Bɛlɛ na tɛm we rili fayn ɛn we gɛt op na ɛvri mama in layf. Bɔt i nɔmal bak fɔ gɛt sɔm fred ɛn dawt bɔt di pikin in wɛlbɔdi we de na di bɛlɛ ɛn bak bɔt yu yon wɛlbɔdi. Bɔrku tɛm, wi kin yɛri bɔt tin dɛm lɛk gestational dayabitis ɛn ay blɔd prɛshɔn (pri-eclampsia). Bɔt tide wi go tɔk bɔt wan sik we nɔ kin bɔku bɔt we rili impɔtant fɔ no kwik kwik wan. Dɛn kɔl dis HELLP Syndrome.
Wetin rili na HELLP sindrom?
Fɔ tɔk am simpul wan, HELLP syndrome na siriɔs prɔblɛm we kin apin we yu gɛt bɛlɛ, we kin afɛkt yu blɔd ɛn liva mɔ. i kin apin mכst insay di tכd trimεst we di bεlε de, bitwin wik 28 εn 40. כltu, sכmtεm i kin apin eni tεm insay di sεkכn haf fכ di bεlε (afta wik 20). I sɔprayz fɔ no se sɔm mama dɛn kin gɛt HELLP syndrome as ali as sɛvin dez afta dɛn bɔn pikin.
Dis na tin we nɔ kin apin so ɔltɛm. I kin ambɔg wan ɔ tu pan ɛvri 1,000 uman dɛn we gɛt bɛlɛ. Bɔt jɔs bikɔs i nɔ bɔku, wi nɔ fɔ tek am layt. I kin denja fɔ di mama ɛn di pikin.
Wetin di nem HELLP min?
Dis nɔto jɔs nem. Di lɛta dɛn we dɛn kɔl HELLP de sho tri men tin dɛn we gɛt fɔ du wit dis sik. Lɛ wi tek wan luk pan wetin dɛn bi.
| Lɛta | Minin | Fɔ ɛksplen am simpul wan |
|---|---|---|
| H | Ɛmolaysis we dɛn kin yuz | Dis min se yu rεd bכdi sεl dεm (di sεl dεm we de kכri כksijεn frכm di lכng to di כda pat dεm na di bכdi) de brok dכn fast pas aw i nכmal. Dis kin mek yu gɛt tin dɛn lɛk anemia (lɔ blɔd kɔnt). |
| EL | εlevεt Liva εnzym dεm | Di liva na wan pan di impɔtant pat dɛn na wi bɔdi. pan dis kכndyushכn, di liva de pwεl εn di εnzym dεm we i de pul na di bכdi de bכku. Dis na sayn fɔ sho se di liva de ɔnda strɛs. |
| LP | Di Plɛtlɛt kɔnt we nɔ bɔku | Plɛtlɛt na smɔl smɔl tin dɛn we de insay wi blɔd we de ɛp wi blɔd fɔ klɔt. Na dɛn kin stɔp fɔ blɔd we wi gɛt injury. We dɛn tin ya nɔ bɔku, i kin mek yu nɔ ebul fɔ stɔp fɔ blɔd. |
So, yu ɔndastand? HELLP na wan sik we de afɛkt tri men sistɛm dɛn na di bɔdi wan tɛm: di blɔd sɛl dɛn, di liva, ɛn di we aw blɔd de klɔt.
Yu tink se prɛeklampsia ɛn HELLP sindrom na di sem tin?
Dis na prɔblɛm we bɔku pipul dɛn gɛt. Bɔku tɛm dɛn kin tek HELLP sindrom as wan bad bad we fɔ gɛt ay blɔd prɛshɔn we uman gɛt bɛlɛ, ɔ prɛeklampsia . Prɛeklampsia na wan sik we de apin we uman gɛt bɛlɛ we di blɔd prɛshɔn de go ɔp ɛn di prɔtin de kɔmɔt na di urine.
Bɔrku mama dɛm wae gɛt HELLP syndrome kin gɛt prɛ-ɛklamsia bak. Bɔt sɔmtɛm, pɔrsin wae gɛt prɛ-ɛklamsia nɔr kin gɛt HELLP syndrome. Dɔn bak, lɛk wan pan ɛvri fayv pipul dɛn we gɛt HELLP nɔ kin gɛt sɔm sayn dɛn lɛk ay blɔd prɛshɔn ɔ prɔtin na di urine . Dis na wae mek sɔmtɛm i kin tranga fɔ no bɔt am.
Wetin na di sayn dɛm fɔ dis sik?
Sɔntɛnde di sayn dɛm fɔ HELLP syndrome kin tan lɛk di wan dɛm wae de kam wit nɔmal bɛlɛ ɔ ɔda sik dɛm, so i impɔtant fɔ rili no bɔt dɛn simptom dɛm ya.
- Pen na di ɔpa rayt bɛlɛ: Dis na wan sayn we de sho se pɔsin gɛt HELLP sindrom. spεshal wan, na shap pen we de apin na di rayt say, jכs dכn di rib dεm, usay di liva de.
- Siriv ed pen: Nɔto lɛk nɔmal ed pen, bɔt na bad bad ed pen we nɔ de stɔp ivin wit pen kil.
- Blɔr vishɔn: Fɔ fil lɛk dɔt dɛn de flɔt bifo yu yay, i nɔ izi fɔ si layt.
