Yu fɔ no dis bak we yu gɛt bɛlɛ: Wetin na Vasa Previa?

Yu rili gladi fɔ bi mama, bɔt sɔntɛnde yu kin fred smɔl fɔ di smɔl smɔl tin dɛn, nɔto so? Dat na nɔmal tin. Tide wi go tɔk bɔt wan kɔndishɔn we kin apin we uman gɛt bɛlɛ, we nɔ kin apin smɔl, bɔt dɛn kin manej am fayn fayn wan if yu no bɔt am bifo tɛm. Dɛn kɔl dis Vasa Previa. Nɔ wɔri, wi go tɔk bɔt am ditayli.

Wetin na Vasa Previa? Lɛ wi ɔndastand am simpul wan!

Fɔ tɔk am simpul wan, Vasa Previa na kɔmplikeshɔn we kin apin we uman gɛt bɛlɛ. dis na we sכm pan di bכdi vεsul dεm na di כmbilikal kכd, we de kכri nyutriεnt to yu pikin, pas na di sεviks we nכ protεkt. nכmal wan, di plasεnta de protεkt dεn blכd vesel dεm ya fayn fayn wan.

Imajin, we di pikin bigin fɔ bɔn, we di amniɔtik sak brok, dɛn blɔd vesel dɛn ya we nɔ gɛt protɛkshɔn rayt na di sɛviks kin bɔs. If dat apin, di pikin kin blɔd bɔku bɔku wan ɛn ivin day. כltu, if dεn no dis kכndyushכn kwik εn mεnεj am fayn fayn wan, spεshal if dεn bכn di pikin bay sizarian sεkshכn (`C-section`), dεn kin avכyd dis risk kכmplit wan. Na dat mek i impɔtant fɔ no bɔt dis.

Tu men kayn Vasa Previa de:

Dɔktɔ dɛn kin sheb dis sik to tu men kayn. Lɛ wi si wetin dɛn bi.

1. Tayp 1: Vesa Previa wit Velamentous Kɔd Insɛshɔn

Dis kin tan lɛk se na kɔmplikɛt nem, bɔt i nɔ at fɔ ɔndastand. di vεlamentכs kכd insεshכ n na we di כmbilikal kכd nכ de atak di plasεnta dεn wan, bכt i gεt in bכdi vεsul dεm we de rכn ausayd di plasεnta, we nכ de protεkt. nכmal wan, di כmbilikal kכd de atak di plasεnta dεm dεn wan.

naw imajin, if bכtכm bכdi we nכ protεkt lεk dis, we de na di bכtכm pat pan di uterus, nia di sεviks (dεn kכl dis `lכw-lay plasεnta`), we di pikin bigin fכ bכn εn di pikin de muv tכwεd di sεviks, chans de bכku bכku wan fכ dat blכd vesel go strεch εn bכst.

2. Tayp 2: Vesa Previa wit Baylob Plasεnta

dis na we yu plasεnta nכto wan pat, bכt i sheb to tu lob dεm, lεk tu lכng dεm. afta dat di כmbilikal kכd kin kכnekt dεn tu pat dεm ya. if di bכdi we nכ protεkt bitwin dεn tu pat dεm ya pas nia di sεviks, dεn kin brok we di pikin bigin fכ bכn.

Wetin na di difrɛns bitwin Vasa Previa ɛn Placenta Previa?

Dɛn tu nem ya fiba smɔl, so wi kin kɔnfyus. Bɔt dɛn tu tin ya de tɔk bɔt tu difrɛn tin dɛn we kin apin.

• di plasεnta Previa na we di plasεnta de dכn na di uterus, we de kכba כl כ pat pan di sεviks, insted fכ de na di tכp. we di bכdi bigin fכ bכn, di bכdi we de kכnekt di plasεnta to di uterus kin strεch εn blכd.
• imכtant fכ se if yu gεt plasεnta prεvia εn i leta rεsכlv (rεsolv plasεnta prεvia) כ yu gεt plasεnta we de lכw, di risk fכ divεlכp vasa previa de inkrεs. Dis min se kin gɛt sɔntin fɔ du wit dɛn tu tin ya.

Aw siriɔs Vasa Previa na pɔsin?

