Udat na perinatologist we spɛshal pan bɛlɛ we gɛt ay risk? Lɛ wi fɛn ɔltin!

If yu gɛt bɛlɛ ɔ yu de ɛkspɛkt pikin jisnɔ, yu go dɔn yɛri di wɔd dɛn ‘high-risk pregnancy’. Na nɔmal tin fɔ fil smɔl we yu yɛri sɔntin lɛk dat. Yu kin wɔri se, "Wetin go apin to mi ɛn mi pikin?" Bɔt nɔ wɔri! Dɔktɔ dɛn de we rili sabi du dɛn wok ɛn we kin gi yu spɛshal kia ɛn ɛp yu ɛn yu pikin we nɔ bɔn yet we dis kayn tin apin. Wan pan dɛn kayn spɛshal pipul ya na ‘perinatologist’ . sכm pipul dεn kin kכl dεm bak 'maternal-fetal medicine (MFM) spεshal pipul dεm '. Insay dis atikul, wi go tɔk bɔt udat na dis spɛshal pɔsin, wetin i de du, ɛn aw yu go gɛt ɛp frɔm am.

Udat na Pɛrinatɔlɔjis? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, Pɛrinatɔlɔjis na Obstetrician-Gynecologist (OBGYN) . Bɔt i dɔn gɛt mɔ spɛshal trenin pas wan dɔktɔ we de mɛn uman dɛn we de bɔn pikin ɔltɛm. Yu no wetin mek? Dɛn kin luk spɛshal wan pan ɛn trit bɛlɛ we gɛt ay risk . Dat min se if di mama ɔ di pikin we de na di bɛlɛ gɛt ɛni wɛlbɔdi prɔblɛm, dɛn kin tren dɛn dɔktɔ ya fɔ kia fɔ dɛn ɔl tu spɛshal kia ɔl di tɛm we dɛn gɛt bɛlɛ, we dɛn de bɔn pikin, ɛn afta dɛn bɔn am.

Imajin se yu gɛt wan sik we nɔ de mɛn we yu bin gɛt bifo yu gɛt bɛlɛ. Dɔn yu kin nid fɔ go to spɛshal dɔktɔ lɛk dis we yu de plan fɔ gɛt bɛlɛ, ɔ ivin we yu gɛt bɛlɛ fɔs. Ɔ, if nyu kɔndishɔn kam we yu gɛt bɛlɛ we nid fɔ du ɔda tɛst ɛn kia, den yu kin nid di ɛp bak fɔ dɔktɔ we de mɛn yu bɛlɛ. Sɔntɛnde, if pipul dɛn tink se di pikin we de na di bɛlɛ gɛt wan sik we dɛn bɔn wit ɔ we dɛn bɔn am , dɛn spɛshal pipul ya kin chɛk am bak.

So, wetin rili pɔsin we de mɛn pikin dɛn kin du?

Perinatologist na dɔktɔ we spɛshal fɔ kia fɔ mama ɛn pikin dɛn we gɛt prɔblɛm dɛn we dɛn gɛt bɛlɛ, we dɛn de bɔn pikin, ɔ we dɛn bɔn pikin. Dɛn kin trit di sik dɛn we bin dɔn de bifo ɛn bak nyu tin dɛn we kin apin we uman gɛt bɛlɛ. Dɛn spɛshal fɔ trit uman dɛn we gɛt bɛlɛ, fɔ no if dɛn pikin dɛn gɛt wɛlbɔdi prɔblɛm, ɛn fɔ mɛn dɛn.

Wan dɔktɔ we de mɛn pikin dɛn kin ɛp mɔ fɔ du dɛn tin ya:

• Di advays we dɛn kin gi bifo dɛn gɛt bɛlɛ:Dɛn go advays yu bifo tɛm if yu gɛt ɛni wɛlbɔdi prɔblɛm we bin dɔn de bifo we kin mek yu gɛt prɔblɛm dɛn we yu gɛt bɛlɛ. Fɔ ɛgzampul, if yu gɛt dayabitis , ay blɔd prɛshɔn , ɔ at sik, i impɔtant fɔ tɔk bɔt dɛn tin ya bifo yu gɛt bɛlɛ.
• Rutin kia bifo yu bɔn ɛn tɛst fɔ gɛt bɛlɛ we gɛt ay risk: If yu bɛlɛ gɛt ay risk, yu kin nid fɔ du mɔ tɛst ɛn go to dɔktɔ bɔku tɛm pas di nɔmal bɛlɛ. Dis spɛshal pɔsin go plan ɔl dis.
• di mεnεjmεnt fכ di hεlth kכndyushכn dεm we de naw כ di nyu hεlth kכndyushכn dεm na di bεlε mama: If di mama in kכndyushכn we de naw de wכs we i bεlε, כ if nyu kכndyushכn de divεlכp (e.g., gestational diabetes , preeclampsia ), dεn kin trit am.
• Yuz ɔltra saund ɔ ɔda tɛst fɔ no di sik dɛn we de na di bɔdi ɔ di we aw dɛn bɔn am: Dɛn kin du spɛshal skan ɛn jenɛtik tɛst fɔ no if di pikin gɛt ɛni sik we dɛn bɔn wit. Dɛn kin gi yu klia infɔmeshɔn bak bɔt aw wan patikyula sik go afɛkt di pikin.
• Fɔ ɛp fɔ bɔn pikin if nid de: Insay sɔm kɔmpleks kes dɛm, dis spɛshal dɔktɔ kin tek pat ivin we dɛn de bɔn pikin .
• Managing postpartum complications: If di mama gɛt ɛni kɔmplikeshɔn (e.g., blɔd we de kɔmɔt pasmak) afta i bɔn , dɛn kin trit dɛn wan ya bak.

Wetin na ‘High-Risk Pregnancy’? Fɔ tru, na sɔntin we wi fɔ fred?

we dεn tεl yu se yu bεlε na ‘high-risk’, i min se yu nid εkstra kia εn atεnshכn f כ mek sכh se yu bεlε εn bכn fayn fayn wan. Nɔ fred fɔ aks yusɛf se, "Sɔmtin de we nɔ rayt wit mi pikin?" ɔ "Mi bɛlɛ rili denja?"

di tin we impɔtant pas ɔl: Fɔ bi ‘high risk’ nɔ kin min ɔltɛm se prɔblɛm de wit di pikin ɔ se yu bɛlɛ denja. I jɔs min se dɛn de wach yu ɛn yu pikin gud gud wan bikɔs di risk de fɔ sɔm prɔblɛm we pas di nɔmal . I tan lɛk se yu de tek tɛm smɔl mɔ we yu de go na impɔtant trip.

Na sɔm tin dɛn we kin mek pɔsin gɛt bɛlɛ we gɛt bɔku prɔblɛm:

• Di ej we di mama kin ol: Ɛspɛshali if i dɔn pas 40 ia.
• Bɔku bɔku bɛlɛ dɛn:dat min se if i pas wan pikin na di bεlε, lεk twin כ tri pikin.
• Bikɔs dɛn bin dɔn gɛt bɛlɛ bifo ɔ bɔn pikin dɛn we dɔn day.
• Fɔ gɛt prɔblɛm wit in jɛnɛtiks pan pɔsin na di famili.
• Fɔ dɔn gɛt prɔblɛm dɛn we i bin dɔn gɛt bɛlɛ bifo: Fɔ ɛgzampul, tin dɛn lɛk prɛeklampsia , fɔ bɔn pikin bifo tɛm, ɔ dayabitis we i gɛt we i gɛt bɛlɛ .
• Yu gɛt siriɔs wɛl bɔdi prɔblɛm: tin lɛk at sik, dayabitis , ay blɔd prɛshɔn, inflammatory bowel disease, ɔ autoimmune disorder.

Wetin mek dɛn de rifer mi to dɔktɔ we de mɛn pikin dɛn?

Yu jenɛral ɔbstetrishan ɛn gaynekɔlɔjis (OBGYN) kin rifer yu to perinatɔlɔjis if yu bɛlɛ gɛt ay risk, ɔ if yu tink se yu pikin we yu nɔ bɔn yet gɛt kɔmpleks mɛdikal prɔblɛm ɔ we i bɔn wit.

