I nɔmal fɔ mek bɔku mama dɛn gɛt mɔnin sik ɛn nɔs we dɛn gɛt bɛlɛ. Bɔt sɔntɛnde dis sik kin tranga smɔl. If yu gɛt bad bad vɔmit we de mek yu nɔ ebul fɔ it ɔ drink, we de mek yu nɔ gɛt bɔku bɔku bɔdi, ɛn we de mek yu nɔ gɛt wata na yu bɔdi, wi kin kɔl am
Hyperemesis Gravidarum . Dis na difrɛn ɛn mɔr siriɔs kɔndishɔn pas nɔmal ‘Mɔnin Siknɛs’. So, lɛ wi tɔk mɔ bɔt dis, nɔto so?
Wetin na di difrɛns bitwin ‘Mɔnin Siknɛs’ ɛn Hyperemesis Gravidarum?
Yu no se fɔ bɔku pipul dɛn, lɛk 80% pan uman dɛn we gɛt bɛlɛ, mɔnin sik, sɔm tɛm dɛn
kin vɔmit wan ɔ tu tɛm we dɛn gɛt bɛlɛ, na tin we kin apin. I nɔ de mek
yu nɔ gɛt wata na yu bɔdi ɔ yu nɔ gɛt bɔku bɔku bɔdi. Yu kin kip it ɛn drink dɔŋ fɔ bɔku pan di de. Bɔrku tɛm, dis kin stɔp fɔ lɛk 12 wiks, we na di ɛnd pan di fɔs tri mɔnt. Bɔt,
hyperemesis gravidarum na wan sik we kin rili bad. Imajin se yu de vɔmit bɔku tɛm insay di de. Dis kin mek yu nɔ gɛt bɔku bɔku bɔdi ɛn yu nɔ gɛt wata na yu bɔdi. Dɛn sayn ya kin te pas aw pɔrsin kin sik na mɔnin. Sɔntɛnde, if yu nɔ gɛt wata na yu bɔdi, yu kin nid fɔ go na ɔspitul fɔ gɛt
IV wata. So, i impɔtant fɔ ɔndastand di difrɛns bitwin dɛn tu.
Wetin na di sayn dɛm fɔ Hyperemesis Gravidarum?
dis kכndyushכn kin bigin insay di fכs trimεst we di bεlε de, arawnd 6 wik. Dɛn sayn ya kin te fɔ sɔm wik, mɔnt, ɔ ivin te dɛn bɔn di pikin. Dis kin mek i nɔ izi fɔ du yu nɔmal tin dɛn. De sayn dɛm wae kin kam pan pɔrsin na:
- Nays we kin mek pɔsin nɔ fil bad bad wan .
- Fɔ vɔmit pas tri tɛm insay di de.
- we yu lכs pas 5% pan yu wet bifo yu bεlε.
- Nɔ ebul fɔ kip ɛni it ɔ drink dɔŋ.
- Di wata we nɔ de na di bɔdi.
- Diziz , fil lɛk yu ed layt.
- Les urine output pas aw i kin bi.
- Fɔ fil se yu taya bad bad wan .
- Sɔntɛm i de faint.
- Ed de at.
Apat frɔm dɛn tin ya, sɔm sayn dɛn de bak we nɔ kin bɔku:
- Lɔw blɔd prɛshɔn .
- Hat rit kwik kwik wan.
- Dray skin.
- Kɔnfyus.
- Di skin we de yɔlɔ (Jaundice) bikɔs di liva dɔn pwɛl.
- Kɔndishɔn dɛn we nɔ kin apin so ɔltɛm lɛk Wernicke-Korsakoff syndrome.
Wetin mek Hyperemesis Gravidarum kin apin?
Dɔktɔ dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek dis sik. Bɔt dɛn kin tink se di ɔmon we de go ɔp na di bɔdi we uman gɛt bɛlɛ, na in kin mek i gɛt bɛlɛ. spεshal wan, wan כmon we dεn kכl
HCG (Human Chorionic Gonadotropin) na in yu bכdi de mek we yu bεlε. Dis kin kɔmɔt kwik kwik wan ɛn bɔku bɔku wan. dis HCG lεvεl de pik arawnd 10 wiks insay di bεlε. Dis na wae bɔrku pipul kin gɛt de sik wae kin pasmak. Dɔn bak, dɛn tink se ɔda ɔmon we kin bɔku we uman gɛt bɛlɛ, we dɛn kɔl
ɛstrojen, kin mek dis nɔys ɛn vɔmit.
Udat de pan denja pas ɔl fɔ gɛt dis sik?
Sɔm pipul dɛn kin gɛt hyperemesis gravidarum (HG). Di tin dɛn we kin mek pɔsin gɛt dis sik na:
- If yu bin dɔn gɛt HG we yu bin gɛt bɛlɛ bifo.
