As mama we go bi mama, yu kin fred smɔl ɛn want fɔ no bɔt bɔn pikin , nɔto so? Yu go dɔn yɛri wɔd dɛn lɛk ‘tɔr’ ɛn ‘stich’ we yu de tɔk bɔt tin dɛn we kin apin we yu de bɔn pikin. Dis na rili sɔntin we bɔku mama dɛn kin gɛt, bɔt dɛn nɔ kin rili tɔk bɔt am. So tide wi bin tink se wi go tɔk to una bɔt dis insay wan fayn we. wi de tכk bכt di perineal tear we de apin we dεn de bכn pikin, כ wetin wi mεdikal kכl `(Perineal Tear)`.
Wetin mek dɛn kray wata ya kin rili apin?
Fɔ tɔk am simpul wan, fɔ bɔn pikin na wɔndaful tin we pɔsin kin du. yu bכdi de pripia di we fכ yu pikin fכ kכmכt bay we i de tכn di skin εn tisu we de rawnd yu vagina εn mek i strεch mכr. dis na fכ mek sכh se di pikin in ed kin kכmכt witout eni damej.
Bɔt sɔm tɛm, mɔ if di pikin tu fast smɔl, dis skin nɔ kin gɛt inof tɛm fɔ strɛch lɛk aw i fɔ strɛch. Na da tɛm de di tisu we de rawnd di vagina kin te. Dis kin rili kɔmɔn ɛn i kin apin to bɔku mama dɛn.
Sɔntɛnde, di dɔktɔ dɛn go mek smɔl say fɔ mek di say we di vagina opin big fɔ kɔntrol di we aw i de te ɔ fɔ mek di pikin bɔn kwik kwik wan. Wi kin kɔl dis `` episiotomy ''. Dɛn kin du dis fɔ kɔntrol di blɔd we kin kɔmɔt we i kray bad bad wan ɔ fɔ sev di pikin kwik kwik wan if ɛnitin apin.
Wetin na di 4 men kayn rays?
Dɛn sheb dɛn krak krak ya to 4 men kayn dɛn bay aw dɛn dip ɛn aw dɛn dɔn pwɛl. Tink bɔt am lɛk we yu de kɔmɔt na smɔl krak krak na rod ɛn go na big pɔt. Lɛ wi ɔndastand dɛn kayn ya klia wan.
| Digri we pɔsin kin kray | Di say dɛn we dɔn pwɛl | Tin dɛn we yu fɔ no |
|---|---|---|
| Fɔs-digri | כnli di skin εn di כndalayn tisu bitwin di vagina εn di anus. Wan kray wata we rili supamakit. | Yu kin fil smɔl bɔn ɔ pen we yu de pis. Bɔku tɛm, dɛn nɔ kin nid fɔ stich, bɔt sɔntɛnde, dɛn kin nid fɔ stich wan ɔ tu. I go wɛl kpatakpata insay sɔm wiks. |
| Sɛkɔn-digri | apat frכm di skin, di mכsul dεm we de rawnd di vagina dεm dεn dכn pwεl bak, we dip pas di fכs stej. | Dis na di kayn sik we dɛn kin bɔn pas ɔl . I go mɔs nid fɔ mek dɛn stich am. Dɛn stich ya go sɔlv fɔ dɛnsɛf afta sɔm tɛm. Dɛn go wɛl insay sɔm wiks. |
| Tɔd-digri | di kray wata de go te to di mכsul dεm we de rawnd di an (anal sphincter). | Dis na siriɔs kɔndishɔn. I go mɔs nid fɔ ripɛnt wit stich. I kin tek pas sɔm wiks fɔ mek i wɛl. Sɔm pipul kin gɛt prɔblɛm lɛk aw dɛn nɔ kin ebul fɔ kɔntrol dɛn bɔdi ɛn dɛn kin fil pen we dɛn de du mami ɛn dadi biznɛs. |
| Na di nɔmba 4 digri | Dis na di kayn we we kin rili bad. di kray wata de go tru di mכsul dεm we de rawnd di ans to di insay wכl na di rεktum. | Dis nid fɔ gɛt spɛshal kayn ripɛnt na ɔspitul rum. I kin tek lɔng tɛm fɔ mek i wɛl. Risk de fɔ gɛt kɔmplikeshɔn, jɔs lɛk na stej tri. |
Us tin dɛn we kin mek pɔsin kray?
Sɔm tin dɛn kin mek yu gɛt dis kayn kray wata. Bɔt if yu gɛt dɛn tin ya, dat nɔ min se yu go bigin fɔ kray. Dɛn tin ya na jɔs tin dɛn we kin mek pɔsin gɛt prɔblɛm.
- If yu de bɔn yu fɔs pikin : Di risk kin bɔku we yu bɔn di fɔs pikin bikɔs di tisu dɛn nɔ strɛch lɛk aw i de.
- If di pikin fat pasmak: We big pikin kɔmɔt na do, i kin gɛt mɔ prɛshɔn pan di tisu dɛn.
- if di leba tu fast: di tisu dεm nכ gεt inof tεm fכ kכntrakt.
- If yu yuz inschrumɛnt fɔ pul di pikin: `(Forc EPSIf yu fɔ yuz ``(forceps)`` ɔ ``(Vacuum)`` divays.