כl di tεm dεm, jεnarכl obstetrishכn dεm kin mεnεj sכm sכm kכmplikεshכn dεm we uman bεlε (e.g., we dεn kכntrol fayn fayn wan hεy blכd prεshכn, jεstεshכnal dayabεtis ). Bɔt if di sik kam tranga, ɔ if i pas di jenɛral ɔbstetrishan in ɛkspɛriɛns, dɛn go rifer yu to wan spɛshal dɔktɔ we de mɛn di mama ɛn pikin, we dɛn kɔl perinatɔlɔjis. Sɔntɛnde, di wan dɛn we de mɛn pikin dɛn go tɔk bak to dɔktɔ we de mɛn pikin dɛn fɔ gɛt sɛkɔn opinion.

Yu kin no bifo yu gɛt bɛlɛ se yu bɛlɛ go gɛt bɔku prɔblɛm. If na so i bi, yu kin mit wit dɔktɔ we de mɛn yu bɛlɛ bifo yu gɛt bɛlɛ. Ɔda tɛm dɛn, we uman gɛt bɛlɛ, i kin mek i gɛt wɛlbɔdi wantɛm wantɛm.

Na sɔm rizin dɛn we mek yu dɔktɔ we de mɛn pikin dɛn kin sɛn yu to dɔktɔ we de mɛn pikin dɛn:

• Di sik dɛn we bin dɔn de bifo: lɛk at sik, lupus , ɔ dayabitis .
• Siriɔs ay blɔd prɛshɔn ɔ prɛeklampsia.
• If risk de fɔ mek dɛn bɔn pikin bifo tɛm.
• If yu gɛt histri bɔt at sik, yu kin gɛt sik, ɔr yu kin gɛt prɔblɛm wit yu kidni.
• If yu dɔn gɛt bɔku bɔku bɛlɛ ɔ bɔn pikin dɛn we dɔn day.
• If yu gɛt abnɔmal rizɔlt frɔm wan prɛnatal skrinin tɛst.
• If yu de op fɔ gɛt bɔku bɔku pikin dɛn, lɛk twins ɔ triplɛt pikin dɛn.

Afta yu bɔn pikin, yu kin nid fɔ go to dɔktɔ we de mɛn yu pikin if yu gɛt bɔku bɔku blɔd na yu vagina, yu gɛt infekshɔn, ɔ ɔda prɔblɛm dɛn we gɛt fɔ du wit yu wɛlbɔdi.

Us kɔndishɔn dɛn we dɔktɔ we de mɛn pikin dɛn kin trit?

Pɛrinatɔlɔjis dɛn kin ɛp fɔ trit sik dɛn we nɔ de mɛn we yu gɛt ɛn we kin afɛkt yu bɛlɛ ɔ pikin. Sɔm pan dɛn tin ya na:

• Shuga
• Di ay blɔd prɛshɔn
• Blɔd ɛn klot disɔda
• At sik
• Kidni sik
• Ɔtoimyun sik dɛm (e.g., lupus) .
• Jɛnɛtik dizayd , fɔ ɛgzampul , sistik fibrosis ɔ sikɛl sɛl sik .

Dɔn bak, if yu bin dɔn gɛt bɛlɛ we gɛt bɔku prɔblɛm ɔ we nɔ izi fɔ yu trade, yu go nid fɔ go to dɔktɔ we de mɛn yu bɛlɛ. εgzampl dεm fכ di kכmplikεshכn dεm we dεn bin gεt bεlε bifo na:

• di pikin we dεn bכn bifo tεm כ di mεmbran dεm we de rכp bifo tεm.
• Miskɛri ɔ we dɛn bɔn pikin we dɔn day.
• di rεstrikshכn we di pikin de gro.
• Dizayd we dɛn bɔn wit ɔ we dɛn bɔn wit dɛn jɛnɛtiks.
• dizכrd dεm na di plasεnta, fכ egzampl , di plasεnta abrupsh כn כ di plasεnta prεvia .

Wetin na di difrɛns bitwin dɔktɔ we de mɛn uman ɛn uman (OBGYN) ɛn dɔktɔ we de mɛn pikin dɛn?

