Yu tink se dɛn bɔn yu pikin bifo tɛm? I gɛt prɔblɛm wit in lɔng? Lɛ wi tɔk bɔt Bronchopulmonary Dysplasia!

Yu pikin gɛt prɔblɛm fɔ blo bikɔs dɛn bɔn am bifo tɛm ? Ɔ di dɔktɔ dɔn tɛl yu se yu pikin gɛt wan sik we dɛn kɔl Bronchopulmonary Dysplasia? Na nɔmal tin fɔ mek yu fil fred ɛn wɔri sɔm tɛm lɛk dis. Bɔt nɔ wɔri. Lɛ wi tɔk bɔt dis simpul wan ɛn di we we yu go ɔndastand. Bikɔs i rili impɔtant fɔ mek yu ɛn yu pikin no gud gud wan bɔt dis sik.

So wetin na Bronchopulmonary Dysplasia (BPD)?

Fɔ tɔk am simpul wan, `(Bronchopulmonary Dysplasia)` na wan lכng sik we kin apin pan pikin dεm we dεn bכn bifo tεm . Naw luk, we dɛn bɔn pikin bifo tɛm, da pikin de in lɔng nɔ dɔn ful-ɔp yet. I tan lɛk se dɛn stil de bil di wɔl dɛn na os we dɛn jɔs bil. So bikɔs ɔf dis, i nɔ kin izi fɔ dɛn smɔl pikin dɛn de blo fɔ dɛnsɛf. Dɔn dɛn fɔ gi dɛn ɔksijɛn (`Oxygen Therapy`) ɔ kɔnɛkt dɛn to mashin we de blo (`Ventilator`) fɔ ɛp dɛn fɔ blo .

pan ɔl we dɛn tritmɛnt ya impɔtant fɔ sev di pikin in layf, sɔntɛnde dɛn kin mek di smɔl smɔl ay sak dɛn (alveoli) we de na di pikin in lɔng dɛn go ɔp we i nɔ nid. Tink bɔt wetin kin apin if dɛn ful-ɔp wan smɔl balyɔn pasmak. di sem we, as tεm de go, dis kin pwεl di pikin in lכng tisu εn di dilik tכb dεm na di aywe dεm (bronchi). dis damej pan dεn tisu dεm ya dεn kכl am ``Dysplasia''.

Mɛmba se di risk fɔ gɛt dis sik kin go ɔp dipen pan aw yu pikin bɔn bifo tɛm . Sɔm pikin dɛn kin gɛt dis sik bad bad wan, bɔt bɔku pan dɛn kin wɛl smɔl smɔl . Bɔt sɔm kin gɛt prɔblɛm wit dɛn layf fɔ blo ɛn ɔda prɔblɛm dɛn kin apin.

Wetin na di sayn dɛm fɔ dis sik? Aw wi kin no am?

di simptom dεm kin difrεn frכm pikin to di pikin we gεt Bronchopulmonary Dysplasia. Bɔt sɔm kɔmɔn sayn dɛn de we yu fɔ no bɔt:

• Saynosis: pan pikin we gɛt fayn fayn skin, di skin ɛn di lip dɛn kin gɛt bluish tint. pan pikin we gɛt dak skin, yu kin si yɔlɔ-grey, grey, ɔ wayt tin na in lip, in tɔŋ, ɔ in finga nel. Dis kin bi bikɔs di ɔksijɛn we de na di blɔd de go dɔŋ.
• Di prɔblɛm we i kin gɛt we i de blo: I kin tan lɛk se di pikin nɔ kin ebul fɔ blo. Yu kin notis tin dɛn lɛk we dɛn de drɔ di chɛst insay ɛn di bɛlɛ we de go ɔp ɛn fɔdɔm kwik kwik wan.
• Di ɔksijɛn we de na di blɔd we nɔ bɔku: Dis na sɔntin we dɔktɔ dɛn kin jɔs no bay we dɛn de du tɛst.
• Apnea: Na wan we di pikin de blo wantɛm wantɛm , usay di pikin kin stɔp fɔ blo fɔ sɔm sɛkɔn.
• Tachypnea: I de blo fast pas di nɔmal pikin.
• Wiz: Dɛn kin yɛri smɔl wisɛl sawnd na di chɛst we yu de blo.

If yu pikin gɛt wan ɔ mɔ pan dɛn sayn ya, i go fayn fɔ mek yu tɛl dɔktɔ wantɛm wantɛm.

Udat kin gɛt BPD mɔ?

