Lɛ wi no di bad bad tin dɛn we kin apin if yu shek yu smɔl pikin! (Shaken Bebi Sindrom)?

We wi bɔn pikin na os, wi kin gɛt bɔku gladi at ɛn wi kin gɛt bɔku wok fɔ du, nɔto so? Sɔntɛnde, we di pikin de kray ɔltɛm, wi kin mek smɔl mistek bikɔs ɔf di strɛs ɛn vɛks we kin kam na wi maynd we wi nɔ kin ivin no. Na dɛn kayn tɛm ya, wan denja tin de we nɔ fɔ du fɔ ɛni rizin , bɔt sɔmtɛm bikɔs dɛn nɔ no natin, dɛn kin kɔl dis ‘Shaken Baby Syndrome’. Lɛ wi tɔk bɔt dis smɔl smɔl tide, bikɔs dis na sɔntin we ɔl mama, papa, ɛn ɔlman we de kia fɔ pikin fɔ no.

Wetin rili na ‘Shaken Baby Syndrome’?

Fɔ tɔk am simpul wan, dis min di damej we kin apin to di bren we dɛn shek pikin ɔ smɔl pikin bad bad wan . Tink bɔt am, pikin in ed kin big smɔl ɛn ebi we yu kɔmpia am wit di ɔda pat dɛn na dɛn bɔdi. Dɛn nɛk mɔsul dɛn nɔ strɔng yet. So if pɔsin shek di pikin tranga wan, di pikin in bren de bounce bak ɛn go insay di ed. I tan lɛk se dɛn de shek wata insay kokonat. Dis kin mek yu swel, brus, ɛn blɔd insay di bren. Sɔmtɛm dis sik kin ivin pwɛl di pikin in yay, in nɛk, ɛn in spayna. Wan ɔda nem fɔ dis na ‘Abusive Head Trauma’. I min fɔ wund di ed wit fɛt-fɛt.

Wetin mek na dis wɔl dis de apin?

Bɔku tɛm dis kin apin bikɔs di pikin in mama, in papa, ɔ ɔda pɔsin we de kia fɔ am kin fil bad ɔ vɛks we di pikin kray. Dɛn kin tink se we dɛn shek di pikin, dat go mek i nɔ kray igen. Ɔda tɛm dɛn, di pɔsin we de kia fɔ dɛn kin gɛt bɔku strɛs. Dɔn dɛn nɔ kin ebul fɔ du di wok fɔ kia fɔ pikin. Sɔm pipul dɛn nɔ kin ivin no se fɔ shek pikin na so denja.

Bɔt wan tin we wi fɔ mɛmba. I rili nɔmal fɔ mek pikin dɛn kray. Sɔntɛnde, dɛn kin kray ɔltɛm ilɛk wetin yu du. Bɔt di sɔlv na fɔ nɔ ɛva shek, nak, ɔ trowe bebi. Ivin we yu shek pikin fɔ shɔt tɛm, lɛk 5 sɛkɔn, i kin mek yu gɛt siriɔs damej. I kin mek pɔsin in bren pwɛl, i kin mek i nɔ ebul fɔ waka fɔ ɔltɛm, ɛn i kin ivin mek i day.

Udat dɛn dis kayn tin kin afɛkt mɔ?

Dis ‘shaken baby syndrome’ kin apin to ɛnibɔdi. Bɔku tɛm, di pikin kin shek bay pɔsin we gɛt dairekt rilayshɔn wit di pikin (mama, papa) ɔ pɔsin we gɛt indaykt rilayshɔn (we de kia fɔ di pikin, ɔda pɔsin na di famili). I nɔ jɔs de fɔ ɛni rays, inkɔm lɛvɛl, ɔ famili bakgrɔn.

Bebi dɛn we nɔ rich wan ia yet kin gɛt dis sik mɔ. di pikin dεm we ol bitwin 2 εn 8 mכnt kin de pan denja mכtalman. Pan ɔl we dis nɔ kin apin to pikin dɛn we dɔn pas 2 ia, sɔntɛnde dɛn dɔn du dis kayn abiuz pikin dɛn we ol lɛk 6 ia.

Aw dis tin kin rili apin?