Dis na kwɛstyɔn we bɔku pipul dɛn gɛt. Pɛrinatɔlɔjis na ɔbstetrishan ɛn gaynekɔlɔjis bak (OBGYN). Bɔt dɛn dɔn gɛt tu to tri ia ɔda spɛshal trenin (fɛlɔship) pan bɛlɛ we gɛt ay risk. dis trenin de tich dεm dip aw fכ trit kכmpleks mεdikal εn כspitul prכblεm dεm we de kam we dεn bεlε, εn aw fכ no εn mεnεj kכndishכn dεm lεk jεnεtik sik dεm na di pikin (bεbi).

Jɔs bikɔs yu si dɔktɔ we de mɛn yu pikin dɛn nɔ min se na dɛn go bi yu praymari kia. Bɔrku tɛm, yu bɛlɛ kia go involv ɔl tu yu jenɛral ɔbstetrishan (OBGYN) ɛn wan perinatɔlɔjis. Yu dɔktɔ we de mɛn pikin dɛn go disayd aw ɔltɛm yu nid fɔ go to dɔktɔ we de mɛn pikin dɛn. Di dɔktɔ we de mɛn yu bɛlɛ kin involv pan bɔku tin dɛn we yu gɛt fɔ gɛt bɛlɛ ɛn fɔ bɔn pikin. Ɔ, yu kin si dɛn wan ɔ tu tɛm nɔmɔ we yu gɛt bɛlɛ.

‘Maternal-Fetal Medicine’ εn ‘Perinatologist’ na di sem tin?

Yɛs! Dɛn tu nem ya de tɔk bɔt di sem spɛshal pɔsin.Dat min se, ilɛksɛf yu kɔl am ‘Maternal-Fetal Medicine specialist’ ɔ ‘Perinatologist’, dɛn ɔl tu na dɔktɔ dɛn we de kia fɔ bɛlɛ we gɛt ay risk ɔ kɔmpleks mɛdikal kɔndishɔn dɛn we uman gɛt bɛlɛ.

Aw lɔng i kin tek fɔ bi dɔktɔ we de mɛn pikin dɛn?

Dis na gud tin fɔ no, nɔto so? Pɛrinatɔlɔji na sɔb-spɛshal wok fɔ Obstetrics ɛn Gynecology. Fɔ bi perinatologist, yu nid fɔ gɛt bachelor’s degree fɔs ɛn afta dat yu fɔ go na mɛdikal skul. Afta 4 ia rɛzidɛns trenin pan ɔbstetrik ɛn gaynɛkɔlɔji, yu nid fɔ dɔn ɔda tu to tri ia feloship trenin pan perinatɔlɔji. Na insay dis spɛshal trenin yu kin lan dip wan aw fɔ trit di prɔblɛm dɛn we kin apin we uman gɛt bɛlɛ ɛn aw sik dɛn kin afɛkt di uman we gɛt bɛlɛ ɛn di pikin we de insay di bɛlɛ.

Wetin yu fɔ ɛkspɛkt di fɔs tɛm we yu go to dɔktɔ we de mɛn yu pikin dɛn?

Dis kin difrɛn difrɛn wan bay di rizin we mek dɛn rifer yu to dɔktɔ we de mɛn yu pikin ɛn yu sityueshɔn. Bɔrku tɛm, yu fɔs apɔntinmɛnt go involv fɔ tek yu wɛl bɔdi histri , ɔr tɔk bɔt yu mɛrɛsin ɛn aw i kin afɛkt yu bɛlɛ.

Yu perinatologist kin advays yu bɔt ɛni jenɛtik ɔ congenital kɔndishɔn we yu pikin kin gɛt, ɛn i kin tɔk bak bɔt di kayn mɛrɛsin we yu pikin go nid afta dɛn bɔn am. Sɔntɛnde, dɔktɔ we de mɛn pikin dɛn go du bak di jenɛtik tɛst, ɔltra saund skan , fɔ wach di pikin we de na di bɛlɛ, ɛn ɔda tɛst dɛn fɔ no if i gɛt wan sik.

