Lɛ wi lan bɔt chorioamnionitis, we na wan pɔsibul infɛkshɔn na di amniotic fluid we uman gɛt bɛlɛ.

If yu gɛt bɛlɛ, yu go mɔs de tink bɔku bɔt aw yu ɛn yu pikin go sef, nɔto so? Sɔntɛnde wi nɔ kin ivin yɛri bɔt am, bɔt sɔm tin dɛn de we kin apin we uman gɛt bɛlɛ. Wan pan dɛn kayn sik ya we nid fɔ pe atɛnshɔn smɔl, bɔt nɔr fɔ wɔri bɔt, na Chorioamnionitis. Wi go tɔk bɔt dis simpul wan?

Wetin na di chorioamnionitis? Aw i kɔmɔn?

Fɔ tɔk am simpul wan, chorioamnionitis na siriɔs infɛkshɔn we yu kin gɛt we yu gɛt bɛlɛ . i gεt in nem frכm di tu mεmbran dεm we de rawnd yu pikin na di bεlε. di כta mεmbran dεn kכl am di chorion, εn di insay mεmbran dεn kכl am di amnion. dis na di mεmbran dεm we de rawnd yu pikin, di amniotic fluid. Tink bɔt yu pikin lɛk se i de insay bag we gɛt wata we de protɛkt am. Dis infεkshכn kin apin we baktri dεm go insay dεn mεmbran dεm, כ tisu dεm we de rawnd yu pikin. Dat na:

• Chorion (di mεmbran we de na do we de rawnd di pikin) .
• Amnion (di insay mεmbran we de rawnd di pikin) .
• Plasεnta (di pat we de gi di pikin it εn כksijεn ) .
• Amniotic fluid (di wata we di pikin de flɔt insay) .

Dis kכndyushכn kin apun if baktri dεm go insay εni wan pan dεn ples ya. Bɔku tɛm, dɛn kin gi antibayɔtik as tritmɛnt. Bɔt sɔntɛnde, yu dɔktɔ kin gɛt fɔ bɔn yu pikin kwik kwik wan. If dɛn nɔ trit dis fayn, i kin mek yu ɛn yu pikin day pan denja. So i impɔtant fɔ no bɔt dis. We wi tink bɔt aw dis sik kin bɔku, na kɔntri dɛn lɛk Amɛrika, i kin apin bitwin 1% ɛn 5% pan di pikin dɛn we dɛn bɔn. Na wan pan di tin dɛn we kin mek uman bɔn bifo tɛm ɛn bɔn pikin bifo tɛm. Dis min se di pikin kin bכn bifo di ful tεm.

Wetin na di sayn dɛm fɔ dis?

Di sayn dɛm fɔ chorioamnionitis kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Sɔm pipul dɛn nɔ kin gɛt ɛni big big sayn. Bɔt sɔm sayn dɛn de we kin apin:

• Fɔ gɛt fiva ( we yu bɔdi wam pas 38 digri sɛlshiɔs, ɔ 100.4 digri F.
• di inkrεs pan yu כ yu pikin in at rεt (mכr dan 100 bit pan minit fכ yu, pas 160 fכ di pikin).
• Fכ fil bad bad pen כ tεnd we yu de tכch di uterus כ prεs pan di bכdi.
• Wan dɔti smel ɔ wan kɔlɔ we nɔ kɔmɔn we de kɔmɔt na di vagina(Lɛk grɛn, yɔlɔ).
• Swet (especially wit fiva).
• Sɔntɛnde yu kin fil se yu de shek shek .

If yu gɛt wan ɔ mɔ pan dɛn sik ya, i go fayn fɔ mek yu go to dɔktɔ kwik kwik wan.

Aw di chorioamnionitis kin kam?

