Yu pikin gɛt dis siriɔs intestinal prɔblɛm? (Necrotizing Enterocolitis - NEC) Lɛ wi tɔk bɔt dis!

Oh, sɔntɛnde we dɛn bɔn smɔl pikin dɛn, dɛn kin gɛt difrɛn wɛlbɔdi prɔblɛm dɛn, nɔto so? Ɛspɛshali di pikin dɛn we dɛn bɔn we dɛn gɛt smɔl ej we dɛn gɛt bɛlɛ. Tide wi go tɔk bɔt wan siriɔs intestinal sik we dɛn kayn pikin ya kin gɛt. Dɛn kɔl dis necrotizing enterocolitis, ɔ NEC fɔ shɔt tɛm. Nɔ fred we yu yɛri dis nem, lɛ wi ɔndastand am simpul wan.

Wetin na dis nεkrotizing εnterokolaytis (NEC)?

Fɔ tɔk am simpul wan, NEC (Necrotizing Enterocolitis) na siriɔs intestinal sik we kin afɛkt di intestinal fɔ pikin dɛn, mɔ di pikin dɛn we dɛn bɔn bifo tɛm . pan dis kכndyushכn, di intestinal tisu dεm de swel εn bigin fכ day. Tink bɔt am lɛk wund we de mek di tisu pwɛl insay di intestinal.

dis kin denja biכs sכmtεm wan ol (perforation) kin fכm na di intestכn. If dis apin, jεm , lεk baktri dεm kin kכmכt tru di ol, insay di bεlε כ insay di bכdi. dis kin apin bitwin tu εn siks wik afta dεn bכn di pikin.

Fɔ sɔm bebi dɛn, NEC na wan kayn sik we nɔ kin izi fɔ dɛn ɛn we kin mek dɛn layf de pan denja. Insay sɔm bebi dɛn, i kin rili bad ɛn i kin mek dɛn layf de pan denja . Wi kin kɔl am "nek-ruh-tiz-ing n-ter-o-ko-ly-tis."

Wetin na di insay?

di sכmכl intestin εn di big intestin na tu rili imכtant pat dεm na wi dijestiv sistεm . Dɛn kin ɛp wi fɔ dayjɛst di it we wi de it, tek di tin dɛn we wi de it, ɛn pul di dɔti tin dɛn we wi de it. Dɛn dɔti tin ya kin kɔmɔt na do as fes.

Udat go mɔs gɛt NEC? Aw i kɔmɔn?

Infakt, 9 pan ɛvri 10 pikin dɛn we gɛt NEC, dɛn kin bɔn dɛn bifo tɛm . dat min se, pikin dεm we dεn bכn bifo 37 wiks we dεn bכn. Speshal wan:

• Fɔ pikin dɛn we dɛn bɔn bifo 37 wik ( pikin dɛn we dɛn bɔn bifo tɛm ).
• fכ pikin dεm we dεn de it tru wan tכb we dεn put insay dεn bεlε ( enteral nutrition ). Dɛn kin du dis bikɔs i nɔ kin izi fɔ sɔm pikin dɛn fɔ tek milk wit dɛn mɔt.
• Fɔ pikin dɛn we nɔ rich 5 1/2 paund we dɛn bɔn dɛn.

NEC na wan kכmכn intestinal sik pan pikin dεm we dεn bכn bifo tεm. Fɔ tɔk roughly, i kin afɛkt lɛk 1 pan ɛvri 1,000 pikin dɛn we dɛn bɔn bifo tɛm. Di risk kin bɔku mɔ fɔ pikin dɛn we nɔ rich 2 pawn we dɛn bɔn dɛn.

Bɔt, ful-tɛm pikin dɛn nɔ kin rili gɛt NEC. Na lɛk wan pan ɛvri 10,000 pikin dɛn nɔmɔ go gɛt NEC.

Difrɛn kayn NEC dɛn de?