Yu fɔ ɛkspɛkt se yu dɔktɔ we de mɛn pikin fɔ wok wit yu ɔbstetrishan (OBGYN) ɛn ɔda pipul dɛn we de kia fɔ yu wɛlbɔdi biznɛs na yu tim we de kia fɔ yu ɔl di tɛm we yu gɛt bɛlɛ ɛn we yu de bɔn pikin. Dɛn kin wok bak wit dɔktɔ we de mɛn pikin dɛn we dɛn jɔs bɔn ɔ dɔktɔ we de mɛn pikin dɛn .

Us tɛst dɛn we dɔktɔ we de mɛn pikin dɛn kin du?

di pεrinatכlכg dεm kin du difrεn tεst dεm fכ no di jεnεtik kכndishכn εn sik dεm we uman bεlε. Sɔm pan dɛn na:

• Ultrasound test: Dɛn kin bi jenɛral skan, bɔt sɔntɛnde dɛn kin bi mɔ ditayli.
• Blɔd tɛst: Fɔ no sɔm tin dɛn we de apin to di mama ɛn sɔntɛm di pikin.
• Skrin bifo di pikin bכn: Tεst fכ si if di pikin gεt jεnεtik kכndishכn.
• Amniocentesis: dis involv fכ tek sכm sכm sεmpl fכ di amniotic fluid we de rawnd di pikin εn tεst am.
• Chorionic Villus Sampling (CVS): dis involv fכ tek sכm sכm sכm tisu frכm di plasεnta εn tεst am.

Yu tink se di wan dɛn we de mɛn pikin dɛn we de mɛn pikin dɛn kin bɔn pikin dɛn? Dɛn kin du ɔpreshɔn?

Sɔntɛnde, na yɛs. E dipen pan yu mεdikal kכndyushכn εn εni kכmplikεshכn wae kin kam. Bɔku tɛm, yu ɔbstetrishan (OBGYN) go bɔn di pikin. Bɔt, dɔktɔ we de mɛn di pikin kin de na di rum usay dɛn de bɔn pikin if nid de.

Yu ɔbstetrician-gynecologist go de manej bɔku pan yu kia. Dɛn go tɔk bɔt yu nid dɛn we gɛt fɔ du wit yu bɛlɛ, di pikin we yu bɔn, ɛn di mɛrɛsin kɔndishɔn dɛn we gɛt fɔ du wit yu wit yu dɔktɔ we de mɛn yu bɛlɛ.

Di dɔktɔ dɛn we de mɛn pikin dɛn kin du sɔm spɛshal ɔpreshɔn dɛn . Fɔ ɛgzampul:

• Kɔmpleks sizarian sɛkshɔn dɛn (C-sekshɔn dɛn) .
• Cervical Cerclage (na wan we fɔ mek di sɛviks strɔng if i wik) .
• Imejɛnsi Hysterectomy we dɛn kin du

Di tin we impɔtant pas ɔl we wi want fɔ kɛr go na os frɔm dis stori (Take-Home Message)

Pɛrinatɔlɔjis na spɛshal pipul dɛm we spɛshal pan bɛlɛ we gɛt ay risk ɔ kɔmplikɛt bɛlɛ. We dɛn rifer yu to dɔktɔ we de mɛn yu bɔdi, i kin mek yu fred smɔl. Bɔt i nɔ min se big prɔblɛm de wit yu bɛlɛ. I jɔs min se yu mɛdikal tim de tray fɔ gi yu ɛn yu pikin di bɛst ɛn di rayt kia .

Mɛmba: Fil fri fɔ tɔk to yu ɔbstetrician (OBGYN) ɛn perinatologist bɔt ɛni kwɛstyɔn, wɔri, ɔ kɔnsyusɔn we yu gɛt. Nɔ fred fɔ aks dɛn kwɛstyɔn. E fayn fɔ mek yu ɔndastand yu sik klia wan ɛn aw fɔ trit yu. Dɛn go ɛksplen ɔltin to yu. Nɔto yu wan de, ɛn wan tim de we gɛt kwalifay dɔktɔ dɛn fɔ ɛp yu.

`Pεrinatכlכg, Hεy-Risk Bεlε, Maternal-Fetal Mεdisin, Bεlε Kεri, Obstetrics, Fetal Hεlth, Sεpεshal