Pan ɔl we yu kin fil fri we yu bɔn pikin, i nɔmal fɔ mek yu bɔdi fil taya smɔl fɔ sɔm dez, nɔto so? Ɛspɛshali bikɔs yu uterus we dɔn de kɛr di pikin fɔ sɔm mɔnt, nid fɔ shrink bak to in fɔs saiz. Tide, wi go tɔk bɔt dis impɔtant prɔses.

Wetin na di Uterine Involution?

Fɔ tɔk am simpul wan, di uterin involution na we yu uterus de shrink bak to di sayz we i bin de bifo yu bɔn pikin. Dis kin apin jɔs afta yu bɔn yu pikin ɛn i kin las fɔ lɛk siks wik so. Dis na di tɛm we yu go gɛt blɔd ɛn dischaj afta yu bɔn, ɔ wetin wi kɔl lochia .

Imajin, yu uterus dɔn de gro fɔ sɔm mɔnt, rɛdi fɔ gi yu pikin protɛkshɔn ɛn it. So, afta di pikin dɔn kɔmɔt, i nɔmal fɔ mek i tek sɔm tɛm fɔ mek i kam bak to in fɔs saiz. dis shrink we di uterus de shrin na imכtant pat pan di prכsεs we de hεl afta di pikin bכn .

So wetin na di pɔynt fɔ dis? yu mεnstral saykl go bigin bak wans yu uterus kam bak to nכmal. dis prכsεs de εp bak fכ pul כl di εkstra bכdi εn tisu dεm we bin kכmכt na yu uterus we yu bεlε.

Aw dis prɔses kin apin?

dis prכsεs we di uterin kכntrikshכn de bigin as yu de gi di plasεnta. Dat min se, na di tɔd stej we di pikin de bɔn. Dɔn yu uterus kin bigin fɔ kɔntrakt bak. imajin se na dεn kכntrikshכn dεm ya de rεdכks di bכdi we de kכmכt frכm di ples we di plasεnta bin atak di uterus. Dis na rili fayn difens we wi bɔdi gɛt, fɔ stɔp di blɔd we de kɔmɔt pasmak (pɔstpartum hemorrhage) .

dis kכntrikshכn dεm de mek di uterus shrink bak εn di εkstra tisu we dεn kכl lochia de kכmכt. dis uterin kכntrikshכn dεm kin rili rεgulεr εn strכng fכ di fכs 12 awa afta dεn bכn. Insay dis tɛm, yu kin fil pen na yu bɛlɛ we de dɔŋ, we wi kin kɔl ‘afta pen’ .

Dis ‘bɔt pen’ kin dɔn insay sɔm dez. Bɔt yu kin fil dis pen mɔ we yu de gi pikin in bɛlɛ ɔ pɔmp. Dɔn bak, if yu dɔn bɔn pikin bifo, yu kin fil dis pen smɔl mɔ.

i kin tek lεk siks wik fכ di uterus fכ fulכp fכ kam bak to in nכmal saiz. as di wet na yu uterus de dכn, na so di spεs we de na yu bכdi de dכn. Yu kin stil fil smɔl ‘lɛk bɛlɛ’ fɔ sɔm dez afta yu bɔn pikin. dis na biכs yu uterus stil de tek bכku spεs na yu bכdi, pan כl we yu pikin dכn kכmכt.

Fɔ gi pikin in bɛlɛ kin gɛt ɛni ifɛkt pan dis?

Yɛs, fɔ tru! If yu de gi yu pikin in bɛlɛ, yu uterus go kɔntrakt kwik kwik wan . dis na biכs we yu pikin de sכk milk (כ we yu de pכmp milk), yu bכdiDi ɔmon we dɛn kɔl ɔksitɔsin de mek. Dis ɔmon de mek di uterus kɔntrakt. So, fכ gi pikin bεlε na big εp fכ dis prכsεs.

Aw dɔktɔ dɛn kin chɛk if di uterus de kam bak to nɔmal?

