Yu pikin gɛt dis prɔblɛm? Yu tink se di insay dɛn dɔn kɔmɔt na do? - Mek wi lan bɔt Gastroschisis

Yu tink se dɛn bɔn yu pikin wit smɔl pat pan in insay we de kɔmɔt na do? Na nɔmal tin fɔ mek ɛni mama ɔ papa wɔri we dɛn si sɔntin lɛk dis. Bɔt if dɛn tɛl yu gud gud wan bɔt dis, natin nɔ de fɔ wɔri bɔt. Tide, lɛ wi tɔk bɔt dis sik we dɛn kɔl Gastroschisis. Dis kin tan lɛk big sik we yu yɛri am, bɔt lɛ wi tɔk bɔt am simpul wan.

Wetin na Gastroschisis? Lɛ wi ɔndastand am simpul wan

Imajin se we pikin kam na dis wɔl, smɔl pan in insay (dat na in bɛlɛ, smɔl intestinal, ɛn big intestin) de kɔmɔt na do? Na dat wi kin kɔl gastroschisis. Dis na wan sik we dɛn bɔn wit. dis intestכn de kכmכt frכm wan sכmכl ol na di pikin in bεlε, we kin bi lεk 2 to 5 sεntimita, jכs pas di כmbilikal kכd.

Dis kin apin ali na di pikin in layf. dat min se we di pikin in bεlε wכl nכ fulכp, sכm sכm gap de lεf, εn dis כgan de kכmכt tru am. afta dat, di intestin dεm we dεn kכmכt de fכt insay di amniotic fluid, we na wata we de insay di mama in uterus. Bikɔs ɔf dis, sɔntɛnde dɛn ɔgan ya kin swel smɔl ɛn mek dɛn gɛt smɔl smɔl infɛkshɔn.

di tin we impɔtant pas ɔl na dat, insay dis sityueshɔn, dɛn kin rili nid fɔ du ɔpreshɔn fɔ put di pikin in ɔgan dɛn bak insay di bɔdi ɛn lɔk di ol.

Wetin na di difrɛns bitwin Gastroschisis ɛn Omphalocele?

Wan ɔda sik de we dɛn bɔn pikin we dɛn kɔl Ɔmphalocele. dis kin involv bak di pikin in bεlε כgan dεm we de kכmכt kכmכt na di bכn kanal. Bɔt, smɔl difrɛns de bitwin dɛn tu.

• Gastroschisis: Na ya, di intestכn dεm de kכmכt witout nכ kכba. Dis min se di intestinal dεm de sho dεn wan dεm.
• Omphalocele: Na ya, di כgan dεm we de kכmכt na wan tכn mεmbran de kכba dεm .

Bɔku tɛm, dɔktɔ dɛn kin no dis difrɛns we dɛn de du ɔltra saund ɛgzam bifo dɛn bɔn di pikin.

Udat dɛn go mɔs afɛkt dis kayn tin?

Dɛn nɔ dɔn fɛn di rayt tin we kin mek pɔsin gɛt gastroschisis yet. Dis min se ɛni uman we gɛt bɛlɛ gɛt chans fɔ gɛt am na in pikin. Bɔt sɔm stɔdi dɛm (fɔ ɛgzampul, stɔdi dɛm we di Sɛntral fɔ Kɔntrol ɛn Prɛvenshɔn fɔ Sik - CDC) dɔn sho se sɔm tin dɛn kin mek di sik bɔku. Dɛn tin ya na:

• Mama dɛn we kin gɛt bɛlɛ we dɛn rili yɔŋ: Dat na di wan dɛn we kin bi mama we dɛn yɔŋ.
• Fɔ yuz tabak, fɔ drink rɔm, ɔ fɔ yuz ɔda drɔgs we i gɛt bɛlɛ.

Dis na di risk factor dɛm wae dɛn dɔn no te naw. Bɔt mɛmba se dis sik kin apin bak to pipul dɛn we nɔ de du ɛni wan pan dɛn tin ya.

Aw kɔmɔn tin fɔ gɛt gastroschisis?

Dis na tin we nɔ kin apin so ɔltɛm.Fɔ ɛgzampul, na Amɛrika, dis sik kin afɛkt lɛk wan pan ɛvri 2,000 pikin dɛn we dɛn kin bɔn ɛvri ia. Dis nɔto tin we nɔ kɔmɔn na Sri Lanka sɛf.

