Yu pikin de sɔfa na in bɛlɛ? Lɛ wi tɔk bɔt Fetal Distress'' tide!

Bɔku mama dɛn kin fred se sɔntin go apin to dɛn pikin we dɛn nɔ bɔn yet. Sɔntɛnde, di pikin kin gɛt sɔm prɔblɛm dɛn we di pikin de kam nia ɔ we i de bɔn. na dεn tεm dεm ya, di pikin kin sho sayn dεm fכ se i de pan ‘distress’. Tide wi go tɔk bɔt dis kɔndishɔn we dɛn kɔl `(Fetal Distress)`. Nɔ fred, di tin we impɔtant pas ɔl na fɔ no bɔt dis.

Wetin na `(Fetal Distress)`? na di sem wit `(Nכn-Rεassuring Fetal Status - NRFS)`?

Fɔ tɔk am simpul wan, `(Fetal Distress)` na wan sayn we de sho se yu pikin de insay sɔm diskɔmfɔt di las pat pan yu bɛlɛ, ɔ di tɛm we yu bɔn yu pikin (i.e. `lɛba`). bכt wetin yu nid fכ no na dat naw, insted fכ `(Fetal Distress)`, dכkta dεn kin yuz di tεm `(Non-Reassuring Fetal Status)` כ `(NRFS)` fכ sכt. Dɛn tu tin ya rili de tɔk bɔt di sem kɔndishɔn. So, nɔ fred we yu yɛri dɛn tu nem dɛn de, nɔto so?

Tink bɔt dis, bɔku rizin dɛn kin de we mek yu pikin kin gɛt dis kayn prɔblɛm. I kin bi di kayn we aw di pikin bɔn, di we aw yu pikin de biev to sɔm mɛrɛsin dɛn we yu de tek, prɔblɛm wit di ɔmbilikal kɔd, ɔ ivin prɔblɛm wit di plasɛnta.

Dis sik kin mek yu fred smɔl , bikɔs i kin mek yu ɛn yu pikin gɛt prɔblɛm. Na dat mek yu ɔbstetrishan go chɛk yu fɔ dɛn sik ya ɔl di tɛm we yu gɛt bɛlɛ, ɛvri tɛm we yu go na di klinik.

Wetin na di sayn dɛm we de sho se di pikin gɛt prɔblɛm?

Naw lɛ wi luk di men sayn dɛn we de sho se pikin gɛt prɔblɛm. Dɛn tin ya we dɔktɔ dɛn kin pe atɛnshɔn mɔ pan:

• di chenj dεm we de apin na di pikin in at rεt: Dis min se di pikin in at rεt kin lכs כ hכy pas aw i nכmal. dכkta dεn kכl dis di ``fetal hat rεt''. Dis na di men ɛn fɔs sayn fɔ luk fɔ.
• di pikin in muvmεnt dεm we de dכn: Yu dכn fil se yu pikin de muv כ kik insay di bεlε? If dεn muvmεnt dεm de dכn bכku bכku wan fכ lכng tεm, we min se yu fil se yu pikin de muv bכku bכku wan pan de, dat na sכmtin bak fכ pe atenshכn to.
• lכw amniotic fluid: di pikin de rawnd wan wata we dεn kכl amniotic fluid. If dis wata smɔl, dat kin bi sayn bak fɔ sho se di pikin gɛt prɔblɛm. Dɔktɔ dɛn kin kɔl dis bak ``Oligohydramnios''.

If wan ɔ mɔ pan dɛn sayn ya de, di dɔktɔ go chɛk yu mɔ.

Wetin kin mek di pikin gɛt dɛn kayn prɔblɛm dɛn de?

Okay, naw yu go mɔs de wɔnda wetin mek dis pikin de gɛt dis kayn prɔblɛm na di bɛlɛ.di men εn di kכmכn rizin na di pikin nכ de gεt di rayt כksijεn.

Yu no, yu pikin kin gɛt ɔksijɛn frɔm yu. we yu de brith, di כksijεn we de go insay yu lכng dεm de kכri fכ yu bכdi go na di plasεnta. di plasεnta na di say we di כksijεn de tכn to di pikin in bכdi. if sכmtin intafεr dis imכtant prכsεs, di pikin kin nכ gεt inof כksijεn, we na di tεm we dis ``Fetal Distress'' kכndishכn de apin. Tink bɔt am lɛk plant we de dray we i nɔ gɛt wata.