Yɛs, dɔktɔ dɛn kin klas NEC bay di tɛm we di sik bigin ɛn wetin mek di sik kam. Bɔku men kayn dɛn de:

• Klasik NEC:Dis na di kayn we we pipul dɛn kin gɛt mɔ. i kin afekt pikin dεm we dεn bכn bifo 28 wiks we dεn bεlε. I kin apin bitwin tri ɛn siks wik afta dɛn bɔn am. Bɔku tɛm, dis sik kin apin wantɛm wantɛm, we dɛn nɔ kin wɔn am , we di pikin wɛl ɛn stebul.
• NEC we gɛt fɔ du wit transfyushɔn: Sɔm pikin dɛn nid fɔ transfyushɔn bikɔs dɛn gɛt anemia , we nɔ gɛt rɛd blɔd sɛl. Na lɛk 1 pan ɛvri 3 pikin dɛn we dɛn bɔn bifo tɛm kin gɛt NEC insay tri dez afta dɛn dɔn gi dɛn blɔd.
• Atypical NEC: Na sכm tεm, NEC kin divεlכp insay di fכs wik fכ layf כ ivin bifo di pikin gi in bεlε fכ di fכs tεm.
• NEC in tεm bεlε pikin dεm: We dεn bכn pikin na tεm, bכku tεm i kin kכz fכ difεkt we dεn bכn am . Fɔ ɛgzampul, wan at sik we dɛn bɔn wit , gastroschisis , ɔ ɔksijɛn we nɔ de bɔku we dɛn bɔn am.

Sɔntɛnde, NEC kin skata na di nyuonatal intensiv kia yunit dɛn (NICU) . dis na we sεvεra bebi dεm de divεlכp NEC di sem tεm. Baktri lεk E. coli כ כda jεm kin mek dis spred. Bɔt dis kin rili rare bak.

Wetin mek dis NEC kin apin? Wetin na di tin dɛn we kin mek i apin?

Dɔktɔ dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek pɔsin gɛt NEC, bɔt wi no se pikin dɛn we dɛn bɔn bifo tɛm kin gɛt wikɛd imyun sistɛm . Di imyun sistɛm na in de fɛt di infɛkshɔn.

כlso, dεn pikin dεm dεn digεstiv sistεm dεm rili wik εn dεn nכ de divεlכp fulכp. So, if pikin we dεn bכn bifo tεm gεt intestinal infεkshכn, i kin at fכ in imyun sistεm εn dijestiv sistεm fכ fכt am.

Wan ɔda tin na dat, pikin dɛn we dɛn bɔn bifo tɛm kin gɛt smɔl blɔd we de kɛr ɔksijɛn go na dɛn intestinal. Dis we aw blɔd de go dɔŋ kin pwɛl di intestinal tisu. dis damej de mek di baktri dεm kכmכt na di intestinal dεm εn go insay di bכdi כ blכd.

Wetin na di sayn dɛm fɔ NEC?

NEC kin apin bitwin tu ɛn siks wik afta dɛn bɔn am. I kin difrɛn difrɛn wan fɔ di kayn sik ɛn di tin wae de mek i gɛt dis sik. Di sik kin kam smɔl smɔl fɔ sɔm dez, ɔ i kin apin wantɛm wantɛm pan pikin we ɔda we nɔ gɛt wɛlbɔdi.

Bikɔs NEC na prɔblɛm we kin apin to pikin dɛn we de na NICU (Neonatal Intensive Care Unit) , di dɔktɔ ɛn nɔs dɛn we de de kin no bɔt dis ɔltɛm.

Di men sayn dɛm fɔ NEC na:

• Bɛlɛ de pen ɛn swɛlin.
• At rit, blɔd prɛshɔn, chenj na di bכdi tεmprachכ εn di we aw i de brith.
• Dayarɛa wit stɔl we gɛt blɔd .
• Grin ɔ yɔlɔ vɔmit.
• Di pikin de slip ɛn nɔ gɛt layf ( lethargy ).
• Nɔ gri fɔ drink milk ɛn nɔ gɛt bɔku bɔku bɔdi.

Aw yu go no if yu gɛt NEC?

Di dɔktɔ we de trit yu pikin go chɛk yu pikin ɛn chɛk fɔ ɛni swel ɔ ɔda sayn dɛn fɔ NEC.

