wan pan di wכd dεm we de mek uman we de bכn pikin kin yεri we de mek i fil pen na 'miscarriage'. De sad, frayd, gilti wae kin kam wit wae yu yɛri dis wɔd kin mek yu fil lɛk yu wan de. Bɔt nɔto yu wan de. Miskɛri kin bɔku pas aw yu tink. Ɛn, di tin we impɔtant pas ɔl na dat, nɔto yu fɔlt bɔku tɛm. Mek wi tok abaut am ol tide.
Wetin rili na we uman kin pwɛl bɛlɛ?
Fɔ tɔk am simpul wan, we uman we nɔ gɛt bɛlɛ, na we di pikin lɔs na di bɛlɛ bifo i rich 20 wiks we i gɛt bɛlɛ.
Miskɛrɛj na tin we rili kɔmɔn. Sɔmtɛm dɛn kin apin bifo yu ivin mis yu prɛgnɛshɔn ɔ no se yu gɛt bɛlɛ. So i at fɔ tɔk klia wan ɔmɔs bɛlɛ kin rili apin. bכt 10% to 20% pan di bεlε dεm we dכkta dεn kכnfכm de εnd wit miskεri. Bɔt di wan dɛn we de du risach se di ɔvala rɛt kin bi lɛk 40%.
di imכtant tin na dat, mכr dan 80% pan di pikin dεm we de kכmכt na di bεlε de apin insay di fכs 3 mכnt dεm we di bεlε de. dis risk de dכn to 2%-4% bitwin wik 8 εn 13. Afta 14 wik , di risk fכ bכn na 1% כ ivin less.
If pikin lɔs afta 20 wiks we i gɛt bɛlɛ, wi kin kɔl am pikin we dɔn day.
Wetin na di sayn dɛn we pɔsin kin gɛt we i nɔ gɛt bɛlɛ?
Sɔntɛnde, di bɛlɛ kin apin we nɔ gɛt ɛni sayn. Bɔt sɔm tin dɛn de we kin apin to pɔsin. If yu gɛt wan ɔ mɔ pan dɛn tin ya, go to yu dɔktɔ wantɛm wantɛm. I go tɛl yu if yu fɔ de na os, kam na di klinik, ɔ go na di imejensi rum (ETU).
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Blɔd we de kɔmɔt | Blɔd we de kɔmɔt na di vagina. I kin bigin smɔl smɔl ɛn afta dat i kin ebi. |
| Pen | Bɛlɛ pen bad bad wan, bak pen we de wɔs, ɔ bɛlɛ pen ɔltɛm. |
| Di tisu dɛn we de kɔmɔt na di bɔdi | di tisu fragmεnt dεm we lεk blכd kכlכt de pas frכm di vagina. |
| Ɔda tin dɛn we de apin | Wik, fiva, wayt-pink dischaj, weit lכs, εn di simptom dεm fכ bεlε de dכn (e.g., mכnin sik, brεst tεndεns). |
Wetin na di tin dɛn we kin mek uman gɛt bɛlɛ? Na mi fɔlt?
Dis na kwɛstyɔn we bɔku mama dɛn kin aks dɛnsɛf. Bɔku pan di pikin dɛn we kin kɔmɔt na bɛlɛ kin bi bikɔs ɔf siriɔs jɛnɛtik prɔblɛm dɛn we de na di εmbrayo ɔ di pikin we de na di pikin. Bɔku tɛm, dɛn tin ya kin apin we nɔ kin apin wantɛm wantɛm, ɛn di mama ɔ papa nɔ kin gɛt ɛnitin fɔ du wit am. Fɔ tɔk am simpul wan, sɔntin kin rɔng kwik kwik wan we di pikin de gro. Dis nɔto sɔntin we ɛnibɔdi go ebul fɔ stɔp.
sכmtεm wan fεtilayz eg kin implant insay di uterus bכt i nכ de divεlכp to εmbriyo. dis dεn kכl am ``Anembryonic Pregnancy`` כ ``Blighted Ovum``. Dis kin dɔn bak we uman kin gɛt bɛlɛ.
Apat frɔm dis men rizin, ɔda tin dɛn de we kin mek di pikin gɛt bɛlɛ:
- Infεkshכ n kכndishכn dεm na di mama.