Di Nashɔnal Sɛnta fɔ Shaken Bebi Sindrɔm bin tɔk se ɛvri ia na Amɛrika nɔmɔ dɛn kin gɛt bitwin 600 to 1,400 pipul dɛn we gɛt dis kayn sik. Dɛn se na di men tin we kin mek pikin dɛn we nɔ rich 5 ia yet day bikɔs dɛn de trit pikin dɛn bad na Amɛrika. Dɛn kin ripɔt dɛn kayn kes ya bak na Sri Lanka, bɔt bɔku tɛm dɛn nɔ kin no se dɛn gɛt am.

Jɔs tink bɔt dat, we yu shek smɔl pikin tumɔs, dat kin mek yu blɔd kɔmɔt na yu bren bad bad wan. Dis na sɔntin we kin afɛkt dɛn fɔ di res ɔf dɛn layf.

Aw dis kin afɛkt di pikin? Us bad tin i kin kɔz?

Shaken baby syndrome kin mek di pikin gɛt siriɔs wɛlbɔdi prɔblɛm. Lɛ wi tek wan luk pan wetin de apin mɔ.

Bren we dɔn pwɛl

• sכbdural hεmatoma: dis na di bכdi we de kכlek bitwin di pikin in bren εn di taf mεmbran we dεn kכl dura we de rawnd di bren. we dεn muv di pikin, di sכ m sכm bכdi we de kכmכt na di bren to dis dura kin strεch εn rכp, we kin mek i bכn.
• Subarachnoid hemorrhage: Dis na we blɔd de kɔmɔt bitwin di pikin in bren ɛn di membran we tan lɛk spayda wɛb (di arachnoid) we de rawnd di bren.
• Dairekt bren trauma : Dis kin apin we dεn hit di pikin in bren tranga wan insay di ed.
• Bren damej: If di pikin stɔp fɔ blo we i de shek, di bren kin nɔ gɛt ɔksijɛn ɛn in bren kin pwɛl.
• di bren sεl dεm we de pwεl: Kεmikכl dεm de kכmכt frכ m di nεv sεl dεm we inju , we de ridyus di כksijεn we de rich na di bren mכr εn i kin mek di sεl dεm day.

Damej to di yay dɛn

• εmoraji na di rεtina: Dis na di bכdi we de kכmכt biεn di rεtina na di pikin in yay. Dis na di kɔmɔn sayn fɔ di shaken baby syndrome.

Injury na di nɛk, spayna, ɛn ɔda bon dɛn

• di nεk εn spεnal kכd dεm we de pwεl: di dilik nεv dεm na di nεk εn spεnal kכd kin pwεl.
• Fraktrɔs: Di skel, di rib, di kɔla bon, ɛn ivin di bon dɛn na di an ɛn leg kin brok.

Aw lɔŋ e kin tek fɔ mek di sayn dɛn de sho?

Di simptom dɛm fɔ ‘Shaken Baby Syndrome’ jɔs afta yu shek di pikinDi sayn dɛm kin bigin fɔ sho. Dɛn simptom ya kin kam bitwin 4 ɛn 6 awa afta dɛn dɔn ɛkspos. Sɔm sayn dɛn kin apin wantɛm wantɛm, bɔt ɔda wan dɛn kin apin leta. Fɔ ɛgzampul, pikin we gɛt dis kayn shɔk we i smɔl kin gɛt prɔblɛm wit aw i de pe atɛnshɔn ɛn aw i de biev as i de ol.

Wetin na di men sayn dɛm fɔ dis?

If di pikin wund bay we i shek, i kin gɛt sɔm kayn sik dɛn we kin apin wantɛm wantɛm lɛk we i nɔ kin no natin, i kin gɛt sik, ɛn i kin shɔk. Ɔda sayn dɛn kin bi:

• Nɔ fɔ smayl, nɔ fɔ tɔk, nɔ fɔ wispa.
• I nɔ kin rɛst bad bad wan, i kin vɛks bad bad wan.
• Fɔ vɔmit .
• I nɔ kin want fɔ it , i nɔ kin izi fɔ drink milk.
• I nɔ kin izi fɔ yu fɔ blo.
• Taya pasmak, slip, taya, ɛn slip wae nɔr kin wek.
• Pale ɔ blu skin.
• Brus na di an ɛn di chɛst.
• Di ed de sho se i big, di fɔrɛst de kɔmɔt bifo.
• Di fontanelle , we na di fayn fayn ples we de ɔp di ed, kin swel ɛn i kin bɔl.
• Nɔ ebul fɔ es di ed ɔp.
• Di studɛnt dɛn we dɔn big.
• Nɔ ebul fɔ put di yay pan wan ples, nɔ ebul fɔ luk ɛnitin we de muv.
• Di we aw pɔsin kin shek shek.
• Fɔ nɔ no natin (kɔma).