Wetin na di sayn dɛm fɔ Gastroschisis?

di mama nɔ kin gɛt ɛni sayn we i gɛt bɛlɛ bikɔs ɔf dis sik. Bɔt di ɔltra saund skan kin sho dɛn tin ya na di pikin in sayd:

• I tan lɛk se di pikin in bɛlɛ, in smɔl intestinal, ɔ in big intestinal de na do na di bɔdi .
• Di intestin dɛn we kɔmɔt na do kin swel .
• Sɔntɛnde dɛn kin twist di insay dɛn togɛda .
• afta dεn bכn di pikin , in bכdi tεmprachכ kin dכn (hypothermia).

Wetin kin mek pɔsin gɛt gastroschisis?

As wi bin dɔn tɔk, wi nɔ no yet wetin mek dis kin apin. na jכs dat: As di pikin de gro na di bכdi, di wכl na di bכdi nכ de fכm fulכp. Na dat na di men rizin fɔ dis. If yu de plan fɔ gɛt bɛlɛ, i impɔtant fɔ tɔk to yu dɔktɔ bɔt aw fɔ mek yu nɔ bɔn pikin.

Aw dɛn kin no se pɔsin gɛt Gastroschisis?

Dɛn kin no dis sik we dɛn gɛt bɛlɛ ɔ afta dɛn bɔn di pikin. bכku tεm dεn kin no am we dεn de du rutin tεst bitwin 18 εn 20 wiks we uman bεlε. Wetin na dɛn tɛst ya?

• Ultrasound: Dis tεst de yuz sawnd wev fכ si klia wan di tisu dεm we de insay yu bכdi, εn di pikin bak. I kin sho bak if di intestinal dεm dכn kכmכt.
• Fɔ chɛk di blɔd: Dɛn kin mɛzhɔ sɔm tin dɛn we de na di mama in blɔd. sכmtεm if di lεvεl fכ wan protin we dεn kכl alfa-fεtoprotein hכy pas nכmal (especially bitwin 18-22 wik), i kin bi sayn fכ wan kכndyushכn we dεn kכl gastroschisis.
• MRI (Magnetic Resonance Imaging) test: Dis na imej test bak. I kin tek klia, mɔ ditayli pikchɔ dɛn bɔt di insay pat pan yu bɔdi ɛn yu pikin. Nɔto ɔlman nid dis, bɔt dɔktɔ dɛn kin tɛl yu fɔ du am pan sɔm spɛshal kes dɛm.

Aw dɛn kin trit Gastroschisis?

Ivin if dεn no dis kכndyushכn we uman bεlε, dεn kin bigin tritmεnt afta dεn bכn di pikin.

Na sɔntin we pɔsin fɔ du fɔ mek dɛn du ɔpreshɔn. dis כpεrayshכn involv fכ put di pikin in כgan dεm bak insay di bכdi εn klos di ol nia di כmbilikal kכd. Dis go mek di ɔgan dɛn nɔ kɔmɔt na do igen.

I dipen pan aw di pikin in sik tranga ɛn ɔmɔs ɔgan dɛn dɔn kɔmɔt na do, tu kayn ɔpreshɔn de:

1. Praymari ripa: If i pɔsibul, dɛn kin du ɔpreshɔn jɔs afta dɛn bɔn di pikin ɛn put di ɔgan dɛn insay fɔ lɔk di ol na di bɛlɛ. Dis na wetin dɛn kin tray fɔ du mɔ.

2. Stej ripa: .If di gastroschisis kכndyushכn kכmplikt sכmtεm, we min se di pikin nכ hεlty fכ bia כpεrayshכn, כ nכ inof rum de na di pikin in bεlε fכ akכmoda כl dεn כgan dεm ya wan tεm, di כpεrayshכn go du di כpεrayshכn insay stej stej.

Frɔm di tɛm we dɛn bɔn di pikin te dɛn du di ɔpreshɔn, di dɔktɔ we de mɛn di pikin kin kɔba di ɔgan dɛn we de kɔmɔt insay wan spɛshal plastic bag we dɛn kɔl saylo . Dis kin mek di ɔgan dɛn nɔ gɛt di sik, dray, ɛn pwɛl.

Afta di fɔs ɔpreshɔn, sɔntɛnde dɛn kin nid fɔ du mɔ ɔpreshɔn fɔ bil di pikin in bɛlɛ mɔsul ɔ in intestin bak.