- Kɔndishɔn lɛk dayabitis we dɛn nɔ kin kɔntrol ɔ tayroyd sik na di mama.
- Prɔblɛm dɛn we gɛt fɔ du wit ɔmon dɛn.
- Prɔblɛm dɛn we de na di imyun sistɛm.
- εni abnכmaliti na di uterus (e.g. sist).
- Smok, drink rɔm ɛn yuz drɔgs.
- Fɔ gɛt redioaktiv matirial ɔ pɔyzin kemikal dɛn.
- Mama in ej pas 35 ia.
- We i bin dɔn gɛt tu ɔ mɔ bɛlɛ bifo.
Sɛvikal Insufisɛns
Sɔntɛnde, di bɛlɛ kin apin bikɔs di sɛviks wik. Dɔktɔ dɛn kin kɔl dis `Sɛvikal Insufficiency`. insay dis kes, di sεviks de opin bifo tεm biכs i nכ kin sכpכt di wet fכ di pikin we de gro. dis kin apin insay di sεkכn trimεst we di bεlε de. biכs fכ dis, di pikin εn di plasεnta kin kכmכt wan wan, we i nכ de fil bכku pen, we di bεlε de kכmכt. fכ pכsin we gεt histri fכ dis, dεn kin put sεklaj rawnd di sεviks na lεk 12 wiks fכ di nεks bεlε fכ mek i strכng. Dɛn kin pul di sutura dɛn we di pikin dɔn nia fɔ bɔn.
Yu tink se difrɛn kayn we dɛn de fɔ pwɛl bɛlɛ?
Yɛs, dɛn kin sheb di pikin dɛn we gɛt bɛlɛ to difrɛn kayn dɛn dipen pan aw i kin apin.
| Di kayn we aw dɛn kin pwɛl bɛlɛ | Simpul ɛksplen |
|---|---|
| Threated Miscarriage we dɛn kin gɛt (Dɛn de trɛtin fɔ mek uman nɔ gɛt bɛlɛ) | Blɔd kin kɔmɔt, bɔt di sɛviks nɔ opin. Bɔku tɛm, dɛn kin kɔntinyu fɔ gɛt dis bɛlɛ ɛn nɔ gɛt prɔblɛm. |
| Miskɛri we nɔ go ebul fɔ avɔyd (Na fɔ pwɛl bɛlɛ we pɔsin nɔ go ebul fɔ stɔp) | di sεviks dεn dכn opin bak, wit blכd εn pen. I dɔn lɛf smɔl fɔ mek uman we nɔ gɛt bɛlɛ go apin na ya. |
| Miskɛri we Nɔ Kɔmplit (Abɔshɔn we nɔ kɔmplit) . | sכm pan di bεlε tisu dεm dεn dכn kכl am, bכt sכm de stil de na di uterus. |
| Kɔmplit Miskɛri (Na kɔmplit miskɛri) . | כl di tisu dεm we di bεlε de kכmכt kכmplit wan kכmכt na di bכdi. |
| Mis Miskɛrij (Na we uman we gɛt bɛlɛ we nɔ gɛt ɛni sayn fɔ am) | di pikin dεn dכn day, bכt di tisu de stil de na di uterus we nכ gεt nכ simptom. Bɔku tɛm, dɛn kin no dis tru wan skan. |
| Miskɛri we kin apin bak ɔltɛm (Di pikin we kin kɔmɔt na di bɛlɛ bak) . | Tu ɔ mɔ bɛlɛ dɛn we de afta dɛnsɛf we kin dɔn wit bɛlɛ. |
Wetin yu kin du afta yu dɔn pwɛl bɛlɛ?
Afta yu dɔn kɔnfirm se di bɛlɛ dɔn pwɛl, yu dɔktɔ go disayd wetin fɔ du nɛks.
- If di bɛlɛ dɔn kɔmɔt na di bɛlɛ ɔltogɛda ɛn di uterus ɛmti, dɛn nɔ kin nid ɔda tritmɛnt.
- If yu nɔ gɛt bɛlɛ we nɔ kɔmplit ɛn di tisu dɛn we lɛf, yu dɔktɔ kin tɛl yu bɔku tin dɛn fɔ du.
