Dis na rili spɛshal tɛm fɔ yu, we na mama we go bi mama. As yu de wet fɔ mek yu pikin kam, i nɔ de we yu nɔ de fred smɔl. Bɔku tɛm, ɔltin kin go fayn, bɔt sɔntɛnde, prɔblɛm dɛn we yu nɔ bin de ɛkspɛkt kin kam. Tide, wi go tɔk bɔt wan sik we nɔ kin bɔku bɔt we kin mek pɔsin in layf de pan denja we dɛn kɔl "Amniotic Fluid Embolism" (AFE). I impɔtant fɔ mek yu no bɔt dis.
Wetin rili na amniotic fluid embolism (AFE)?
Fɔ tɔk am simpul wan, amniotic fluid embolism (AFE) na wan imejensi we nɔ kin apin so ɔltɛm ɛn we kin mek pɔsin in layf de pan denja. i kin apin we di amniotic fluid we de na di mama in bכdi de go insay in bכdi we i bεlε, we i de bכn, כ jכs afta i bכn. Naw yu kin de wɔnda wetin na amniotic fluid. dis na di wata we de rawnd yu pikin insay di bεlε. I tan lεk sef say fכ yu pikin fכ fכt insay pan כl we dis wata na wata mכst, i gεt tin dεm lεk yu pikin in sεl dεm εn tisu dεm bak. sכmtεm, we dis amniotic fluid miks wit di mama in bכdi, sכm mama dεm in bכdi kin gεt rili siriכs
alerjik rεspכns to am. Dɔktɔ dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin mek dis kin apin. di amniotic fluid embolism (AFE) kin mek di mama in at εn in lכng dεm fεl. Dis kin mek yu gɛt prɔblɛm lɛk
aw yu at kin stɔp , usay di at kin stɔp wantɛm wantɛm. Mama dεm we gεt AFE kin bכn bak we dεn nכ kכntro frכm di uterus כ frכm C-sεkshכn wund. AFE na
wan sik we kin apin wantɛm wantɛm ɛn we pɔsin nɔ kin no wetin go apin . So, fɔ trit am rili tranga. Na imejensi bak we gɛt fɔ du wit mɛrɛsin. infakt, i nכmal fכ sכm sכm amniotic fluid go insay di mama in blɔd we i de bכn. Bɔrku pipul nɔr kin gɛt ɛni alɛji fɔ dis. Bɔt wetin mek na sɔm pipul dɛn nɔmɔ kin gɛt dis kayn bad bad riakshɔn stil na sɔntin we nɔ izi fɔ ɔndastand. dεn kכl AFE bak "Anaphylactic Syndrome of Pregnancy".
Aw dis sik kin kɔmɔn?
AFE na rili wan sik we nɔ kin apin so ɔltɛm. Insay Amɛrika, i kin apin pan lɛk wan pan ɛvri 40,000 pikin dɛn we dɛn bɔn. Insay Yurop, i kin apin to lɛk wan pan ɛvri 53,800 pikin dɛn we dɛn bɔn. Dat min se i nɔ kin apin so ɔltɛm. Bɔt wan ɔda prɔblɛm de ya. di simptom dεm fכ AFE rili sכm lεk di simptom dεm fכ כda kכmplikεshכn dεm we kin apin we dεn de bכn, fכ egzampl, di uterin rupture, plasεnta abrupshכn, כ eclampsia. So, i at smɔl fɔ no di ɛksaktɔl kɔz fɔ dis kɔmplikeshɔn as AFE.
Wetin na di risk factor dɛm fɔ AFE?
Bikɔs AFE nɔ kin bɔku ɛn i nɔ kin izi fɔ du risach, i nɔ kin izi fɔ no ustɛm di prɔblɛm dɛn we kin mek i apin. Bɔt bay di risach we dɛn dɔn du naw, sɔm tin dɛn de we dɛn tink se go mek dis sik kam:
- di ej we di mama kin ol: Dis risk kin inkrεs sכmtεm fכ mama dεm we bεlε we dεn ol pas 35 ia.
- Fɔ gɛt twins ɔ mɔ: Fɔ mama dɛn we gɛt mɔ pas wan pikin, lɛk twins ɔ tri pikin.
- Fetal distress: Tin dεm lεk di chenj dεm na di pikin in at rεt.
- di prכblεm dεm na di plasεnta : fכ egzampl, kכndishכn dεm lεk di plasεnta abrupshכn.