Yu tink se i pɔsibul fɔ mek pipul dɛn nɔ notis dis tin ɛn nɔbɔdi nɔ go notis am?

Yɛs, sɔntɛnde , no sayn nɔ kin de we pɔsin kin si fɔ sho se dɛn de trit am bad ɔ wund frɔm do. Di wan dɛn we de kia fɔ di pikin ɔ di dɔktɔ dɛn we nɔ no se dɛn dɔn shek di pikin nɔ kin no wantɛm wantɛm se di pikin dɔn pwɛl insay. Dɛn kin tink se di tin we kin mek di pikin gɛt dɛn sik ya na ɔda tin, lɛk we i gɛt vayral fiva. Na dat mek i rili impɔtant fɔ no bɔt dis.

Wetin rili de mek dis apin?

Shaken baby syndrome kin apin we pɔsin shek pikin ɔ yɔŋ pikin bad bad wan ɛn kwik kwik wan . I kin apin bak we dɛn nak pikin na in ed, trowe am, ɔ drɔp am bay wilful. We dɛn shek pikin ɔ nak dɛn, dɛn bren kin jok kwik kwik wan bak ɛn biɛn insay in ed.

Yɔŋ pikin dɛn bren kin rili saf. Dɛn ligamɛnt dɛn wik. di mכsul dεm na dεn nεk dεn nכ dכn fulכp yet. Apat frɔm dat, dɛn ed big ɛn ebi we yu kɔmpia dɛn wit di ɔda pat dɛn na dɛn bɔdi. We dɛn shek dis bad bad wan, di pikin in blɔd vesel dɛn, in nɛv dɛn, ɛn in tisu dɛn kin rɔtin. Dis kin mek di bren swel, brus, ɛn blɔd.

Bɔku tɛm dis kin apin we di pikin de kray ɔltɛm ɛn di pɔsin we de kia fɔ am kin vɛks ɛn vɛks. Dɛn nɔ kin ebul fɔ kɔntrol dɛn wamat ɛn strɛs. Bɔku tɛm, di pɔsin we de kia fɔ di pikin nɔ kin du bad to di pikin bay wilful, bɔt dis na siriɔs abiuz bak.

So, yu tink se dis kin apin bay we yu ol pikin ɔp saful wan ɛn ol am na yu ni ɛn rɔk am?

Nɔ, di sik we dɛn kɔl Shaken baby syndrome na wan we we dɛn kin du bad to pikin. I kin apin we pɔsin shek bebi ɔ smɔl pikin bad bad wan ɛn kwik kwik wan . I nɔ kin apin bikɔs ɔf dɛn tin ya:

• Na bay we yu ol di pikin na yu ni ɛn rɔk am saful wan.
• bay we yu es di pikin ɔp jisnɔ ɛn ol am bak (bɔt dis sɛf fɔ tek tɛm du am).
• Na bay we yu rayd baysikul wit pikin (wit di pikin na sef sit).
• di pikin kin fכl we i nכ bin de εkspεkt, fכ egzampl frכm chia (dis bak denja, bכt i nכ de mek SBS).
• We di motoka stɔp wantɛm wantɛm we i de drayv, we i de go oba pɔt dɛn na di rod.

Dɛn nɔ kin fayn fɔ du dɛn tin ya bikɔs dɛn kin denja, bɔt dɛn nɔ kin mek di bad bad injuri dɛn we dɛn kin si pan ‘shaken baby syndrome’. Di men tin na dat, SBS kin kam bikɔs i kin shek bad bad wan, kwik kwik wan, ɛn dɛn nɔ kin kɔntrol am.

Aw dɔktɔ dɛn kin no bɔt dis?

Sɔntɛnde, i nɔ kin izi fɔ no bɔt Shaken Baby Syndrome. Bɔku rizin dɛn de fɔ dis:

• Nɔto ɔltɛm dɔktɔ dɛn kin no di ful stori, ilɛksɛf di pikin in injuri dɛn gɛt fɔ du wit trauma ɔ nɔ gɛt fɔ du wit am.
• Dɔktɔ dɛn nɔ kin ebul fɔ tɛl bebi ɛn rili yɔŋ pikin dɛn wetin bad ɔ usay i de at.
• Bɔrku pan di sayn dɛm fɔ shaken baby syndrome (lɛk fɔ nɔr de rɛst, fɔ vɔmit, ɛn fɔ slip) kin si bak pan ɔda mɛrɛsin sik dɛm (lɛk vayral infɛkshɔn ).