Infakt, vesa previa na siriɔs sik we dɛn nid fɔ tek kia ɔf. If dɛn nɔ no am kwik, dɛn kin ivin bɔn di pikin as pɔsin we dɔn day.

bכt, mεmba dis: If dεn no dis kכndyushכn we uman bεlε (prenatal diagnosis), trit am fayn, εn dεn bכn am bay sizarian sεkshכn we dεn plan (C-section), di pikin gεt 98.6% chans fכ liv!

So, bifo yu fred, di tin we impɔtant pas ɔl na fɔ tɛl yu di rayt tin ɛn fala di advays we dɔktɔ gi yu.

Udat dɛn kin afɛkt mɔ pan dis sik? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)

Pipul wae kin gɛt Vasa Previa na:

• if yu gεt kכndishכn dεm lεk `velamentous cord insertion` (di כmbilikal kכd nכ de atak di plasεnta fayn fayn wan) כ `bilobed/multilobed plasεnta` (di plasεnta dεn divayd insay sεvεra pat dεm).
• if yu plasεnta de lכw na di uterus, i kכba di sεviks kכmplit כ pat (`placenta previa` כ `low-lying placenta`).
• If yu bin dɔn du sizarian sɛkshɔn bifo tɛm (C-section).
• if yu bεlε tru in vitro fεtilayzεshכn (IVF - In Vitro fεtilayzεshכn).
• If yu de ɛkspɛkt twins ɔ triplɛt (`multiples`).
• If yu dɔn du ɔpreshɔn pan yu uterin bifo tɛm.

If yu gɛt dɛn tin ya we kin mek yu gɛt prɔblɛm, yu dɔktɔ go pe atɛnshɔn mɔ to dɛn.

Aw kɔmɔn tin fɔ Vasa Previa?

Dis na tin we nɔ kin apin so ɔltɛm. I kin apin pan lɛk wan pan ɛvri 2,500 pikin dɛn we dɛn bɔn. כltu, insay kes dεm fכ in vitro fεtilayzεshכn (IVF), di insidεns kin hכy sכmtεm, na lεk wan pan 200 pikin dεm we dεn bכn.

Wetin na di sayn dɛm fɔ Vasa Previa?

Bɔku tɛm, mama we gɛt vasa previa nɔ kin sho ɛni sayn. Na dat mek ɔltra saund skan we uman gɛt bɛlɛ impɔtant so. Dɔktɔ dɛn kin no di sik tru dɛn skan ya.

Bɔt i nɔ kin apin so ɔltɛm, sɔm pipul dɛn kin gɛt smɔl smɔl blɔd na dɛn vagina insay di sɛkɔn ɔ tɔd tri mɔnt we dɛn gɛt bɛlɛ we nɔ kin gɛt ɛni pen. Dis blɔd kin bi wan rɛd rɛd we dak smɔl pas aw i kin bi. I nɔ kin bi yu blɔd, bɔt na sayn fɔ di pikin in blɔd. If yu gɛt blɔd na yu vagina ɛni tɛm we yu gɛt bɛlɛ, ilɛksɛf yu gɛt pen ɔ yu nɔ de fil pen, go to yu dɔktɔ wantɛm wantɛm, ilɛksɛf i smɔl.

Wetin kin mek pɔsin gɛt Vasa Previa?

di men rizin fכ dis na, lεk aw wi bin dכn tכk, di כmbilikal kכd blכd vεsεl dεm we de kכnekt yu εn yu pikin de pas we nכ protεkt nia di sεviks. nכmal wan, di כmbilikal kכd kin kכnekt dairekt to di plasεnta, εn di bכdi vεsul dεm kin protεkt fayn fayn wan. Bɔt insay vesa previa, nɔto jɔs dis blɔd vesel de kɔmɔt na do, bɔt i de ledɔm nia di sɛviks, we na di say we dɛn kin swɛt mɔ we dɛn de bɔn pikin.

Aw dɛn kin no bɔt Vasa Previa?

di vεsa previa dεn kin no we dεn de du כltra saund skan bitwin 18 εn 26 wiks we di bεlε de. If yu skan sho sɔm tin dɛn we kin mek yu gɛt vasa previa, lɛk baylɔb plasɛnt ɔ velamentous kɔd insay, yu dɔktɔ kin du spɛshal ɔltra saund skan tru yu vagina (transvaginal ultrasound) . dis kin si klia wan if bכdi vεsul dεm de na di כmbilikal kכd nia di sεviks (sεvikal os). Sɔntɛnde, dɔktɔ dɛn kin yuz wan ɔltra saund tɛknik bak we dɛn kɔl color Doppler . Dis kin sho di blɔd we de flɔ insay di kɔlɔ dɛn, we kin mek i izi fɔ no usay di blɔd vesel dɛn de.