- Fɔ gɛt prɛeklampsia ɔ ɛklamsia: Dis na prɔblɛm dɛn we kin apin we pɔsin gɛt ay blɔd prɛshɔn we i gɛt bɛlɛ.
- Polyhydramnios: dis min se di amniotic fluid de pasmak na di uterus.
- Di wata we de kɔmɔt na di sɛvikal .
- Leba indukshכn: Dis na we dεn de artificially induce leba fכ indyuz leba.
- fכ bכn pikin bay sizarian sekshכn ( C-section delivery).
- di dεlivεri we dεn εp wit di כpεrayshכn: Dis na kes dεm we dεn de bכn di pikin bay we dεn de yuz fכsεps כ vaykum εkstrakshכn.
Mɛmba se nɔto ɔlman we gɛt dɛn kayn risk factor ya go gɛt AFE. Dis na jɔs tin dɛm wae kin mek yu gɛt dis sik smɔl .
Wetin na di sayn dɛm fɔ amniotic fluid embolism?
Di sayn dɛm fɔ AFE
kin apia kwik kwik wan ɛn kwik kwik wan.As wi bin dɔn tɔk, i kin tranga fɔ no di sik kɔrɛkt wan bikɔs dɛn sayn ya tan lɛk ɔda prɔblɛm dɛn we kin apin we uman gɛt bɛlɛ ɛn we i de bɔn pikin. Dɛn tin ya na di sayn dɛm we pɔsin kin si:
- I nɔ kin izi fɔ yu fɔ blo : Wantɛm wantɛm i kin at fɔ blo, i kin fil lɛk se yu de swɛla.
- Blɔd prɛshɔn kin go dɔŋ wantɛm wantɛm : Blɔd prɛshɔn kin go dɔŋ wantɛm wantɛm.
- Pulmonary edema: di lכng fכnshכn nכ de wok fayn, lεk se i de insay wata.
- Di at we nɔ de rit: Di at rit kin chenj wantɛm wantɛm, sɔntɛnde i kin bigin fɔ bit kwik kwik wan, ɔ i kin bit smɔl smɔl.
- Blɔd we pasmak frɔm di uterus, sizarian sɛkshɔn wund, ɔ IV sayt: Blɔd we nɔ kin stɔp.
- Fetal distress: Di pikin in at de bit de chenj.
- Wantɛm wantɛm, yu nɔ kin rɛst, yu kin kɔnfyus, ɔ yu kin wɔri bad bad wan: Wantɛm wantɛm yu kin bigin fɔ fil bad bad wan, yu nɔ kin rɛst, yu nɔ kin ebul fɔ ɔndastand wetin de apin, ɛn yu kin fil bad bad wan.
- Fɔ fil kol ɛn shek shek (Chills).
If wan ɔ mɔ pan dɛn sayn ya apin wantɛm wantɛm, i kin bi se na imejensi.
Us kɔmplikɛshɔn kin apin bikɔs ɔf AFE?
AFE na wan sik we rili siriɔs. I kin mek di mama ɛn di pikin gɛt siriɔs prɔblɛm.
Di prɔblɛm 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.
- di prɔblɛm we de wit di blɔd we de klɔt (Disseminated Intravascular Coagulation - DIC): Dis kin apin we prɔblɛm de wit di blɔd we de mek di blɔd klɔt na wan say ɛn blɔd pasmak na di ɔda say.
- Strok.
- Cardiac arrest: Dis min se di at kin stɔp fɔ bit kpatakpata.
- Bren we dɔn pwɛl.
- Ivin day kin apin. Dis na di tin we rili sɔri.
Di prɔblɛm dɛn we kin apin to di pikin we de na di bɛlɛ:
di risk fכ di pikin dipכnt pan we di amniotic fluid embolism de apin. If di mama gɛt dɛn sik ya bifo dɛn bɔn di pikin, i kin nid fɔ
bɔn pikin kwik kwik wan . If AFE dɔn ɔlrɛdi bigin, di pikin de pan denja fɔ nɔ gɛt inof ɔksijɛn. If ɔksijɛn nɔ de, i kin pwɛl di pikin in nervɔs sistɛm ɔ in bren.
Wetin kin mek di amniotic fluid embolism?