As wi bin dɔn tɔk, di pikin dɛn we dɛn bɔn bifo tɛm na dɛn kin gɛt di prɔblɛm pas ɔl. Speshal wan:

• Bebi dεm we dεn bכn pas 10 wik bifo di tεm .
• Bebi dεm we nכ rich 900 gram (2 paund) we dεn bכn dεm.
• Bebi dεm we dεn lכng dεm nכ de divεlכp כ we dεn gεt prכblεm fכ brith frכm dεn bכn dεm.

di pikin dεm we dεn bכn we dεn bכn 32 wik, jεnarali kin gεt bכku lכw risk fכ gεt BPD.

Us ɔda kɔmplikɛshɔn dɛn kin apin bikɔs ɔf dis `(BPD)`?

Bɔku pikin dɛn kin wɛl frɔm BPD we dɛn ol 5. Bɔt pikin dɛn we gɛt dis sik kin gɛt ɔda prɔblɛm dɛn we gɛt fɔ du wit wɛlbɔdi biznɛs, lɛk:

• Prɔblɛm fɔ digest ɛn nɔ kin want fɔ it.
• Gastroesophageal Riflɔks Disiz (GERD) we de mek pɔsin gɛt sik.
• Disabiliti fɔ lan ɛn ɔda prɔblɛm dɛn we gɛt fɔ du wit am.
• Nyurolɔjik Dizayd dɛn.
• Prɔblɛm fɔ yɛri ɛn si.
• Pulmonari Haypatɛnshɔn.

Dɔn bak, sɔm pikin ɛn big pipul dɛn we bin gɛt BPD we dɛn bin smɔl kin gɛt ɔda prɔblɛm dɛn wit dɛn lɔng. Fɔ ɛgzampul:

• Asma we gɛt asma
• Bronkitis we dɛn kɔl Bronchitis
• Obstructive Slip Apnea we de mek pɔsin nɔ ebul fɔ slip
• Nyumonia
• Riaktiv Airway Disease we pɔsin kin gɛt
• Sivεr `(RSV - Respiratory Syncytial Virus)` infεkshכn dεm.

Nɔ fred fɔ yɛri dɛn tin ya. Nɔto ɔl dɛn tin ya kin apin to ɔl pikin. Bɔt i impɔtant fɔ no bɔt dɛn.

Aw dɔktɔ dɛn kin no dis sik (BPD) kɔrɛkt wan?

If yu pikin bɔn bifo tɛm ɛn i nid ɛp fɔ blo fɔ di fɔs 28 dez na in layf, bɔku tɛm dɔktɔ dɛn go sɔprayz se i gɛt wan sik we dɛn kɔl "BPD." Nɔr patikyula tɛst nɔr de fɔ no dis sik. Bɔt sɔm tɛst dɛn de we kin ɛp fɔ no di sik ɛn ɛp fɔ mɛn di sik:

• Blɔd tɛst: Chɛk ɔmɔs ɔksijɛn de na di pikin in blɔd.
• imej tεst dεm lεk chεst εks-ray: Chεk di kכndishכn fכ di pikin in lכng dεm.

Dɔktɔ dɛn kin kam fɔ no wan kɔnklushɔn bay di infɔmeshɔn we dɛn kin gɛt frɔm dɛn tɛst ya, ɛn bak di pikin in sayn dɛn ɛn di mɛdikal istri.

Yu tink se dɛn kin mɛn BPD ɔltogɛda?

Fɔ tɔk tru, no patikyula mɛrɛsin nɔ de yet fɔ Bronchopulmonary Dysplasia . Bɔt, dat nɔ min se yu nɔ go ebul fɔ op. Tritmɛnt kin ɛp fɔ ridyus mɔ damej pan di lɔng dɛn ɛn ɛp yu pikin in lɔng dɛn fɔ divɛlɔp ɛn wɛl .

So wetin na di tritmɛnt fɔ dis?

Di men gol fɔ BPD tritmɛnt naDi gol na fɔ pul di pikin kɔmɔt na ɔksijɛn kwik kwik wan ɛn alaw am fɔ blo insɛf. di tritmεnt de aim fכ mek di pikin in lכng wok bεtεh. Dɛn kin yuz difrɛn tritmɛnt dɛn fɔ dis:

• it: fכ mek di it we dεn gi di pikin in kכlכri bכku, i de εp fכ divεlכp di lכng, biכs gud it implεnt fכ mek di lכng sεl dεm gro.
• Diuretics: Dɛn mɛrɛsin ya kin ridyus di wata we pasmak we kin gɛda insay ɛn rawnd di lɔng, ɛn dis kin mek i izi fɔ blo.
• Bronchodilators: Dɛn tin ya de wok bay we dɛn de rilaks di mɔsul dɛn we de rawnd di say dɛn we di briz de blo, ɛn mek di say dɛn we di briz de blo big, jɔs lɛk aw dɛn de opin di say we di briz de blok.
• Kɔtikosterɔyd: Dɛn mɛrɛsin ya kin ɛp fɔ ridyus di swɛlin (inflammation) insay ɛn rawnd di lɔng dɛn.
• Nirsevimab ɔ Palivizumab: Dis na antibodi vaysin dɛn we dɛn kin gi fɔ protɛkt yu pikin frɔm vayral infɛkshɔn lɛk RSV.
• Nasal `nCPAP` mashin `(Nasal Kɔntinyu Pozitiv Aywe Prɛshɔn)`: Dis na smɔl mashin. i de push di briz insay di lכng dεm tru tu spεshal prong dεm (sכm sכm tכb dεm) we dεn de put insay di pikin in nos. Dis kin ɛp fɔ mek di lɔng dɛn opin.
• Tracheostomy: Fɔ pikin dɛn we gɛt siriɔs BPD, dɔktɔ dɛn kin du ɔpreshɔn fɔ put wan tiub dairekt insay di windpaip (trachea) tru di nɛk fɔ ɛp dɛn fɔ blo. Bɔku tɛm, dis kin apin fɔ shɔt tɛm nɔmɔ.

Na di dɔktɔ go disayd di tritmɛnt we go fayn fɔ yu pikin.

Aw lɔŋ i go tek fɔ mek di pikin blo insɛf afta dɛn dɔn trit am?

We dɛn bigin fɔ tek di tritmɛnt, yu pikin in wɛlbɔdi go bɛtɛ smɔl smɔl insay di nɛks sɔm mɔnt dɛn . insay dis tεm, yu pikin in lכng dεm go kכntinyu fכ hεl εn divεlכp. Di men gol na fɔ mek yu pikin ebul fɔ blo fɔ insɛf ɛn nɔ ɛp am. Dis kin tek sɔm tɛm, so peshɛnt.

If yu pikin gɛt dɛn sik ya, yu fɔ go to dɔktɔ wantɛm wantɛm?

Ivin afta yu pikin dɔn kam na os afta tritmɛnt, sɔm tin dɛn de we yu fɔ no bɔt. If yu notis ɛni wan pan dɛn sayn ya, go to yu dɔktɔ wantɛm wantɛm:

• Kɔf we de kɔntinyu fɔ kɔf.
• If sawnd de we de mek pɔsin snor ɔltɛm.
• If yu si am se i nɔ izi fɔ it, if yu nɔ gri fɔ it.
• If yu nos de big we yu de blo (flaring nostrils).
• If yu blo lawd wan ɛn kwik kwik wan.
• If yu de sho sayn dɛm fɔ wan vayral sik lɛk fiva, sniz, ɛn kɔf.
• If di wisɛf dɔn bɔku.

Sɔntin yu nɔ plan! If di pikin stɔp fɔ blo, i nɔ izi fɔ blo, ɔ in skin ɔ in lip tɔn blu/grey, kɛr dɛn go na ɔspitul wantɛm wantɛm ɔ kɔl 911.

Aw fɔ ridyus di risk fɔ bɔn pikin we gɛt BPD? (We uman gɛt bɛlɛ)

If yu gɛt bɛlɛ naw, i rili impɔtant fɔ mek yu gɛt wɛlbɔdi ɛn tek stɛp fɔ mek yu nɔ bɔn pikin bifo tɛm . dis na biכs di risk fכ BPD de rεdכks bכku if di pikin in lכng dεm gεt inof tεm fכ divεlכp fayn fayn wan. Yu kin du dɛn tin ya fɔ ridyus dis risk:

• Nɔ tek tabak, drɔgs ɛn rɔm kpatakpata.
• It gud it we gɛt fayn fayn tin dɛn fɔ it.
• Atɛnd mɛdikal klinik dɛn lɛk aw dɛn dɔn plan fɔ du ɔl di tɛm we yu gɛt bɛlɛ.
• Ridyus strɛs as yu ebul.

If yu fala dɛn tin ya, dat go mek yu gɛt mɔ chans fɔ gɛt pikin we gɛt wɛlbɔdi.

If mi pikin gɛt BPD, wetin a fɔ ɛkspɛkt? Aw a go kia fɔ am we i rich na os?

