Insay di las wiks we yu gɛt bɛlɛ, yu dɔktɔ tɛl yu fɔ du wan tɛst we dɛn kɔl ‘Biophysical Profile’? Yu go dɔn fred smɔl we i tɛl yu dat, nɔto so? ‘Sɔmtin de we nɔ rayt wit mi pikin?’ i aks am. Bɔt nɔ fred atɔl. dis na tεst we dεn kin du ɔltɛm fכ mek sכh se di pikin de du fayn fayn wan na di bεlε. I tan lɛk ‘ripɔt kad’ we dɛn gi wi na skul, ɛn i de gi di dɔktɔ ‘ripɔt’ bɔt di pikin in wɛlbɔdi. Lɛ wi tɔk bɔt dis simpul wan.
Wetin na Bayofizikal Profayl (BPP)?
Fɔ tɔk am simpul wan, Bayofizikal Profayl (BPP) na tɛst fɔ chɛk di wɛlbɔdi fɔ yu pikin we nɔ bɔn yet. Dɛn kin du am afta 32 wiks we uman gɛt bɛlɛ. Dɔktɔ dɛn kin se yu fɔ du dis tɛst, mɔ if yu bɛlɛ gɛt bɔku prɔblɛm ɔ if ɛnitin nɔ de we nɔ fayn na di tɛst we yu bin dɔn du trade.
Dis na tɛst we nɔ de mek pɔsin fil pen atɔl ɛn we nɔ gɛt wan prɔblɛm . I men wan de yuz wan `ultrasound scan`. dis skan de luk fכ aspek dεm fכ di pikin in aktiviti εn gi dεm wan skכ. Sɔntɛnde, apat frɔm dis, dɛn kin du ɔda smɔl tɛst bak. Wi go tɔk bɔt dat leta.
Wetin rili dis tɛst de luk fɔ?
wan BPP tεst de fכkus pan 5 men kכmכpכnεnt dεm. Dɛn kin chɛk di fɔs 4 wan dɛn wit ɔltra saund skan. Di las wan na if nid de nɔmɔ dɛn kin du am.
| Di elemɛnt we dɛn de tɛst | Fɔ tɔk am simpul wan... |
|---|---|
| Di we aw di pikin in bɔdi de muv | Wi de chɛk fɔ si if di pikin de muv in an ɛn fut dɛn ɔ i de muv in bɔdi bak ɛn biɛn. Bebi we gɛt wɛlbɔdi fɔ de muv fayn fayn wan. |
| Bebi in mɔsul dɛn we de tɔn | Dɛn kin wach tin dɛn lɛk if di pikin de fleks in an dɛn, strɛch dɛn, bɛn in leg dɛn, ɔ strɛch dɛn. |
| Di we aw di pikin de blo | Ivin we di pikin stil de na di bɛlɛ, in chɛst de muf lɛk se i de blo. Wi kin chɛk fɔ si if dɛn muvmɛnt dɛn de de apin fayn fayn wan. |
| Amniotic fluid volyum | di amount of amniotic fluid (amniotic fluid) we de rawnd di pikin dεn de mכsu fכ si if i inof. Dis rili impɔtant fɔ di pikin in sef ɛn divɛlɔpmɛnt. |
| di at rit we di pikin de bit | Dɛn kin chɛk dis wit wan tɛst we dɛn kɔl Nɔnstrɛs Tɛst (NST). Dɛn kin du dis nɔmɔ if nid de. I de chɛk fɔ si if di pikin in at rit de go ɔp we i de muf. |
sכmtεm, di dכkta kin du `modified biophysical profile` insted fכ di ful BPP. dis involv כnli di `Nonstress Test (NST)` we wi bin mεnshכn εn fכ mכsu di כmכnt כf wata (`amniotic fluid`) we de rawnd di pikin.
Wetin mek dɛn de aks yu fɔ du BPP?
Dɛn nɔ kin du dis tɛst fɔ ɔlman. Yu dɔktɔ kin tɛl yu fɔ du dis tɛst if yu bɛlɛ de pan denja, ɔ if yu nɔ bɔn pikin bay 40 wik. Yu kin gɛt BPP if yu gɛt wan ɔ mɔ pan dɛn kɔndishɔn ya:
- If yu gɛt sik dɛn lɛk ay blɔd prɛshɔn (Hypertension) ɔ lupus (Lupus).
- if yu fil se yu pikin in muvmεnt dεm (fetal muvmεnt dεm) dכn dכn.
- If di pikin dɔn day we i bin dɔn gɛt bɛlɛ bifo (we i bin dɔn bɔn we i dɔn day bifo).
- If yu de ɛkspɛkt twins ɔ triplɛt (multiples).
- If yu bin dɔn gɛt ay blɔd prɛshɔn (preeclampsia) we yu gɛt bɛlɛ.
- if dεn sכspεshכn se di pikin in growth dכn dכn nכmal, dεn kכl am ``Intrauterine growth restriction''.
- If yu bin gɛt dayabitis bifo yu gɛt bɛlɛ, ɔ if yu gɛt dayabitis we yu gɛt bɛlɛ (gestational diabetes).
- if di amount of amniotic fluid we de rawnd di pikin tu lכw כ tu hכy.
- If yu blɔd tayp na Rh negatif.
- If yu dɔn pas 35 ia we yu bɔn pikin.
- If yu bɔdi mas indeks (BMI) na 30 ɔ pas dat (we fat pasmak).
Aw fɔ du di BPP tɛst?
Dis tɛst kin tek lɛk 30 to 40 minit fɔ dɔn. I gɛt tu men pat dɛn.
1. Ultrasound egzamin
Dis na jɔs lɛk di skan we yu kin du ɔltɛm. Yu ledɔm na bed, dɛn kin put jel na yu bɛlɛ, ɛn dɛn kin muv wan tin we dɛn kɔl transdyusɔ oba yu bɛlɛ. Dɔn di dɔktɔ kin si di pikin in pikchɔ na wan monita. insay dis tεm, dεn kin mכsu di pikin in muvmεnt, brith, mכsul dεm we i de wok, εn di wata lεvεl.
2. Tɛst we nɔ gɛt strɛs (NST) .
Dɛn kin du dis nɔmɔ if nid de. Insay dis, dɛn go mek yu ledɔm pan bed ɛn tay bɛlt rawnd yu bɛlɛ. wan sεns we de na di bεlt go mεzj di pikin in at bit. Dis go tek lɛk 20 minit so.
Jɔs lɛk aw wi at rit kin go ɔp we wi de klaym stɛp, we pikin de strɛs, dɛn at rit bak fɔ go ɔp smɔl. Na dat dis de tɔk bɔt. Bebi we gɛt wɛlbɔdi fɔ sho at le tu dis kayn aksilarayshɔn insay 20 minit.
Sɔntɛnde dis nɔ kin apin bikɔs di pikin de slip. If na so i bi, di dɔktɔ kin yuz sɔntin lɛk bɔz fɔ wek di pikin.
Skɔring Sistɛm fɔ di Tɛst
di fכ εlimεnt dεm we dεn si na di כltra saund skan dεn skכ 0 כ 2. nכ skכ de 1. Dat min se if di rilevεnt aktiviti gud, di skכ na 2, כ 0.
| Di elemɛnt we dɛn de tɛst | Kwalifayeshɔn nid fɔ gɛt 2 poɛnt |
|---|---|
| Di we aw di bɔdi de muv | di pikin in bכdi כ in an dεm de muv tri tεm כ mכr tεm insay 30 minit. |
| Di we aw di mɔsul dɛn de wok | fכ bεnd εn כn bεnd yu an/leg כ fכ fleks εn כn bεnd yu an/leg wan tεm insay 30 minit. |
| Di we aw pɔsin de muv we i de blo | Sho at le wan kɔntinyu fɔ brith we de las fɔ at le 30 sɛkɔn insay 30 minit. |
| Di amount of wata we de na di lכng | Spɛs fɔ de we at le 2 sɛntimita dip ɛn 1 sɛntimita waid usay di wata de. |
Dis skan kin gi maksimam mak we na 8. If dɛn du di NST bak ɛn i fayn, dɛn kin ad 2 ɔda poɛnt to am. Dɔn di ɔl di mak go bi 10.
Wetin di sayn dɛn se?
Di rizɔlt fɔ di tɛst kin de di sem de. Di dɔktɔ go no di pikin in kɔndishɔn bay dɛn mak dɛn de.
- Skɔ 8 ɔ 10: Dis min se di pikin in wɛlbɔdi rili fayn . Natin nɔ de fɔ wɔri bɔt.
- 6 pɔynt: Dis min se sɔm tin dɛn de we nɔ shɔ. Natin nɔ de fɔ wɔri bɔt, bɔt di dɔktɔ go disayd fɔ wach di pikin mɔ. I kin aks yu fɔ du di sem tɛst bak insay 12-24 awa. Ɔ i kin tink bɔt fɔ bɔn di pikin jisnɔ.
- Skɔ 4 ɔ smɔl pas dat: Dis na tin we pɔsin fɔ wɔri bɔt . di pikin kin de fil sכm diskomfכt na di bεlε. Dis tɛm ya, bɔku tɛm di dɔktɔ go disayd fɔ bɔn di pikin kwik kwik wan.
di tin we impɔtant pas ɔl: If di wata we de rawnd di pikin nɔ bɔku, ivin if ɔl ɔda tin fayn, na tin we pɔsin fɔ wɔri bɔt. Di dɔktɔ go pe atɛnshɔn mɔ to am.
Wetin na di bɛnifit ɛn bad tin dɛn we dis tɛst gɛt?
Di bɛnifit dɛn we pɔsin kin gɛt
Di big bɛnifit fɔ dis na dat nɔ bad ɔ risk nɔ de fɔ yu ɔ di pikin . Dis na tɛst we nɔ gɛt wan prɔblɛm.
Di bad tin dɛn we kin apin
- if dεn du dis tεst bifo 32 wiks we uman bεlε, di rizulεt dεm nכ go rili kכrεkt.
- If yu de tek sɔm mɛrɛsin dɛn lɛk kɔtikosterɔyd, i kin afɛkt di tin dɛn we kin apin. (Fכ egzampl, di pikin in brith muvmεnt kin kכmכt fכ atifishal wan εn di bכdi muvmεnt kin rεdכks).
- Sɔntɛnde, if yu nɔ ebul fɔ disayd wantɛm wantɛm, yu kin gɛt fɔ ripit di tɛst.
I nɔmal fɔ fil smɔl fred ɔ wɔri bɔt tɛst we yu gɛt bɛlɛ. Bɔt mɛmba se, BPP na tɛst we dɛn kin du fɔ mek shɔ se yu ɛn yu pikin sef. Bɔku tɛm, na jɔs fɔ tek tɛm. If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis, tɔk to yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Bayofyzikal Profayl (BPP) na sef, we nɔ de mek pen ɛn we de chɛk if di pikin wɛl na di bɛlɛ.
- Nɔ fred we yu yɛri di nem fɔ dis tɛst. Bɔku tɛm, dɛn kin du dis fɔ tek tɛm.
- If yu gɛt smɔl mak nɔ kin min ɔltɛm se big prɔblɛm de. I jɔs min se di dɔktɔ de kɔntinyu fɔ wach yu ɛn yu pikin gud gud wan.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni dawt ɔ fred we yu gɛt.
- Dɛn kin du ɔl dis fɔ ɛp fɔ briŋ pikin we gɛt wɛlbɔdi sef wan na dis wɔl.
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