Tachycardia).
• di kכnt we di rεd bכdi sεl dεm dכn dכn (di εmatokrit lεvεl dεm dכn dכn).
• Pale ɔ klammy skin, fil lɛk se yu de brok aut insay kol swet.
• Pen ɛn swɛlin na di vagina eria ɔ di perineal eria.(Dis kin apin we blɔd gɛda na do na wan vein)

If yu gɛt ɛni wan pan dɛn tin ya we nɔ kɔmɔn afta yu bɔn pikin, tɛl yu wɛlbɔdi biznɛsman wantɛm wantɛm . Sɔmtɛm, di PPH simptom kin kɔntinyu ivin afta yu dɔn go na os frɔm ɔspitul. If dis apin, nɔ panik ɛn go to yu dɔktɔ wantɛm wantɛm.

Wetin mek PPH kin apin? Wetin na di tin dɛn we kin mek i apin?

Bɔku tin dɛn de we kin mek pɔsin gɛt PPH.

yu no se we yu pikin de insay di bכdi, di plasεnta de atak di wכl na yu uterus εn gi di pikin it εn כksijεn. afta yu bכn yu pikin, yu uterus de kכntinyu fכ kכntrakt εn kכl di plasεnta. dis kכntrikshכn dεm de mek di bכdi vεsεl dεm usay di plasεnta bin de tayt εn stכp di bכdi we de kכmכt. Bɔt sɔntɛnde, if dɛn kɔntrakshɔn ya nɔ strɔng , di blɔd nɔ go stɔp. Dis na di kɔz fɔ 80% pan PPH.

כlso, PPH kin apin if pat dεm na di plasεnta de stil de na di uterin wכl, כ if di כgan dεm na yu riprodaktiv sistεm (vagina, sεviks, uterus) dεm dεm we yu de bכn.

PPH kin apin bכku tεm bitwin 30 εn 60 minit afta dεn bכn di pikin.

Di "Fɔ Ts" we de afɛkt PPH

fכ men tin dεm de fכ PPH, we dεn kכl "Fכ Ts".

1. di tכn (di kכndishכn fכ di uterus - Uterine Atony): Dis na di kכmכn kכz . di uterus atony na we di uterus nכ de kכntrakt fayn afta di pikin bכn, bכt i de sכft εn wik. Dɔn di blɔd vesel dɛn usay di plasɛnta bin de nɔ kin tayt, ɛn blɔd kin kɔntinyu fɔ kɔmɔt.

2. Trauma: We yu de bɔn pikin, blɔd kin kɔmɔt bikɔs ɔf injury na di vagina, sɛviks, uterus, ɔ perineum. Sɔntɛnde dis blɔd kin gɛda insay di tisu we wund ɛn kɔntinyu fɔ blɔd fɔ sɔm awa ɔ sɔm dez afta dɛn bɔn am.

3. Tisu (Retained placental tissue): if di plasεnta nכ separet kכmplit wan frכm di uterin wכl, di tisu we rεst kin mek di bכdi bכn. dis kin bi bikoz fכ wan abnכmal tin na di plasεnta, כ i kin bi nכmal plasεnta.

4. Thrombin (blɔd klot prɔblɛm): If yu gɛt disɔda we de mek yu blɔd klɔt, ɔ if yu bin gɛt wan sik we de afɛkt blɔd we de klɔt we yu gɛt bɛlɛ, ivin smɔl blɔd we de kɔmɔt kin bi big prɔblɛm.

Udat de pan ay risk fɔ gɛt PPH?

Infakt, PPH kin apin to ɛnibɔdi we de bɔn pikin. Pan ɔl we bɔku tin dɛn de we kin mek pɔsin gɛt PPH, lɛk 40% pan di PPH kes dɛn kin apin we nɔ gɛt ɛni risk . So, dɔktɔ dɛn nɔ go ebul fɔ stɔp PPH ɔltogɛda. Bɔt if yu no wetin na dɛn tin ya we kin mek yu bɔn pikin bifo yu bɔn pikin, dat kin ɛp fɔ mek yu nɔ gɛt bɔku blɔd.

