Afta yu bɔn pikin, yu kin fil smɔl pen na yu bɛlɛ we de dɔŋ, lɛk we yu gɛt yu prɛgnɛshɔn? Pan ɔl we di pikin dɔn kɔmɔt, yu bɛlɛ stil big smɔl? Nɔ wɔri, mama, dis ɔl na nɔmal tin. dis na biכs yu uterus de bigin fכ shrink bak to in fכs saiz. insay mεdikal tεm dεm, wi kin kכl dis ‘uterus involution’. Tide, wi go tɔk bɔt dis impɔtant, natura prɔses.
Fɔ tɔk am simpul wan, wetin dis uterine restoration min?
di uterus involushכn na di prכsεs we yu uterus we dכn gro fכ akomoda yu pikin we i bεlε, de shrin bak to in saiz we i bin de bifo afta dεn bכn am. Tink bɔt am lɛk bɔl. yu uterus de gro sכmtεm sכmtεm insay di mכnt dεm afta yu bכn pikin. I fɔ shrink bak dɔŋ afta dɛn dɔn bɔn am. Na dat mek wi de kɔl am involushɔn. dis prכsεs de stat jכs afta dεn bכn am εn i de las fכ lεk siks wik. Dis na we yu de gɛt blɔd we de kɔmɔt afta yu bɔn ɛn dischaj we dɛn kɔl lochia.
Dis na impɔtant pat pan yu bɔdi in wɛlbɔdi prɔses. we yu tink bɔt aw big ɛn aw yu uterus dɔn chenj we yu gɛt bɛlɛ, i nɔmal fɔ mek i tek sɔm tɛm fɔ kam bak to in fɔs saiz.
Wetin mek dis we fɔ du tin impɔtant?
di men gol fכ dis na fכ mek di uterus kam bak to in saiz bifo uman bεlε. we uman bεlε, di uterus de εkspכnd bכku tεm pas di nכmal saiz. i de divεlכp εkstra bכdi vεsul dεm εn tisu dεm bak fכ gi it to di pikin we de gro. afta dεn bכn di pikin, di bכdi nכ nid dis εkstra spεs כ tisu igen.
so wetin dis ``(Involution)`` prכsεs de du na fכ pul da tisu we yu nכ want, shrink di uterus, εn pripia di bכdi fכ stat yu mכnt mεnstral saykl bak.
Aw dis prɔses kin apin?
dis prכsεs de bigin afta yu bכn di plasεnta, we na di tכd stej fכ bכn. Dɔn yu uterus kin bigin fɔ kɔntrakt bak, ɔ i kin smɔl. dis kכntrikshכn dεm de ridyus di bכdi we de fכlכ to di εria we di plasεnta bin atak di uterus. Dis na rili di we aw di bɔdi de fɛt. Dis na wetin de mek yu nɔ gɛt blɔd pasmak (Postpartum Hemorrhage).
dis kכntrikshכn dεm na dεn de mek di uterus shrink εn di tisu we a nכ want we a bin tכk bכt fכ pas kכmכ t na di bכdi as ``Lochia''. bכku tεm dεn kכntrikshכn ya kin bi rεgulεr εn i kin strכng sכmtεm insay di fכs 12 awa afta dεn bכn di pikin. Yu kin fil kramp na yu bɛlɛ we de dɔŋ dis tɛm. Wi kin kɔl dɛn tin ya "afterpains".
Dɛn "afta pen," ɔ bɛlɛ kramp we kin kam afta yu bɔn pikin, kin las fɔ sɔm dez nɔmɔ. Bɔt dɛn kin tranga smɔl we yu de gi pikin in bɛlɛ ɔ pɔmp. Ɛn if dis na yu sɛkɔn ɔ tɔd pikin, di pen kin tranga smɔl pas di fɔs wan.
di komplit ``involushכn`` prכsεs de tek lεk siks wik fכ komplit. di de bay de, di wet na di uterus de dכn, εn di spεs we i de na di bכdi de dכn bak. dis na di rizin we mek yu bεlε stil big sכm tεm afta dεn bכn di pikin. pan ɔl we di pikin de na do naw, di uterus stil de tek bɔku ples na yu bɛlɛ.
