Bɛlɛ na tɛm we rili fayn ɛn we gɛt op na mama in layf. Bɔt pan di sem tɛm, tin dɛn lɛk fɔ fred ɛn dawt kin kam bak na wi maynd. εspεshali we di pikin de kam bכn, di kכwεshכn "Will everything be okay?" de na di bak pat na yu maynd. Tide wi go tɔk bɔt wan rili rare, bɔt bak rili denja imejensi we kin apin we uman gɛt bɛlɛ. Nɔ fred we yu yɛri dis, bikɔs dis na sɔntin we nɔ kin apin sote i nɔ kin apin to ivin wan pan wan tawzin. Bɔt i rili impɔtant fɔ no bɔt dis.
Fɔ tɔk am simpul wan, wetin na amniotic fluid embolism (AFE)?
Di nem kin tan lɛk se i kɔmplikt smɔl, bɔt lɛ wi kip am simpul. yu no, we yu pikin de insay di bכdi, wan likwid fכs de rawnd am. Wi kin kɔl dis amniotic fluid . Dis kin akt lɛk kusɛn we de protɛkt yu pikin. Dis wata nɔ de jɔs gɛt wata, bɔt i gɛt sɛl dɛn bak we de kɔmɔt na yu pikin in skin, fayn fayn ia, ɛn ɔda tin dɛn.
nכmal wan, we dεn bכn di pikin, sכm pan dis amniotic fluid kin go insay di mama in sεkyulatri sistεm, dat na di bכdi. Dis na tin we rili nɔmal ɛn i nɔ kin mek bɔku mama dɛn gɛt ɛni prɔblɛm.
Bɔt, i sɔri fɔ no se we dis amniɔtik wata go insay di blɔd, sɔm mama dɛn bɔdi kin gɛt wan rili siriɔs alɛji, ɔ alɛji rispɔns. In ɔda wɔd dɛn, di bɔdi kin tink se big ɛnimi dɔn kam insay di bɔdi. di imejensi we dis siriכs riakshכn kin kכz dεn kכl am amniotic fluid embolism (AFE) . Sɔntɛnde dɛn kin kɔl dis bak anafylaktik sindrom we uman gɛt bɛlɛ .
Dis rεspכns kin mek di at εn di lכng dεm stכp fכ wok wan wan. Dis min se di ɔda pat dɛn na di bɔdi nɔ gɛt blɔd we gɛt ɔksijɛn. Dis kin mek yu gɛt siriɔs prɔblɛm lɛk aw yu at kin stɔp. Nɔto dat nɔmɔ, bɔt i kin mek bak blɔd kɔmɔt na di uterus ɔ frɔm sizarian wund we dɛn nɔ ebul fɔ kɔntrol.
Dis kin apin wantɛm wantɛm, ɛn dɛn nɔ kin wɔn pɔsin . So, i kin rili tranga ivin fɔ mek dɔktɔ dɛn ebul fɔ manej am. Dis na rili mɛdikal imejensi.
Aw kɔmɔn dis AFE kɔndishɔn? Na sɔntin we wi fɔ wɔri bɔt?
Nɔ, yu nɔ nid fɔ wɔri tumɔs bɔt dis. Na bikɔs dis nɔ kin apin so ɔltɛm . Insay kɔntri lɛk Amɛrika, na wan pan ɔl 40,000 pikin dɛn nɔmɔ dɛn kin ripɔt dis sik. Dat min se if dεn bכn lεk 300,000 pikin dεm na Sri Lanka εvri ia, dεn kin ripot dis kכndyushכn pan כnli 7-8 pipul dεm at mכst. So nɔ wɔri we yu nɔ nid fɔ gɛt bɛlɛ.
di prכblεm na dat di simptom dεm fכ AFE rili lεk di wan dεm fכ כda siriכs kכndyushכn dεm we kin apin we uman bεlε, lεk di plasεnta abrupt, uterin rupture, כ eclampsia. So i kin at fɔ no di rayt tin we mek i apin.
Us tin wae kin mek dis sik kin mek pɔrsin gɛt dis sik?