Di kɔndishɔn dɛn we de na di plasɛnt

di risk fכ PPH de hכy if yu gεt εni wan pan dεn kכndyushכn ya we de rilet to di plasεnta:

• (Placenta we de bifo)(Placenta de dכn na di uterus)
• (Placental abruption ) .
• (Placenta accreta) (Placenta we de tay fayn fayn wan pan di uterin wכl)

Kɔndishɔn dɛn we gɛt fɔ du wit fɔ bɔn pikin ɔ fɔ bɔn pikin

Di risk fɔ PPH kin go ɔp if dɛn tin ya apin we dɛn de bɔn pikin:

• If dɛn dɔn gi jenɛral anestezi .
• If dɛn dɔn gi yu mɛrɛsin (tocolytics) fɔ stɔp di uterin kɔntrakshɔn.
• If di pen tek lɔng tɛm ɔ dɛn gi di mɛrɛsin we dɛn yuz fɔ mek di uterin kɔntrakshɔn (Oxytocin / Pitocin®) tumɔs fɔ tu lɔng.
• fכ bכn pikin kwik (lεs dan tri awa afta di bכdi bigin fכ bכn).
• If dεn bin yuz fכsεps כ vaykum di tεm we dεn bin de gi nכmal dilivεri.
• If big big lacerations de na di vagina.
• If dɛn bɔn di pikin bay sizarian sɛkshɔn .

Ɔda wɛlbɔdi prɔblɛm dɛn

Ɔda wɛl bɔdi prɔblɛm dɛn kin mek bak di risk fɔ gɛt PPH, lɛk:

• Fɔ ɛgzampul, sik dɛn we kin mek pɔsin blɔd klɔt (von Willebrand disease) .
• If yu dɔn tek di mɛrɛsin (Magnesium sulfate) fɔ trit siriɔs prɛeklampsia .
• bεlε kכndishכn dεm we de afekt di bכdi we de kכlכt כ di pletlεt dεm, fכ egzampl: (HELLP syndrome) , (gestational thrombocytopenia) .
• Wan infεkshכn na di amniotic sak (Chorioamnionitis) .
• Fat.
• Advans di ej we di mama gɛt.

כlso, di risk fכ PPH kin bכku if di uterus ova distend . Dis kin apin:

• If yu dɔn bɔn fayv ɔ mɔ pikin dɛn bifo.
• Insay bɔku pikin dɛn we dɛn bɔn, lɛk twins ɛn triplɛt pikin dɛn.
• If yu gɛt big pikin (macrosomia) .
• If tumɔs amniotic fluid de (polyhydramnios) .

Wetin na di pɔsibul sayd ɛfɛkt dɛm fɔ PPH?

We yu lɔs bɔku blɔd, yu kin gɛt tin dɛn lɛk we yu at de bit, yu de blo mɔ ɛn mɔ, ɛn yu blɔd nɔ de go fayn. Dɛn sayn ya kin mek di blɔd nɔ go na di ɔgan dɛn lɛk di liva, bren, at, ɛn kidni, ɛn dis kin mek pɔsin shɔk . Shok na we di ɔgan dɛn nɔ gɛt inof blɔd. Dis kin mek di ɔgan dɛn nɔ wok ɔ ivin day.

Aw fɔ no PPH afta sizarian sɛkshɔn (C-sekshɔn)?

Bɔku tɛm, di PPH simptom dɛn afta dɛn dɔn du C-sekshɔn na di sem we aw dɛn de bɔn pikin we nɔmal. Sɔm pan de sayn dɛm na:

• Di at rit we de go ɔp.
• Kol an ɛn fut, fil lɛk klem.
• I nɔ kin izi fɔ yu fɔ blo.
• Swel, brus, ɔ pen ɔdasay na di bɛlɛ, mɔ na di say we di ɔpreshɔn wund de.
• blɔd we de kɔmɔt na di vagina pasmak ɛn we de pas big big blɔd we de klɔt.

Aw dɔktɔ dɛn kin no se pɔsin gɛt PPH?

Dɔktɔ dɛn kin no PPH tru di ɛgzamɛn we dɛn kin si ɛn di bɔdi. Lab tɛst ɛn fɔ tek tɛm rivyu yu wɛlbɔdi istri impɔtant bak fɔ asɛs di risk ɛn impak we PPH gɛt.

Dɛn kin no PPH mɔ bay di blɔd we yu dɔn lɔs. Bɔku tɛm, dɛn kin no di blɔd we kin lɔs bay we dɛn kɔnt ɔ wej di pad ɔ spɔnj dɛn we bin sok wit blɔd we dɛn bɔn di pikin.

If yu sɔspɛkt PPH, yu kin yuz dɛn tin ya fɔ tɛst yusɛf mɔ:

• Kɔntinyu fɔ wach yu puls rit ɛn yu blɔd prɛshɔn .
• Blɔd tɛst we de sho aw di rɛd blɔd sɛl dɛn de na di blɔd (hematocrit) ɛn di tin dɛn we de mek di blɔd klɔt.
• εgzam we de na di bכdi we de egzamin di vagina, di sεviks, εn di uterus.
• כltra saund skan de tek di ditel imej fכ di uterus.