Di dɔktɔ go luk fɔ dɛn tin ya spɛshal wan:

• usai di plasεnta de insay rilayshכn to di sεviks?
• if di plasεnta gεt plεnti lכb dεm.
• Usay di ɔmbilikal kɔd de.

Wetin na di tritmɛnt dɛm fɔ Vasa Previa?

If dɛn no se yu gɛt vasa previa, yu dɔktɔ go disayd fɔ bɔn yu pikin bay we dɛn plan fɔ du sizarian sɛkshɔn (C-section). Dɛn go de wach yu ɛn yu pikin bak gud gud wan ɔl di tɛm we yu gɛt bɛlɛ. di men gol we di dכkta dεm want ya na fכ kip di pikin insay di bεlε fכ lכng as i kin bi, bכt fכ stat fכ bכn kwik kwik wan εn bכn di pikin sef wan bifo di bכdi vεsul dεm dכn pwεl.

Yu plan fɔ gɛt bɛlɛ kin inklud:

• Tεst dεm we nכ de strεs: dεn kin du dεn tεst ya lεk tu tεm insay di wik fכ chεk di pikin in at bit. Dɛn kin rili sef fɔ yu ɛn yu pikin.
• Kɔtikosterɔyd: Dɛn kin gi dɛn mɛrɛsin ya bifo dɛn du sizarian fɔ ɛp di pikin in lɔng dɛn fɔ gro fayn fayn wan. dis na biכs, biכs i kin nid fכ bכn di pikin sכmtεm, i impɔtant fכ machכ di lכng.
• Inpatient management: Yu dɔktɔ kin disayd fɔ kip yu na ɔspitul fɔ mek dɛn wach yu gud gud wan fɔ sɔm dez bifo dɛn bɔn yu pikin. Dis disizhɔn go bi bay tin dɛm lɛk di mɛdikal kɔndishɔn we yu bin dɔn gɛt bifo, di chans fɔ bɔn pikin kwik, ɛn aw fa yu de frɔm di ɔspitul.
• Sizarian sɛkshɔn we dɛn dɔn plan fɔ du (bitwin 34 ɛn 37 wik):Fɔ mek yu nɔ gɛt bɔku prɔblɛm dɛn we gɛt fɔ du wit vesa previa, yu dɔktɔ go tɔk to yu bɔt di bɛst tɛm fɔ bɔn yu pikin. Bikɔs bɔku tɛm dɛn kin bɔn am smɔl kwik, yu pikin kin nid fɔ gɛt tritmɛnt na di Nionatal Intensive Care Unit (NICU) afta dɛn bɔn am.

Yu patikyula bɛlɛ plan go bi bay wetin yu de du, so i impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.

Yu tink se dɛn kin "fiks" Vasa Previa?

fכ tru, nכ we nכ de fכ "fiks" wan kכndishכn we dεn kכl vesa previa. Dat min se yu nɔ go ebul fɔ chenj di we aw di blɔd vesel dɛn de. Bɔt yu kin ebul fɔ kɔntrol di sik ɛn mek wan plan fɔ bɔn pikin we gɛt wɛlbɔdi fayn fayn wan. Tɔk to yu dɔktɔ bɔt di bɛst tɛm fɔ bɔn yu pikin sef wan fɔ yu ɛn yu pikin, ɛn ustɛm fɔ du sizarian sɛkshɔn.

Yu tink se dɛn kin ridyus di risk fɔ Vasa Previa?

Yu nɔ go ebul fɔ ridyus di risk fɔ gɛt vesa previa. I nɔto sɔntin we wi go ebul fɔ kɔntrol. Bɔt, yu kin ridyus de risk fɔ de mɔs siriɔs kɔmplikeshɔn wae kin kam frɔm am. Aw yu go du dat? Na bay we yu de go na di klinik dɛn we dɛn kin gɛt bifo dɛn bɔn pikin ɔltɛm ɛn fala yu dɔktɔ in advays. Fɔ no dis sik kwik kwik wan na di men tin fɔ mek yu gɛt di bɛst rizɔlt.