- If yu gɛt bɛlɛ wit twins, triplɛt, ɔ mɔ (bɔku bɛlɛ).
- If dis na yu fɔs bɛlɛ .
- If ɛnibɔdi na yu famili, lɛk yu mama ɔr sista, dɔn gɛt siriɔs mɔnin sik ɔ HG (biological family history).
- If yu gɛt di abit fɔ gɛt muvmɛnt sik ɔ maygren ed we yu de travul.
- if yu gεt wan kכndyushכn we dεn kכl Gestational Trophoblastic Disease (GTD) , we na sik we di sεl dεm na di uterus de gro nכmal wan.
Us kɔmplikɛshɔn dɛn kin apin bikɔs ɔf Hyperemesis Gravidarum?
Infakt, di tin we kin mek bɔku prɔblɛm dɛn we dis HG sik kin kam wit na we di bɔdi nɔ gɛt bɛtɛ tin fɔ it ɛn wata we i nid, dat na
we i nɔ de it fayn . We yu kɔntinyu fɔ vɔmit, di bɔdi nɔ de gɛt di vaytamɛn ɛn tin dɛn we i nid fayn fayn wan. Dis kin mek yu gɛt tin dɛn lɛk we
yu bɔn pikin bifo tɛm ɔ we
yu bɔn pikin we nɔ gɛt bɛtɛ wet . Dɔn bak, if yu vɔmit pasmak, dat kin mek yu trot blɔd ɛn mek ɔda bad bad tin dɛn apin. So, i rili impɔtant fɔ tek kia ɔf dis. Nɔ wɔri, if yu gɛt tritmɛnt kwik, dɛn kin kɔntrol dɛn tin ya to bɔku bɔku wan.
Aw dɔktɔ dɛn kin no se i gɛt Hyperemesis Gravidarum?
We yu go to dɔktɔ, dɛn go aks yu bɔt yu sik ɛn ɛni mɛrɛsin we yu bin dɔn gɛt trade. Dɔn dɛn go chɛk yu. Dɛn go chɛk yu wet mɔ ɛn si if yu dɔn lɔs bɔku wet. Dɛn kin du blɔd ɛn urine tɛst bak fɔ chɛk if dɛn gɛt wata na dɛn bɔdi. Dɛn kin chɛk bak if yu de kɛr wan pikin ɔ mɔ, ɔ if yu gɛt ɛni sayn fɔ GTD (Gestational Trophoblastic Disease), we na wan sik we wi bin dɔn tɔk bɔt.
Dɛn kin du ɔltra saund bak. Sɔntɛnde, dɔktɔ go chɛk bak fɔ si if di vɔmit na ɔda sik we de na di bɛlɛ. Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt dipen pan aw yu sik bad bad wan, so i impɔtant fɔ tɔk bɔt ɔl dɛn tritmɛnt ya wit yu pɔsin we de kia fɔ yu bifo yu bɔn. Nɔr wɔri, bɔrku tɛm, gud tritmɛnt de fɔ dis sik. If di simptom dɛm nɔr so siriɔs...
Sɔntɛnde, tin dɛn lɛk dis kin ɛp:- Di chenj we dɛn kin chenj dɛn layf: Sɔm pipul dɛn kin yuz akupreshɔn band fɔ mek dɛn nɔ gɛt nays. Sɔm pipul dɛn kin gɛt fridɔm bak frɔm tin dɛn lɛk fɔ it jinja pils ɔ fɔ drink jinja ti.
- Di chenj we yu de it: It smɔl it ɛvri tu awa instead fɔ it big it. Dɔn bak, it tin dɛn we nɔ gɛt bɔku fat, we nɔ gɛt bɔku fat, ɛn we izi fɔ dayjɛst (e.g., krak krak, bred, mash potato, rays). Stɔdi dɔn sho se it dɛn we gɛt bɔku fat kin mek pɔsin nɔ fil fayn we i gɛt bɛlɛ. So, yu dɔktɔ kin tɛl yu fɔ avɔyd it dɛn we gɛt bɔku fat ɛn we nɔ gɛt bɔku bɔku it dɛn.
- Nɔs mɛrɛsin: Sɔm ɔva-di-kɔnta (OTC) mɛrɛsin kin ɛp fɔ ridyus nɔs. Pyridoxine (vitamin B6) ɛn doxylamine (e.g., Unisom®) na dɛn dɛn kin yuz mɔ. If dɛn tin ya nɔ ɛp, yu dɔktɔ kin gi yu wan antihistamin lɛk diphenhydramine (e.g., Benadryl®) . Bɔt mɛmba se, nɔ tek ɛni mɛrɛsin fɔ nɔs ɔ vɔmit we yu nɔ tɔk to yu dɔktɔ. I bɛtɛ fɔ tek mɛrɛsin we dɛn kin gi yu.