So, dɔktɔ kin yuz sayn dɛn we pɔsin kin si ɛn tɛst fɔ no di sik ɛn fɔ no if i rili bad. Dɛn kin luk fɔ blɔd na di pikin in yay, luk fɔ ɛni mak na in ed, in an, ɛn leg, ɛn luk fɔ brus rawnd in nɛk ɛn chɛst.

Us tɛst dɛn kin du fɔ no dis sik?

Dɔktɔ dɛn kin yuz sɔm imej tɛst dɛn fɔ no if pɔsin gɛt di sik we dɛn kɔl shaken baby syndrome. Dɛn tɛst ya kin sho if di pikin gɛt swel, blɔd, ɔ frakt na in skel ɔ rib. Dɛn tɛst ya na:

• X-ray we dɛn kin du
• CT skan (Kɔmpyut tomografi – CT skan) .
• MRI skan (Magnetik rεsכnans imej – MRI skan) .

Yu pikin in dɔktɔ kin du yu yay ɛgzam bak fɔ chɛk if blɔd de kɔmɔt na di retina (retina hemorrhages). Dis blɔd kin apin ɔp, dɔŋ, ɔ insay di retina. di injuri kin mek di layεr dεm na yu pikin in rεtina separet (retinoschisis). di tin we lεk jεli insay di yay (vitreous) kin fulכp wit bכdi bak.

Aw dɛn kin trit dis?

If yu pikin gɛt ɛni sayn fɔ sho se yu gɛt shaken baby syndrome, go to dɔktɔ wantɛm wantɛm. Dis nɔto sɔntin we yu kin trit na os.

If di pikin nɔ rili siriɔs, dɛn kin nid fɔ gi di pikin mɛrɛsin ɛn kip am ɔnda wach na ɔspitul.

If tin tranga pasmak, dɛn kin nid fɔ gɛt tritmɛnt we go sev pɔsin in layf. If di pikin gɛt prɔblɛm fɔ blo, dɛn kin nid fɔ put tyub fɔ blo. Sɔntɛm dɔktɔ we de du ɔpreshɔn go nid fɔ du ɔpreshɔn fɔ mek i nɔ blɔd na di pikin in bren ɔ fɔ mek i nɔ swel.

Aw na dis wɔl wi go ebul fɔ stɔp sɔntin we denja lɛk dis?

Mama ɛn papa ɔ pipul dɛn we de kia fɔ dɛn pikin we de shek dɛn pikin kin tɔk se i kin apin we di pikin kray tumɔs fɔ lɛ i stɔp. Na nɔmal tin fɔ mek bebi dɛn kray, ɛn i kin rili mek dɛn at pwɛl. Bɔt yu kin avɔyd dis ‘shaken baby syndrome’ bay we yu ɔndastand di denja dɛn we yu kin shek yu pikin ɛn aks fɔ ɛp we nid de. Tray dɛn tin ya:

• Fɔs, chɛk fɔ si if di pikin nɔ fil fayn. Chek fɔ si if di dayapɛt klin, if i angri, if i kol. Chek fɔ sayn dɛm fɔ sik lɛk fiva, swel, ɔ if i de fil pen frɔm ɛnitin.
• We yu dɔn du ɔl wetin yu pikin nid, mek ɔda sawnd dɛn kam. Put pan redio, siŋ wan siŋ, tɔk to yu pikin. Sɔm bebi dɛn kin lɛk di sawnd dɛn we vaykum klin, was mashin, ia drya, ɔ fan kin mek.
• Gi di pikin wan tɔys ɛn wan pacifier.
• Tray fɔ gi milk, ɛn if yu ebul fɔ gi am wit bɔtul, gi am.
• Swaddle di pikin, ɔ rok am saful wan.
• Tek yu pikin fɔ shɔt rayd na di motoka (wit di pikin na sef motoka sit).
• Put di pikin insay di strola ɛn go waka.
• Put di pikin na swing na do ɛn rayd.
• If yu fil bad bad wan ɔ yu vɛks, aks ɔda pɔsin (pa padi, fambul, neba) fɔ ɛp yu fɔ kia fɔ di pikin fɔ sɔm tɛm. No shem nɔ de fɔ aks fɔ ɛp.
• If nɔbɔdi nɔ de nia am, put di pikin sef wan na in bed ɛn kɔmɔt na di rum fɔ sɔm tɛm fɔ mek i kol. Mɛmba se, pikin dɛn nɔ go du bad if dɛn kray, bɔt if dɛn shek dɛn, dɛn go mɔs du bad to dɛn.