Di men tin we kin mek dis apin na baktriyal infɛkshɔn . dεn baktri dεm ya kin liv na di vagina, bכt if dεn muv go כp to di uterus, dεn kin mek prכblεm. dis infεkshכn kin stat na yu vagina, anus, כ rεktum εn i kin spre to yu uterus. כ, if di amniotic sak we de rawnd yu pikin bכs (wi kכl am ‘broken bag of wata’), dis infεkshכn kin stat rayt insay yu uterus. biכs we di bag we di wata de brok, baktri dεm kin go insay.Dεn baktri dεm kin infεkt yu plasεnta εn yu pikin. כda tin na dat, fכ egzamin yu vagina bכku tεm (especially manual egzamin) afta yu wata brok, כ afta yu du tεst lεk amniocentesis (tεst fכ kכlekt sεmpl fכ amniotic fluid), i kin spre dis infεkshכn bak. di tu men kayn baktri dεm we kin mek dis bכku tεm na E. coli (wan kayn baktri dεm we nכmal fכ de na di intestin) εn Grup B strep. pan ɔl we dis baktri we dɛn kɔl Grup B strep nɔ de du bad na di vagina fɔ bɔku uman dɛn we gɛt bɛlɛ, sɔntɛnde i kin ambɔg di pikin we i de bɔn pikin.

Dis kin afɛkt di pikin?

Yɛs, na fɔ tru. Chorioamnionitis na wan kכndyushכn we kin gεt bכku impak nכto pan di mama nכmכ, bכt pan di pikin we de insay di bεlε. Sɔm pan di prɔblɛm dɛn we kin apin na:

• Siriɔs infεkshכn (fכ egzampl, wan infεkshכn we de spre to di bכdi - sepsis ).
• Bren damej ɔ di bren divɛlɔpmɛnt ifɛkt.
• Prɔblɛm dɛn na di lɔng (e.g. nyumonia ).
• Di chans fɔ mek dɛn bɔn pikin bifo tɛm .
• Pan ɔl we i nɔ kin apin so ɔltɛm, day kin ivin apin.

Na dat mek i rili impɔtant fɔ no ɛn trit dis sik kwik kwik wan.

Aw yu kin no bɔt dis?

Di pɔsin we de kia fɔ yu bifo yu bɔn go no se yu gɛt dis sik. I go du wan ɛgzam pan yu bɔdi, aks bɔt yu sayn dɛm (lɛk fiva ɛn bɛlɛ pen), ɛn tek wan gud mɛdikal istri. Apat frɔm dat, yu kin du bak:

• Chek fɔ infekshɔn ɔ di wayt blɔd sɛl kɔntDɛn kin ɔda fɔ mek dɛn du blɔd ɛn urine tɛst (di wayt blɔd sɛl dɛn kin bɔku we pɔsin gɛt infɛkshɔn).
• yu kin tek vagina kalch כr εn sεn am na labכtכri fכ chεk fכ baktri dεm.
• Sɔntɛnde, dɛn kin tek wan sɛmpul pan yu amniotic fluid fɔ chɛk fɔ baktri dɛm. dis kin bi tru wan prosidכs we dεn kכl amniocentesis.
• Dɛn kin du ɔltra saund fɔ chɛk di pikin in wɛlbɔdi ɛn aw in at de bit.

Bay di infɔmeshɔn we dɛn kin gɛt frɔm dɛn tɛst ya, di dɔktɔ kin disayd if dis na chorioamnionitis ɔ nɔto so.

Aw dɛn kin trit dis?

If yu dɔktɔ no se yu gɛt chorioamnionitis, di men tritmɛnt na antibayɔtik . Dɛn kin gi dɛn tin ya fɔ kil di baktri dɛm we de mek di sik. Dɛn kin gi dɛn antibayɔtik ya tru wan nidul we dɛn put insay wan vein (wan IV). Dɔn di drɔgs dɛn kin bigin fɔ wok kwik kwik wan na yu bɔdi. Sɔntɛnde, mɔ if di sik rili bad ɔ if i gɛt prɔblɛm fɔ di pikin in wɛlbɔdi, dɔktɔ dɛn kin se i fɔ bɔn pikin kwik kwik wan . Dis kin ɛp fɔ mek yu ɛn yu pikin nɔ gɛt ɔda prɔblɛm dɛn. Afta yu bɔn yu pikin, if yu nyu bɔn pikin sɛf gɛt infɛkshɔn, dɛn go gi dɛn antibayɔtik bak.

Nɔ wɔri: di dɔktɔ dɛn de du wetin bɛtɛ fɔ yu ɛn yu pikin. I impɔtant fɔ lisin to wetin dɛn de tɔk ɛn du wetin dɛn se.

Us prɔblɛm dɛn dis kin mek?

