If yu na mama we go bi mama, yu fɔ rili bisin bɔt yu pikin in wɛlbɔdi, nɔto so? Sɔmtɛm we uman gɛt bɛlɛ, smɔl smɔl prɔblɛm dɛn kin apin we wi nɔ kin ivin tink bɔt. wan pan dεn kayn kכndyushכn ya, we dεn nכ kin yεri bכt, bכt i rili imכtant fכ no, dεn kכl am `(Velamentous Cord Insertion)`. Nɔ wɔri, lɛ wi tɔk bɔt dis simpul wan.
Wetin na dis (Velamentous Kɔd Insɛshɔn)? Lɛ wi ɔndastand gud gud wan!
Fɔ tɔk am simpul wan, ``Velamentous Cord Insertion'' na kɔmplikeshɔn we kin apin we uman gɛt bɛlɛ. insay dis, di pikin in כmbilikal kכd nכ de kכnekt to di plasεnta we de gi di pikin it, lεk aw i fכ kכnεkt.
Naw luk, dis na wetin kin apin:
di plasεnta de divεlכp insay yu uterus. I tan lɛk faktri we de gi yu pikin tin fɔ it. di pikin de gεt di nyutriεnt dεm εn כksijεn we i nid frכm yu tru dis plasεnta. di כmbilikal kכd lεk brij we de kכnekt di pikin to di plasεnta. dis כmbilikal kכd fכ kכnekt dayrekt frכm di pikin in bεlε to di plasεnta. Na da tɛm de nɔmɔ di pikin go ebul fɔ gɛt it izi wan.
כda tin na dat wan tin de we lεk jel we dεn kכl ``Wharton's jelly'' insay di כmbilikal kכd fכ protεkt di bכdi vεsul dεm. dis na wetin de mek di vein dεm na di כmbilikal kכd nכ de twist εn kכmprεs, εn i de protεkt dεm.
כltu, insay di kes fכ `(Velamentous Cord Insertion)`, di כmbilikal kכd nכ de atak di plasεnta dεm dεn wan, bכt i de atak di tכn mεmbran dεm we de ausayd di plasεnta. Tink bɔt am lɛk se dɛn nɔ tay wata paip dairekt to di men tap, bɔt na say we wik we de fa smɔl frɔm di tap.
So wetin kin apin we dis kin apin?
di bכdi vεsul dεm we de kכmכt frכm di כmbilikal kכd fכ travul lכng distans fכ gεt nyutriεnt frכm di plasεnta. כlso, dεn vein dεm ya nכ de gεt di protεkshכn fכ `(Wharton's jelly)`. I tan lɛk waya we nɔ gɛt ɛnitin fɔ protɛkt am. Bikɔs ɔf dis, dɛn vein ya kin krɔs, brok, ɛn blɔd. כlso, biכs di plasεnta nכ kin izi fכ gεt nyutriεnt, di pikin in growth kin slo sכmtεm. Dɔn gɛt am?
Aw dis sik kin kɔmɔn? Yu tink se i kin apin to ɔlman?
Nɔ, `(Velamentous Cord Insertion)` na rili wan kɔndishɔn we nɔ kin apin so ɔltɛm. dεn kin si am pan lεk 1% pan di bεlε we dεn kin gεt wan uman. כltu, insay twin dεm, dis nכmba de hכy sכmtεm, dat na lεk 6%. εspεshali pan twin dεm we de sheb di sem plasεnta (MCDA twins), dis kכndyushכn kin inkrεs to 15%.
Wetin mek dis de apin? Wetin na di rizin dɛn?
infakt, dεn nכ fכnshכn di εksakεt kכz fכ `(Velamentous Cord Insertion)` yet. Bɔt dɛn dɔn si se i kin izi fɔ si am ɔnda sɔm prɔblɛm dɛn we uman gɛt bɛlɛ. If yu ɛn yu dɔktɔ no bɔt dɛn tin ya, i go izi fɔ mek yu tek di tin dɛn we yu nid fɔ tek tɛm wit.
Na sɔm kayn kes dɛn ya:
- twin bεlε: εspεshali if twin dεm de we de sheb di sem plasεnta.