Apat frɔm dis men rizin, bɔku ɔda tin dɛn de we kin mek yu pikin nɔ fil fayn. Lɛ wi tek wan luk pan wetin dɛn bi:

• di uterus we de kכntrakt tu fכs (Tachysystole): pan כl we i nכmal fכ di uterus fכ kכntrakt we i de bכn, if i apin tu kwik, kכntinyu, εn we i nכ de rεst , i kin ambɔg di pikin in כksijεn saplai.
• Fetal anemia: Na sik we di pikin nɔ gɛt blɔd, we min se i nɔ gɛt rɛd blɔd sɛl.
• lכw amniotic fluid (`Oligohydramnios`): lεk aw wi bin se, di wata we de rawnd di pikin de dכn. dis kayn wata de protεkt di pikin εn mek di pikin ebul fכ muv.
• Ay blɔd prɛshɔn we kin mek yu gɛt bɛlɛ: If yu nɔ bin gɛt ay blɔd prɛshɔn bifo, yu blɔd prɛshɔn kin go ɔp we yu gɛt bɛlɛ.
• Preeclampsia: Dis na bak wan sik we de mek yu gɛt mɔ kɔmpleks ɛn denja we gɛt fɔ du wit ay blɔd prɛshɔn we yu gɛt bɛlɛ. I kin afɛkt ɔda pat dɛn bak lɛk di kidni dɛn.
• Blɔd prɛshɔn we nɔmal: Sɔntɛnde, yu blɔd prɛshɔn kin go dɔŋ tumɔs.
• di bεlε we de let: Dis min se dεn bכn di pikin tu let.
• Fetal growth restriction (IUGR): Na tin we di pikin nɔ de gro lɛk aw dɛn bin de tink na di bɛlɛ ɛn i nɔ gɛt bɛtɛ wet .
• di plasεnta abrupshכn: na di separet כl כ pat pan di plasεnta frכm di uterin wכl bifo di pikin bכn. Dis na imejensi ɛn i nid fɔ gɛt tritmɛnt kwik kwik wan.
• di plasεnta prεvia: di plasεnta prεvia na di kכndyushכn we di plasεnta de na di lכw pat pan di uterus, nia כ kכba di sεviks.
• di כmbilikal kכd kכmכpshכn: di כmbilikal kכd we de kכri כksijεn εn nyutriεnt dεm to di pikin, de kכmprεs insay sכm we (fכ egzampl, bay we di pikin in bכdi de trכp am כ bikoz di amniotic fluid lכw).
• Krεse sik wae yu gɛt: Fɔ ɛgzampul, if yu gɛt dayabitis, kidni sik, ɔr at sik.
• If yu de ɛkspɛkt twins (especially `identical twins`)Di risk kin pas smɔl.

Aw dɔktɔ dɛn kin no bɔt dis sik?

Dɔktɔ dɛn kin chɛk di pikin in at rit mɔ fɔ si if i de pan prɔblɛm. if di pikin in at rit slo, כ if chenj dεm we nכ sכmtεm de pan di hat rεt pat, i kin bi sayn fכ ``Fetal Distress.'' we yu chεk dis hat rεt kin gi yu gud aidia fכ aw di pikin go bia we i bεlε εn bכn pikin.

Test we dɛn kin du we uman gɛt bɛlɛ

We yu gɛt bɛlɛ, yu dɔktɔ kin tɛl yu fɔ du tɛst lɛk dis fɔ wach aw yu pikin in at de bit:

• Nɔn-stress tɛst (NST): Insay dis tɛst, yu kin wɛr bɛlt we gɛt ilɛktronik sɛns rawnd yu bɛlɛ we yu de ledɔm ɔ sidɔm. dis sεns de mכsu εn rεkכd yu pikin in at rεt. dis tεst kin chεk bak yu uterin kכntrikshכn. di rizulεt dεm de ditarmin bay aw yu pikin de aktv (`riaktiv` כ `nכn-riaktiv`).
• Bayofizikal profayl (BPP): Dis na ɔltra saund skan. i de mכsu di pikin in muvmεnt, mכsul tכn, brith muvmεnt, εn amniotic fluid volyum. Sɔntɛnde dɛn kin du am togɛda wit NST. Dis kin gi gud pikchɔ bɔt di pikin in wɛlbɔdi.