Ɛni prɔblɛm dɛn de we kin apin afta dɛn dɔn du di ɔpreshɔn?

Yɛs, sɔm prɔblɛm dɛn de we kin apin afta dɛn dɔn ɔpreshɔn di gastroschisis. Wetin na dɛn?

• Infekshɔn na di say we dɛn de du di ɔpreshɔn.
• I nɔ izi fɔ it.

Tεm lεk dis, i kin nid fכ gi di pikin it tru wan intravenous (IV) layn, lεk saline , כ tru wan nasogastric tube te i ebul fכ it fayn bak.

Intestinal prɔblɛm kin apin afta dɛn dɔn trit di gastroschisis?

כlmost 25% pan di pikin dεm we dεn bכn wit gastroschisis kin gεt sכm prכblεm wit di divεlכpmεnt fכ dεn intestin. Dis kin nid fɔ gɛt ɔda ɔpreshɔn fɔ trit. Ɛgzampul dɛn:

• Bowel resection: Dɛn kin du ɔpreshɔn fɔ pul di pat dɛn na di intestin we dɔn pwɛl.
• Ileostomy ɔ Colostomy: Dis na fɔ pul wan ɛnd pan di intestinal na di bɛlɛ wɔl ɛn put bag de fɔ gɛda stɔl. Dis nɔ nid fɔ de fɔ ɔlman, na spɛshal kes dɛn nɔmɔ.

Wetin na di sayd ɛfɛkt dɛm we Gastroschisis kin gɛt?

Bebi dεm we dεn bכn wit gastroschisis kin gεt sכm hεlth prכblεm dεm כlsay na dεn layf:

• Fɔ bɔn pikin bifo tɛm: Bɔku tɛm, pikin dɛn we gɛt gastroschisis kin bɔn bifo tɛm.
• Intestinal blok: Afta dɛn dɔn du di ɔpreshɔn, di pikin in intestinal kin smɔl na sɔm say dɛn, we kin mek it ɛn stɔl nɔ pas fayn.
• Short bowel syndrome: Dis na wan sik we nɔ kin apin so ɔltɛm. Sɔm pikin dɛn nɔ kin gɛt bɛtɛ pat na dɛn intestinal, we kin mek i nɔ izi fɔ dɛn fɔ tek di tin dɛn we de insay it fayn fayn wan.

Ustɛm a kin kɛr mi pikin go na os afta dɛn dɔn ɔpreshɔn mi gastroschisis?

Bikɔs di pikin in kɔndishɔn bin rili bad, dɛn bin admit am na di ɔspitul in Nionatal Intensive Care Unit (NICU).Yu kin nid fɔ de na ɔspitul fɔ tu wiks to sɔm mɔnt. Dɛn kin no dis tɛm bay we dɛn tek tɛm wach di pikin in wund dɛn fɔ si if i de wɛl ɛn if i ebul fɔ it ɛn dayjɛst it fayn fayn wan. Sɔntɛnde, if dɛn nid fɔ du ɔda ɔpreshɔn, dɛn kin de na ɔspitul fɔ lɔng tɛm.

Aw a go ridyus di risk fɔ bɔn pikin we gɛt gastroschisis?

Pan ɔl we dɛn nɔ go ebul fɔ pul dis prɔblɛm kɔmɔt kpatakpata, fɔ fala sɔm tin dɛn kin ɛp fɔ ridyus di prɔblɛm:

• Nɔ smok ɛn yuz tin dɛn we dɛn kin yuz fɔ smok.
• Nɔ drink rɔm we yu gɛt bɛlɛ.
• Nɔ yuz pen kil (espɛshali opioid) we yu gɛt bɛlɛ if yu nɔ gɛt dɔktɔ advays.
• It tin dɛn we gɛt fayn fayn tin dɛn fɔ it ɛn we gɛt balans .

Fɔ fala dɛn tin ya rili impɔtant fɔ yu wɛlbɔdi ɛn bak fɔ yu pikin in wɛlbɔdi.

Wetin a fɔ ɛkspɛkt if mi pikin gɛt gastroschisis?

As soon as di pikin bɔn, dɛn nid ɔpreshɔn fɔ lɔk di bɛlɛ bay we dɛn put in ɔgan dɛn. If di ol na di bɛlɛ big, dɔktɔ dɛn go put di ɔgan dɛn smɔl smɔl pas sɔm dez ɔ wik afta dɛn bɔn di pikin.