- bεlε tru IVF (In Vitro Fertilization): Dis risk de hכy sכmtεm fכ mama dεm we dεn bεlε tru IVF tritmεnt.
- Fɔs tɛm mama: Dɛn kin si dis sik bak pan mama dɛm we de bɔn dɛn fɔs pikin.
- di plasεnta Previa: if yu gεt wan kכndyushכn we dεn kכl ``Placenta Previa'', usay di plasεnta de na di lכw pat pan di uterus, nia di sεviks .
- Vasa Previa: dis kin riliyt bak wit wan kכndyushכn we dεn kכl ``Vasa Previa'', usay di bכdi we nכ protεkt na di כmbilikal kכd de pas tru di sεviks . Lɛ wi luk dis smɔl mɔ.
Yu tink se Velamentous Cord Insertion na denja kɔndishɔn?
Yɛs, dɛn kin tek dis as sɔntin we kin mek pɔsin gɛt prɔblɛm. Bikɔs, lɛk aw wi bin dɔn tɔk, dis kin mek di pikin nɔ gro sloslo. כlso, biכs `(Wharton's jelly)` nכ sef, chans de fכ mek di כmbilikal kכd bכdi bכdi brok εn blכd. Dɛn tin ya we kin mek yu gɛt prɔblɛm kin afɛkt yu bɛlɛ ɛn yu pikin.
Wit `(Velamentous Cord Insertion)`, dɛn tin ya kin apin mɔ:
Di prɔblɛm dɛn we kin apin to di mama:
- Di pikin we dɛn bɔn bifo tɛm: Sɔntɛm dɛn fɔ bɔn di pikin bifo di de we dɛn fɔ bɔn am.
- Sizarean bɔn / C-section: Yu dɔktɔ kin se yu fɔ du C-section kwik kwik wan. Ɔ, if yu de blɔd bad bad wan we yu de bɔn pikin, yu kin nid fɔ mek dɛn du C-sekshɔn kwik kwik wan.
- di plasεnta abrupshכn: Dis na denja kכndyushכn bak.
- Preeclampsia: Yu blɔd prɛshɔn kin go ɔp wantɛm wantɛm afta 20 wiks we yu gɛt bɛlɛ.
Di tin dɛn we kin apin to di pikin:
- Dɛn kin wet smɔl pas ɔda pikin dɛn we dɛn jɔs bɔn ɛn dɛn kin luk smɔl.
- Dɛn kin nid spɛshal kia na di Nionatal ICU/NICU.
- di lכw Apgar skכ dεm kin apin: insay di fכs fayv minit dεm we dεn bכn yu pikin, dεn go gi yu pikin ``Apgar tεst.'' Dis de mכsu di pikin in brith, at rεt, mכsul kכndishכn, rεflεks, εn skin kכla, εn i de gi am skכ (0-10). If yu gɛt smɔl mak, dat min se di pikin nid ɛkstra ɛp fɔ blo ɛn ajɔst to layf we nɔ de na di bɔdi.
Di kɔmplikeshɔn we denja pas ɔl we kin kam wit Velamentous Kɔd Insɛshɔn: (Vasa Previa)
כlmost 6% pan di bεlε dεm we gεt Velamentous Cord Insertion gεt כda siriכs kכndyushכn we dεn kכl Vasa Previa, we di bכdi we nכ protεkt na di כmbilikal kכd de pas tru כ rili nia di sεviks.
jכs tink, we di pikin bigin fכ bכn, as di pikin de push tru di sεviks, bכku prεshכn de pan dεn vein dεm ya we nכ protεkt. Dɔn di risk fɔ mek dɛn vein dɛn ya brok kin rili bɔku.If dis apin, di mama ɛn di pikin kin blɔd pasmak. Na lɛk af pan dɛn bɛlɛ ya kin dɔn we dɛn bɔn pikin we dɔn day.