Aw dɛn kin trit PPH?

Bɔku tɛm, dɔktɔ dɛn kin trit PPH as imejensi. Di men gol fɔ tritmɛnt na fɔ stɔp di blɔd kwik kwik wan.

Dipen pan wetin mek yu de blɔd ɛn aw di blɔd de kɔmɔt, yu dɔktɔ kin tɛl yu fɔ du wan ɔ mɔ pan dɛn tritmɛnt ya:

• di uterus masaj fכ kכntrakt di mכsul dεm na di uterus.
• Gi mεdikeshכn we de mek di uterin kכntrikshכn.
• fכ pul di plasεnta tisu we dεn rεtεn, εither wit an כ bay sכm כda mεtכd.
• Fɔ mek di wata we de kɔmɔt na di vagina, di sɛviks, ɛn di uterus fayn .
• fכ put wan tin lεk katesh כn כ balכn f כ put prεshכn pan di uterin wכl dεm εn stכp di bכdi we de kכmכt.
• di we aw dεn kin stכp di bכdi we de kכmכt na di uterus.
• Yu nid fɔ gɛt blɔd .
• fכ gi wata tru wan vein (intravenous - IV fluids) , we min tin dεm lεk salin.
• Gi supliment oksijen tru wan mask.
• Fɔ gi yu mɛrɛsin fɔ mek yu gɛt ayɛn .

Na smɔl tɛm nɔmɔ, ɔ if ɔda we dɛn nɔ wok, di dɔktɔ kin du laparotomy (ɔpreshɔn fɔ opin di bɛlɛ ɛn fɛn usay di blɔd kɔmɔt) ɔ hysterectomy (we dɛn kin pul di uterus).

Aw lɔŋ e kin tek fɔ wɛl frɔm dis PPH kɔndishɔn?

Di tɛm fɔ wɛl kin difrɛn frɔm wan pɔsin to ɔda pɔsin. I dipen pan ɔmɔs blɔd yu lɔs ɛn aw yu dɔktɔ dɛn trit yu. I impɔtant fɔ tek kia ɔf yusɛf gud gud wan insay di fɔs de afta dɛn bɔn yu pikin – it fayn, drink bɔku wata, ɛn rɛst as yu ebul . Yu dɔktɔ kin tɛl yu bak se yu fɔ tek tin dɛn we gɛt ayɔn fɔ mɛn yu anemia.

Yu tink se dɛn kin mek dɛn nɔ gɛt PPH? A kin bɔn pikin bak?

Di bɛst we fɔ mek dɔktɔ dɛn nɔ gɛt PPH na fɔ no di wan dɛn we gɛt ay risk fɔ gɛt PPH bifo dɛn bɔn pikin. Yu kin ɛp bay we yu sheb yu ful mɛdikal histri wit yu dɔktɔ ɛn tɛl dɛn bɔt ɛni sayn fɔ PPH afta yu dɔn bɔn yu pikin.

Bɔku tɛm, i nɔ bad fɔ bɔn ɔda pikin. Bɔt, tɔk to yu dɔktɔ bɔt yu risk fɔ gɛt PPH insay yu nɛks bɔn. Ivin if yu risk smɔl pas aw yu kin gɛt, i kin stil smɔl. Yu dɔktɔ kin luk pan di tin dɛn we kin mek yu gɛt prɔblɛm ɛn disayd if yu nid fɔ tek ɛni spɛshal tin fɔ tek tɛm wit yu nɛks bɔn.

Aw yu kin tek kia ɔf yusɛf afta yu dɔn gɛt PPH?

I kin tranga fɔ kia fɔ yusɛf we yu de kia fɔ yu nyu bɔbɔ. Bɔt, if yu tek tɛm fɔ rɛst ɛn kia fɔ yusɛf fayn, yu go ebul fɔ wɛl kwik kwik wan. Yu wɛlbɔdi rili impɔtant.