Bikɔs i nɔ kin bɔku, ɛn bikɔs dɛn nɔ no yet bɛtɛ bɛtɛ wan wetin mek na sɔm pipul dɛn nɔmɔ kin gɛt dis riakshɔn, i nɔ kin izi fɔ tɔk klia wan wetin na di tin dɛn we kin mek pɔsin gɛt dis sik. Bɔt risach dɔn sho se sɔm tin dɛn kin mek di prɔblɛm bɔku smɔl. Bɔt i impɔtant fɔ mɛmba se nɔto ɔlman we gɛt dɛn tin ya go gɛt AFE.
| Risk Factor | Simpul ɛksplen |
|---|---|
| We yu de gro ol | Mama in ej pas 35 ia di tɛm we i gɛt bɛlɛ. |
| Twin dɛn | Fɔ gɛt twins, tri pikin dɛn, ɔ mɔ pikin dɛn. |
| Prɔblɛm dɛn we de na di plasɛnt | di kכndishכn dεm lεk di plasεnta abrupshכn. |
| Di ay blɔd prɛshɔn | Fɔ gɛt ay blɔd prɛshɔn (preeclampsia) ɔ fɔ gɛt sik (eclampsia) we yu gɛt bɛlɛ. |
| Di amniɔtik fluid we de go ɔp | fכ wata pasmak rawnd di pikin (Polyhydramnios) . |
| Di tru tin dɛn we gɛt fɔ du wit bɔn pikin | dilayshכn na di sεvikal, leba indukshכn . |
| Di we aw dɛn kin bɔn pikin | Fɔ bɔn pikin bay sizarian sɛkshɔn (C-section) ɔ yuz inschrumɛnt lɛk fɔsɛps ɔ vaykum . |
| Bebi we nɔ de fil fayn | Sayn dεm we de sho se di pikin de fil bad, lεk we di pikin in at de chenj (fetal distress) . |
Wetin na di sayn dɛm fɔ AFE?
Di tin we denja pas ɔl bɔt dis na dat di sayn dɛn kin apin wantɛm wantɛm ɛn kwik kwik wan . Mama kin bigin fɔ biev di rayt we wantɛm wantɛm, ilɛksɛf na we di pikin de kam bɔn ɔ jɔs afta dɛn bɔn am.
| Di sayn we de sho se di sik de | Wetin de apin? |
|---|---|
| I nɔ kin izi fɔ yu fɔ blo | Fɔ fil wantɛm wantɛm fɔ swɛla, fɔ blo kwik kwik wan. |
| Di blɔd prɛshɔn go dɔŋ | Di blɔd prɛshɔn we de go dɔŋ wantɛm wantɛm (we pɔsin kin fɔdɔm, i nɔ kin no natin). |
| Di at we de blo | Abnɔmal chenj dɛn na di at rit ɔ di at we de stɔp . |
| Blɔd we de kɔmɔt bad bad wan | ebi ebi blɔd we nɔ de kɔntrol frɔm di uterus, frɔm sizarian sɛkshɔn wund, ɔ ivin frɔm kanula we dɛn put na di an. |
| Kɔnfyushɔn na yu maynd | Wantɛm wantɛm, i nɔ kin rɛst, i kin vɛks, i kin fred, ɔ i kin kɔnfyus. |
| Ɔda tin dɛn we de apin | Chil ɛn shek shek, pulmonary edema . |
Us kɔmplikɛshɔn kin apin bikɔs ɔf dis kɔndishɔn?
AFE na wan sik we kin mek di mama ɛn di pikin gɛt siriɔs prɔblɛm dɛn.
Kɔmplikɛshɔn dɛn we kin apin to di mama
- At ɛn lɔng we nɔ de wok fayn.
- Nɔbɔdi nɔ kin no natin.
- Di sik dɛn we kin mek pɔsin sik.
- Blɔd we de kɔmɔt pasmak.
