I tan lɛk se yu smɔl pikin de mek dɛn nɔ gro fayn? Mek wi tok abaut dis (Growth Faltering)!

Yu kin ɛva gɛt dawt ɔ fred bɔt aw yu smɔl pikin de gro? Sɔntɛm yu fil lɛk se yu pikin nɔ de gɛt wet fayn, ɔ sɔntɛm dɛn de gro tumɔs sloslo. Dis na rili prɔblɛm we bɔku mama ɛn papa dɛn gɛt. So tide wi go tɔk bɔt dis kɔndishɔn we dɛn kɔl "failure to thrive," ɔ lɛk aw dɛn bin de kɔl am bifo. Naw dɛn kɔl am "growth faltering."

Wetin na dis ``Growth Faltering''?

Fɔ tɔk am simpul wan, di growth faltering na we yu pikin nɔ de gɛt wet ɔ ayt fɔ di we aw i ol. Di men tin we kin mek dis apin na we i nɔ de it fayn, we min se di pikin nɔ de gɛt bɛtɛ tin fɔ it, mɔ di kalori dɛn. Dis kכndyushכn kin apin pan bεlε pikin dεm we dεn de gi bεlε, εn bak pan pikin dεm we big, ivin pikin dεm we ol fכ fכ ia.

Dis bin de kɔl am ``Failure to Thrive''. Sɔntɛnde, we pɔsin yɛri dɛn wɔd dɛn de, i kin mek i sɔprayz ɛn i kin mek i fil bad. Yu kin ivin tink se, “Sɔmtin bin apin to mi?” Bɔt bɔku tin dɛn de we kin afɛkt di we aw pikin de gro, bɔku pan dɛn tin ya wi nɔ kin ebul fɔ kɔntrol. Na dat mek dɔktɔ dɛn naw de yuz di wɔd ``Growth Faltering'' instead ɔf ``Failure to Thrive''. Dis de tɔk bɔt prɔblɛm wit aw pɔsin de gro, nɔto fɔ se yu ɔ yu pikin de "fail." sכmtεm dεn kin kכl am bak ``Weight Faltering'', we de tכk bכt we yu de lכs wet.

Yu dɔktɔ we de mɛn pikin dɛn go no wetin mek i apin ɛn bigin fɔ trit yu pikin. Yu go nid fɔ mek sɔm chenj dɛn na di it we yu pikin de it. Fɔ ɛgzampul, if yu de gi yu pikin in mama in bɛlɛ, yu kin nid fɔ gi yu pikin fɔmula, ɔ yu kin nid fɔ ad nyutrishɔnal sɔpɔtmɛnt to yu pikin in fɔmula, ɔ yu kin nid fɔ ad it we gɛt bɔku kalori. Dɔn bak, if ɛni sik de we de ambɔg yu pikin we de gro, dɛn go trit dat bak.

Wetin na di men rizin we mek i nɔ de gro fayn?

Bɔku tɛm, di men rizin we mek di pikin nɔ de gro fayn na bikɔs di pikin nɔ de gɛt di kalori we i nid. Dɔktɔ dɛn kin kɔl dis bak ``Inadequate caloric intake''. Bɔku rizin kin de we mek pikin nɔ de gɛt di kalori we i nid. Dɛn rizin ya kin difrɛn bak fɔ di pikin in ej.

Di rizin dɛn we mek di pikin dɛn we dɛn de gi dɛn mama in bɛlɛ kin gɛt smɔl kalori:

• Milk we de go dɔŋ na mama we de gi pikin in bɛlɛ.
• di pikin gεt difεlεns fכ lat, we min se di pikin nכ ebul fכ sכk bכku milk we i nid.
• Di fɔmula we dɛn gi nɔ pripia kɔrɛkt wan.
• Di pikin nɔ de gɛt inof milk ɔl di de.

Rizin dɛn we mek pikin dɛn we dɔn big kin gɛt smɔl kalori:

• Disɔda fɔ it lɛk `(Avoidant/Restrictive Food Intake Disorder)`. Fɔ tɔk am simpul wan, tin dɛn lɛk fɔ nɔ want fɔ it sɔm it dɛn, fɔ nɔ gri fɔ it.
• Ɔda prɔblɛm dɛn we kin apin we pɔsin de it.

Wan ɔda tin we kin afɛkt pikin dɛn ɔl di ej na we dɛn nɔ kin gɛt tin fɔ it . Dat min se, di prɔblɛm we i kin gɛt fɔ gɛt it we gɛt fayn fayn tin dɛn fɔ it. Dis tin kin mek bak pikin nɔ gɛt di kalori we i nid ɛn i kin mek i nɔ gro fayn.

