Dr Chioma Nwakanma-Akanno Profile picture
Aug 20, 2018 6 tweets 4 min read Twitter logo Read on Twitter
Public CERVIX Announcement.
Do you have a Vagina?
You have a Cervix too.

The Cervix is the neck of the womb.
Cervical Cancer is an STD.
Do you have multiple Boos or A Boo with multiple Boos? You are at risk.

It is 100% preventable yet the No 2 CA in women🤷

#SmearIt
#DrZobo
Prevention
1) By Early Vaccination against Human Papilloma Virus (HPV), best before sexual exposure. Ages 9-26👌.
Vaccinate your girl child. Dear young women you too.

Note: Boys also benefit from HPV vaccination as it prevents them from Genital warts and Penile Cancer
#DrZobo
2) Screening. Cervical Screening for the sexually exposed.
-Pap Smear: takes 3 mins
- VIA (Visual Inspection with Acetic Acid) takes only 1 min
-HPV testing to make sure the strains are not in you already.
#DrZobo
#SmearIt
#CervicalCancer
Risk Factors
1) Human Papilloma Virus: An STI Esp strain 16 and 18 Implicated in CA Cervix.
2) Having Multiple Sexual partners or a Partner with Multiple Sexual Partners.
3) Unprotected Sexual Intercourse
4) Early onset of Mekwe
5)Family Hx of Maternal CA
6) Smoking
#DrZobo
Protective Factor:
1) Nulliparity. Virginity.
2) Early detection which is key to survival.

Precancer stages can be treated via Cryotherapy, immediately.

Early Cancer Stages can also be treated surgically and with Chemotherapy.
#DrZobo
#SmearIt
Scary facts: It gives no signs and symptoms, until it's almost late.

Signs and symptoms:
Bloody and smelly Vaginal discharge
Bleeding and or pain during sexual intercourse
Lower back pain
Loss of weight
Pelvic and abdominal pain

Prevention is Better than cure!
#SipsZobo
#DrZobo

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More from @DrZobo

Sep 26, 2018
A short story FOR EVERY WOMAN.
It was 6am when she was brought in dead.
She had been Pushing and bleeding for hrs in a 'Maternity'. 1st Pregnancy.
Her husband was inconsolable. He rolled from one end of the compound to the other.
Our hearts were broken.
1 hour later...
#DrZobo
Dr Z walked out the hospital still reeling from the aftermath of the incident.
Maternal Mortality from Pennywise causes.
Hmm
Then she saw him.
In a bar just across. He was on his 3rd beer.
And no, he had no semblance with the Inconsolable 'Roller coaster' from 1 hr ago
#DrZobo
Then he saw her.
As if in reply to unasked questions, he started;
“Doc, Ka awachienu uwa George. Onwuola nu. She is gone. Life goes on.
I dey wait ambulance, I say make I take one bottle for the road.”
He sipped.

She wasn’t even cold yet.
Z nodded in condolence.
He spoke
#DrZobo
Read 7 tweets
Jul 20, 2018
"So Dr, you want to disvirgin my 17yr old Daughter?"

The way she put it.🙄
"Not really Ma, to treat, we have to break her Hymen. She has IMPERFORATE HYMEN. That's why she hasn't menstruated. Absence of Hymen doesn't make her less a virgin, some are born w/o it🤷"
THREAD
#DrZobo
Mum did not look satisfied.

Her daughter was 17 and had never menstruated. Had never discharged or ovulated.

Did she have monthly cramps? Yes.
She also had a mass just below her abdomen which was burning.

Scan showed a fluid like collection.
Guess what it was....
#DrZobo
You guessed right.
"Madam, on examination, we discovered your daughter has an imperforate hymen. This means the hymen is blocking the vagina completely and so, nothing coming from up can come down, including her menses and Ovulation discharge, hence the fluid collection
#DrZobo
Read 15 tweets
Jul 12, 2018
The last time I received a slap that sound, I was in SS2. It was mum.

This time my Slapper was 3. She was my patient. I was trying to examine her 'area'.

I looked up in shock, then I met her eyes. I shivered. One act of abuse had scarred yet another.😢

How? THREAD!👇
#DrZobo
A typical clinic day.
In walked She, mum and aunt.
Her Shiny black skin and full natural hair caught my eye.
She was 3.
Didn't look sick at all.

"Hey there happy Girl,Welcome, What brings you to the clinic today?", I started with a smile. One that soon turned sour👇
#DrZobo.
What she said hit me and suddenly made me reach for my Zobo bottle.
All that Glucose would come in handy.

"Come again please", I said

"E rapeuru ya yesterday" (She was raped yesterday)

Silence.
I looked at the Barbie.

"Who did that Ma'am?"

"My neighbour's son"
#DrZobo👇🤧
Read 16 tweets
Jun 5, 2018
"Help Doc, My child is dying"
"What happened?"
"Convulsion"
What have you done so far?
"Everything o! I gave him palm kernel oil, I put spoon in his mouth, I gave anointing oil, even river Jordan water"
Me: "Nice, Science student. You just did everything to kill him"

#SipsZobo😒
About Convulsions,
It is scary to see your child have one, but note that children don't die from convulsions...
They instead die from aspiration of all the substances and items you put in their mouth.

Here's what you should do while you await medical attention.
#TipTuesday
Place your child on the floor on his or her side and clear away objects that are in close proximity.

Loosen tight clothing surrounding the head or neck.

Don't put anything in your child's mouth or try to stop the convulsion unless your pediatrician has told you what to do.
Read 6 tweets

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