Na sɔm tin dɛn we go ɛp yu:

• Rɛst: Yu bɔdi nid tɛm fɔ mek i wɛl. Nɔ fred fɔ aks fɔ ɛp, ɛn gɛt di rɛst we yu nid.
• It tin dɛn we gɛt fayn fayn tin dɛn fɔ it: Fɔ it tin dɛn we gɛt ayɔn lɛk rɛd mit, grɛn vɛjitebul, ɛn brɛkfas siriɔs tin dɛn we gɛt fɔt kin ɛp fɔ mek rɛd blɔd sɛl dɛn. Fɔ it dɛn we gɛt fayn fayn tin dɛn kin ɛp yu fɔ wɛl.
• Drink wata: Drink plɛnti wata afta yu bɔn pikin fɔ mek yu nɔ gɛt wata na yu bɔdi.
• Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn: Yu dɔktɔ kin gi yu mɛrɛsin ɔ chenj yu layf fɔ ɛp yu fɔ wɛl. Tek tɛm fala dɛn instrɔkshɔn dɛn de.
• Kip yu yay pan di blɔd we de kɔmɔt: Wear sanitayz pad. Wach aw lɔng i kin tek fɔ mek i ful-ɔp. Di blɔd fɔ stɔp smɔl smɔl fɔ sɔm wiks. If i nɔ du dat, go to yu dɔktɔ.

If yu blɔd bɔku, dat kin rili mek yu fil bad. I nɔmal fɔ tek sɔm tɛm fɔ mek yu fil fayn frɔm di ɛkspiriɛns we yu bin gɛt we yu bɔn pikin. Yu kin nid sɔpɔt frɔm yu fambul, padi, dɔktɔ, ɔ ɔda pipul dɛn. Tɔk bɔt aw yu de fil, ɛn aks fɔ ɛp we yu nid am.

Ustɛm yu fɔ go to dɔktɔ?

Bɔku tɛm, PPH kin apin afta yu bɔn pikin ɔ we yu de na ɔspitul. Bɔt if yu de blɔd bad bad wan afta yu rich na os ɔ if yu gɛt ɛni sayn fɔ PPH, go to yu dɔktɔ wantɛm wantɛm . If yu dɔktɔ in ɔfis lɔk ɔ yu nɔ ebul fɔ rich to dɛn, go na di imejensi rum na di ɔspitul we de nia yu.

If yu gɛt bɔku blɔd afta yu bɔn pikin, go to dɔktɔ wantɛm wantɛm. Ɔda sayn dɛm fɔ PPH na fɔ gɛt diziz, fɔ fɔdɔm, ɛn fɔ gɛt prɔblɛm fɔ blo. PPH na siriɔs sik we nid fɔ go to dɔktɔ wantɛm wantɛm.

If yu ɔr pɔrsin wae yu lɛk gɛt PPH, na nɔrmal tin fɔ fil fɔ shok ɛn frayd fɔ de ɛkspiriɛns. Bɔt mɛmba se if yu no am kwik ɛn trit yu kwik kwik wan, dat kin mek yu nɔ gɛt siriɔs prɔblɛm dɛn. Na dat mek i impɔtant fɔ tɔk opin ɛn ɔnɛs to yu dɔktɔ bɔt yu mɛdikal istri. Dis go ɛp yu fɔ no if yu de pan risk fɔ PPH.

Faynal Mɛsej fɔ Tek-Hom

• PPH (Postpartum Hemorrhage) na siriɔs sik we nid fɔ go to dɔktɔ wantɛm wantɛm, we di blɔd kin kɔmɔt pasmak afta dɛn bɔn pikin.
• If yu gɛt sɔm sayn dɛn lɛk we yu de blɔd pasmak, we yu de pas big big blɔd, yu ed de tɔn, yu de fɔdɔm, ɔ yu at de bit mɔ ɛn mɔ , go to dɔktɔ wantɛm wantɛm .
• di men tin we de mek PPH na di uterin atony, we na di inability fכ di uterus fכ kכntrakt fayn fayn wan. Ɔda tin dɛn we kin mek i gɛt injury, we i kin kip di pikin in bɛlɛ, ɛn we i kin gɛt prɔblɛm wit di blɔd we kin mek i nɔ klin.
• Pan ɔl we sɔm tin dɛn de we kin mek pɔsin gɛt dis sik, PPH kin apin to ɛnibɔdi .
• If dɛn no am kwik ɛn trit am kwik, bɔku tɛm i kin wɛl ɔl.
• Di PPH ɛkspiriɛns kin mek yu fil fayn. Nɔ shem fɔ gɛt di sɔpɔt we yu nid.

Fɔ tek kia ɔf yu wɛlbɔdi biznɛs rili impɔtant, mɔ pan tɛm dɛn lɛk dis. Nɔto yu wan, aks fɔ ɛp.

` εmoraji afta dεn bכn, PPH, bכn pikin, bכdi de bכn, uterus, plasεnta, uman in hεlth