We yu de na ɔspitul, bɔku tɛm dɔktɔ ɔ nɔs go kam insay fɔ chɛk aw yu uterus de kɔntrakt. dεn go put dεn an pan yu bεlε εn luk di tכp pat pan yu uterus, we dεn kכl yu ‘fundal height’ . Dɛn go chɛk bak fɔ si if yu uterus fil tranga. Dɛn go pe atɛnshɔn bak to yu lochia (waks) insay dis tɛm.

Fɔ ɛgzampul, if yu uterus nɔ de kɔntrakt lɛk aw yu bin de tink, ɔ if i fil saf, yu kin gɛt mɔ blɔd afta yu bɔn . If na so i bi, bɔku tɛm yu dɔktɔ go masaj yu uterus (fundal massage) fɔ ɛp am fɔ kɔntrakt. Sɔntɛnde, dɛn kin gi yu wan mɛrɛsin we dɛn kɔl Pitocin® , we na atifishal ɔmon, fɔ mek di uterin kɔntrakt.

aw di uterus de chenj insay dis tεm? (Sayz ɛn wet)

Pan ɔl we ɔlman in uterus kin kɔntrakt pan di sem schedule, di sayz ɛn wet fɔ yu uterus bifo yu gɛt bɛlɛ kin difrɛn. Bɔku tin dɛn de we kin afɛkt dis:

• If yu dɔn bɔn pikin bifo (bɔku uman dɛn gɛt uterus we big smɔl afta dɛn dɔn bɔn dɛn bifo).
• Ɔmɔs pikin dɛn yu bin gɛt, lɛk twins?
• Us tɛm insay yu bɛlɛ yu bɔn di pikin?

כltu, di wet fכ di uterus de chenj afta dεn bכn pikin lεk dis:

• Wantɛm afta dɛn bɔn am: na lɛk 1000 gram (lɛk 2 paund).
• Insay wan wik: na lɛk 500 gram.
• Insay tu wik: na lɛk 300 gram.
• Insay 4 wik: na lɛk 100 gram.
• we yu rich et wik: i go bi lεk 60 gram (lεk 2 כns).

Yu ɔndastand? we dis kכntrikshכn de, di uterus de shrink frכm di sayz fכ grep , we fulכp di כl di bכdi, to di sayz fכ wan pia . di schedule fכ di uterus fכ dכn bak insay di pεlvik kεviti na dis:

• lεk wan awa afta yu bכn, di tכp pat pan di uterus (fundus) fכ de na yu bεlε.
• afta dat, di tכp pat pan di uterus fכ dכn lεk 1 sεntimita insay di bכdi εvri 24 awa.
• afta lεk wan wik, di tכp pat pan yu uterus fכ de nia di pubic bon (symphysis pubis) na yu lכw bכdi.
• bay 10 to 14 dez, di tכp pat pan di uterus fכ de bak insay di bכdi.

Us prɔblɛm dɛn kin apin we dɛn de du dis?

tu men prכblεm dεm de we kin kam we di uterus de rεkכva: di uterus nכ de kכntrakt fayn εn bכku bכku bכku wan afta dεn bכn pikin.

Subinvolushɔn na di uterus

subinvolushכ n na we yu uterus nכ de kכntrakt fayn fayn wan, we min se i nכ de kכntrakt. sכmtεm dכkta dεn kin kכl dis "placental subinvolution." dis na we di spiral at dεm, usay di plasεnta bin de atak di uterus, nכ de kכloz fayn fayn wan εn dεn de delay.

yu dכkta kin sכspεkt dis afta i dכn egzamin di tכp pat pan yu uterus (fundal exam). Dɔn bak, we yu bɔn dak rɛd, we gɛt blɔd ( lochia rubra ) we kin pas wan wik afta yu bɔn pikin, na sayn fɔ dis sik. If dis apin, yu dɔktɔ kin ɔda fɔ mek dɛn du ɔltra saund fɔ si wetin rili de apin.