Afta dɛn dɔn du di ɔpreshɔn, dɛn go gi yu pikin IV (intravenous) nyutriɛnt ɛn antibayɔtik fɔ mek i nɔ gɛt di sik te i wɛl. Yu nɔ go ebul fɔ gi yu pikin in mama in milk ɔ fɔmula jɔs afta di ɔpreshɔn. Yu dɔktɔ go tɛl yu we yu kin bigin fɔ gi yu pikin in mama in milk/fɔmula.

Bɔku tɛm, if yu pikin gɛt wan sik nɔmɔ we dɛn kɔl gastroschisis, i go mek i wɛl ful wan ɛn gro jɔs lɛk ɛni ɔda pikin. Bɔt smɔl risk de fɔ mek yu gɛt sɔm prɔblɛm dɛn we de mek yu digest leta we yu dɔn day. Yu dɔktɔ go tɔk to yu bɔt dis.

Aw yu kin bɔn pikin we gɛt gastroschisis?

I bεst fכ bכn yu pikin na כspitul we gεt nyu bכbi intensiv kεriכn yunit (NICU) εn dכkta dεm we spεshal fכ trit dεn kכndyushכn dεm ya. di pikin dεm we gεt gastroschisis kin bכn bay vagina כ bay sizarian sεkshכn (C-section). Yu dɔktɔ we de mɛn pikin go ɛp yu fɔ disayd us we fɔ du am fayn fɔ yu pikin.

Ustɛm a fɔ go to dɔktɔ afta dɛn dɔn du di ɔpreshɔn?

Afta yu dɔn du di ɔpreshɔn, yu fɔ go to dɔktɔ wantɛm wantɛm if yu pikin gɛt ɛni wan pan dɛn sayn ya:

• If di say we dɛn du di ɔpreshɔn dɔn swel ɛn rɛd .
• If sɔntin lɛk wata de lik frɔm di say we dɛn de du di ɔpreshɔn.
• If yu de vɔmit ɔ if yu nɔ de pas stɔl fayn fayn wan.

Dɛn tin ya kin bi sayn fɔ infekshɔn ɔ ɔda prɔblɛm, so i impɔtant fɔ go to tritmɛnt kwik kwik wan.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Na tɛm lɛk dis, yu go gɛt bɔku kwɛstyɔn dɛn. Nɔ fred fɔ aks yu dɔktɔ. Na sɔm ɛgzampul dɛn ya:

• Wetin na di prɔblɛm dɛn we kin kam wit gastroschisis fɔ lɔng tɛm ?
• Aw lɔŋ mi pikin go de na ɔspitul afta di ɔpreshɔn?
• Ustɛm a kin bigin fɔ gi mi pikin in mama in milk ɔ fɔmula?

I kin mek yu fred fɔ si yu pikin in ɔgan dɛn kɔmɔt we dɛn bɔn am. Bɔt yu pikin gɛt bɛtɛ chans fɔ wɛl afta di ɔpreshɔn fɔ put di ɔgan dɛn bak insay.Yu mɛdikal tim go ɛksplen ɔltin to yu ɛn gayd yu fɔ di ɔpreshɔn ɛn fɔ mek i wɛl.

## Tek-Hom Mɛsej

• Gastroschisis na we di pikin in intestinal, lεk di כgan dεm, kכmכt tru wan sכmכl ol na di bεlε.
• A nɔ no di rayt rizin fɔ dis.
• dεn kin no dis tru כltra saund tεst dεm we uman bεlε.
• Di tritmɛnt na fɔ du ɔpreshɔn fɔ put di ɔgan insay ɛn lɔk di ol.
• כl di pikin dεm kin bכn kכmplit wan frכm dis kכndyushכn εn dεn kin divεlכp nכmal wan.
• Fɔ ridyus di prɔblɛm, i impɔtant fɔ fala wɛlbɔdi layf we yu gɛt bɛlɛ.
• If yu gɛt ɛni kwɛstyɔn ɔ tin we de mɔna yu, nɔ fred fɔ tɔk to yu dɔktɔ. Dɛn go ɛp yu.

A op se dis infɔmeshɔn go ɛp yu. Mɛmba se nɔto yu wangren de. Dɔktɔ ɛn nɔs dɛn de ɔltɛm fɔ ɛp yu ɛn yu pikin.

` Gastroschisis, bכn difεkt, intestinal prolaps, pikin hεlth, bεlε, nyu bכbi כpεrayshכn, nyu bכbi kia