- Disseminated Intravascular Coagulation (DIC) na wan kכndyushכn we di bכdi in bכdi kכlכt sistεm de disrupt, we de mek blכd kכlכt fכ fכm we nכ nid fכ fכm na wan say εn blכd we nכ de kכntro na di כda say.
- Strok.
- Di at we de mek di at nɔ de wok.
- Bren we dɔn pwɛl.
- Bɔt i sɔri fɔ no se ivin day kin apin.
Sɔm prɔblɛm dɛn we kin apin to di pikin
di impak pan di pikin go difrεn dipכnt pan we dis kכndyushכn de apin na di mama. If dis apin bifo dɛn bɔn di pikin, dɛn go nid fɔ du ɔpreshɔn kwik kwik wan fɔ pul di pikin wantɛm wantɛm.
di big risk fכ pikin dεm we dεn bכn afta di AFE bigin na we dεn nכ gεt כksijεn . As di mama in bɔdi de pwɛl, di pikin nɔ de gɛt ɔksijɛn igen. Dis ɔksijɛn we nɔ de kin pwɛl di pikin in nervɔs sistɛm ɔ in bren.
Aw dɔktɔ dɛn kin no ɛn trit dis?
Bikɔs dis na imejensi, tɛm nɔ de fɔ du blɔd tɛst ɔ skan fɔ no if pɔsin gɛt di sik. Dɔktɔ dɛn kin sɔprayz se AFE de bay we dɛn de luk di sayn dɛn ɛn kwik kwik wan dɛn kin pul ɔda tin dɛn we kin mek pɔsin gɛt sik (e.g., blɔd we de kɔmɔt pasmak, at atak).
Dɛn kin se dis tin kin apin insay tu stej:
1. Stej 1: Dis na we di rεspiretכri sistεm εn di at kin stכp fכ wok wan wan. Dis min se yu nɔ ebul fɔ blo ɛn yu at kin stɔp. Di ays nɔmba fɔ di wan dɛn we de day na dis stej.
2. Stej 2: Dis na di stej we blɔd de kɔmɔt. If dɛn sev layf na di fɔs stej, di nɛks stej na blɔd we pɔsin nɔ ebul fɔ kɔntrol.
Di we aw dɛn kin trit am
Bikɔs dis na imejensi, di mɛdikal tim fɔ wok kwik kwik wan fɔ sev mama ɛn pikin. Di tritmɛnt tim gɛt bɔku pipul dɛn, lɛk dɔktɔ dɛn we de mɛn uman dɛn, dɔktɔ dɛn we de anestez, dɔktɔ dɛn we de na di say usay dɛn de kia fɔ pipul dɛn we sik bad bad wan, ɛn di wan dɛn we de wok fɔ di nɔs dɛn.
Di men tritmɛnt dɛn na:
- Fɔ bɔn di pikin wantɛm wantɛm: If di pikin stil de na di uterus, dɛn go du sizarian sɛkshɔn kwik kwik wan fɔ pul di pikin.
- Fɔ gi ɔksijɛn: Bikɔs i nɔ kin izi fɔ blo, dɛn kin put wan tiub ɛn kɔnɛkt am to atifishal respiratɔ (mɛkanikal ventileshɔn).
- Kadyak sɔpɔt: If di at stɔp, dɛn kin gi am chɛst kɔmpreshɔn (CPR). Dɛn kin gi mɛrɛsin fɔ kɔntrol blɔd prɛshɔn.
- Blɔd transfyushɔn: Bikɔs blɔd de kɔmɔt pasmak, dɛn fɔ gi bɔku bɔku blɔd, plasma, ɛn pletlɛt.
- Hysterectomy: Sɔntɛnde, if dɛn nɔ ebul fɔ stɔp di blɔd, dɛn kin du hysterectomy as las tin fɔ sev di mama in layf.
Ɔl dis kin apin na say usay dɛn kin kia fɔ pipul dɛn we sik bad bad wan (ICU) ɔ usay dɛn kin du ɔpreshɔn.
If yu nɔ day pan dis sik, yu tink se ɛnitin de we go ambɔg yu fɔ lɔng tɛm?
di rεt we de liv fכ AFE na כnכfכs lכw, wit sכm stכdi dεm we sho se di mכtalman rεt kin hכy lεk 60%.