Dɛn nɔ no yet di rayt tin we kin mek pɔsin gɛt AFE. dεn tink se i kin bi fכ di imyun rεspכns na sכm mama dεm to di plasεnta we de brok dכn we dεn de bכn. Bɔt, i nɔ klia wetin mek i kin apin to sɔm pipul dɛn nɔmɔ ɛn nɔto to ɔda pipul dɛn.
AFE kin apin we dɛn de du sizarian sɛkshɔn (C-section)?
Yɛs, i pɔsibul. di amniotic fluid embolism kin apin di tεm we di nכmal dεlivεri de εn di sizarian sεkshכn (C-section).
Aw dɔktɔ dɛn kin no if pɔsin gɛt amniotic fluid embolism?
Amniotic fluid embolism kin at fɔ no. As wi bin dɔn tɔk, de sik kin tan lɛk bɔrku ɔda siriɔs mɛrɛsin sik. So, we dɔktɔ dɛn sɔprayz se AFE, dɛn kin fɔs pul ɔda tin dɛn we kin mek dɛn gɛt am. di amniotic fluid embolism kin apin we di pikin de bכn כ insay 30 minit afta di pikin bכn. If yu gɛt AFE,
yu nid fɔ gɛt tritmɛnt wantɛm wantɛm fɔ avɔyd prɔblɛm dɛn we go mek yu day. Yu dɔktɔ kin sɔprayz se AFE if yu gɛt ɛni wan pan dɛn sayn ya:
- Di blɔd prɛshɔn we de go dɔŋ wantɛm wantɛm.
- I nɔ kin izi fɔ yu fɔ blo.
- Hat nɔ de bit ɔltɛm ɔ di at nɔ de stɔp kɔmplit wan.
- Blɔd we de kɔmɔt pasmak we nɔ gɛt rizin.
Tu stej dεm fכ AFE dεtekshכn
Dɔktɔ dɛn kin klas di amniotic fluid embolism insay tu stej dɛn:
- Faz wan: Dis stej de sho se yu de blo kwik kwik wan (we yu nɔ gɛt ɔksijɛn ɛn yu nɔ ebul fɔ blo) ɛn yu at de stɔp. Di ays nɔmba fɔ di wan dɛn we de day na dis stej.
- Faz tu: Dis na di faz we de mek pɔsin blɔd blɔd. insay dis fכs, i kin gεt bכku bכku bכku wan we dεn nכ kin kכntro, i kin kכmכt frכm di sizarian sεkshכn wund כ frכm di uterus (we di plasεnta bin atak).
Test dɛn we dɛn fɔ du if yu sev
Bikɔs AFE na mɛdikal imejensi, dɔktɔ dɛn nɔ gɛt tɛm fɔ abop pan imej tɛst ɔ blɔd tɛst fɔ mek dɛn no di sik. Bifo dat, dɛn kin gi tritmɛnt we go sev pipul dɛn layf kwik kwik wan. Bɔt if yu sev frɔm amniotic fluid embolism, yu dɔktɔ kin ɔda fɔ du tɛst lɛk dɛn wan ya:
- Ilɛktrokardiogram (EKG): I de chɛk aw di at de wok ɛn aw i de ritm.
- Pulse oximeter: Chɛk di ɔksijɛn lɛvɛl na di blɔd.
- Chɛst X-ray: Fɔ si if wata de rawnd di at.
- Echocardiogram: Si aw di at de wok.
Aw dɛn kin trit amniotic fluid embolism?
Amniotic fluid embolism na imejensi. I nid fɔ trit am
kwik kwik wan.Dis na aw yu go protɛkt yu ɛn yu pikin. Na sɔm we dɛn we dɔktɔ dɛn kin yuz fɔ du dis:
- Fɔ bɔn di pikin wantɛm wantɛm.
- Bɔku blɔd, plasma ɛn pletlɛt transfyushɔn.
- Hysterectomy fɔ stɔp di blɔd (dɛn kin jɔs du dis if ɔda we nɔ de fɔ stɔp di blɔd).
- Fɔ gi pɔsin stɛroyd ɔ ɔda mɛrɛsin fɔ kɔntrol blɔd prɛshɔn ɔ fɔ mek di at wok.
- Fɔ gi Kadyopulmonari Risasayshɔn (CPR).
- כksijεn dεn de gi am tru wan trakya tכb כ tru wan mashin (mεkanikal vεntileshכn).