Apat frɔm dat, i pɔsibul fɔ du tɛst dɛn lɛk:

• Blɔd tɛst: Chɛk di blɔd fɔ si if baktri ɔ ɔda sayn dɛn we de sho se yu gɛt di sik.
• Fecal test: Chek yu pikin in stɔl fɔ si if i gɛt blɔd. Sɔntɛnde, blɔd kin de na di stɔl we wi nɔ kin si, ɛn dis tɛst kin no am.
• X-ray: Dɛn kin tek ɛkstrem rayt na di bɛlɛ fɔ luk fɔ gas bɔbul dɛn we de rawnd di insay ɔ insay di bɛlɛ. Dɛn gas bɔbul ya de sho se di insay dɛn dɔn pwɛl ɔ dɛn gɛt ol.

Wetin na di prɔblɛm dɛn we kin apin we NEC kin gɛt?

Bebi we gɛt NEC kin gɛt ɔda prɔblɛm dɛn bak. Sɔm pan dɛn prɔblɛm ya na:

• Infεkshכn na di bכdi: sכm pikin dεm kin gεt ol na di wכl na dεn intestinal. dis ol kin mek baktri dεm fכ go insay di bכdi. Dis kin mek yu gɛt siriɔs infekshɔn we dɛn kɔl peritonitis . Dis peritonitis de mek di risk fɔ gɛt sepsis , we na wan blɔd infɛkshɔn we de mek pɔsin in layf de pan denja.
• intestinal stricture: lεk 1 pan 3 pikin dεm we gεt NEC go divεlכp wan narrowing of di intestinal leta in layf. Dis kin apin sɔm mɔnt afta di pikin dɔn wɛl frɔm NEC. We di insay de smɔl, i nɔ kin izi fɔ mek it ɛn drink pas. Sɔm pikin dɛn kin nid fɔ du ɔpreshɔn fɔ mek di intestinal we dɔn smɔl, big.
• Short bowel syndrome (SBS): Dis kכndyushכn kin apin if pat pan di sכm intestinal dεn dכn pwεl כ damej biכs fכ NEC. dis kin mek di bכdi nכ ebul fכ abzכp di wata εn di nyutriεnt dεm fayn fayn wan ( malabsorption ). Pikin dɛn we gɛt SBS nid spɛshal kia fɔ mek shɔ se dɛn gɛt di rayt it ɔlsay na dɛn layf. Sɔm pikin dɛn kin nid fɔ gi dɛn tin fɔ it tru wan tiub ( enteral feedings ).
• di growth fεil εn divεlכpmεnt delay: Dis na imכtant lכng tεm kכmplikεshכn dεm. Dis risk kin bɔku mɔ pan bebi dɛn we dɛn dɔn ɔpreshɔn. di growth εn nyurodivεlכpmεnt autkam fכ dεn kayn pikin dεm fכ de mכnitor כltεm.

Aw dɛn kin trit NEC?

di pikin in intestin dεm nid fכ rεst εn hεl. So di fɔs tin fɔ du we yu de trit NEC na fɔ stɔp fɔ it tru tiub ɔ bay mɔt. Bifo dat, dɛn kin gi di pikin di tin dɛn we i nid ɛn di wata we i nid insay in bɛlɛ (IV) , we tan lɛk salin insay wan vein.

Apat frɔm dat, di pikin kin gɛt tritmɛnt dɛn bak lɛk:

• Nasogastric tube: di dכkta de put wan lכng tכn tכb tru di nos (sכmtεm tru di mכt) insay di bεlε fכ pul di briz εn wata we pasmak na di bεlε.
• Antibayɔtik: Dɛn tin ya kin ɛp fɔ fɛt baktriyal infɛkshɔn.

lεk 1 pan 4 pikin dεm go nid כpεrayshכn fכ pul di dεd pat dεm na di intestinal εn ripεr εni ol dεm. Di dɔktɔ kin du wan tin bak we dɛn kɔl ostomy . Dis ɔpreshɔn we dɛn du:

• wan sכmכl ol we dεn k כl stoma de kכmכt na di pikin in bεlε.
• di big intestin de kכnekt to dis stoma.
• afta dat di stכl de kכmכt na di bכdi tru dis stoma, insay wan paus we de na do na di bכdi.

We di pikin strɔng smɔl, di dɔktɔ kin kɔnɛkt di intestinal dɛn bak ɛn put am insay di bɛlɛ.