If yu gɛt siriɔs chorioamnionitis, ɔ if dɛn nɔ trit am, di mama kin gɛt prɔblɛm dɛn lɛk:

• Spread of infection to yu pelvik rijyכn εn bכdi .
• εndometritis, we na inflameshn na di layn na di uterus, kin apin afta dεn bכn pikin.
• Blɔd kin klɔt na yu bɛlɛ ɔ yu lɔng .
• Sɛpsis na wan blɔd infɛkshɔn we kin mek pɔsin in layf de pan denja .

Impɔtant: Sɛpsis na siriɔs sik we nid fɔ gɛt mɛrɛsin kwik kwik wan. Na bad bad tin we di wan ol bɔdi kin du we i gɛt di sik.

yu nyu bכbi kin gεt kכmplikεshכn dεm bak frכm dis baktriyal infεkshכn. Fɔ ɛgzampul:

• Sepsis (na siriɔs blɔd infɛkshɔn).
• mεningaytis (inflamεshכn fכ di mεmbran dεm we de rawnd di bren εn di spεnal kכd).
• Nyumonia (na wan infεkshכn na di lכng).
• I nɔ izi fɔ blo.
• lכng tεm ifekt dεm pan di bren divεlכpmεnt (e.g. Sεribral Palsi).

Dis na di rizin we mek i impɔtant fɔ no bɔt dis sik ɛn go to tritmɛnt kwik kwik wan.

Us tin dɛn kin mek dis prɔblɛm kin bɔku?

Sɔm tin kin mek yu gɛt mɔr risk fɔ gɛt chorioamnionitis. Dɛn tin ya na:

• di pikin we dεn bכn bifo di tεm (bifo 37 wik).
• di wata de brok mכr dan 18-24 awa bifo dεn bכn di pikin (dεn kכl dis di mεmbran dεm we de rכp fכ lכng tεm).
• Di pen we pɔsin kin gɛt we i de bɔn kin las fɔ lɔng tɛm .
• Yu gɛt vagina infekshɔn we dɛn nɔ trit (e.g., baktriyal vaginosis) ɔ wan infekshɔn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs (STI) .
• Yu gɛt Grup B strep infɛkshɔn (especially if dɛn nɔ trit am).
• Fɔ ɛgzamin di vagina ɔltɛm (manual) afta di wata dɔn brok.
• Yuz di intanεt fetal כ uterin mכnitor divays dεm .
• Fɔs bɛlɛ.
• Fɔ smok.

If yu gɛt dɛn tin ya we kin mek yu gɛt dis sik, tɔk to yu dɔktɔ bɔt dɛn ɛn lan bɔt tin dɛn we yu fɔ tek tɛm mɔ bɔt.

Aw dɛn go ebul fɔ mek dis nɔ apin?

pan ɔl we sɔm tin dɛn de we wi nɔ kin ebul fɔ kɔntrol (e.g., we di mɛmbran dɛn kin brok bifo tɛm), sɔm tin dɛn de we yu kin du fɔ ridyus yu risk fɔ gɛt chorioamnionitis:

• If yu wata brok kwik (bifo 37 wik), tek antibayɔtik lɛk aw yu dɔktɔ tɛl yu . Dis kin mek di risk fɔ gɛt di sik nɔ bɔku.
• Limit di nɔmba fɔ di vagina ɛgzamɛn afta yu wata dɔn brok. Dɛn fɔ du dɛn ɛgzamin ya nɔmɔ we i rili nid fɔ du am ɛn wit kia.
• Gεt tεst fכ Grup B strep insay di tכd trimεst (bitwin wik 35 εn 37) we di bεlε de. If dɛn no se yu gɛt dis baktri, dɛn go gi yu antibayɔtik we di pikin bigin fɔ bɔn ɔ yu wata brok fɔ mek yu nɔ gɛt di sik na yu pikin.
• If yu gɛt sayn dɛn we de sho se yu gɛt infekshɔn na yu vagina (lɛk we yu nɔ de kɔmɔt na yu bɔdi, we yu de it), go to tritmɛnt wantɛm wantɛm.
• Fɔ avɔyd fɔ smok.