Ɔda rizin dɛn de we kin mek pɔsin nɔ ebul fɔ gro fayn?

Apat frɔm we dɛn nɔ de gɛt inof kalori (dis na di tin we kin mek dɛn gɛt am mɔ), sɔm ɔda rizin dɛn de we kin mek pikin dɛn nɔ ebul fɔ gro fayn:

• I nɔ de tek di it fayn: Dis min se pan ɔl we di pikin de it it, di tin dɛn we de insay da it de nɔ de tek di pikin in bɔdi fayn fayn wan. So di prɔblɛm nɔto di kayn kalori we dɛn de it, bɔt na aw dɛn de tek dɛn kalori dɛn de ɛn yuz dɛn fɔ mek di pikin gro.
• Sɔm pan de tin dɛm wae kin afɛkt dis na:
• Siliak sik we dɛn kin gɛt
• di kכndishכn dεm we de afekt di strכkchכ fכ di dijestiv sistεm, lεk biliary atresia, pyloric stenosis, εn tracheoesophageal fistula
• Sistik fibrosis we de mek pɔsin gɛt sik
• Inflammatory bowel sik we de mek pɔsin in bɔdi wam
• Milk protɛin alɛji

• di mεtabolik dimand we de go כp: Dis min se di pikin in bכdi nid mכr kalori pas aw i bin de εkspεkt fכ mek i wok nכmal.
• Na sɔm ɛgzampul dɛn bɔt dis:
• Kansa
• Hat sik we dɛn bɔn wit
• Dizayd we dɛn kin gɛt we dɛn bɔn wit di lɔng
• HIV infɛkshɔn
• Di sik we dɛn kɔl haypa tayroyd
• Inborn errors of mεtabolism
• Kidni sik
• Tubakulosis sik we dɛn kɔl Tuberculosis

Wetin na di sayn dɛm wae de sho se pɔrsin nɔr de gro fayn?

Sɔm pan de sayn dɛm wae yu kin notis pan yu pikin kin bi:

• Nɔto fɔ gɛt wet lɛk aw dɛn bin de tink.
• Nɔ fɔ lɔng ɔ nɔ fɔ lɔng.
• Kray pas aw dɛn bin de tink.
• Fɔ slip pas aw yu bin de tink, sɔntɛnde ivin we yu de gi pikin in bɛlɛ.
• Nɔ fɔ intarakt wit ɔda pipul dɛn di we we go fayn fɔ di pikin in divɛlɔpmɛnt stej (fɔ ɛgzampul, nɔ fɔ falamakata di we aw yu de mek yu fes).

Yu nɔ go no wantɛm wantɛm se dɛn tin ya na sayn dɛn we de sho se yu nɔ de gro fayn, bɔt yu kin tink se, "Sɔmtin nɔ fayn." If yu gɛt ɛnitin fɔ wɔri bɔt yu pikin, mɔ if i nɔ izi fɔ wek, go to yu dɔktɔ we de mɛn pikin dɛn wantɛm wantɛm.

Sɔntɛnde, yu nɔ go notis ɛni chenj na yu pikin. Dɔktɔ dɛn kin no dis sik nɔmɔ we dɛn de mɛzhɔ di pikin in wet ɛn ayt na di klinik dɛn we dɛn kin du ɔltɛm.

Us kɔmplikɛshɔn kin apin if dɛn nɔ trit dis sik?

If dɛn nɔ trit di pikin we nɔ de gro fayn, dɛn tin ya kin apin:

• Infekshɔn dɛn we kin kam bɔku tɛm.
• di bren divεlכpmεnt de afekt εn intellectual disability kin apin.
• As wi de ol, wi kin gɛt sik dɛn we nɔ de mɛn , lɛk sik dɛn we de ambɔg wi at ɛn blɔd ɛn mɛtabolik sindrom.
• As yu de ol, yu ayt kin shɔt pas aw yu bin de tink.

Risach dɔn sho se fɔ trit dis growth retardation insay di fɔs tu ia na di pikin in layf rili impɔtant fɔ mek dɛn nɔ gɛt prɔblɛm dɛn tumara bambay.

Aw dɔktɔ dɛn kin no if pɔsin nɔ de gro fayn?