- Fɔ avɔyd tin dɛn we de mek yu fil nɔys: Yu kin si se sɔm smel ɛn tin dɛn lɛk fɔ rayd motoka kin mek yu fil nɔys. Tray fɔ de fa frɔm dɛn tin dɛn de as yu ebul.
If di simptom dɛn rili siriɔs smɔl...
If yu de vɔmit pasmak ɛn yu nɔ gɛt wata na yu bɔdi, yu go nid fɔ go na ɔspitul. Na sɔm tritmɛnt fɔ di wan dɛn we nɔ gɛt bɛtɛ blɔd we gɛt hyperemesis gravidarum:- Di mɛrɛsin we dɛn kin gi yu: Bɔku kayn mɛrɛsin dɛn de we kin ɛp fɔ mek yu nɔ gɛt nɔys ɛn vɔmit. Fɔs, dɔktɔ kin gi yu wan kɔmbayn doxylamine ɛn vaytamɛn B6. Bɔt, dɛn kin nid fɔ tek mɛrɛsin dɛn we strɔng pas dat. Di mɛrɛsin dɛn we dɛn kin gi fɔ nɔs ɛn vɔmit na promethazine ɛn metoclopramide . Ondansetron, we de na di wɔlDis na ɔda mɛrɛsin we kin ɛp fɔ mek pɔsin nɔ fil fayn ɛn fɔ vɔmit. Sɔm pan dɛn mɛrɛsin ya kin de insay yu bɛlɛ (IV), as injɛkshɔn, ɔ as rɛktal sɔpɔsitɔri if yu nɔ ebul fɔ tek dɛn bay mɔt.
- Fluid we yu kin put insay yu bɛlɛ (IV fluid): Dɔktɔ go gi yu wata ɛn tin dɛn we yu go nid tru wan IV we dɛn put insay wan vein na yu an. Dis kin mek yu nid fɔ de na ɔspitul.
- Tiub fidin: Dɔktɔ de gi yu it tru wan fleksibul tiub we dɛn kin put tru yu nos ɔ yu bɛlɛ. Bɔku tɛm dɛn go admit yu na ɔspitul fɔ dis tritmɛnt.
- Tכtal Parenteral Nutrishכn (TPN): Insay di kεys dεm we rili siriכs fכ hyperemesis gravidarum, yu kin nid fכ gi yu nyutriεnt tru wan vein (IV), baypas yu dijestiv sistεm כlsay. Dis kin mek yu dijestiv sistɛm wɛl we yu nɔ gɛt ɛni wok.
Mɛmba se i impɔtant fɔ tɔk to yu dɔktɔ bɔt di prɔblɛm dɛn we kin apin we yu tek sɔm mɛrɛsin dɛn fɔ HG we yu gɛt bɛlɛ. Da we de, yu go gɛt di tritmɛnt we sef fɔ yu ɛn yu pikin.
Yu tink se dis tin go bɛtɛ?
Yɛs, i kin bɛtɛ. Sɔmtɛm yu sik kin stɔp afta di fɔs tri mɔnt. Dɔn bak, sɔm pipul dɛn kin gɛt dɛn sik ya ɔl di tɛm we dɛn gɛt bɛlɛ. Bɔt bɔku pipul dɛn kin tɔk se di kayn sik we dɛn kin gɛt kin go dɔŋ smɔl smɔl as tɛm de go. Di gud nyus na dat dis kin dɔn kpatakpata afta dɛn dɔn bɔn di pikin. So tink bɔt am ɛn mek yu maynd. Yu tink se dɛn kin ebul fɔ protɛkt di Hyperemesis Gravidarum?
Bɔt i sɔri fɔ no se dɛn nɔ go ebul fɔ stɔp dis. Fɔ no if yu de pan denja fɔ dis sik na di bɛst tin we yu kin du fɔ rɛdi yusɛf. If dis bin apin to yu we yu bin gɛt bɛlɛ bifo, i go fayn fɔ mek yu tɔk to yu dɔktɔ ɛn gɛt advays bifo yu gɛt bɛlɛ bak. Wetin dis kin du to di pikin?
If yu dɔktɔ de wach yu bɛlɛ gud gud wan ɛn yu de tek di rayt tritmɛnt, bɔku tɛm HG nɔ kin afɛkt yu pikin. Bɔt nɔto ɔltɛm, if yu lɔs bɔku bɔku wet ɔ yu nɔ gɛt wata na yu bɔdi, yu pikin kin bɔn wit smɔl wet we dɛn bɔn yu. Dis na wae mek e fayn fɔ gɛt tritmɛnt kwik kwik wan. Ɛnitin de we dis kin du fɔ lɔng tɛm?
