Yu kin gɛt it bak we yu nɔ kin ebul fɔ bia we yu gɛt bɛlɛ? Dis kin bi Cholestasis of Pregnancy!

Bɔku mama dɛn kin gɛt difrɛn tin dɛn we kin mek dɛn nɔ fil fayn we dɛn gɛt bɛlɛ. Pan ɔl we i nɔmal fɔ fil it sɔm tɛm, sɔntɛnde i kin bi sɔntin we yu fɔ wɔri bɔt. Ɛspɛshali we yu gɛt bɛlɛ dɔn, if yu si se yu de it we yu nɔ ebul fɔ kɔntrol, bigin wit yu an ɛn yu fut ɛn afta dat ɔlsay na yu bɔdi, i kin bi sayn fɔ wan sik we dɛn kɔl Cholestasis of Pregnancy. Wi go tɔk bɔt dis ditayli tide? Nɔ wɔri, i rili impɔtant fɔ no bɔt dis.

Wetin rili na Cholestasis of Pregnancy?

Fɔ tɔk am simpul wan, kɔlɛstasis we uman gɛt bɛlɛ na wan sik we kin afɛkt di liva . i kin apin bכku tεm insay di tכd trimεst we di bεlε de, arawnd 28 wik. Na sɔm pipul dɛn, i kin apin bifo tɛm. Dɔktɔ dɛn kin kɔl am bak ``Intrahepatic Cholestasis of Pregnancy (ICP)`` ɔ ``Obstetric Cholestasis``. Yu go dɔn yɛri dɛn wɔd ya we yu go to dɔktɔ.

pan dis kכndyushכn, sכm bεlε uman dεm kin gεt di dεkrεshכn pan di liva fכ sכm tεm. Dɔn, di tin we dɛn kɔl bayl na wi bɔdi nɔ de flɔ fayn ɛn i kin bigin fɔ gɛda na di liva ɛn blɔd.

Wetin na bayl?

Bayl na wata we wi liva de mek ɛn we de kip am na di gal blad. Ɛnitɛm we wi de it, dis bayl de ɛp wi fɔ dayjɛst di fat dɛn we de insay di it we wi de it. So, we dis bayl lɛvɛl na di blɔd pas di lɛvɛl we dɛn nid, yu kin bigin fɔ gɛt da bad bad it de.

Dis kכndyushכn fכ kכlestasis kin mek yu εn yu pikin we de bכn wit kכmplikεshכn. Na dat mek if yu dɔktɔ sɔprayz se yu gɛt dis sik, dɛn go de wach yu ɛn yu pikin gud gud wan ɔl di tɛm we yu gɛt bɛlɛ.

Wetin kin apin if a gɛt kɔlistasis we a gɛt bɛlɛ?

Dis na sɔntin we wi fɔ ɔndastand. We yu gɛt bɛlɛ, yu pikin kin abop pan yu liva fɔ pul dɔti tin dɛn we de na in bɔdi. So, if yu liva nɔ de wok fayn, da bayl lɛvɛl we a bin dɔn tɔk bɔt kin bi denja ay. Dis kin put sɔm prɛshɔn pan yu pikin in liva bak. Di liva na wan pan di impɔtant pat dɛn na wi bɔdi. Na di men ples we di bɔdi de pul di dɔti tin dɛn. So if i nɔ de wok fayn, chans de fɔ mek i gɛt prɔblɛm.

Bɔt nɔ wɔri . Yu dɔktɔ go de chɛk yu ɛn yu pikin ɔltɛm fɔ mek shɔ se kɔlestasis nɔ de ambɔg una ɔl tu.

Aw kכmכn de kכlεstasis we uman bεlε?

Dis sik kin afɛkt wan to tu pan ɛvri 1,000 uman dɛn we gɛt bɛlɛ. Dat min se i nɔ kɔmɔn so. Pan ɔl we di wan dɛn we de stɔdi bɔt dis stil nɔ no di rayt tin we kin mek i apin, di data sho se i kin apin mɔ insay di kol sizin. Dɛn kin tɔk bak se pipul dɛn we kɔmɔt na Hispanik ɛn Swidish kin gɛt am mɔ.