Bɔt, nɔ panik! If yu no dis sik kwik kwik wan, dat kin mek dɛn nɔ gɛt dɛn denja tin ya. If yu dɔktɔ si blɔd vesel we nɔ gɛt protɛkshɔn na di ɔmbilikal kɔd nia di sɛviks we dɛn de du ɔltra saund skan, i go mɔs tɛl yu fɔ du C-sekshɔn. if dεn du C-sεkshכn pan kes fכ Vasa Previa, di chans fכ sev di pikin in layf go rich 97% to 99%.
Wetin na di sayn dɛm fɔ Velamentous Cord Insertion? Aw yu no?
Sɔntɛnde, mɔ insay di tɔd tri mɔnt we yu gɛt bɛlɛ, we yu gɛt blɔd na yu vagina kin bi sayn fɔ wan sik we dɛn kɔl ``Velamentous Cord Insertion.`` Bɔt sɔm pipul dɛn nɔ kin gɛt ɛni simptom.
Bɔku tɛm, yu dɔktɔ kin no dis tru wan ɔltra saund skan ɛn wach yu pikin. Yu pikin kin gɛt sɔm sayn dɛn lɛk:
- Di at rit we de slow slow.
- Di blɔd we dɛn de gi nɔ bɔku.
Aw dɛn kin no dis sik kɔrɛkt wan?
bay di sεkכn trimεst we yu bεlε, yu dכkta kin si usay di כmbilikal kכd de atak tru wan כltra saund skan. yu kin si dis klia wan wit wan kala Doppler ultrasound.
Bɔt bikɔs di pikin kin big pasmak bay di tɔd tri mɔnt, sɔntɛnde i kin at fɔ no di ɔmbilikal kɔd kɔrɛkt wan. Na dat mek i impɔtant fɔ mek dɛn du skan di rayt tɛm.
Ɛni tritmɛnt de fɔ Velamentous Cord Insertion? Wetin dɛn kin du?
Fכ bi כnεst, nכ dairekt tritmεnt de fכ di kכndyushכn `(Velamentous Cord Insertion)`. dat min se, nכ we nכ de fכ fiks di כmbilikal kכd we dεn nכ tay di rayt we. Bɔt, nɔ wɔri! Dɔktɔ dɛn de tek ɛkstra tin dɛn fɔ tek tɛm fɔ ridyus di prɔblɛm dɛn we dis kin kam wit.
Yu dɔktɔ kin du tin dɛn lɛk:
- fכ mכnitor di pikin in growth εvri 4-6 wik: dεn de du skan fכ si if di pikin de gro fayn fayn wan.
- Ɔltɛm du wan Nɔn-Strɛs Tɛst (NST) pan yu pikin: NST de mɛzhɔ yu pikin in at rit ɛn muvmɛnt. Dis tɛst na kɔmplit sef fɔ yu ɛn yu pikin ɔl tu.
- Ɔspitul we di pikin fɔ bɔn: Yu kin go na ɔspitul fɔ sɔm dez bifo di de we i fɔ bɔn.
- if pipul dεn saspek se blכd vesel kin rכp εn mek i bכku bכku bכku wan, lεk fכ ``Vasa Previa'', dεn kin schedul fכ du ``C-section'' כpεrayshכn arawnd 34 wiks: dεn kin du dis fכ protεkt di pikin.
- if yu de bכn yu pikin bay vagina, mek i bכn arawnd 40 wiks: bay dis tεm, di amount of amniotic fluid na di uterus dεn dכn dכn, we kin put mכr prεshכn pan di bכdi vεsul dεm.
- Fɔ pe spɛshal atɛnshɔn to di pikin in impɔtant sayn dɛn we i de bɔn ɛn we i de bɔn, fɔ ɛp fɔ bɔn di pikin sef wan.
I gɛt we fɔ mek dɛn nɔ put Velamentous Kɔd insay?
Nɔ, yu nɔ go ebul fɔ mek di Velamentous Cord Insertion nɔ apin. Bɔt mɛmba se di chans fɔ mek dis apin rili smɔl.