Bɔt mama dɛn we nɔ gɛt dis bad bad sik kin gɛt sɔm tin dɛn we kin apin fɔ lɔng tɛm, i kin dipen pan aw di bɔdi dɔn pwɛl.
- Di tin dɛm we kin apin to di bɔdi: Di at kin pwɛl ɔltɛm, i kin afɛkt di kidni dɛm, kɔmplikeshɔn dɛm we kin kam bikɔs i paralayz.
- Di tin dɛn we kin apin to di nervɔs sistɛm: We di ɔksijɛn nɔ de na di bren, i kin afɛkt tin dɛn lɛk fɔ mɛmba ɛn fɔ ebul fɔ mɛmba wɔd dɛn.
- Di tin dɛn we kin apin to pɔsin in maynd: Dis rili impɔtant. Afta pɔrsin wae dɔn nia fɔ day lɛk dis, i kin rili kɔmɔn fɔ gɛt prɔblɛm wit in maynd lɛk fɔ gɛt siriɔs shɔk, wɔri, pwɛl hat, ɛn post-traumatic stress disorder (PTSD) . Sɔm pipul dɛn kin ivin fil gilti, ɛn tink bɔt tin dɛn lɛk, "Wetin mek dis apin to mi?"
If yu na pɔsin we dɔn sev frɔm AFE, i impɔtant fɔ tek kia ɔf yu maynd wɛlbɔdi ɛn bak yu bɔdi wɛlbɔdi. Tɔk to yu dɔktɔ, yu patna, ɔ pɔsin we yu trɔst bɔt dis. Nɔ shek fɔ go to saykayatrik ɛp if nid de.
Yu tink se we de fɔ mek dis nɔ apin?
Na ɔnfɔni, di ansa na "nɔ." Dɔktɔ dɛn stil nɔ no wetin mek na sɔm pipul dɛn nɔmɔ kin gɛt dis kayn bad bad riakshɔn, so no we nɔ de fɔ mek dɛn nɔ gɛt AFE .
So wetin wi go du?
Di bɛst tin we wi go du na fɔ rɛdi fɔ ɛni imejensi. Dat min se yu fɔ tɔk to yu dɔktɔ bifo yu bɔn pikin ɛn lan aw di ɔspitul in mɛdikal tim go du ɛnitin we go apin to yu.
Tink bɔt yu bɔn plan . Na plan fɔ di bɔn we fayn pas ɔl we yu go op fɔ. Bɔt mɛmba se if ɛnitin apin, di mɛdikal tim go gɛt fɔ du pas da plan de ɛn du ɛnitin we nid fɔ sev yu ɛn yu pikin. Da tɛm de, i impɔtant fɔ abop pan di dɔktɔ dɛn .
Mɛsej we dɛn kin kɛr go na os
- Amniotic fluid embolism (AFE) na wan tin we nɔ kin apin so ɔltɛm , bɔt we kin rili denja we kin apin we dɛn de bɔn pikin.
- dis kin kכz fכ wan alerji we i nכ bin de εkspεkt, we di mama in bכdi de mek to di amniotic fluid we de rawnd di pikin.
- Di men sayn dɛm na we i nɔ kin izi fɔ blo, i nɔ kin no natin wantɛm wantɛm, ɛn i kin blɔd we i nɔ ebul fɔ kɔntrol. Dɛn tin ya kin apin wantɛm wantɛm.
- No we nɔ de fɔ mek dis nɔ apin, ɛn i nɔ pɔsibul fɔ no udat go gɛt am.
- AFE na mɛdikal imejensi we nid fɔ gɛt tritmɛnt kwik kwik wan. Yu mɛdikal tim go du ɔl wetin dɛn ebul fɔ sev yu ɛn yu pikin.
- Di wan dɛn we dɔn sev frɔm dis sik kin nid spɛshal sɔpɔt fɔ mek dɛn bɔdi ɛn maynd wɛl fɔ lɔng tɛm.
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