Dɔktɔ dɛn kin no if pikin gɛt dilɛys fɔ gro bay we dɛn de mɛzhɔ in wet ɛn ayt/lɛngth ɛn kɔmpia dɛn valyu dɛn de to standad growth chɛt. dis growth chart dεm de sho di growth rεt dεm we dεn de εkspεkt fכ pikin dεm we gεt difrεn ej. Sɔm chɔt dɛn kin ajɔst bak fɔ spɛshal tin dɛn, lɛk fɔ bɔn pikin bifo tɛm ɔ pikin dɛn we gɛt sɔm kayn jɛnɛtik kɔndishɔn.

If yu pikin de gro slo pas aw yu bin de tink, yu dɔktɔ we de mɛn pikin dɛn go tɔk to yu bɔt di tin dɛn we kin mek i apin. I go nid fɔ gɛt sɔm infɔmeshɔn frɔm yu fɔ ɔndastand wetin de afɛkt yu pikin in divɛlɔpmɛnt. Bɔt mɛmba se di dɔktɔ in gol nɔto fɔ blem yu ɔ jɔj yu, bɔt na fɔ ɛp yu pikin ɛn sɔpɔt yu famili. Di mɔ infɔmeshɔn we yu de sheb, na di mɔ di dɔktɔ go ɛp yu.

Na sɔm tin dɛn ya we yu kin tɔk bɔt (sɔm nɔ kin rili impɔtant dipen pan di pikin in ej):

• Aw fɔ gi pikin in bɛlɛ de go , ɛn yu gɛt ɛni prɔblɛm?
• Us kayn fɔmula yu de yuz, ɛn aw yu de mek am?
• Di pikin dɔn bigin fɔ it tin dɛn we nɔ izi fɔ it , ɛn aw di pikin de du am?
• Ɛni sayn we yu notis we yu pikin de it (e.g., i de kɔf, i de vɔmit, i de ledɔm bak).
• Di we aw di pikin de it ɛn wetin i lɛk , inklud snek ɛn tin dɛn we i nɔ lɛk.
• Aw dɛn kin gi pipul dɛn it? Udat de wit di pikin we i de it?
• Yu famili in kɔlchɔ prɔsis bɔt it.
• Aw yu famili ebul fɔ gɛt it we gɛt fayn fayn tin dɛn fɔ it ?

Yu dɔktɔ we de mɛn pikin dɛn go luk yu pikin in mɛdikal rɛkɔd ɛn aks bɔt yu famili in mɛdikal istri. Dis na bikɔs sɔm sik dɛn na "jɛnɛtik," we min se yu kin dɔn afɛkt yu pikin kwik kwik wan we yu nɔ no. If yu mek wan list fɔ di diagnosis dɛm we yu no se yu pikin in blɔd fambul dɛn gɛt, dat kin ɛp di dɔktɔ fɔ gɛt di ful pikchɔ.

Fɔ ɛgzam fɔ yu bɔdi

Yu dɔktɔ we de mɛn pikin dɛn go du wan kɔmplit ɛgzam fɔ yu pikin fɔ no aw yu pikin de gro ɛn chɛk fɔ si if i gɛt sayn dɛn we de sho se i gɛt sik. Dis ɛgzam go gi yu infɔmeshɔn bɔt yu pikin in:

• Impɔtant sayn dɛm - lɛk puls ɛn blɔd prɛshɔn.
• Mɔsul mas ɛn fat distribyushɔn.
• Di wɛlbɔdi na di ia.
• Skin wɛlbɔdi stetmɛnt.
• Di say we di ed de rawnd.

Testing

Bɔku tɛm, dɔktɔ dɛn kin no wetin mek i nɔ de gro fayn ɛn dɛn nɔ du ɛni tɛst. Bɔt fɔ no if ɛni sik de we de ɔnda di mɛrɛsin, dɛn kin ɔda fɔ du tɛst dɛn lɛk:

• Blɔd tɛst dɛn.
• Test fɔ urine.
• Stɔl tɛst dɛn.
• Tεst dεm fכ no spεshal mεdikal kכndyushכn dεm, fכ egzampl, wan swet tεst fכ sistik fibrosis.

Wetin na di tritmɛnt dɛm fɔ dis?