- di posishכn fכ di pikin: Breech prεzεntεshכn we di pikin de fes כp.
- If di mama dɔn big.
- Fɔ bi Eshian uman: Stɔdi dɔn sho se Eshian uman dɛn kin gɛt smɔl risk bikɔs ɔf di kayn we aw dɛn tisu dɛn tan.
- Episiotomy: Risk de fɔ kɔntinyu fɔ te, mɔ we yu du midlayn episiotomy.
Us kɔmplikɛshɔn kin apin bikɔs ɔf dis swɛlin?
De impɔtant tin na dat, bɔrku pan dɛn kɔmplikɛshɔn ya kin bi wae dɛn kin avɔyd ɔr kin ebul fɔ kɔntrol am wit di rayt mɛrɛsin ɛn advays.
Bɔku tɛm, stej wan ɛn tu nɔ kin mek ɛni big prɔblɛm , bɔt siriɔs stej tri ɛn 4 kin mek sɔm prɔblɛm dɛn.
- Blɔd we de kɔmɔt: Di tɛm we di wata de kɔmɔt ɛn afta di wata we de kɔmɔt na di bɔdi.
- Infεkshכn: Infεkshכn kin apin if dεn nכ kip di say we dεn sutura klin.
- Pen: Ɛspɛshali insay di fɔs wik dɛn.
- Pen we yu de du mami ɛn dadi biznɛs: Sɔm pipul dɛn kin gɛt dis prɔblɛm ivin afta dɛn dɔn wɛl.
- Urinary incontinence: Urinary incontinence we yu nɔ want, lɛk we yu de kɔf ɔ laf.
- Bɔwel inkontinɛns: Dis kin gɛt fɔ du wit siriɔs dayarɛa.
- Dilay fɔ wɛl: I kin delay fɔ wɛl bikɔs ɔf tin dɛn lɛk we stich dɛn de brok bak.
Aw dɛn kin trit am ɛn wetin yu fɔ du?
Di tritmɛnt dipen pan us kayn kray wata yu gɛt. Fɔs digri tear kin nɔ nid fɔ stich atɔl. Bɔt di sɛkɔn, tɔd, ɛn 4 digri kray wata go mɔs nid fɔ stich fɔ mek dɛn fayn.
Di bɛst pat na dat di stich dɛn we dɛn yuz fɔ dis prɔsidyu kin sɔlv as tɛm de go . So yu nɔ nid fɔ go bak na ɔspitul fɔ mek dɛn pul dɛn. Dɛn stich ya kin sɔlv insay 6 wik.
Di pen we pɔsin kin fil we i kray kin stɔp afta lɛk tu wiks so . Di dɔktɔ go gi yu mɛrɛsin fɔ mek yu fil pen.
Tin dɛn fɔ du pan yu pat
- Klin: Kip di say we dɛn put di stich dɛn klin ɛn dray. Wash wit wam wata ɔltɛm afta yu dɔn yuz tɔylɛt, pat dray wit klin klos, dɔn pat dray.
- Rɛst:Gɛt bɔku rɛst as yu ebul. Nɔ de na di sem pozishɔn fɔ tu lɔng.
- Di it: Fɔ mek yu nɔ gɛt kɔnstipɛshɔn, it tin dɛn we gɛt bɔku fayv lɛk grɛn, vɛjitebul, ɛn frut, ɛn drink bɔku wata.
- Di advays we di dɔktɔ gi yu: Du wetin yu dɔktɔ tɛl yu fɔ du.
If yu gɛt dɛn sayn ya, go to dɔktɔ wantɛm wantɛm:
- If yu gɛt fiva.
- If bad smel ɔ wata we tan lɛk pus de kɔmɔt na di say we dɛn sutura.
- If di pen kɔntinyu fɔ bɔku pan ɔl we yu de tek mɛrɛsin fɔ mek yu fil pen.
- If di say we dɛn put di stich dɛn dɔn swel, rɛd, ɛn i kin rili pen.
If yu kɔntinyu fɔ fil pen we yu de du mami ɛn dadi biznɛs, nɔ shem ɔ fred fɔ tɔk to yu dɔktɔ bɔt am. Tin dɛn de we yu kin du bɔt am.
Mɛsej we dɛn kin kɛr go na os
- Di blɔd we de kɔmɔt na di vagina we dɛn de bɔn pikin kin rili kɔmɔn. I nɔto natin fɔ shem ɔ fred.
- Mɔs pan di bɔn (fɔs ɛn sɛkɔn stej) kin wɛl ɔl if dɛn kia ɛn trit dɛn fayn fayn wan.
- Fɔ tek tɛm gud gud wan fɔ kip di say klin na impɔtant tin fɔ mek yu nɔ gɛt di sik.
- If yu gɛt siriɔs pen, sayn dɛn fɔ infekshɔn (fiva, bad smel), ɔ prɔblɛm wit blad/bɔwel kɔntrol, go to yu dɔktɔ we nɔ de te.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni prɔblɛm we de kɔntinyu afta yu dɔn wɛl, mɔ di pen we yu de fil we yu de du mami ɛn dadi biznɛs. Na yu rayt fɔ fɛn di rayt sɔlvishɔn.
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