Sɔntɛnde, if di pikin rili smɔl (we nɔ rich 1 pawn) ɔ i sik tumɔs fɔ mek dɛn du am ɔpreshɔn, di dɔktɔ kin put smɔl tiub ( drein/catheter ) na di bɛlɛ. Dɛn kin yuz dis tiub fɔ pul wata ɛn briz we gɛt di sik we de ambɔg di bɛlɛ ɛn ridyus di sayn dɛm. Leta, we di pikin dɔn big smɔl ɛn bɛtɛ, dɛn kin du ɔpreshɔn pan am.

Yu tink se dɛn kin ebul fɔ stɔp NEC?

If yu de pan denja fɔ bɔn pikin bifo tɛm, yu dɔktɔ kin gi yu wan injɛkshɔn we dɛn kɔl kɔtikosterɔyd . dis mεdisin de wok fכ mek di pikin in bεlε in hεlth bεtεh. I kin mek i nɔ gɛt prɔblɛm wit di pikin in lɔng ɛn in intestinal.

Apat frɔm dat, dɛn dɔn si se we pɔsin gi pikin in bɛlɛ, dat kin mek i nɔ gɛt NEC. Sɔm stɔdi dɛn dɔn sho se if yu ad probayotik , ɔ fayn fayn baktri dɛn to mama in milk ɔ fɔmula, dat kin ɛp bak.

Wetin go apin to di pikin if NEC de divɛlɔp? (Autluk) .

Fɔ tɔk roughly, 8 pan 10 pikin dɛm we gɛt NEC de liv. Bɔt sɔm pan dɛn pikin ya kin gɛt wɛlbɔdi prɔblɛm fɔ lɔng tɛm bikɔs ɔf NEC.

Impɔtant: We i tan lɛk se yu pikin we yu bɔn bifo tɛm fayn ɛn wantɛm wantɛm i gɛt prɔblɛm lɛk NEC, yu kin fil bad ɛn wɔri bad bad wan. Dis na nɔmal tin. Dɛn tren dɔktɔ ɛn nɔs dɛn na di NICU fɔ no dɛn prɔblɛm ya ɛn fɔ du sɔntin kwik kwik wan. Sɔm bebi dɛn kin wɛl if dɛn nɔ trit dɛn bɛtɛ. Ivin we dɛn du ɔpreshɔn, bɔku pikin dɛn kin wɛl ɛn liv nɔmal layf. Bɔt sɔm bebi dɛn kin gɛt prɔblɛm dɛn we kin kɔntinyu fɔ digest.

Tin dɛm fɔ aks yu dɔktɔ/dɔktɔ

If yu pikin gɛt NEC, i fayn fɔ aks yu dɔktɔ bɔt tin dɛn lɛk:

• Wetin mek mi pikin gɛt NEC?
• Us kayn NEC mi pikin gɛt?
• Wetin na di bɛst tritmɛnt fɔ mi pikin?
• Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt tritmɛnt?
• Wetin na di lɔng tɛm ifɛkt dɛm we NEC kin gɛt?
• A nid fɔ gi mi pikin spɛshal it?
• Us prɔblɛm dɛn a fɔ wach we a de kam wit mi pikin na os?

Fɔ dɔn, di tin we impɔtant pas ɔl

NEC na wan sik we rili siriɔs, mɔ we i de afɛkt wi smɔl pikin dɛn. Bɔt mɛmba se, mɛrɛsin sayɛns dɔn rili go bifo tide. Di dɔktɔ dɛn, nɔs dɛn, ɛn di wan dɛn we de wok na di NICU (Neonatal Intensive Care Unit) de wok tranga wan fɔ sev dɛn pikin ya we nɔbɔdi nɔ go biliv.

I fayn fɔ no se ivin simpul tin lɛk fɔ gi pikin in bɛlɛ kin ridyus dis risk. If yu pikin gɛt dis sik, nɔ panik, ɛn fala di advays we yu dɔktɔ gi . Tek tɛm tɔk to dɛn ɛn aks dɛn ɔl di kwɛstyɔn dɛn we yu gɛt. Wi de wish yu fɔ wɛl kwik kwik wan!

` Necrotizing enterocolitis, NEC, pikin dεm we dεn bכn bifo tεm, intestinal infεkshכn, pikin in hεlth, NICU, dijestiv sistεm