Wetin na di men tin we kin mek pɔsin gɛt kɔlɛstasis?

as wi bin dכn tכk bכt, bayl na tin we di liva de mek εn we i de kip na di gal blad. I de ɛp fɔ brok di fat dɛn we yu de digest. we yu bεlε, di כmon dεm we dεn kכl εstrojen εn prכjεstεron na yu bכdi de go כp bכku bכku wan. dis כmon dεm we de inkrεs de afekt di liva in ebul fכ transpכt bayl fayn fayn wan. Fɔ tɔk am simpul wan, di bayl nɔ de travul ɔlsay na di bɔdi, bɔt insted i de gɛda na di liva ɛn afta dat i de bak ɔp insay di blɔd. We di bayl gɛda na di blɔd, yu kin gɛt da it we yu nɔ go ebul fɔ bia.

di kכlestasis fכ bεlε kin apin mכst insay di tכd trimεst, arawnd 28 wik. dis na biכs di bεlε כmon lεvεl dεm de hכy pasmak insay dis tεm. Sɔntɛnde, i kin kɔmɔt frɔm di jɛnɛtiks . Dis min se if yu mama ɛn papa bin gɛt kɔlistasis, yusɛf de pan denja fɔ gɛt am.

Wetin na di sayn dɛm fɔ kɔlestasis we uman gɛt bɛlɛ?

Di men ɛn klia sayn fɔ dis sik na fɔ it bad bad wan (pruritus) . Dis it kin bigin fɔs na di an ɛn di fut dɛn. Dɔn i kin skata smɔl smɔl to ɔda pat dɛn na di bɔdi. Fɔ bɔku pipul dɛn, dis it kin wɔs na nɛt . Dɛn kin skrach sote dɛn nɔ kin ebul fɔ slip. Nɔ lɛk ɔda tin dɛn we kin mek pɔsin it, kɔlestasis nɔ kin mek pɔsin in skin rɔsh . Dis rili impɔtant.

Apat frɔm we pɔsin de it, sɔm ɔda sayn dɛn kin de. Bɔt nɔto ɔlman kin gɛt dɛn tin ya:

• Vɔmit
• Dak urine
• Layt grey ɔ pale brawn poop
• Taya pasmak
• Di apɛtit we de go dɔŋ
• Pen na di ɔp rayt say na yu bɛlɛ
• Jaundice - Dis min se yu skin ɛn di wayt na yu yay de tɔn yɔlɔ.

If yu gɛt wan ɔ mɔ pan dɛn sik ya, i go fayn fɔ mek yu go to dɔktɔ wantɛm wantɛm.

na us wik we di bεlε de kכlεstasis de bigin?

di kכlestasis fכ di bεlε kin bigin afta 28 wiks we di bεlε de. Bɔt, lɛk aw a bin dɔn tɔk, sɔm pipul dɛn kin gɛt dis sik bifo tɛm. So i impɔtant fɔ no bɔt di it we yu de it.

Aw dɛn kin no se pɔsin gɛt kɔlɛstasis we uman gɛt bɛlɛ?

Yu dɔktɔ go no dis sik bay we i du ɛgzam pan yu bɔdi ɛn tɛst yu blɔd. Dɛn tɛst ya kin sho aw yu liva de wok. Dɛn go du bak wan sɛrum bayl asid tɛst fɔ no di lɛvɛl we di bayl asid dɛn de na yu blɔd.

dis tεst dεm kin kכnfכm dis kכndishכn if di tכtal bayl asid lεvεl na 10 maykromol pan wan lita (`10 maykromol pan wan lita`) כ pas dat. Maykromol na wan yunit fɔ mɛzhɔ we dɛn kin yuz fɔ sɔm mɛrɛsin tɛst dɛn. Yu kin du blɔd tɛst ɔltɛm bak fɔ wach yu bayl asid lɛvɛl ɔl di ɔda tɛm we yu gɛt bɛlɛ.

Apat frɔm dat, yu dɔktɔ kin tɛl yu fɔ du prothrombin tɛm tɛst fɔ si aw yu blɔd de klɔt fayn, ɛn fɔ du ɔltra saund fɔ luk yu bayl dakt ɛn liva.

Aw dɛn kin trit kɔlɛstasis we uman gɛt bɛlɛ?

Di men mɛrɛsin we dɔktɔ dɛn kin yuz fɔ mɛn dis sik na Ursodeoxycholic acid (UDCA) . Dɛn kin kɔl am bak `(ursodiol)` ɔ `(Actigall®)`. Dis mɛrɛsin de ɛp fɔ mek yu liva wok fayn ɛn fɔ mek di bayl we de na yu blɔd nɔ bɔku.