Tritmɛnt de pe atɛnshɔn fɔ gi yu pikin inof tin dɛn fɔ sɔpɔt am fɔ gro. Yu dɔktɔ we de mɛn pikin dɛn kin tɛl yu fɔ du dɛn tin ya:

• If yu gɛt prɔblɛm wit yu mama in bɛlɛ, go to pɔsin we de advays yu fɔ gi yu mama in bɛlɛ.
• Gi fɔmula apat frɔm di mama in milk. Di dɔktɔ go ɛksplen us kayn fɔmula fɔ gi ɛn aw fɔ gi am.
• Fɔ mek wan plan fɔ it we balans fayn fayn wan we gɛt ɔl di tin dɛn we yu pikin nid.

If yu pikin gɛt wan sik we de ɔnda yu, yu mɛdikal tim go tɛl yu fɔ gi yu di rayt tritmɛnt fɔ da sik de. Dis kin difrɛn bad bad wan dipen pan di sik we dɛn dɔn no bɔt. Yu pikin in mɛdikal tim go tɛl yu mɔ bɔt wetin fɔ ɛkspɛkt.

Yu dɔktɔ we de mɛn pikin dɛn kin rifer yu to ɔda spɛshal pipul dɛn - fɔ ɛgzampul, dɔktɔ we sabi bɔt it, soshal woka, ɔ dɔktɔ we de mɛn pikin dɛn - fɔ sɔpɔt yu famili in nid. Dɛn kin ɛp yu bak fɔ fɛn program dɛn we de na di kɔmyuniti we go ɛp yu if yu nɔ gɛt tin fɔ it ɔ yu nɔ gɛt ɔda tin dɛn fɔ du. If yu gɛt ɛnitin fɔ wɔri bɔt yu pikin in wɛlbɔdi, nɔ shem fɔ tɛl yu dɔktɔ.

Bɔku pikin dɛn kin trit wit chenj dɛn we yu kin mek na os, wit di sɔpɔt we yu pikin in dɔktɔ dɛn kin gi (ɛn fɔ go fɛn dɛn ɔltɛm). Bɔt sɔm pikin dɛn kin nid fɔ go na ɔspitul bikɔs dɛn nɔ kin ebul fɔ gro fayn. Dis kin mek dɔktɔ dɛn ebul fɔ wach di kalori we di pikin de it ɛn no di rayt tin we mek i nɔ de gro fayn.

Ospitalizayshɔn bikɔs ɔf di growth failure

I kin fayn fɔ put di pikin na ɔspitul pan dɛn kayn tin ya:

• If di tritmɛnt dɛn we dɛn kin gi na os nɔ kin ɛp.
• If dɔktɔ dɛn nid fɔ mɛzhɔ di kayn it dɛn we pikin de gɛt ɛn di kayn it dɛn we i de it kɔrɛkt wan .
• Fɔ di pikinIf yu gɛt siriɔs ɔndalayn mɛdikal kɔndishɔn.
• If di pikin nɔ gɛt bɛtɛ tin fɔ it ɔ i nɔ gɛt bɛtɛ wata .
• If yu de gɛt prɔblɛm fɔ manej yu pikin in kɔndishɔn na os.
• If di ɔspitul na say we sef fɔ di pikin bikɔs ɔf sɔm tin dɛn we de apin na os.

If mi pikin gɛt prɔblɛm we nɔ de gro fayn, wetin a fɔ ɛkspɛkt?

Yu go nid fɔ go na klinik dɛn we de fala yu pikin ɔltɛm fɔ wach aw yu pikin de gro. Dis kin bi lɛk wan tɛm insay di wik, bɔt dis go difrɛn difrɛn wan bay wetin di pikin nid.

I kin tek 4 to nayn mɔnt fɔ mek pikin rich di rit we i want fɔ gro. Yu dɔktɔ we de mɛn pikin dɛn go tɛl yu we yu pikin dɔn rich di rayt wet ɛn ayt/lɛng. we dεn rich da lεvεl de, di pikin nכ de stכnt igen, εn afta dat di pikin kin divεlכp nכmal wan.

Bɔt nɔto ɔl pikin dɛn na di sem. Sɔm pikin dɛn kin gɛt di sik bak. Dis dipכnt pan di kכz fכ di growth fεil εn if dεn trit di kכz fayn fayn wan. Yu dɔktɔ we de mɛn pikin dɛn go wach di tin gud gud wan ɛn gi yu ɔda tritmɛnt if nid de.

Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin?