Di tin dɛn we dɛn kin si we dɛn de bɔn pikin

We yu de bɔn pikin, di dɔktɔ go wach di pikin in at bit ɔltɛm ɔ wan wan tɛm .

• fכ kכntinyu fכ monitar min fכ lisin to yu pikin in at bit כltεm yuz wan divays we dεn put rawnd yu bεlε. Dis na di we aw dɛn kin yuz mɔ, mɔ we prɔblɛm de.
• di mכnitri we dεn de wach di pikin wan wan tεm min se di dכkta כ nכs de chεk di pikin in at bit כltεm (fכ egzampl, εvri 30 minit).

Tu men we dεm de we dεn kin yuz fכ chεk di pikin in at bit:

• ilektronik fetal hat rεt mכnitor: dis na di divays we a bin tכk bכt, na divays we gεt `sεns` we yu de put rawnd yu bεlε. i de sεnd di sawnd we yu pikin in at bit to `kכmpyuta`, so di mεdikal tim kin luk am. Yu kin dɔn yɛri bɔt di `CTG (Cardiotocography)` mashin , na dat i bi. i de rεkכd כl tu di pikin in at rεt εn di patεn fכ yu `kכntrakshכn` dεm pan di sem `graf`.
• Doppler divays: 1.Dis na smɔl tin we yu kin ol na yu an. Di dɔktɔ kin put am na yu bɛlɛ ɛn yuz sawnd wev fɔ lisin to di pikin in at bit. Yu kin mɛmba se we yu kin go na di klinik, di dɔktɔ kin chɛk di pikin in at bit wit dis Dɔpl.

Wetin yu kin du if di pikin gɛt prɔblɛm?

Imajin, if di dɔktɔ dɛn no se di pikin de gɛt prɔblɛm we yu de bɔn pikin, dɛn kin du tin dɛn lɛk dis fɔ ɛp di pikin ɛn nɔ wɔri:

• Fɔ chenj yu pozishɔn: Sɔntɛnde if yu chenj di say we yu de ledɔm (bɔku tɛm na di lɛft say) i kin mek di blɔd go fayn na yu at ɛn i kin mek di ɔksijɛn go to yu pikin mɔ.
• Fɔ gi yu ɔksijɛn tru mask: Dis kin ɛp fɔ mek yu pikin gɛt mɔ ɔksijɛn.
• fכ gi salin (fluid dεm we de pas tru wan IV layn) insay wan vein na yu an: Dis de εp fכ mεnten di rayt haydrεshכn lεvεl εn i de mek di bכdi go bεtεh.
• fכ gi mεdikeshכn fכ slo כ stכp di uterin kכntrikshכn: sכmtεm, if di kכntrikshכn tu fast (tachysystole), dεn kin gi di pikin mεdikeshכn fכ kכntrכl dεm sכmtεm εn gi di pikin tεm fכ rεkכva.
• Amnioinfusion: Dis na spɛshal tin we dɛn kin du. if di pikin de fil fayn bikoz fכ sכmtin lεk כmbilikal kכd kכmpreshכn, dis prכsidכs involv fכ injεkt spεshal fכmulayt fכluid (lεk wam salin) insay di amniotic sak εn insay di uterus. dis kin εp fכ ridyus di prεshכn pan di כmbilik kכd.

Di tin we impɔtant pas ɔl na fɔ mek di dɔktɔ dɛn disayd kwik ɛn di rayt we bay di pikin in kɔndishɔn.

Sɔntɛnde, if di pikin in kɔndishɔn nɔ impɔtant kwik wit dɛn tin ya, dɛn kin gɛt fɔ bɔn di pikin wantɛm wantɛm.

• If yu sεviks dכn fulכp εn di pikin dכn muv dכn di bכn kanal, yu dכkta kin yuz fכsεps כ vaykum εkstrakta fכ εp yu fכ pul di pikin. Dɔktɔ dɛn kin yuz dɛn tin ya di we we nɔ go ambɔg di pikin.
• If nɔto dat, dɛn kin nid fɔ du wan imejensi C-sekshɔn fɔ protɛkt di pikin.