If a gɛt vasa previa, wetin a fɔ ɛkspɛkt?

If yu gɛt vasa previa, yu fɔ ɛkspɛkt fɔ gɛt sizarian sɛkshɔn (C-sekshɔn) instead fɔ mek dɛn bɔn yu wit vagina. Yu go nid bak fɔ du ɔda monitarin tɛst dɛn ɔl di tɛm we yu gɛt bɛlɛ. Dis ekstra kia go ɛp yu fɔ bɔn pikin we gɛt wɛlbɔdi.

Vasa Previa de afɛkt di pikin?

Aw di sik kin afɛkt di pikin kin dipen pan aw dɛn kin no am kwik kwik wan. if dεn nכ dεtekt di vasa previa, di fetal mכtalman rεt kin hכy lεk 56% to 60%. כltu, if dεn no am ali we uman bεlε, dεn mεnεj am fayn fayn wan, εn dεn bכn am bay sizarian sεkshכn, di pikin gεt 97% chans fכ liv. Sɔntɛnde, di pikin kin nid ɔda kia na di NICU afta dɛn bɔn am, mɔ if dɛn bɔn di pikin bifo tɛm. Bɔt di tin dɛn we kin kɔmɔt frɔm sizarian sɛkshɔn wit vasa previa kin rili fayn.

Ustɛm a fɔ go to mi dɔktɔ?

Si yu dɔktɔ ɔltɛm ɔl di tɛm we yu gɛt bɛlɛ. Dɔn bak, atɛnd ɔl di ɔltra saund skan dɛn we dɛn kin advays. If dɛn no se yu gɛt vesa previa, yu kin nid fɔ go to yu dɔktɔ bɔku tɛm.

If yu notis se blɔd de kɔmɔt na yu vagina insay di sɛkɔn ɔ tɔd tri mɔnt we yu gɛt bɛlɛ, go to yu dɔktɔ wantɛm wantɛm. If di blɔd bɔku, go na di ɔspitul imejensi dipatmɛnt we de nia yu wantɛm wantɛm.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

If yu gɛt vesicoureteral reflux, aks yu dɔktɔ aw fɔ ridyus di risk fɔ gɛt siriɔs prɔblɛm. Fɔ ɛgzampul:

• "I bɛtɛ fɔ mek a nɔ du mami ɛn dadi biznɛs (pelvik rɛst)?"
• "Us abit a kin adopt fɔ gɛt wɛlbɔdi bɛlɛ?"

Fɔ gɛt kɔmplikeshɔn we yu gɛt bɛlɛ kin mek yu fred. Bɔt dat nɔ min se yu nɔ go ebul fɔ gɛt wɛlbɔdi bɛlɛ, bɔn pikin, ɛn pikin. Fɔ no se yu gɛt vasa previa na di fɔs tin fɔ plan fɔ du sizarian sɛkshɔn we go wok fayn. Tɔk to yu dɔktɔ bɔt aw di sik we yu gɛt go afɛkt di plan fɔ bɔn pikin.

Mɛsej we dɛn kin kɛr go na os

Vasa Previa na wan sik we nɔ kin apin so ɔltɛm bɔt we kin apin we uman gɛt bɛlɛ.

• wetin kin apin insay dis kes na di pikin in כmbilikal kכd bכdi vεsul dεm de pas tru di sεviks we dεn nכ protεkt.
• Fɔ no am kwik kwik wan rili impɔtant. Bikɔs bɔku tɛm, no sayn nɔ kin de, i impɔtant fɔ go fɔ skan ɔltɛm.
• di men tritmεnt na fכ bכn di pikin bay sizarian sεkshכn we dεn plan (C-section).
• if dεn dεtekt di pikin kwik kwik wan εn mεnejmεnt am fayn, di chans fכ sev di pikin in layf rili hכy (כva 97%).
• Tɔk to yu dɔktɔ ɔltɛm ɛn fala dɛn advays. Nɔ wɔri, nɔto yu wan de. If yu no di rayt tin ɛn di mɛrɛsin we yu de sɔpɔt yu, yu go ebul fɔ bia wit dis sik fayn fayn wan.

` Vasa Previa, bεlε, bεlε komplikashכn, כmbilikal kכd, plasεnta, sizarian sεkshכn, fetal hεlth, prεnatal diagnosis