- Monitor blɔd prɛshɔn bay we yu put pulmonary artery catheter ɔ sentral venous catheter.
Dɛn kin du ɔl dis fɔ sev di mama ɛn di pikin in layf. So, di mɛdikal tim kin disayd bay di tin we apin da tɛm de.
We wi go ebul fɔ mek dis nɔ apin?
כnכfכs,
naw nכ we nכ de fכ mek di amniotic fluid embolism. Dɔktɔ dɛn stil nɔ ɔndastand gud gud wan wetin mek AFE kin apin ɔ wetin kin mek i apin. Bɔt wan we fɔ rɛdi fɔ ɛni mɛdikal imejensi na fɔ wok wit yu famili ɛn dɔktɔ dɛn fɔ mek wan plan. Aks yu dɔktɔ bɔt imejensi ɛn aw yu mɛdikal tim go ansa dɛn. dis kin bi pat pan yu "bכn plan," wan plan we yu bin mek bifo dεn bכn yu pikin. Bɔt mɛmba se yu bɔn plan de sho di bɛst tin we go apin. If ɛnitin apin, yu mɛdikal tim go nid fɔ du wetin dɛn se fɔ protɛkt yu ɛn yu pikin.
Wetin na di chans fɔ sev frɔm AFE?
Bikɔs i nɔ kin izi fɔ no bɔt AFE ɛn i kin dipen pan bɔku tin dɛn, i nɔ kin izi fɔ gi ɛksaktɔl pasɛnt pan ɔmɔs pipul dɛn kin day wit dis sik. Pan ɔl we di stɔdi dɛn kin difrɛn difrɛn wan bay aw dɛn kin gɛda di data, sɔm ripɔt dɛn se
di nɔmba fɔ pipul dɛn we kin day kin rich 60%. Dis de sho aw dis sik siriɔs.
Wetin na di prɔblɛm dɛn we kin apin fɔ lɔng tɛm pan di wan dɛn we dɔn sev?
Dis dipen pan aw yu bin ansa di AFE bad bad wan, ɛn bak yu ɔl yu wɛl bɔdi istri. Amniotic fluid embolism kin mek ɔl tu di bɔdi ɛn maynd sayd ɛfɛkt. Sɔm pan di prɔblɛm dɛn we kin apin fɔ lɔng tɛm na:
- Nyurolɔjik damej we de afɛkt mɛmori ɔr di ebul fɔ mɛmba wɔd.
- Di at kin pwɛl sote go.
- If strok apin, di prɔblɛm dɛn we kin kam.
- Prɔblɛm dɛn na di kidni.
- Fɔ wɔri, fɔ fil bad, ɛn fɔ fil gilti.
- Pɔst-Traumatik Strɛs Disɔda (PTSD). Bikɔs dis na tin we kin rili bad, i kin tek sɔm tɛm fɔ mek yu maynd wɛl.
Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .
Amniotic fluid embolism (AFE) na wan prɔblɛm we kin mek pɔsin in layf de pan denja we kin apin we i de bɔn pikin ɛn arawnd am.
I nɔ kin apin so ɔltɛm, ɛn i kin apin wantɛm wantɛm ɛn kwik kwik wan. Bikɔs dɛn nɔ ɔndastand di sik gud gud wan, natin nɔ de we yu go du fɔ mek i nɔ gɛt am. Di wan dɛn we de stɔdi bɔt mɛrɛsin stil nɔ shɔ wetin mek i kin apin to sɔm pipul dɛn nɔmɔ.
If yu gɛt bɛlɛ, di chans fɔ mek yu gɛt AFE rili smɔl . So nɔ mek yu fred we yu nɔ nid fɔ fred. Bɔt, tɔk to di pɔsin we de kia fɔ yu bifo yu bɔn bɔt ɛni wɔri ɔ kwɛstyɔn we yu go gɛt bɔt dis sik we nɔ kin apin so ɔltɛm. Dɛn go ebul fɔ ɛp yu fɔ mek yu nɔ fred.
If yu na pɔsin we dɔn sev frɔm AFE, yu kin gɛt lɔng tɛm bɔdi ɔ maynd wɛlbɔdi prɔblɛm. Tɔk to yu dɔktɔ, yu patna, ɔ padi dɛn bɔt dis. Dɛn kin gi yu de sɔpɔt wae yu nid fɔ wɛl frɔm dis sik.
Mɛmba se nɔto yu wangren de.
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