Yu tink se dɛn bɔn yu pikin bifo tɛm? Lan bɔt apnea we pɔsin kin gɛt we i nɔ bɔn yet

Yu smɔl pikin kam na dis wɔl smɔl ali? Na nɔmal tin fɔ fil fɔ fred smɔl as mama ɔ papa dɛn kayn tɛm ya. Yu kin de wɔnda bɔt aw yu pikin de blo, mɔ. So, di prɔblɛm we wi go tɔk bɔt tide na ‘Apnea of ​​Prematurity’, we kin apin to pikin dɛn we dɛn bɔn bifo dɛn bɔn, dat na bifo 37 wiks we dɛn gɛt bɛlɛ. Nɔ wɔri, dis kin bi fɔ sɔm tɛm, ɛn dɔktɔ dɛn no aw fɔ ɛp wit dis.

Wetin na Apnea of ​​Prematurity?

Fɔ tɔk am simpul wan, di pat dɛn na di bɔdi we di pikin we dɛn bɔn bifo tɛm, mɔ di sistɛm dɛn we de ɛp am fɔ blo, nɔ dɔn rili divɛlɔp yet. Tink bɔt am, dɛn smɔl smɔl lɔng dɛn, di say we dɛn de blo na dɛn bren, ɔl dɛn tin ya stil de ‘lan’. So, dɛn nɔ rɛdi yet fɔ blo di rayt ritm. Bikɔs ɔf dis, sɔntɛnde dɛn kin stɔp fɔ blo fɔ sɔm sɛkɔn. Dis na wetin dɔktɔ dɛn kin kɔl ‘apneic spells’.

Yu kin fred we yu yɛri dis, "O, mi pikin nɔ de blo fayn?" Bɔt dis sik kin apin to pikin dɛn we dɛn bɔn bifo tɛm. Ɛn dɔktɔ dɛn no aw fɔ trit am. Yu pikin go spɛn sɔm tɛm na di Nionatal Intensive Care Unit (NICU). Na de, dɔktɔ ɛn nɔs dɛn go de wach di pikin ɔltɛm ɛn gi am tritmɛnt fɔ ɛp am fɔ blo. We yu pikin ebul fɔ blo nɔmal wan fɔ insɛf, we nɔ gɛt ɛni ɛp, i go ebul fɔ go na os.

Wetin na di sayn dɛm fɔ dis sik?

Naw lɛ wi si us sayn dɛm we pikin we gɛt Apnea of ​​Prematurity kin sho:

• Di brith dɔn stɔp fɔ 15 ɔ 20 sɛkɔn, sɔntɛm ivin lɔng pas dat.
• Di at rit we de slow slow. Wi kin kɔl dis ‘bradycardia’.
• Di ɔksijɛn we de na di blɔd nɔ bɔku. Dɛn kɔl dis haypoxemia. Dis kin mek di pikin in skin, mɔ di lip ɛn tɔŋ, tan lɛk blu, wayt, yɔlɔ-grey, ɔ grey. Dɛn kɔl dis saynosis.

Sɔntɛnde, di pikin in briz kin stɔp fɔ lɛs 15 sɛkɔn. Bɔt if di at de rit sloslo (bradycardia) ɔ di ɔksijɛn lɛvɛl smɔl (hypoxemia), dɛn kin tek dis bak as sayn fɔ dis ‘apnea’ kɔndishɔn.

Impɔtant: Dis fɔ difrɛn frɔm wan kɔndishɔn we dɛn kɔl ‘periodic breathing’. fכ brith wan wan tεm na we di pikin dεn de sכt sכt (lεs dan 10 sekכnd) we dεn de brith. Bɔt dis nɔ kin mek di at rit ɔ di ɔksijɛn lɛvɛl go dɔŋ. Afta dat, dɛn kin blo kwik kwik wan. Dɛn kin tek dis as nɔmal tin.

Wetin mek dis kin apin to wi bebi dɛn? (Di tin dɛn we kin mek pɔsin nɔ ebul fɔ blo fayn we i nɔ bɔn yet)

di men rizin fכ dis (Apnea of ​​Prematurity) na, lεk aw wi bin dכn tכk, di pikin in aywe dεm εn di bren in brith sεnta dεm nכ dכn fulכp yet. Dɛn tu pat ya de wok togɛda fɔ mek di pikin ebul fɔ blo fayn fayn wan. Dɔktɔ dɛn kin sheb dɛn kayn we ya we pɔsin kin stɔp fɔ blo to tri men kayn we bay di tin we kin mek i blo:

• Obstructive Apnea we de mek pɔsin nɔ ebul fɔ blo
• Sɛntral Apnɛa
• Miks Apnɛa we dɛn kɔl

Wetin na Obstructive Apnea?

wetin kin apin pan dis kes na dat, wan tin de we de ambɔg di pikin in aywe. Dɛn aywe ya na di wan dɛn we de kɛr di briz we gɛt ɔksijɛn go insay di lɔng dɛn ɛn pul di kabɔn dayɔgzayd na di lɔng dɛn. So, fɔ mek di briz flɔ fayn, dɛn aywe dɛn ya nid fɔ opin.