Ivin afta yu pikin kam bak na os frɔm ɔspitul, dɛn lɔng dɛn stil de divɛlɔp. So dɛn stil rili dilik ɛn dɛn kin gɛt injury . Di tin we impɔtant pas ɔl na fɔ mek yu pikin gɛt wɛlbɔdi as yu ebul. Fɔ du dis, du dɛn tin ya:

• Kip yu pikin fa frɔm pipul dɛn we gɛt infɛkshɔn na di say we dɛn de blo, mɔ di RSV.
• Gɛt di influenza (flu) vaysin fɔ ɔlman na di famili.
• Protekt yu pikin kɔmplit wan frɔm tabak smok ɛn ɔda bad bad smok (espɛshali sigrɛt smok).

Bebi dεm we gεt BPD kin gεt difrεnt fכ it, dεn kin lכs wet, εn dεn kin gεt bכku bכku bכku wan. So, i rili impɔtant fɔ go to dɔktɔ ɔltɛm ɛn chɛk aw di pikin de gro . Dɔn, if ɛni prɔblɛm de, dɛn kin sɔlv am kwik kwik wan.

Bikɔs dɛn kin bɔn dɛn bifo tɛm, pikin dɛn we gɛt BPD kin gɛt sɔm tin dɛn we kin mek dɛn nɔ ebul fɔ gro . dis min se dεn kin tek sכm tεm fכ du tin dεm we כda pikin dεm de du (e.g., fכ smayl, ol dεn nεk, kray). Bɔt nɔ wɔri, bɔku pikin dɛn kin win dɛn delay ya wit difrɛn tritmɛnt dɛn (e.g., fyzikal tɛrapi, tɔk tɛrapi, ɔkupeshɔn tɛrapi) ɛn dɛn kin kech ɔda pipul dɛn.

Pan ɔl we sɔm bad bad BPD kin mek dɛn layf de pan denja, bɔku pan di pikin dɛn kin liv . As dɛn de gro ɛn gɛt mɔ wet, dɛn wɛlbɔdi kin bɛtɛ smɔl smɔl.

We yu si yu smɔl pikin de tray tranga wan fɔ blo, dat kin rili mek yu fil pen. Yu want fɔ ol am. Bɔt bifo dat, dɛn kin huk di pikin to monita ɛn tin dɛn we de ɛp fɔ blo. Yu rili de wɔri bɔt in wɛlbɔdi. Yu go de tink se, "O, if dis apin to mi." Bɔt, trɔst mi, di dɔktɔ ɛn nɔs dɛn we de trit yu pikin de du ɔl wetin dɛn ebul fɔ mek i rich wan stet usay i go ebul fɔ blo fɔ insɛf.Ivin if i tek sɔm tɛm, yu pikin go mɔs bigin fɔ blo fɔ insɛf, ɛn yu go ebul fɔ kɛr am go na os.

Fɔ dɔn, di tin we impɔtant pas ɔl (Take-Home Message) .

Okay, so na di tin dɛm we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• Bronchopulmonary Dysplasia (BPD) na wan sik we de ambɔg di pikin dɛn we dɛn bɔn bifo tɛm .
• Dis kin bi bikɔs ɔf di lɔng dɛn we nɔ machɔ ɛn di damej we di tritmɛnt dɛn we de sev layf (ɔksijɛn, ventilator) kin mek di lɔng dɛn.
• Di sayn dɛm kin bi wae yu nɔr kin ebul fɔ blo fayn, yu skin kin blu, ɛn yu kin blo kwik kwik wan.
• Pan ɔl we no mɛrɛsin nɔ de, tritmɛnt kin ɛp di lɔng dɛn fɔ gro ɛn wɛl.
• Ivin afta yu dɔn briŋ yu pikin kam na os, i rili impɔtant fɔ protɛkt am frɔm sik dɛn we de mek i nɔ ebul fɔ blo, mek i nɔ smok, ɛn kɛr am go fɔ mek dɛn go chɛk am ɔltɛm .
• Bɔku pikin dɛn kin wɛl frɔm dis sik ɛn liv wɛl layf. So di tin we impɔtant pas ɔl na fɔ tink gud wan ɛn fala di advays we di dɔktɔ dɛn gi yu .

If yu gɛt ɛni ɔda kwɛstyɔn, tin we de mɔna yu, ɔ dawt, tɔk to yu dɔktɔ opin wan. Dɛn go ɛp yu.

` Bronchopulmonary Dysplasia, BPD, preterm bebi, lכng dizכrd, כksijεn tεrapi, ventilator, respiratory distress, premature pikin dεm, lכng sik, respiratory distress