Di impɔtant tin na dat if dɛn no se yu gɛt Velamentous Cord Insertion, i min se yu dɔktɔ go de wach yu gud gud wan fɔ ɛni prɔblɛm we kin apin ɔlsay na yu bɛlɛ. Fɔ no am kwik kwik wan ɛn fɔ wach am gud gud wan na di bɛst we fɔ gɛt bɛlɛ we gɛt wɛlbɔdi ɛn pikin we gɛt wɛlbɔdi.
If a gɛt (Velamentous Cord Insertion), wetin a fɔ ɛkspɛkt?
Yu dɔktɔ go tek spɛshal kia fɔ yu bɛlɛ so dat yu go bɔn yu pikin sef wan. Dis kin inklud fɔ du ɔltra saund skan ɔltɛm ɛn fɔ du tɛst we nɔ gɛt strɛs. Yu kin gɛt C-section ɔ vagina delivery. Yu dɔktɔ kin tɛl yu bak fɔ bɔn yu pikin di de we yu fɔ bɔn ɔ sɔm wiks bifo dat. Yu pikin kin nid ɛkstra kia na di NICU afta dɛn bɔn am.
Yu dɔktɔ kin gi yu di bɛst advays bɔt us plan we bɛtɛ fɔ yu bɛlɛ, wetin fɔ ɛkspɛkt insay di de dɛn bifo yu pikin kam, ɛn wetin fɔ ɛkspɛkt afta yu bɔn yu pikin.
Wetin a fɔ du if a gɛt (Velamentous Cord Insertion)?
Tɔk to yu dɔktɔ fɔ ɔndastand gud gud wan aw Velamentous Cord Insertion go afɛkt yu bɛlɛ. Di tritmɛnt ɛn advays we yu go gɛt go jɔs tan lɛk di tin we de apin to yu. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
Na sɔm kwɛstyɔn dɛn we yu kin aks yu dɔktɔ:
- Aw bɔku aktiviti a fɔ de du fɔ wan de?
- Us ɛgzampul dɛn a kin du sef wan?
- Ɛni tin dɛn de we a fɔ avɔyd ɔ we a nɔ fɔ du?
- Us kayn it dɛn a fɔ it?
- Aw bɔku rɛst a fɔ gɛt fɔ wan de?
- Aw lɔng a fɔ slip na nɛt?
Fɔ lan bɔt di pɔsibul kɔmplikeshɔn dɛm fɔ Velamentous Kɔd Insɛshɔn kin mek yu fred. Bɔt mɛmba se, prɔblɛm dɛn nɔ kin apin so ɔltɛm. Yu go nid fɔ de wach yu gud gud wan we yu gɛt bɛlɛ ɛn we yu de bɔn pikin, bɔt dis ɛkstra kia kin ɛp yu fɔ gɛt bɛtɛ autkam we yu gɛt bɛlɛ wit Velamentous Cord Insertion. Aw yu Velamentous Cord Insertion de afɛkt yu bɛlɛ plan?Tɔk to yu dɔktɔ bɔt di tin dɛn we kin apin to yu.
Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .
Okay, so wi don tok plenti abaut `(Velamentous Cord Insertion)`, no bi so? Di impɔtant tin na dat pan ɔl we dis na tin we nɔ kin apin so ɔltɛm, if dɛn no am kwik ɛn ɔnda di rayt mɛdikal sɔpɔtishɔn, yu kin briŋ wɛlbɔdi pikin na di wɔl we nɔ gɛt ɛni prɔblɛm.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
- Nɔ skip di skan dɛn we dɛn dɔn sɛtul ɛn tɛst dɛn we nɔ gɛt strɛs.
- If yu gɛt ɛni ɔda sayn we nɔ kɔmɔn, lɛk we yu de blɔd na yu vagina, tɛl yu dɔktɔ wantɛm wantɛm.
- Nɔ panik, jɔs rilaks. Yu mɛdikal tim go du wetin bɛtɛ fɔ yu ɛn yu pikin.
Wi de wish yu ɛn yu pikin gud wɛlbɔdi!
` כmbilikal kכd, Plasεnta, Bεlε Kכmplikεshכn, Velamentous Kכd Insεshכn, Vasa Previa, C-sεkshכn, כltra saund, Bεlε hεlth
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