Bifo yu du ɛni wan pan dɛn tin ya, di dɔktɔ go ɛksplen to yu ɛn yu famili wetin de apin ɛn wetin mek dɛn de disayd fɔ du dis. Dɛn kin du ɔltin wit yu kɔnsɛntmɛnt. So nɔ fred, ɛn if yu gɛt ɛni kwɛstyɔn, aks am.

Dis sik kin afɛkt di pikin fɔ lɔng tɛm?

Dis kin tan lɛk se yu de mek yu fred smɔl, bɔt i impɔtant fɔ no di tru. di distres we di pikin de fil kin gεt sכm ifekt dεm fכ di pikin fכ lכng tεm, spεshal wan if di pikin nכ gεt כksijεn fכ lכng tεm we i de bכn.

If sɔntin lɛk dis apin, di pikin kin gɛt injuri na in bren, wan sik lɛk sɛribra palsi, ɔ sɔm tin dɛn we nɔ fayn ɛn we kin rili bad, dɛn kin ivin bɔn di pikin as pɔsin we dɔn day.

Bɔt, di impɔtant tin we yu nid fɔ ɔndastand ya na dat, jɔs lɛk aw di dɔktɔ dɛn ɛn di wan dɛn we de wok na di ɔspitul no se di pikin gɛt prɔblɛm, dɛn kin du ɔl wetin dɛn ebul fɔ mek di pikin sef bifo dɛn kayn siriɔs prɔblɛm dɛn ya kam. Dɛn men gol na fɔ avɔyd dɛn kayn tin ya ɛn bɔn pikin we gɛt wɛlbɔdi to yu.

εnitin de we wi kin du fכ mek wi nכ gεt ``Fetal Distress`` we wi bεlε?

bכku tεm, nכtin de we yu kin du fכ mek dis kכndyushכn we dεn kכl ``Fetal Distress`` nכ apin kכmplit wan. biכs sכm pan di tin dεm we kin mek i apin (e.g., כmbilikal kכd prכblεm) dεn nכ kin ebul fכ kכntrכl am.

Bɔt, nɔ pwɛl at! Tin dɛn de we yu kin du fɔ ridyus dis risk ɛn ɛp fɔ no di sik kwik kwik wan:

• Nɔ mis ɛni wan pan yu klinik apɔntinmɛnt dɛn. Du wetin di dɔktɔ tɛl yu fɔ du. Mek dɛn du yu skan ɛn blɔd tɛst di rayt tɛm.
• Yu fɔ gɛt bɛlɛ we gɛt wɛlbɔdi. Dis min se yu fɔ it tin dɛn we go mek yu it fayn (frut, vɛjitebul, ligɛm, prɔtin), yu fɔ du di ɛksesaiz we yu nid (as yu dɔktɔ tɛl yu fɔ du am), yu fɔ drink bɔku wata, yu fɔ slip fayn, ɛn nɔ fɔ smok ɛn drink rɔm. dis tin dεm kin ridyus di risk fכ divεlכp sכm kכndyushכn dεm (e.g., jεstεshכnal dayabεtis, hεy blכd prεshכn) we kin mek ``Fetal Distress''.
• Tɔk opin wan wit yu dɔktɔ bɔt ɛni sayn we yu de gɛt we yu gɛt bɛlɛ ɛn we yu de bɔn pikin. If ɛnitin, ivin smɔl wan, fil strenj, tɛl dɛn.
• fכ egzampl, kip yu yay pan yu pikin in muvmεnt dεm (fetal kick count). If yu fil se yu pikin nɔ de muv smɔl smɔl ɛvride, tɛl yu dɔktɔ .
• Dɔn bak, if yu gɛt blɔd we de kɔmɔt na yu vagina, wata we de kɔmɔt na yu vagina wantɛm wantɛm (lɛk se yu wata brok), ɔ we yu de kɔntrakt ɔltɛm, we de mek yu fil pen (espɛshali bifo di de we yu fɔ bɔn pikin), kɔl yu dɔktɔ ɔ go na ɔspitul wantɛm wantɛm.

dis tin dεm de εp dכkta dεm fכ no kwik kwik wan if wan kכndyushכn de we dεn kכl ``Fetal Distress''.