Aw fɔ gi pikin in bɛlɛ kin afɛkt dis?
If yu gi yu pikin in bɛlɛ, yu uterus kin kɔntrakt kwik kwik wan. dis na biכs we yu pikin de sכk כ yu de pכmp, yu bכdi de mek wan כmon we dεn kכl `(Oxytocin).` dis כmon de εp yu uterus fכ kכntrakt bכku bכku wan. Na dat mek yu kin fil smɔl mɔ we yu de gi yu pikin in bɛlɛ. Bɔt i min bak se yu bɔdi de wɛl fayn fayn wan.
Aw dɔktɔ dɛn kin chɛk if dis go wok?
We yu de na ɔspitul, dɔktɔ ɔ nɔs go kam ɔltɛm fɔ chɛk if dis prɔses de go fayn.
- dεn go put dεn an pan yu bεlε εn prεs dכn pan am fכ luk di tכp pat pan yu uterus, we dεn kכl di ``fundus''. dis dεn kכl am fכ chεk di ``fundal height''.
- dεn de chεk bak fכ si if di uterus de fil tranga εn i de lכm.
- Dɛn go chɛk di mɔnt ɛn kɔlɔ fɔ yu dischaj (lochia) bak dis tɛm.
fכ egzampl, if yu uterus nכ de kכntrakt lεk aw yu bin de tink, כ if i fil sכft we yu tכch am, yu kin gεt bכku blɔd afta yu bכn. If dis apin, yu dɔktɔ kin masaj yu bɛlɛ wit dɛn an fɔ ɛp yu uterus fɔ kɔntrakt. Sɔntɛnde, dɛn kin gi yu bak wan mɛrɛsin we dɛn kɔl Pitocin, we gɛt di ɔmon ɔksitɔsin, fɔ mek yu kɔntrakt.
aw di uterus de chenj insay dis tεm?
Bɔku tɛm, ɔlman in uterus kin lɔs in wet ɛn saiz insay di sem tɛm. Bɔt di sayz fɔ yu uterus kin difrɛn smɔl dipen pan tin dɛn lɛk if yu dɔn bɔn pikin bifo, if yu bɔn twins, ɛn usay yu bɔn we yu gɛt bɛlɛ.
dis na aw di uterus kin tipikul lכs weit.
| Tɛm | di wet fכ di uterus (aprכksimat) . |
|---|---|
| Wantɛm wantɛm afta dɛn dɔn bɔn am | 1,000 gram (we na lɛk 1 kilogram) . |
| Afta wan wik | 500 gram na yu |
| Afta tu wiks | 300 gram na yu |
| Afta 4 wiks | 100 gram na yu |
| Afta et wiks | 60 gram (avrej amount) . |
כlso, na so di uterus de muv bak insay di pεlvik kεviti εn i de shrink.
| Tɛm | Di pozishɔn we di uterus de |
|---|---|
| Na lɛk wan awa so afta dɛn dɔn bɔn am | di tכp pat pan di uterus (fundus) fכ de na di lεvεl fכ yu sεviks. |
| Afta dat | I fɔ kam dɔŋ lɛk 1 sɛntimita ɛvri 24 awa. |
| Afta lɛk wan wik so | di pεlvik bon we de jכs dכn yu bεlε bכn, fכ de na di lεvεl fכ yu ``Pubik Bon''. |
| Afta 10-14 dez | di uterus fכ fulכp dכn insay di pεlvik kεviti εn i nכ fכ kech am na di bכdi. |
Us prɔblɛm dɛn kin apin we dɛn de du dis?
Tu men prɔblɛm dɛn de we kin apin: Subinvolution ɛn Postpartum Hemorrhage.
1. Subinvolushכn (di uterus nכ de kכntrakt fayn fayn wan) .
Dis min se yu uterus nɔ de shrink kwik lɛk aw wi go want. sכmtεm dis kin apin biכs di blכd vesel dεm usay di plasεnta bin atak nכ de kכloz fayn fayn wan.