Apat frɔm dat, tritmɛnt dɛn de fɔ kɔntrol di sayn dɛm fɔ kɔlɛstasis, mɔ di bad bad it:

• Mɛrɛsin fɔ it: (Bɔt mɛmba se yu fɔ rili aks yu dɔktɔ bifo yu tek ɛni mɛrɛsin.)
• Wear klos we saf ɛn lɔs: We yu wɛr tayt klos, dat kin mek yu it mɔ. So, wɛr klos we nɔ tay ɛn we dɛn mek wit sɔft klos lɛk kɔtɔn.
• Rɛst: Fɔ rɛst fayn fayn wan bak rili impɔtant.
• Fɔ was wit wata we wam: If yu sok insay wam wata fɔ sɔm tɛm, dat kin mek yu nɔ it.

Sɔntɛnde, if mɛrɛsin nɔ de ridyus yu bayl lɛvɛl, yu dɔktɔ kin se yu fɔ bɔn yu pikin smɔl bifo tɛm, bifo di de we yu fɔ bɔn. if yu indyuz leba, we kin bi arawnd 37 כ 38 wik, i kin ridyus di risk fכ komplikashכn frכm kכlestasis. Yu dɔktɔ go du tɛst dɛn bak, lɛk bayɔfizikal prɔfayl ɔ tɛst we nɔ gɛt strɛs, fɔ mek shɔ se yu pikin de fayn.

if dεn bכn di pikin kwik, dεn kin gi di pikin wan stεroyd fכ εp di pikin in lכng dεm fכ machכ fayn fayn wan εn wan vaytam in K supliment fכ mek i nכ bכn insay.

wetin na di poshubul komplikashכn dεm we di kכlestasis kin gεt we uman bεlε?

di kכlestasis fכ bεlε kin mek i gεt kכmplikεshכn. Yu kin gɛt prɔblɛm fɔ tek vaytamɛn K , we kin mek yu gɛt bɔku blɔd insay yu bɔdi. I kin gɛt fɔ du bak wit tin dɛn lɛk prɛeklampsia (we yu gɛt ay blɔd prɛshɔn we yu gɛt bɛlɛ) ɛn we yu gɛt dayabitis we yu gɛt bɛlɛ .

di kכmplikεshכn dεm we kin apin pan di pikin na:

• Fɔ bɔn pikin bifo tɛm
• Stillbirth - Dis na sɔntin we bɔku pipul dɛn kin fred. Bɔt if dɔktɔ de kia fɔ dɛn fayn fayn wan, dis risk kin ridyus bad bad wan.
• Fetal distress - dis min se di pikin de fil bad na di bεlε.
• Meconium aspiration - di pikin de fכs na di bכdi εn inhal am.

Fɔ mek yu nɔ gɛt prɔblɛm dɛn lɛk dis, sɔntɛnde yu dɔktɔ kin disayd fɔ bɔn di pikin kwik kwik wan.

I pɔsibul fɔ bɔn pikin we gɛt wɛlbɔdi if yu gɛt kɔlɛstasis we yu gɛt bɛlɛ?

Yɛs, yu go mɔs ebul fɔ du am! Jɔs bikɔs yu bin gɛt kɔlestasis we yu bin gɛt bɛlɛ nɔ min se yu pikin nɔ go gɛt wɛlbɔdi. If dɛn de kia fɔ dɛn fayn fayn wan ɛn dɛn de kia fɔ dɛn, bɔku mama dɛn kin bɔn pikin dɛn we gɛt wɛlbɔdi. So nɔ wɔri we yu nɔ nid fɔ wɔri.

Ɛnitin de we a fɔ avɔyd fɔ it we a gɛt kɔlistasis?

Yu dɔktɔ kin advays yu fɔ stɔp sɔm it dɛn dipen pan di sik we yu gɛt. Bɔt nɔ patikyula it plan nɔ de (standad it) we yu fɔ fala if yu gɛt kɔlistasis we yu gɛt bɛlɛ. Di tin we impɔtant pas ɔl na fɔ it tin we go mek yu gɛt bɛlɛ we yu gɛt bɛlɛ. Dis min se yu fɔ it frut, vɛjitebul, mit we nɔ gɛt bɔdi ɔ ɔda tin dɛn we gɛt prɔtin. Tɔk to yu dɔktɔ bɔt dis ɛn gɛt mɔ advays.

Yu tink se dɛn kin mek pɔsin nɔ gɛt kɔlɛstasis we uman gɛt bɛlɛ?

כnכfכs, no we nכ de fכ mek di k כlestasis nכ de we uman bεlε. Bɔt fɔ tɛst di jɛnɛtiks kin ɛp fɔ ɔndastand di prɔblɛm we kin apin we pɔsin pas di sik to yu pikin.