Bɔt di we aw di pikin we dɛn bɔn bifo tɛm kin blo (espɛshali di pat we de rɔn frɔm in nɛk) nɔ kin strɔng fɔ mek i opin ɔltɛm. Na da tɛm de fɔ blo kin stɔp. I tan lɛk smɔl tiub we nɔ de opin fayn ɛn i kin stɔp.

Wetin na Sɛntral Apnia?

dis kin apin we di bren stem, di sεntrכm na di pikin in bren we de kכntro di brith, nכ de sεnd signal di rayt tεm. nכmal wan, dis bren stεm de sεnd signal to di pikin in rεspiretכri mכsul dεm – fכ egzampl, di dayafragm εn intakostal mכsul dεm. Dɛn mɔsul ya de ɛp fɔ pul di briz insay ɛn kɔmɔt na di lɔng dɛn.

כltu, if di pikin in bren stεm nכ fulכp yet, di signal dεm we de kכmכt pan am nכ de כganayz εn dεn kin abop pan am. Na dat mek fɔ blo kin stɔp na di midul. I tan lɛk se di kɔmand frɔm di bren fɔ "brid!" nɔ de go tru insay di tɛm.

Wetin na Mixed Apnea?

wetin kin apin insay dis kes na dat prכblεm de wit di pikin in brith path, εn di signal dεm we de kכmכt na di bren in brith kכntrכl sεnta nכ de kam tru fayn fayn wan. I tan lɛk se di tu rizin dɛn we wi dɔn tɔk bɔt, kam togɛda. Dis kayn apnea kin si mɔ pan pikin dɛn we dɛn bɔn bifo tɛm.

Aw dɔktɔ dɛn kin no dis?

dis kכndyushכn (Apnea of ​​Prematurity) dεn kin no am na di Neonatal Intensive Care Unit (NICU) usay di pikin de. Dis na di pat na di ɔspitul usay dɛn kin kip bebi dɛn we nid spɛshal kia ɛn mɛrɛsin. If dɛn bɔn yu pikin bifo tɛm, i kin gɛt fɔ de na di NICU fɔ sɔm tɛm bifo i go na os.

We di pikin de na NICU, dɔktɔ ɛn nɔs dɛn kin de wach dɛn tin ya ɔltɛm:

• At rit we yu de bit
• Aw fɔ blo
• Blɔd ɔksijɛn lɛvɛl

dis monita dεm de sεnd signal if di pikin in at rεt slo כ if i stכp fכ brith fכ sכm tεm. Dɔktɔ dɛn kin yuz di data we dɛn kin gɛt frɔm dɛn mashin dɛn ya ɛn di tin dɛn we di nɔs dɛn kin si fɔ no di sik.

Sɔntɛnde, dɛn kayn we ya we pikin dɛn we dɛn jɔs bɔn kin stɔp fɔ blo kin bi sayn fɔ ɔda mɛrɛsin dɛn. Fɔ ɛgzampul, di prɔblɛm dɛn we kin apin na di bɔdi, blɔd we kin kɔmɔt na in bren, ɛn infɛkshɔn. So, dɔktɔ dɛn kin chɛk di pikin fɔs fɔ si if ɔda mɛrɛsin dɛn de lɛk dɛn wan ya. Na afta dɛn dɔn pul ɔl di ɔda tin dɛn we kin mek pɔsin gɛt dis sik, na in dɛn kin no klia wan se dis na Apnea of ​​Prematurity.

Apnea of ​​Prematurity dεn dεfεn am as di pikin in brith we de stכp biכs dεn bכn am bifo tεm, εn dεn nεv εn rεspiretכri sistεm dεm nכ dכn fulכp yet. So, te dɛn bɔdi rɛdi fɔ du dɛn tin ya fɔ insɛf, dɛn nid smɔl ɛp fɔ blo.

Wetin na di tritmɛnt fɔ dis?

Di tritmɛnt fɔ Apnea of ​​Prematurity kin bi wan ɔ ɔl tu pan dɛn tin ya:

• Mɛrɛsin dɛn (bɔku tɛm na kafinɛ saytrɛt) .
• Fɔ ɛp fɔ blo

Wetin mek dɛn ad kafin pan dis?

Caffeine citrate na wan mɛrɛsin wae dɛn kin yuse fɔ trit Apnea of ​​Prematurity. Jɔs lɛk di jolt we wi kin gɛt we wi de drink kɔfi na mɔnin, dis mɛrɛsin kin mek di pikin in nervɔs sistɛm wok. dis ‘wek-ap’ de εp di pikin in bren in brith sεntr εn di nεv sεl dεm fכ sεnd signal dεm we de rεgεl di brith.

Dis kafin pil de ridyus di nɔmba fɔ di apnɛik spɛl we di pikin gɛt. I kin ɛp bak fɔ ridyus di tɛm we dɛn kin stɔp fɔ blo.

Sɔpɔt fɔ Brith

sכmtεm di pikin in כp aywe, di farinx εn larynx, nid sכm εp fכ mek i opin. If na so i bi, bɔku tɛm, dɔktɔ dɛn kin yuz wan we we dɛn kɔl Kɔntinyu Pozitiv Aywe Prɛshɔn (CPAP). Insay dis, di pikin de blo insɛf. Bɔt dɛn kin sɛn di briz tru tu smɔl smɔl tiub dɛn we dɛn kin put na di pikin in nos. Dis de ridyus di risk fɔ mek yu nɔ ebul fɔ blo bikɔs di we aw di briz de blo blɔk.

Imajin, we yu blo smɔl briz insay smɔl balyɔn, i tan lɛk se i de blo, dis CPAP de ɛp fɔ mek di say we di briz de blo opin.

If yu pikin kɔntinyu fɔ gɛt siriɔs respiratory arrest, i kin nid ‘mɛkanikal ventileshɔn’. dis min se mashin (ventilator) go du di brith fכ di pikin te di pikin in bכdi ebul fכ brith in wan. Dis na fɔ shɔt tɛm nɔmɔ.

If mi pikin gɛt dis sik, wetin a fɔ ɛkspɛkt?

Apnea of ​​Prematurity na wan tin we kin apin fɔ sɔm tɛm . As di pikin de gro ɛn divɛlɔp, dɛn sayn ya go stɔp smɔl smɔl. Yu pikin kin nid fɔ de na di NICU fɔ sɔm wiks, ɔ ivin tu to tri mɔnt. Na de, i nɔ go jɔs gɛt tritmɛnt fɔ di prɔblɛm dɛn we i gɛt we i de blo, bɔt i go gɛt tritmɛnt bak fɔ ɛni ɔda prɔblɛm we kin apin we dɛn bɔn am bifo tɛm.

Di dɔktɔ dɛn go tɛl yu aw lɔng di pikin go nid fɔ de na di NICU ɛn wetin nid fɔ apin fɔ kɛr di pikin go na os sef wan.

Bɔku tɛm, dɔktɔ dɛn go disayd di tɛm we sef fɔ stɔp di pikin in tritmɛnt. Dɔn, afta dɛn dɔn stɔp di tritmɛnt, dɛn go wach aw di pikin in bɔdi de du am. Bifo dɛn sɛn di pikin na os, dɛn go nid fɔ de de fɔ sɔm dez ɛn dɛn nɔ go gɛt ɛni prɔblɛm wit in briz. di lεngth fכ dis "observation period" go dipכnt pan aw di pikin bin bi bifo tεm εn dεn כvala hεlth.

כl di pikin dεm nכ nid fכ kכntinyu fכ monitar afta dεn go na os. Bɔt if yu pikin nid fɔ wach am, yu dɔktɔ go ɛksplen klia wan wetin fɔ du. If ɛnitin de we yu nɔ shɔ bɔt ɔ if yu gɛt ɛnitin fɔ wɔri bɔt aw fɔ kia fɔ yu pikin na os, mek shɔ se yu aks yu dɔktɔ ɔ nɔs. Dɛn go gi yu ɔl di infɔmeshɔn we yu nid fɔ yus to dis nyu envayrɔmɛnt.

Apnea of ​​Prematurity na wan kכmכn kכndyushכn fכ pikin dεm we dεn bכn bifo tεm. Bɔt we yu no se na kɔmɔn tin, i nɔ kin izi fɔ de fa frɔm yu nyu bɔbɔ we yu want fɔ ol am. Yu go fil rili yu wan ɛn sɔri we yu pikin de na di NICU. Bɔt, mɛmba ɔltɛm se dis na fɔ shɔt tɛm nɔmɔ.

Di dɔktɔ ɛn nɔs dɛm na di NICU go ɛp yu fɔ fɛn we fɔ spɛn tɛm wit yu pikin insay dis tɛm. Dɛn go gi yu infɔmeshɔn bak bɔt aw yu pikin de blo ɛn ustɛm yu kin ɛkspɛkt fɔ ebul kɛr yu pikin go na os.

Mɛmba as sɔmari (Tek-Home Message) .

If yu pikin we yu bɔn bifo tɛm de gɛt apnea we i nɔ bɔn yet, i kin rili mek yu fred. Bɔt duya mɛmba se:

• Bɔku tɛm, dis kin apin fɔ shɔt tɛm. As di pikin de gro, di we aw i de blo kin strɔng bak.
• Dɔktɔ dɛn no aw fɔ trit dis. Yu pikin go gɛt di bɛst kia na di NICU.
• Nɔto yu wan de. Ɔda mama ɛn papa dɛn de we dɔn gɛt dis kayn ɛkspiriɛns, nɔto jɔs dɔktɔ ɛn nɔs dɛn. Nɔ shem fɔ tɔk bɔt aw yu de fil ɛn aks fɔ ɛp.
• Kip op. Yusɛf go gɛt di chans fɔ go na os wit yu pikin afta sɔm dez.

Wi de wish yu pikin fɔ wɛl kwik kwik wan!

` Bכn bifo tεm, apnea, pikin brith, NICU, pikin hεlth, difεlεns fכ brith, kafin tεrapi