If yu de wɔri ɔ yu gɛt ɛnitin fɔ wɔri bɔt chorioamnionitis, tɔk to di pɔsin we de kia fɔ yu bifo yu bɔn. I kin asɛs yu sityueshɔn ɛn tɛl yu bɔt yu risk.

Ustɛm a fɔ go to di dɔktɔ?

We yu gɛt bɛlɛ, sɔm sayn dɛn de we yu fɔ no mɔ bɔt. If yu mɛmbran dɛn brok (yu wata brok), kɔl yu ɔbstetrishan ɔ ɔspitul wantɛm wantɛm. Dɔn bak, mek shɔ se yu go to yu dɔktɔ if yu gɛt ɛni wan pan dɛn sayn ya:

• If yu gɛt fiva (especially we yu nɔ gɛt ɛni ɔda kol simptom).
• Nyu pen ɔ stiffness na di bɛlɛ ɔ pelvik eriaIf yu fil lɛk am.
• If yu vagina dischaj de smɛl bad ɔ i dɔn chenj in kɔlɔ.
• If yu at rit fil lɛk se i jɔs de spid .

If yu du tin kwik kwik wan lɛk dis, dat kin protɛkt yu ɛn yu pikin.

di pikin kin ebul fכ liv insay di bεlε we i nכ gεt amniotic fluid?

Nɔ, pikin nɔ kin ebul fɔ liv na di bɛlɛ fɔ lɔng tɛm if i nɔ gɛt amniotic fluid. di amniotic fluid na wan rili imכtant tin we de protεkt di pikin, i de εp di pikin in lכng εn kidni dεm fכ divεlכp, εn i de rεgul di tεmprachכ. If i nɔ de, i kin izi fɔ mek di pikin gɛt di sik. I kin mek bak ɔda prɔblɛm dɛn we kin mek pɔsin in layf de pan denja, lɛk fɔ kɔmprɛs di ɔmbilikal kɔd. Yu dɔktɔ go disayd di bɛst tɛm fɔ bɔn yu pikin bay aw fa yu de na yu bɛlɛ.

Aw lɔŋ di pikin go ebul fɔ liv afta mi wata dɔn brok?

Dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin. I dipen bak pan bɔku tin, lɛk di stej we di pikin gɛt bɛlɛ (aw di pikin machɔ) ɛn if ɛni sayn de fɔ se i gɛt di sik. Bɔt, bɔku tɛm, bɔku dɔktɔ dɛn kin want fɔ bɔn yu pikin insay 24 awa afta yu wata brok. εspεshali if yu wata brok we i rili advans (lεk afta 34 wik), di risk fכ infεkshכn kin bכku, so fכ bכn yu pikin kwik na di opshכn we sef. Bɔt if yu pikin dɔn rili bifo (lɛk bitwin 24-34 wiks), sɔmtɛm di dɔktɔ dɛn kin tray fɔ kip yu pikin na di bɛlɛ fɔ sɔm dez mɔ bay we dɛn de gi am antibayɔtik, wit mɛrɛsin dɛn lɛk stɛroyd fɔ ɛp di pikin in lɔng dɛn fɔ divɛlɔp.

Faynal Mɛsej fɔ Tek-Hom

Chorioamnionitis na siriɔs sik we kin apin we uman gɛt bɛlɛ. Bɔt pan ɔl we yu nɔ ebul fɔ kɔntrol am, yu kin du tin lɛk fɔ no di sik ɛn tɛl yu pɔsin we de kia fɔ yu bifo yu bɔn bɔt ɔl yu sik dɛn. Bɔku tɛm, di tritmɛnt kin yuz antibayɔtiks. Bɔt sɔntɛnde, yu kin gɛt fɔ bɔn yu pikin kwik kwik wan. If dɛn no se yu gɛt dis sik, mek shɔ se yu tɔk to yu dɔktɔ bɔt am ɛn aks ɛni kwɛstyɔn we yu gɛt. Di tin we impɔtant pas ɔl na fɔ mek yu nɔ gɛt wanwɔd ɛn fala wetin yu dɔktɔ tɛl yu fɔ du. Dɔktɔ dɛn de we de wɔri bɔt yu wɛlbɔdi ɛn yu pikin in wɛlbɔdi ɛn dɛn go du di tin dɛn we dɛn nid. So nɔ fred fɔ tɔk to dɛn bɔt am.