Wetin na di risk factor dɛm fɔ kɔlestasis we uman gɛt bɛlɛ?

Yu de pan ay risk fɔ gɛt kɔlestasis we yu gɛt bɛlɛ if yu:

• If pɔrsin na yu famili dɔn gɛt dis sik bifo (Gɛt yu fambul mɛmba wae gɛt dis sik).
• If yu bin dɔn gɛt kɔlistasis (ICP) we yu bin gɛt bɛlɛ bifo.
• If yu de ɛkspɛkt twins, triplet ɔ mɔ.
• If yu gɛt histri fɔ gɛt liva sik ɔr epataytis C.
• If yu gɛt histri fɔ se yu liva dɔn pwɛl.
• If yu gɛt wan jenɛtik kɔndishɔn we de afɛkt aw yu bɔdi de mek ɛn yuz bayl.

If yu gɛt dɛn tin ya we kin mek yu gɛt prɔblɛm, tek tɛm mɔ bɔt di rash we yu gɛt we yu gɛt bɛlɛ.

wetin na di prכgnosis fכ dεn wan dεm we gεt kכlestasis fכ bεlε?

Dis na di bɛst nyus! di kכlestasis fכ bεlε kin kכmכt insay fכ dez afta dεn bכn di pikin . Yu blɔd bayl lɛvɛl go kam bak to nɔmal. Wae yu bayl lɛvɛl kam bak to nɔmal, yu kin stɔp fɔ tek yu mɛrɛsin.

Bɔrku pipul nɔr kin gɛt ɛni liva prɔblɛm leta frɔm dis sik, pas nɔmɔ dɛn gɛt bɛlɛ bak. If yu gɛt kɔlestasis wan tɛm, .60% chans de fכ mek i apin bak pan bεlε dεm we de kam afta dat. Bɔt if yu gɛt siriɔs kes fɔ kɔlɛstasis, di chans fɔ mek i apin bak pan bɛlɛ we go kam afta dat kin go ɔp to 90%.

Ustɛm a fɔ go to mi dɔktɔ?

If yu gɛt it we yu nɔ go ebul fɔ bia we yu gɛt bɛlɛ we nɔ go dɔn, ɔ if yu skin ɔ di wayt na yu yay tan lɛk yɔlɔ (sayn fɔ janda), go to yu dɔktɔ wantɛm wantɛm. Dɛn sayn ya nɔr kin bi bikɔs ɔf kɔlestasis, bɔt i bɛtɛ fɔ mek dɛn chɛk yu.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

If dɛn no se yu gɛt kɔlistasis fɔ bɛlɛ, yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Aw siriɔs kɔlistasis we uman gɛt bɛlɛ kin bi?
• Us tritmɛnt opshɔn dɛn a gɛt?
• Wetin a go du fɔ protɛkt misɛf ɛn mi pikin?
• If a bin dɔn gɛt kɔlistasis (ICP) bifo, wetin a fɔ no bɔt di bɛlɛ we a go gɛt tumara bambay?

Nɔ fred fɔ aks kwɛstyɔn dɛn lɛk dis. Yu dɔktɔ de fɔ ɛp yu ɛn klin ɛni dawt we yu gɛt.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Kכlestasis fכ bεlε na wan kכndyushכn we de mek yu it bad bad wan we uman bεlε. Nɔ panik we yu yɛri dis. Yu dɔktɔ go wach yu ɛn yu pikin gud gud wan ɛn gi yu di tritmɛnt we yu nid. Dis kכndyushכn kin kכmplit afta dεn bכn di pikin εn bכku tεm i nכ kin mek i day. Sɔntɛnde, yu dɔktɔ kin disayd fɔ bɔn yu pikin smɔl ali fɔ mek una ɔl tu sef.

Di tin we impɔtant pas ɔl na dat, if yu gɛt ɛni kwɛstyɔn, dawt, ɔ fred bɔt dis, tɔk to yu dɔktɔ bɔt am. Dɛn de fɔ lisin to yu ɛn du wetin nid fɔ mek yu ɛn yu pikin sef. Nɔto yu wan de, ɛn dɔktɔ dɛn de we go ɛp yu fɔ du dis waka.

So, a op se dis infɔmeshɔn go ɛp yu. Wi de wish yu wɛlbɔdi bɛlɛ ɛn wɛlbɔdi dilivrɛshɔn!

` Kכlestasis fכ bεlε, it we uman bεlε, liva sik, ICP, bεlε hεlth, bayl akyumyuleshכn, pikin in hεlth