Mek shɔ se ɛnibɔdi we de kia fɔ yu pikin (di wan dɛn we de kia fɔ pikin, di wan dɛn we de kia fɔ pikin, ɔda pipul dɛn we de kia fɔ yu pikin) no bɔt di bad tin dɛn we kin apin we pɔsin shek di pikin. I impɔtant bak fɔ mek dɛn no wetin fɔ du ɛn wetin nɔ fɔ du if dɛn fil strɛs we dɛn de kia fɔ yu pikin. Ɔltɛm, tek tɛm chɛk di bakgrɔn fɔ di wan dɛn we de kia fɔ yu. Nɔ ɛva trɔs yu pikin to pɔsin we yu nɔ rili abop pan.

Wetin na di lukin-grɔn/prɔgnosis na dis sityueshɔn?

Shaken baby syndrome na wan sik we rili siriɔs. di we aw pipul dεn kin si tin kin difrεn dipכnt pan aw di pikin in injuri dεm kin tranga, bכt bכku tεm i nכ kin bכku.

Na lɛk 25% pan di pikin dɛn kin day bikɔs dɛn wund dɛn. Bɔku tɛm, di tin we kin mek pɔsin day na:

• Swel ɛn prɛshɔn we de go ɔp insay di pikin in ed ɛn in bren.
• Blɔd we de kɔmɔt insay di pikin in bren.
• Di pikin in bren tisu we de te.

I kin rich 80% pan di wan dɛn we dɔn sev kin gɛt siriɔs prɔblɛm wit dɛn mɛrɛsin, bad bad nyurolɔjik damej, ɛn disabiliti fɔ ɔl dɛn layf . Ivin bebi dεm we i tan lεk se dεn nכ de du bכku bכku wan wit di shaken baby syndrome kin gεt divεlכpmεnt prכblεm leta na layf. Sɔm pan de tin dɛm wae kin kam wit dis sik na:

• Di delay fɔ tɔk ɛn divɛlɔpmɛnt.
• Disabiliti fɔ lan.
• Yu nɔ de si fayn ɔ yu blaynd.
• Yu nɔ de yɛri fayn ɔltɛm.
• Sɛribra palsi we pɔsin kin gɛt.
• Epilepsy we pɔsin kin gɛt.
• Di sik dɛn we kin mek pɔsin sik.
• Paralayz we pɔsin kin gɛt.

Shaken baby syndrome na wan bad bad we fɔ du bad bad tin to pikin we kin apin we mama ɔ papa ɔ pɔsin we de kia fɔ am shek pikin ɔ pikin bad bad wan. Bɔku tɛm dis kin apin we di pikin nɔ go stɔp fɔ kray, we kin mek di pɔsin we de kia fɔ am vɛks ɛn vɛks. Dis kɔndishɔn na tin we pɔsin kin ebul fɔ avɔyd kpatakpata. If yu pikin nɔ go stɔp fɔ kray, tray sɔm pan di advays dɛn we de ɔp, ɔ aks pɔsin we yu kin abop pan fɔ kia fɔ yu fɔ ɛp yu.

Fɔ dɔn, di mɛsej we impɔtant pas ɔl we wi fɔ mɛmba

Smɔl pikin na pɔsin we rili gɛt sɛns. Dɛn nid fɔ tek tɛm rili kia fɔ dɛn bɔdi, mɔ dɛn ed ɛn nɛk. Nɔ ɛva, ɛva shek smɔl pikin fɔ ɛni rizin, ilɛksɛf yu vɛks ɔ taya. Wetin yu du insay dɛn smɔl sɛkɔn dɛn de kin pwɛl di pikin in wan ol layf.

If yu fil se di prɛshɔn fɔ kia fɔ yu pikin tumɔs fɔ bia, nɔ shem ɛn aks fɔ ɛp. Na yu rispɔnsibiliti. Yu pikin in sef impɔtant pas ɛni ɔda tin. Mek ɔda pipul dɛn no bɔt dis. Dɔn wi go ebul fɔ ridyus dɛn kayn bad bad tin dɛn ya we kin apin.