- We yu wet: Dɛn kin aks yu fɔ wet fɔ wan ɔ tu wik fɔ mek di tisu we lɛf fɔdɔm kɔmɔt na do.
- Mɛrɛsin: Dɛn kin gi am mɛrɛsin fɔ ɛp di tisu we lɛf fɔ dray.
- D&C prosidur: dεn kin du dilation εn Curettage (D&C), we na wan prosidכs fכ klin di uterus.
- Rh negatif blɔd tayp: If yu blɔd tayp na Rh negatif, yu dɔktɔ go gi yu wan shot we dɛn kɔl `Rh immune globulin (RhoGAM)` fɔ mek di antibodi dɛm we yu bɔdi de mek nɔ ambɔg di bɛlɛ we yu go gɛt tumara bambay.
If yu gɛt bɛlɛ ɔltɛm, yu dɔktɔ go tɛl yu fɔ tɛst yu jɛnɛtiks, tɛst yu blɔd, ɛn skan fɔ no di rizin.
Afta we di bɛlɛ dɔn pwɛl... pan bɔdi ɛn maynd
I kin tek tɛm fɔ wɛl pan bɔdi ɛn maynd afta dɛn dɔn pwɛl bɛlɛ.
Na bɔdi, sɔm layt blɔd kin de ɛn nɔ kin fil fayn fɔ sɔm dez. Bɔt if yu gɛt ebi ebi blɔd, yu gɛt fiva, yu de kol, ɔ yu de fil bad bad wan, tɛl yu dɔktɔ wantɛm wantɛm. Dɛn tin ya kin bi sayn dɛn fɔ se pɔsin gɛt di sik.
We yu de fil, yu kin fil bad, vɛks, fil gilti, ɛn fred bɔt tumara bambay. Ɔl dɛn filin ya na nɔmal tin. Alaw yusɛf fɔ kray ɛn kray. Tɔk bɔt dis wit yu patna, yu fambul, ɔ yu tayt padi. If nid de, aks pɔsin we de advays yu fɔ ɛp yu. Ɔlman kin wɛl pan difrɛn we ɛn difrɛn we. So gi yusɛf tɛm.
I pɔsibul fɔ bɔn ɔda pikin afta we di bɛlɛ dɔn pwɛl?
Yɛs, yu go mɔs ebul fɔ du am! We yu gɛt bɛlɛ nɔ min se yu nɔ go ebul fɔ bɔn pikin. mכr dan 80% pan di uman dεm we dεn gεt bεlε kin go bifo fכ gεt bεlε we gεt bεlε εn bεlε pikin dεm we gεt hεlth.
Tɔk to yu dɔktɔ bɔt aw lɔng yu fɔ wet bifo yu tray bak. Sɔm dɔktɔ dɛn kin se yu fɔ wet fɔ wan ɔ tri mɔnt, bɔt risach nɔ sho se ɛni patikyula bɛnifit de pan mɛrɛsin we pɔsin wet fɔ lɔng tɛm de. Di impɔtant tin na fɔ mek yu wɛl, pan yu bɔdi ɛn yu maynd.
Mɛsej we dɛn kin kɛr go na os
- Miskɛrɛj na tin we rili kɔmɔn. Bɔrku tɛm, na bikɔs ɔf wan jenɛtik dɛfɛkt na di pikin, nɔto yu fɔlt.
- If yu gɛt sɔm sayn dɛn lɛk we yu gɛt bɔku blɔd na yu vagina, yu bɛlɛ de kramp bad bad wan, ɔ yu gɛt fiva, go to yu dɔktɔ wantɛm wantɛm.
- Na nɔmal tin fɔ fil bad ɛn pwɛl at afta yu dɔn pwɛl bɛlɛ. Tek tɛm fɔ prosɛs dɛn filin ya, ɛn aks fɔ sɔpɔt frɔm yu patna, famili, ɔ pɔsin we sabi advays yu if nid de.
- Bɔku uman dɛn we dɔn gɛt bɛlɛ kin leta gɛt bɛlɛ fayn fayn wan wit pikin dɛn we gɛt wɛlbɔdi, so nɔ giv ɔp.
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