Wetin a fɔ du if a kam fɔ no se mi pikin gɛt prɔblɛm?

Imajin, if di dɔktɔ tɛl yu se yu pikin de sɔfa, i nɔmal fɔ mek yu wɔri ɛn fred da tɛm de. Bɔt di tin we impɔtant pas ɔl na fɔ tek tɛm lisin to wetin yu dɔktɔ ɛn di mɛdikal tim de tɔk ɛn fala wetin dɛn tɛl yu fɔ du.

Sɔmtɛm tin kin chenj kwik kwik wan, so nɔr frayd fɔ aks yu dɔktɔ wetin de apin ɛn wetin mek dɛn de du dis.Dɛn go ɛksplen tin dɛn di we we yu go ɔndastand. Bɔku tɛm, dɔktɔ dɛn go aks yu aw yu de fil bikɔs dɛn bisin bɔt aw yu de fil.

Mɛmba se, dɛn dɔn tren di dɔktɔ dɛn we de mɛn uman dɛn we de bɔn pikin ɛn di wan dɛn we de mɛn uman dɛn fɔ no if pikin gɛt prɔblɛm we i gɛt bɛlɛ ɛn we i de bɔn pikin. dεn kin no dis kכndyushכn, we dεn kכl ``Non-Reassuring Fetal Status'' כ ``Fetal Distress'', bay we dεn de lisin to di pikin in at bit εn notis sayn dεm fכ di muvmεnt we dεn dכn dכn.

Sɔntɛnde, i kin nid fɔ bɔn di pikin kwik fɔ mek i nɔ gɛt siriɔs prɔblɛm dɛn. Fɔ lisin to yu bɔdi ɛn tɛl yu dɔktɔ bɔt yu sik na di bɛst tin we yu kin du fɔ ridyus di risk fɔ mek di pikin nɔ gɛt prɔblɛm. If yu gɛt kol at ɛn wok wit yu mɛdikal tim, dat go ɛp yu fɔ win dis prɔblɛm.

So, wetin na di impɔtant tin dɛn we wi nid fɔ mɛmba frɔm dis stori?

A op se naw yu dɔn ɔndastand di kɔndishɔn we wi bin tɔk bɔt we dɛn kɔl `(Fetal Distress)` ɔ `(Non-Reassuring Fetal Status)`. Natin nɔ de fɔ wɔri bɔt, awareness na di tin we impɔtant pas ɔl.

• di men tin na fכ no se di pikin kin gεt sכm diskomfכt na di bεlε. Bɔt nid nɔ de fɔ fred am ɔltɛm we wi nɔ nid fɔ fred.
• Nɔ mis yu klinik apɔntinmɛnt ɛn fala di dɔktɔ in instrɔkshɔn dɛn ɛksaktɔli. Na dat bɛtɛ fɔ yu ɛn yu pikin.
• no sayn dεm lεk we di pikin in at de chenj, di pikin in muvmεnt dεm we de dכn, εn di amniotic fluid we de dכn. If yu notis ɛnitin lɛk dat, ilɛksɛf na smɔl tin, ɔ if yu gɛt ɛni dawt, tɛl yu dɔktɔ wantɛm wantɛm.
• Dɔktɔ dɛn dɔn tren gud gud wan fɔ no ɛn trit dɛn sik ya, so abop pan dɛn ɛn fala dɛn advays.
• Sɔntɛnde, ivin if yu fɔ bɔn di pikin kwik, na fɔ di pikin ɛn yu sef.
• Lisin to yu bɔdi, tɔk to yu dɔktɔ bɔt aw yu de fil, aw yu de fred, ɛn aw yu de dawt.

A op se dis infɔmeshɔn go ɛp yu. A de wish ɛvri mama we gɛt bɛlɛ fɔ bɔn pikin we gɛt wɛlbɔdi ɛn gladi at! Mi bɛst wish to yu ɛn yu pikin!

` Fetal Distress, Fεtal stetכs we nכ de mek yu fil fayn, NRFS, bεlε, pikin, leba, fetal hat rεt, כksijεn, dilivεri, கார்பிர்வாத்து, ஬ான, கார்பாட்டு, கா