If yu dɔktɔ sɔprayz dis we dɛn de chɛk yu bɛlɛ, dɛn kin tɛl yu fɔ du ɔltra saund skan. Dɔn bak, if yu gɛt dak rɛd blɔd fɔ pas wan wik afta yu bɔn, dis kin bi sayn bak fɔ dis sik. Bɔku rizin dɛn de fɔ dis:
- infεkshכn dεm na di uterus, fכ egzampl `(Endometritis)`.
- tin dεm lεk di pis dεm na di plasεnta we de rεst insay di uterus.
- Di pen we pɔsin kin fil we i bɔn pikin dɔn tumɔs.
- Afta dɛn dɔn du sizarian sɛkshɔn (C-section).
2. εmoraji afta di pikin bכn - PPH (Postpartum Hemorrhage) .
Dis na siriɔs tin we kin mek pɔsin in layf de pan denja. PPH na bכku bכku bכku wan we de kכmכt na di uterus afta dεn bכn am. bכku tεm i kin apin we di uterin kכntrikshכn dεm nכ strכng afta dεn bכn.
PPH kin apin insay di fכs 24 awa afta di pikin bכn, bכt sכmtεm di risk kin de fכ 12 wik.
We yu de na ɔspitul, di dɔktɔ ɛn nɔs dɛn go de wach yu blɔd ɔltɛm. Bɔt if yu de blɔd pas aw yu kin blɔd afta yu rich na os (fɔ ɛgzampul, if yu de sok pas wan pad fɔ wan awa), if yu de pas big big blɔd klot, ɔ if yu fil se yu ed de tɔn, go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. Dis nɔto sɔntin we yu fɔ delay.
Aw yu fɔ kia fɔ yusɛf insay dis tɛm?
di tεm afta yu bכn pikin, dat na di tεm we yu bכn, na di tεm we yu nid fכ kia fכ yusef εn yu pikin bak. Gɛt bɔku rɛst. Gɛt ɛp frɔm yu famili ɛn yu man fɔ kia fɔ di pikin.
Dɛn "afta pen" dɛm we a bin dɔn tɔk bɔt kin tranga smɔl sɔm tɛm, mɔ we yu de gi pikin in bɛlɛ. Yu kin fil shap pen fɔ lɛk 5 minit, dɔn i kin fil lɛk se i de stɔp smɔl smɔl. Na sɔm tin dɛm wae yu kin du fɔ ɛp fɔ kɔntrol dis pen:
- Du ɛksɛsayz fɔ brith ɛn rilaks we dɛn kin yuz fɔ leba pen.
- Put pilo ɔnda yu bɛlɛ ɛn ledɔm flat na yu bak.
- Tek wan waka waka.
- Tek wan mɛrɛsin we de mek yu nɔ fil pen we yu dɔktɔ tɛl yu fɔ tek. Sɔntin lɛk ibuprofen kin wok fayn pas paracetamol, bɔt mek shɔ se yu tɔk to yu dɔktɔ bifo yu tek ɛnitin.
di uterus fכ kam bak to in nכmal shep na rili imכtant, nכmal prכsεs. bכt sכmtεm, di uterus nid sכm εp pan dis joyn. Na dat mek di mɛdikal tim go chɛk yu ɔltɛm na ɔspitul afta yu dɔn bɔn yu pikin. Dɛn chɛk ya kin tan lɛk se na prɔblɛm to yu, bikɔs yu want fɔ fri wit yu nyu famili mɛmba. Bɔt dɛn chɛk ya impɔtant fɔ no kɔmplikeshɔn lɛk PPH kwik kwik wan.
Mɛsej we dɛn kin kɛr go na os
- di uterin involushכn na komplit nכmal εn nכmal prכsεs we de apin afta dεn bכn pikin.
- i kכmכn fכ gεt bεlε kramp ("afta pen") fכ fכs de afta yu bכn pikin. Dis kin notis mɔ we yu de gi pikin in bɛlɛ.
- Dis ɔl dis kin tek lɛk siks wiks fɔ dɔn.
- If yu de blɔd pas aw i kin blɔd, yu gɛt big big blɔd, ɔ yu fil se yu de tɔn yu ed we yu de na os, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- If yu gɛt ɛni kwɛstyɔn ɔ dawt bɔt dis, nɔ ɛva fred fɔ tɔk to yu dɔktɔ bɔt am.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt