Fɔ ɛkspɛkt pikin na fayn tin. Bɔku tɛm, na tin we rili natura. Mama kin dɔn di de we i fɔ bɔn pikin ɛn bɔn pikin we gɛt wɛlbɔdi . Insay wan ɔ tu dez, i kin go na os frɔm di ɔspitul ɛn bigin layf wit nyu pɔsin na in famili. Bɔt nɔto ɔl uman we gɛt bɛlɛ dis kin smol ɛn nɔ gɛt prɔblɛm. Sɔm mama dɛn kin gɛt fɔ fes wetin dɔktɔ dɛn kɔl "high-risk pregnancy."
Fɔ tɔk am simpul wan, bɛlɛ we gɛt ay risk na bɛlɛ we de pan denja fɔ gɛt prɔblɛm dɛn we kin afɛkt di mama, di pikin, ɔ ɔl tu. If na so i bi, spɛshal mɛdikal sɔpɔtishɔn impɔtant fɔ mek shɔ se di mama ɛn di pikin gɛt di bɛst wɛlbɔdi.
Wetin na di tin dɛm we de mek bɛlɛ ‘at risk’?
Bɔku rizin dɛn de we mek dɛn kin kɔl bɛlɛ as risky. Lɛ wi luk ɛni wan pan dɛn.
Mama in ej
Dis na di tin wae kin kam pan pɔrsin wae kin kam pan pɔrsin wae gɛt dis sik. If di mama nɔ rich 17 ia ɔ pas 35 ia di tɛm we i gɛt bɛlɛ, di risk fɔ gɛt prɔblɛm dɛn kin bɔku pas di mama dɛn we de na di nɔmal ej grup. di risk fכ bכn εn di pikin in jεnεtik dεfεkt de bכku, spεshal wan afta i ol 40 ia.
di mεdikal kכndishכn dεm we bin de bifo bifo uman bεlε
If yu gɛt wan sik we yu bin dɔn gɛt bifo tɛm, i kin afɛkt yu bɛlɛ bak. If na so i bi, i impɔtant fɔ tɔk to yu dɔktɔ bifo yu ivin tink bɔt fɔ bɔn pikin. Dɔn yu dɔktɔ kin du di tɛst dɛn we yu nid, ajɔst yu mɛrɛsin dɛn, ɛn advays yu bɔt wetin yu fɔ du fɔ protɛkt yu ɛn yu pikin dɛn wɛlbɔdi.
| di mεdikal kכndyushכn dεm we bin de bifo we kin mek uman bεlε de pan denja | |
|---|---|
| Di ay blɔd prɛshɔn | Lɔng, kidni, ɔ at sik |
| Shuga | Pwɛl at |
| Fat | Di sik dɛn we pɔsin kin gɛt we i de fɛt insɛf |
| Sik dɛn we pɔsin kin gɛt we i du mami ɛn dadi biznɛs wit ɔda pɔsin (STD) . | Infεkshכn dεm we kin de fכ lכng tεm lεk HIV |
Apat frɔm dat, dɛn kin tek am bak se di pikin dɛn we bin dɔn pwɛl bɛlɛ bifo, prɔblɛm dɛn we i bin gɛt we i bin gɛt bɛlɛ bifo, ɔ we in famili gɛt sik dɛn we dɛn kin gɛt frɔm in jɛnɛtiks .
Sik dεm we kin apin we uman bεlε
Sɔntɛnde, ivin if yu gɛt wɛlbɔdi ɔlsay we yu gɛt bɛlɛ, yu kin gɛt nyu sik dɛn we yu gɛt bɛlɛ. Na tri pan di wan dɛn we bɔku pipul dɛn kin du.
- Preeclampsia: Dis na wan sik wae de sho se yu gɛt ay blɔd prɛshɔn, prɔtin na yu urine, ɛn swel. If dɛn nɔ de manej am fayn, i kin mek di mama ɛn di pikin day pan denja. Bɔt if dɛn gɛt di rayt mɛrɛsin, bɔku mama dɛn kin bɔn pikin dɛn we gɛt wɛlbɔdi . Dis sik kin kam mɔ if yu dɔn ol, yu gɛt bɔku bɔku bɔdi, ɔ yu gɛt ay blɔd prɛshɔn ɔ dayabitis bifo yu gɛt bɛlɛ.
- Gestational Diabetes : Dis na wan kayn dayabitis we kin apin nɔmɔ we uman gɛt bɛlɛ. If yu fala di tritmɛnt plan we yu dɔktɔ gi yu di rayt we, yu kin gɛt wɛlbɔdi pikin we nɔ gɛt ɛni prɔblɛm. Dis kayn dayabitis kin dɔn afta dɛn bɔn di pikin. Bɔt mama dɛm wae gɛt dis sik kin de pan denja fɔ gɛt Tayp 2 Dayabitis leta na dɛn layf.
- Pwɛl hat: We yu gɛt bɛlɛ chenj, yu taya, ɛn yu gɛt prɔblɛm na yu os we yu gɛt bɛlɛ, dat kin mek yu gɛt pwɛl hat ɛn fil bad. dis kכndyushכn de afekt bitwin 14% εn 23% pan di bεlε uman dεm. Dis kin mek i gɛt prɔblɛm we i de bɔn pikin ɛn i kin mek i nɔ gɛt bɛtɛ wet. So if yu de fil dis kayn we, nɔ shem fɔ tɔk to yu dɔktɔ bɔt am.
Ɔda prɔblɛm dɛn we gɛt fɔ du wit bɛlɛ
Sɔntɛnde, i kin bi risky bikɔs ɔf prɔblɛm dɛn we kin kɔmɔt frɔm di bɛlɛ insɛf, ivin if i nɔ gɛt ɛni prɔblɛm wit di mama in wɛlbɔdi.
- di pikin we dεn bכn bifo tεm : di bεlε de bigin bifo 37 wiks we di bεlε de. Di pikin dɛn we dɛn nɔ bɔn yet kin gɛt wɛlbɔdi prɔblɛm.
- mכltipכl bכn: I de kכri mכr dan wan pikin (twin, triplet). Dis kin mek di risk fɔ bɔn pikin bifo tɛm, gɛt dayabitis we i gɛt bɛlɛ, ɛn ay blɔd prɛshɔn.
- Plasεnta Previa: Dis na we di plasεnta de kכba di sεviks. Dis kin mek yu blɔd kɔmɔt. If dis sik kɔntinyu ivin nia di tɛm we di pikin bɔn, yu dɔktɔ kin tɛl yu fɔ du sizarian sɛkshɔn.
- di prכblεm dεm na di pikin: כltra saund skan kin sho sכmtεm prכblεm wit di pikin in divεlכpmεnt. bכt 2% - 3% pan כl di pikin dεm gεt sכm sכm כ big prכblεm fכ gro.
Aw fɔ chɛk di pikin in wɛlbɔdi we i gɛt bɛlɛ we gɛt ay risk?
Fɔ mama dɛn we gɛt bɛlɛ we gɛt bɔku prɔblɛm, yu dɔktɔ kin tɛl yu fɔ du spɛshal tɛst fɔ chɛk if yu pikin we nɔ bɔn yet gɛt wɛlbɔdi. Dɛn kɔl am Bayofizikal Profayl (BPP) . dis kin bi afta 28 wiks we uman bεlε.
Bayofizikal Profayl (BPP) na wan kɔmbaynshɔn fɔ wan nɔ-strɛs tɛst (NST) ɛn wan ɔltra saund skan.
di NST tεst involv fכ ataya wan mכnitor na di mama in bεlε εn fכ luk aw di pikin in at rεt de chenj we di pikin de muv. Di BPP tɛst de gi ivin mɔ dip infɔmeshɔn.
| Tin dɛn we dɛn tɛst na di BPP tɛst | Mak |
|---|---|
| Fetal brith we di pikin de blo | Dɛn kin gi ɛni aytem wan mak frɔm 0 to 2, ɛn dɛn kin kɔl di tɔtal frɔm 10. Dɛn kin tek 8 ɔ 10 mak as avɛrej. |
| di muvmεnt dεm we di pikin de muv | |
| Fetal tכn | |
| di כmכnt fכ wata we de rawnd di pikin (Amniotic fluid volume) . | |
| Nɔnstrɛs tɛst (NST) rizɔlt |
Wetin dɛn kin du fɔ mek dɛn nɔ gɛt prɔblɛm ɛn mɛn dɛn?
Ivin if yu nɔ gɛt ɛni wɛlbɔdi prɔblɛm rayt naw, i impɔtant fɔ mek yu go to yu dɔktɔ bifo yu tink bɔt fɔ bɔn pikin. Dis we ya, yu kin stɔp ɛni prɔblɛm we kin apin.
Dɛn tin ya go ɛp yu fɔ gɛt wɛlbɔdi ɔl di tɛm we yu gɛt bɛlɛ:
- tek at le 400 maykrogram fכlik asid evri de bifo εn di tεm we yu bεlε.
- Gɛt ɔl di vaysin dɛn we dɛn dɔn rɛkɔmɛnd.
- It fayn it ɛn mek yu bɔdi gɛt di rayt wet.
- Te yu dɔktɔ se nɔ, du layt ɛksesaiz we fit yu.
- Nɔ smok, rɔm, ɛn drɔgs atɔl.
- Na di mɛrɛsin dɛn nɔmɔ we yu dɔktɔ gri fɔ yuz.
- Atɛnd klinik dɛn di de dɛn we dɛn dɔn sɛtul. Nɔ mis ɛni de.
- Wok wit yu dɔktɔ fɔ kɔntrol tin dɛn lɛk dayabitis ɛn ay blɔd prɛshɔn.
Di tin we impɔtant pas ɔl na dat if yu fil ɛnitin we nɔ kɔmɔn, lɛk pen ɔ blɔd , tɛl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) .
If dɛn tek yu bɛlɛ as ay risk, yu dɔktɔ kin rifer yu to perinatologist , ɔbstetrician ɛn gynecologist we gɛt spɛshal trenin fɔ gɛt ay risk. Dis spɛshal pɔsin go wok wit yu ɔda dɔktɔ dɛn, nɔs dɛn, ɛn ɔda pipul dɛn we de wok fɔ di wɛlbɔdi biznɛs fɔ mek shɔ se di bɛst tin go apin to yu ɛn yu pikin.
Mɛsej we dɛn kin kɛr go na os
- Bɛlɛ we gɛt bɔku prɔblɛm nɔto sɔntin we pɔsin fɔ fred, bɔt i impɔtant fɔ no bɔt am ɛn fɔ de ɔnda di rayt dɔktɔ we de kia fɔ am.
- If yu de tink bɔt fɔ bɔn pikin, go to yu dɔktɔ bifo tɛm. If yu gɛt ɛni mɛrɛsin, i impɔtant fɔ mek yu kɔntrol am bifo yu gɛt bɛlɛ.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn jɔs ɔl di tɛm we yu gɛt bɛlɛ. Nɔ skip wan klinik visit.
- Adopt layf we gɛt wɛlbɔdi. Gud it, fɔ ɛksesaiz layt, ɛn fɔ gɛt wɛlbɔdi na yu maynd rili impɔtant.
- If yu gɛt ɛni ɔda sayn we nɔ kɔmɔn, nɔ ɛva de te fɔ tɛl yu dɔktɔ. If yu manej yu fayn fayn wan, yu kin ebul fɔ win bɔku prɔblɛm dɛn ɛn bɔn pikin we gɛt wɛlbɔdi.
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