Sɔntɛnde, di uterus nɔ kin ebul fɔ kɔntinyu fɔ kɔntrakt, ɔ ɔda prɔblɛm dɛn kin ambɔg dis prɔses. Na sɔm rizin dɛn we mek sabinvɔlɔshɔn kin apin:

• Infεkshכn dεm na di uterus, lεk εndometritis .
• tin dεm lεk di pis dεm na di plasεnta we de rεst insay di uterus.
• di pikin we de bכn fכ lכng tεm כ we i de tek Pitocin® fכ lכng tεm, we de mek di uterus kכntrakt.
• Fɔ bɔn pikin bay sizarian sɛkshɔn (C-section) .
• Fɔ gi jenɛral anestezi, lɛk fɔ mek dɛn du sizarian we dɛn du am kwik kwik wan.

Ɛmoraji afta dɛn bɔn pikin (PPH) .

Pɔstpartum Hemorrhage (PPH) na we blɔd we de kɔmɔt na di uterus pasmak afta yu bɔn pikin. Dis kin mek yu layf de pan denja , so yu nid fɔ rili tek tɛm.

bכt 80% pan di PPH kes dεm kin apin biכs di uterin kכntrikshכn dεm nכ kin strכng afta dεn bכn pikin. PPH kin apin insay 24 awa afta di pikin bɔn. Bɔt i kin apin te to 12 wik afta di pikin bɔn.

We yu de wɛl na ɔspitul, di dɔktɔ dɛn go de chɛk yu ɔltɛm fɔ si if yu de blɔd ( lochia ). If yu gɛt ebi ebi blɔd, dɛn go trit am wantɛm wantɛm.

Di tin we impɔtant pas ɔl na dat, if yu de blɔd bad bad wan we yu de na os, go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) kwik kwik wan.

Aw yu de kia fɔ yusɛf? (Bɛk pen mɛnejɛmɛnt)

Afta yu bɔn pikin, i impɔtant fɔ kia fɔ yusɛf ɛn rɛst ɛn bak fɔ kia fɔ yu pikin. Fɛn tɛm fɔ tink bɔt yusɛf ɛn aks fɔ ɛp frɔm yu fambul ɛn padi dɛn fɔ kia fɔ di pikin.

di ‘bak pen’ we kin kam wit di uterin kכntrikshכn kin tranga sכmtεm, spεshal wan we yu de gi pikin bεlε. Di pen kin las fɔ lɛk fayv minit so ɛn afta dat i kin stɔp smɔl smɔl. Na sɔm tin dɛm wae yu kin du fɔ kɔntrol dis bak pen:

• εksεsayz fכ brith εn rilaks (lεk εksεsayz fכ leba pen).
• Ledɔm na yu bɛlɛ wit pilo ɔnda yu bɛlɛ we de dɔŋ.
• Fɔ tek wan mɛrɛsin we de mek yu nɔ gɛt pen we yu dɔktɔ dɔn tɛl yu fɔ tek. Ibuprofen kin wok bɛtɛ pas asetaminofɛn .
• Wan smɔl waka.

Fɔ dɔn, di tin we impɔtant pas ɔl (Take-Home Message) .

di uterus fכ kam bak to in nכmal saiz na rili imכtant, nכmal prכsεs. כltu, sכmtεm yu uterus kin nid sכm εp pan dis joyn. Na dat mek di mɛdikal wokman dɛn go de chɛk yu ɔltɛm afta yu dɔn bɔn yu pikin. Pan ɔl we dɛn chɛk-ap ya kin tan lɛk se i nɔ izi fɔ yu we yu jɔs de yus to yu nyu famili, dɛn impɔtant fɔ mek yu no kwik kwik wan prɔblɛm dɛn lɛk blɔd we de kɔmɔt afta yu bɔn . If dεn gεt eni kכnsεn bכt aw yu uterus de kכntrakt, dεn go mek yu no. So, nɔ wɔri, ɔltin go fayn!

` di uterin kכntrikshכn, afta di pikin bכn, lochia, di εmoraji afta di pikin bכn, di pikin we i de gi pikin bεlε, di uterin saiz, di rεkכvεshכn