Bɔrku pipul nɔr kin gɛt ɛni lɔng tɛm ifɛkt frɔm hyperemesis gravidarum afta dɛn dɔn gɛt pikin. Pan ɔl we di risk de fɔ mek di sik kam bak we yu gɛt bɛlɛ afta dat, yu nɔ fɔ gɛt ɛni sayn afta dɛn bɔn di pikin. Bɔku mama dɛn we dɛn kin trit fɔ HG kin go bifo fɔ bɔn pikin dɛn we gɛt wɛlbɔdi. Hyperemesis Gravidarum na wan sik we de mek uman gɛt bɛlɛ we gɛt bɔku prɔblɛm?
Yɛs, bɔku tɛm yu dɔktɔ go tek yu bɛlɛ as sɔntin we go mek yu gɛt bɔku prɔblɛm. Dis min se yu dɔktɔ go wach yu bɛlɛ gud gud wan fɔ mek shɔ se nɔ kɔmplikeshɔn nɔ de. Yu go nid fɔ go fɔ chɛk-ap ɔltɛm ɛn fala wetin yu dɔktɔ tɛl yu fɔ du. Wetin na di bɛst tin we a kin du if a gɛt Hyperemesis Gravidarum?
Di bɛst tin we yu go du na fɔ go to yu dɔktɔ fɔ gɛt tritmɛnt. Na yu dɔktɔ nɔmɔ go ebul fɔ trit di bad bad tin dɛn we gɛt fɔ du wit HG, lɛk we yu nɔ gɛt wata na yu bɔdi. Fɔ fala yu dɔktɔ in advays bɔt tin dɛn we yu kin du na os fɔ ɛp yu fɔ fil fayn. Fɔ ɛgzampul:- It smɔl it ɛvri sɔm awa.
- It it dɛn we gɛt spays, we nɔ gɛt ɔyl, ɛn we izi fɔ digest. Nɔ it tin dɛn we gɛt bɔku ɔyl.
- Yuz akupreshɔn band, vaytamɛn B6, ɛn/ɔ jinja fɔ ɛp wit nɔys (aks yu dɔktɔ bifo yu yuz dɛn tin ya).
- Stay away frɔm tin dɛn we de mek yu nɔys mɔ, lɛk fɔ rayd motoka.
- Di tin we impɔtant pas ɔl na, nɔ strɛs wit dis wan. Aks fɔ ɛp frɔm yu famili ɛn padi dɛn. I rili impɔtant bak fɔ kɔntinyu fɔ gɛt strɔng maynd.
Ustɛm a fɔ rili go to dɔktɔ?
Fɔ vɔmit bad bad wan ɔ fɔ nɔ ebul fɔ kip ɛnitin dɔŋ nɔto tin we nɔ kin apin we uman gɛt bɛlɛ. I kin nid fɔ go to dɔktɔ. Si yu prɛnatal kia pɔsin wantɛm wantɛm if yu gɛt ɛni wan pan dɛn sayn ya:- If yu gɛt nausea we de las ɔl di de ɛn so bad dat yu nɔ ebul fɔ it.
- If yu vɔmit pas tri tɛm insay di de fɔ sɔm dez.
- If yu lɔs yu wet.
- If yu fil se yu de tɔn diziz, yu de fɔdɔm, ɔ yu kɔnfyus.
- If yu nɔ de pis, ɔ if yu urine in kɔlɔ rili dak.
Fɔ dɔn, tin dɛn we yu fɔ mɛmba
Hyperemesis gravidarum na wan bad bad sik we pɔsin kin gɛt na mɔnin we kin apin we uman gɛt bɛlɛ. I kin mek pɔsin vɔmit bɔku tɛm insay di de. If i siriɔs, i kin mek i nɔ gɛt wata na in bɔdi ɛn i kin mek i bɔn pikin bifo tɛm. Bɔt nɔ wɔri, wit di rayt tritmɛnt, bɔku pipul dɛn kin gɛt rilif frɔm dɛn sik ya ɛn gɛt di it we dɛn nid we dɛn gɛt bɛlɛ.
If yu de fil bad bad wan we yu gɛt bɛlɛ, ɔ yu de vɔmit bɔku tɛm insay di de, mek shɔ se yu tɔk to yu dɔktɔ. I kin ɛp yu fɔ gɛt rilif ɛn ɛp yu ɛn yu pikin fɔ gɛt di it we dɛn nid. Pan ɔl we dis na tɛm we nɔ izi, mɛmba se yu go pas dis. Best of luck to yu!
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