a ɔndastand aw yu fɔ fred ɛn sɔri we di dɔktɔ tɛl yu se di bɛlɛ we yu bin de luk fɔ na ‘ ectopic pregnancy ’. We yu yɛri dɛn wɔd dɛn de, i go mɔs dɔn mek yu wan ol wɔl fil lɛk se i dɔn kam krach. Bɔt nɔ wɔri. Dis nɔto yu fɔlt. Lɛ wi tɔk bɔt dis kayn tin, wetin dɛn kin du, ɛn wetin na di tritmɛnt opshɔn dɛm.
Fɔ tɔk am simpul wan, wetin na bɛlɛ we nɔ de na di bɛlɛ?
nכmal wan, wan eg we dεn fεtilayz kin travul dכn di fallopian tyub, put am insay, εn bigin fכ divεlכp lεk pikin insay di uterus . dis na biכs na di uterus nכmכ gεt כl di spεs, it, εn protεkshכn we di pikin nid fכ gro fayn fayn wan.
כltu, insay εktopik bεlε, di fεtilayz eg de implant sכmsay ausayd di uterus. pas 90% pan di tεm, i kin apin na di Falopian tyub . na dat mek sכmtεm dεn kin kכl am "tubal pregnancy." biכs fכ prכblεm wit di eg כ di tכb, di eg nכ kin ebul fכ komplit in joyn to di uterus.
di tin we impɔtant pas ɔl na dat, no we nɔ de fɔ mek di pikin gro ausayd di bɛlɛ. So, i sɔri fɔ no se, ɔl di bɛlɛ dɛn we dɛn nɔ plan fɔ gɛt, dɛn fɔ dɔn. Dis na sik we de mek pɔsin in layf de pan denja, so i rili impɔtant fɔ go to tritmɛnt kwik kwik wan.
Aw yu kin pik di bɛst dɔktɔ fɔ yu?
Trade, bɔku tɛm na ɔpreshɔn nɔmɔ dɛn kin du fɔ dis sik. Bɔt naw, bikɔs dɛn dɔn go bifo pan mɛrɛsin sayɛns, bɔku tɛm i pɔsibul fɔ kɔntrol dis sik wit mɛrɛsin. Yu dɔktɔ go disayd aw fɔ trit yu bay sɔm tin dɛn:
- Aw lɔng i kin tek fɔ gɛt bɛlɛ: Dis kin ali, ɔ i dɔn te?
- di say we di εmbrayo de : Usay i de insay di fallopian tכb εn if i dכn pwεl.
- Yu sik: Yu de gɛt ɛni bad bad sayn, lɛk wae yu de fil pen ɔr yu de blɔd?
- di hCG hכmon lεvεl dεm: dis tεst de mכsu di lεvεl fכ dis כmon we di bכdi de prodyuz we uman bεlε.
Bay dɛn tin ya, yu dɔktɔ go disayd if mɛrɛsin ɔ ɔpreshɔn bɛtɛ fɔ yu.
| Di we aw dɛn kin trit am | Diskripshɔn ɛn udat fit fɔ? |
|---|---|
| Mɛrɛsin we dɛn kin gi | dis we ya fayn fכ di wan dεm we de na di fכs stej fכ bεlε, we di hCG כmon lεvεl dεm lכw, εn we nכ gεt εni damej pan di fallopian tyub dεm. Dɛn kin gi wan injɛkshɔn we dɛn kɔl Methotrexate. |
| Ɔpreshɔn | If di mɛrɛsin dɛn nɔ wok, di hCG lɛvɛl bɔku, siriɔs simptom dɛn de, ɔ di fallopian tyub dɔn brok, i rili nid fɔ du ɔpreshɔn. |
Drug tritmɛnt (Mɛtɔtreksɛt Injɛkshɔn) .
Lɛ wi luk dis smɔl mɔ. If yu sik nɔr bad, yu dɔktɔ kin disayd fɔ gi yu wan shot we dɛn kɔl Methotrexate .
Wetin kin apin wit dis mɛrɛsin?
Fɔ tɔk am simpul wan, wetin dis vaysin de du na fɔ stɔp di sɛl dɛn we de insay bɛlɛ fɔ sheb kwik kwik wan. Dɔn as tɛm de go, di bɔdi kin ebul fɔ tek da tisu de ɛn pul am smɔl smɔl.
Tin dɛn we yu fɔ no
- Sayd ɛfɛkt: Dis mɛrɛsin kin mek sɔm smɔl smɔl sayd ɛfɛkt dɛn. Dɛn tin ya na fɔ nɔs, vɔmit, diziz, bɛlɛ pen , ɛn sɔntɛnde ɔlsa na yu mɔt. I kɔmɔn bak fɔ gɛt bɛlɛ pen fɔ tu to tri dez afta yu tek di vaysin.
- Monitoring: Yu nɔ nid fɔ de na ɔspitul lɛk aw yu bin de du trade. Dis kin bi pan ɔutpatient besis. Bɔt yu dɔktɔ go kɔntinyu fɔ wach yu hCG ɔmon lɛvɛl wit blɔd tɛst fɔ sɔm wiks. I rili impɔtant fɔ mek shɔ se di lɛvul dɛn dɔn drɔp to ziro. Sɔntɛnde, di lɛvɛl dɛn nɔ kin go dɔŋ wit wan injɛkshɔn. If dat apin, yu go nid fɔ tek ɔda injɛkshɔn.
Kes dɛn we dɛn nid fɔ du ɔpreshɔn
If mɛrɛsin nɔ ebul fɔ kɔntrol di sik, ɔpreshɔn na di nɛks tin we dɛn fɔ du. Dɔn bak, fɔ di wan dɛn we gɛt rili ay hCG lɛvɛl, we gɛt siriɔs sik, ɛn di wan dɛn we gɛt fallopian tyub we dɔn brok ɔ we dɔn pwɛl, ɔpreshɔn na di wangren tin we dɛn go du.
Di kayn ɔpreshɔn dɛn we dɛn kin du
Naw, dɛn kin yuz di bɛst we dɛn fɔ du ɔpreshɔn .
- Laparoscopic Surgery: Dis na di we we dɔktɔ dɛn kin lɛk pas ɔl. Dɛn kin kɔl am bak "key-hole surgery." na ya, dεn kin mek wan כ mכr sכm sכm sכm pat dεm na di bεlε, we dεn kin yuz kεmεra εn dilik instrכmεnt dεm fכ pul di bεlε. Dis kin mek i wɛl kwik kwik wan.
- Open surgery (Laparotomy): Insay imejensi, mɔ if di tiub brok ɛn blɔd de kɔmɔt pasmak insay di bɔdi, dɛn kin du tradishɔnal ɔpreshɔn tru wan big say we dɛn kɔt di bɛlɛ.
Wetin kin apin to di fallopian tube?
- If dɛn kin sev di tiub (Salpingostomy): If di damej we di tyub dɔn pwɛl smɔl, di dɔktɔ go tray fɔ sev di tiub ɛn tek tɛm pul di bɛlɛ nɔmɔ we de insay am.
- If dɛn gɛt fɔ pul di tiub (Salpingectomy): If di tiub dɔn brok ɛn i dɔn pwɛl bad bad wan, dɛn go gɛt fɔ pul di wan ol fallopian tiub.
Afta di ɔpreshɔn, dɛn go de wach yu hCG lɛvɛl fɔ mek shɔ se dɛn dɔn pul di bɛlɛ kpatakpata. Dɛn kin gi sɔm pipul dɛn bak mɛtɔtreks injɛkshɔn afta dɛn dɔn du dɛn ɔpreshɔn.
Wonin Sayn dɛm - Pe spɛshal atɛnshɔn to dɛn wan ya!
Sɔntɛnde, bifo yu ivin no se yu gɛt bɛlɛ we nɔ de na di bɛlɛ, yu fallopian tyub kin brok. Dis na imejensi we kin mek pɔsin in layf de pan denja. If yu gɛt ɛni wan pan dɛn sik ya, go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) ɛn nɔ de te.
- Wantɛm wantɛm, we pɔsin nɔ go ebul fɔ bia, we i kin fil bad bad wan na di bɛlɛ ɔ di bɛlɛ we de dɔŋ.
- Sɔlda tip pen (Dis kin apin we blɔd de flɔ insay di bɔdi ɛn tɔch di mɔsul we dɛn kɔl dayafragm) .
- Fɔ fil se yu wik pasmak, yu ed de tɔn, ɔ yu de fɔdɔm.
- Swet ɛn kol skin.
Nɔ de na os di tɛm lɛk dis. Nɔ drayv yu wan. Go na ɔspitul kwik kwik wan wit pɔsin in ɛp.
Mɛsej we dɛn kin kɛr go na os
- εktopik bεlε na we di pikin implant na do na di uterus. Dis na siriɔs sik we nid fɔ go to dɔktɔ wantɛm wantɛm.
- Di tritmɛnt we dɛn de du (mɛdikeshɔn ɔ ɔpreshɔn) na tin dɛn lɛk aw yu sik bad ɛn yu hCG ɔmon lɛvɛl.
- Di sayn dɛm lɛk we yu bɛlɛ kin at bad bad wan wantɛm wantɛm, yu ed kin tɔn, ɛn yu kin gɛt pen na yu sholda kin bi bikɔs di fallopian tyub dɔn brok. If dis apin , go na di Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Dis na tin we rili at fɔ du, pan ɔl we na bɔdi ɛn maynd. Na nɔmal tin fɔ fil bad ɛn vɛks. Tɔk bɔt dis wit yu man, yu fambul, ɔ yu padi we yu kin abop pan.
- Nɔ fred fɔ mek yu gɛt bɛlɛ. Bɔku uman dɛn kin go bifo fɔ gɛt bɛlɛ we go wok fayn ɛn we gɛt wɛlbɔdi. Bi op ɛn tɔk to yu dɔktɔ fɔ advays bifo yu tray fɔ gɛt bɛlɛ bak.
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