Nɔto ɔltɛm dɛn kin ebul fɔ stɔp di grow we i nɔ de gro. Bɔku rizin dɛn de we mek yu pikin de gro sloslo pas ɔda pikin dɛn. Bɔt bɔku tin dɛn de we yu kin du fɔ sɔpɔt yu pikin fɔ gro ɛn divɛlɔp – ivin bifo dɛn bɔn am:

• Atɛnd ɔl di klinik dɛn we yu gɛt bɛlɛ ɛn fala yu dɔktɔ in instrɔkshɔn dɛn bɔt aw fɔ kia fɔ yusɛf we yu gɛt bɛlɛ.
• Mek shɔ se yu kɛr yu pikin go na ɔl di wɛl visit dɛn.
• Lan bɔt wetin yu pikin nid fɔ it insay in fɔs ia ɛn afta dat , ɛn aks yu dɔktɔ if yu gɛt ɛni kwɛstyɔn.
• If yu notis ɛnitin we nɔ kɔmɔn pan yu pikin, ɔ if yu gɛt ɛni ɔda tin we de mɔna yu pikin in wɛlbɔdi, tɛl yu dɔktɔ.
• If yu famili gɛt prɔblɛm wit tin fɔ it, mek yu dɔktɔ no. Bɔku tɛm dɛn kin no bɔt tin dɛn we de na di kɔmyuniti we kin ɛp fɔ mek shɔ se pikin dɛn gɛt di it we dɛn nid.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt ɛnitin fɔ wɔri bɔt aw yu pikin de gro ɔ ɛni ɔda tin bɔt aw i de gro, go to yu dɔktɔ we de mɛn pikin dɛn wantɛm wantɛm. If yu nɔr de gro fayn, nɔr kin sho klia simptom ɔltɛm. Na dat mek i impɔtant fɔ kɛr yu pikin go na ɛvri klinik we de ɔltɛm ɛn mek di dɔktɔ wach aw yu pikin de gro.

If yu pikin gɛt dilɛys fɔ gro, yu dɔktɔ go tɛl yu aw ɔltɛm fɔ kam fɔ fala-ap klinik. Dɛn klinik ya rili impɔtant fɔ chɛk yu pikin in divɛlɔpmɛnt ɛn ajɔst di tritmɛnt plan as nid de.

I go mɔs bi se yu bin go na di dɔktɔ in ɔfis fɔ mek dɛn chɛk yu ɔltɛm, ɛvride. Bɔt afta dat, dɛn tɛl yu se yu pikin gɛt delay fɔ divɛlɔp. Wantɛm wantɛm, bɔku kwɛstyɔn dɛn go mɔs kam na yu maynd. "Aw dis hapun? Mi pikin de kech op wit oda pipul? A du somtin rong?"

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Nɔ wɔri. Bɔrku tɛm, di tin dɛm wae yu nɔr kin ebul fɔ kɔntrol kin mek yu nɔr de gro fayn. Sɔm pikin dɛn nid smɔl ɛkstra ɛp fɔ mek dɛn gro di rit we fit dɛn ej. Ɛn nɔto ɔl famili gɛt di sem tin dɛn. Dɔktɔ dɛn no dis, ɛn dɛn rɛdi fɔ ɛp.

Yu dɔktɔ we de mɛn pikin dɛn go wok wit yu ɛn yu famili fɔ no wetin yu ɛn yu pikin nid fɔ sɔpɔt yu pikin in divɛlɔpmɛnt. I kin tek sɔm mɔnt, bɔt yu pikin go kech am ɛn afta dat i go divɛlɔp lɛk aw i bin de op fɔ ɔl di tɛm we i smɔl. If yu nid ɛnitin we yu de travul, nɔ shek fɔ tɛl yu dɔktɔ.

Fɔ dɔn, mɛmba dis.

So, yu go dɔn ɔndastand wetin na `(Growth Faltering)` ɔ stunted growth in pikin, di tin dɛm we kin mek i gɛt, di simptom dɛm ɛn di tritmɛnt dɛm. Di tin we impɔtant pas ɔl na fɔ ɔndastand se dis nɔto yu fɔlt. Bɔku tɛm, dɛn tin ya kin apin fɔ rizin dɛn we wi nɔ ebul fɔ kɔntrol. If yu nɔ panik, gɛt di rayt dɔktɔ advays, ɛn du wetin di dɔktɔ se, yu kin gi yu smɔl pikin di sɔpɔt we i nid fɔ mek i gɛt wɛlbɔdi ɛn wɛl. Tɔk to di dɔktɔ bɔt ɛni kwɛstyɔn ɔ dawt we yu gɛt. Dɛn de de fɔ ɛp yu.

` Di growth fεil, fεil fכ thrive, pikin it, malnutrishכn, pikin divεlכpmεnt, kalori, pikin hεlth