- Nɔs ɛn vɔmit: Pan ɔl we dis na nɔmal tin we yu gɛt bɛlɛ, yu fɔ wɔri bɔt bad bad nɔs ɛn vɔmit we yu gɛt di las pat pan di bɛlɛ.
- Taya ɛn taya: Dɛn kin fil taya pasmak ivin afta we yu nɔ du natin.
- Di bɔdi we de swel (ɛdima) ɛn we yu de gɛt bɔku bɔku wet wantɛm wantɛm:Swel, mɔ na di fes, an, ɛn leg.
- Pen we yu de blo dip: Yu kin fil pen na yu rayt say na yu chɛst.
Na rare kes dɛm, dɛn sayn ya kin apin bak:
- Nɔs blɔd we nɔ go ebul fɔ stɔp.
- Kɔnvulshɔn ɔ we yu nɔ ebul fɔ kɔntrol yu bɔdi.
Bikɔs sɔm tɛm dɛn ya kin tan lɛk ɔda sik dɛn lɛk gastritis, galston, ɛn epataytis, sɔntɛnde i kin at fɔ lɛ dɔktɔ dɛn no bɔt am wantɛm wantɛm. So, if yu gɛt dɛn sik ya, i rili impɔtant fɔ tɛl yu dɔktɔ wantɛm wantɛm, pas fɔ tink se i nɔmal.
Wetin kin mek pɔsin gɛt HELLP syndrome? Ɛnitin de we kin mek pɔsin gɛt prɔblɛm?
Infakt, dɔktɔ dɛn stil nɔ no di rayt tin we kin mek pɔsin gɛt HELLP syndrome. Na dat de mek pɔsin fred bad bad wan bɔt am. Bɔt dɛn dɔn no bɔku tin dɛn we kin mek sɔm uman dɛn gɛt dis sik.
- Fɔ gɛt prɛeklampsia ɔ ɛklamsia: Wan pan ɛvri fayv bɛlɛ uman dɛn we gɛt dɛn sik ya kin gɛt HELLP sindrom.
- Fɔ gɛt HELLP sindrom we yu gɛt bɛlɛ bifo: If yu bin gɛt dis sik wit pikin we yu bin dɔn gɛt bifo, na lɛk 20% risk de fɔ mek i apin insay yu nɛks bɛlɛ.
- Bikɔs i dɔn pas 35 ia.
- We i dɔn bɔn at le wan pikin bifo dis tɛm.
- Fɔ gɛt histri bɔt sik dɛn we nɔ de mɛn lɛk kidni sik, dayabitis, ɔ ay blɔd prɛshɔn.
Us prɔblɛm dɛn dis kin mek?
If dɛn nɔ trit HELLP sindrom insay di tɛm, i kin mek di mama ɛn di pikin gɛt siriɔs prɔblɛm.
Sɔm prɔblɛm dɛn we kin apin to di mama
- blɔd ɛn klot prɔblɛm: Sɔm uman dɛn kin gɛt wan sik we dɛn kɔl `Disseminated Intravascular Coagulation (DIC).` Dis min se blɔd klɔt de fɔm ɔlsay na di bɔdi ɛn dɛn kin bigin fɔ blɔd we dɛn nɔ ebul fɔ kɔntrol. dis kin mek di bכdi bכku bכku wan afta dεn bכn pikin (`Postpartum hemorrhage`).
- Kidni we nɔ de wok fayn: Di kidni dɛn kin pwɛl ɛn stɔp fɔ wok.
- Blɔd we de kɔmɔt na di liva ɔ we di liva nɔ de wok fayn: Di liva kin swel, i kin bigin fɔ kɔmɔt insay, ɛn di liva kin lɛf fɔ wok igen.
- Pulmonary edema: Dis kin mek i nɔ izi fɔ blo.
- di plasεnta abrupshכn: di plasεnta de separet frכm di uterin wכl bifo di pikin bכn. Dis kin rili denja bikɔs i kin kɔt ɔksijɛn ɛn it to di pikin.
- Eklampsia: Dis na di stej we kin tranga pas ɔl we pɔsin kin gɛt prɛ-ɛklampsia. I kin mek pɔsin gɛt sik we de mek pɔsin sik.
di kכmplikεshכn dεm we kin apin to di pikin we de insay di bεlε
- di pikin we dεn bכn bifo di tεm: biכs di כnli tritmεnt fכ HELLP sεndrכm na fכ bכn di pikin, bכku tεm i nid fכ bכn di pikin we i tεm.
- intrauterine growth restriction (IUGR): di pikin nכ de gro fayn fayn wan na di bכdi.
- Fɔ bɔn wit smɔl pletlɛt, anemia, ɔ ɔda prɔblɛm dɛn we gɛt fɔ du wit blɔd.
- Di prɔblɛm we pɔsin kin gɛt we i de blo.
Aw di dɔktɔ kin no bɔt dis?
We yu tɛl yu dɔktɔ se yu gɛt sayn dɛn fɔ HELLP syndrome, i go fɔs chɛk yu bɔdi. Speshali, .
- Pen de na di ɔp rayt bɛlɛ?
- Yu leg dɛn dɔn swel?
Dɔn dɛn go mɛzhɔ yu blɔd prɛshɔn, dɛn go du wan urine tɛst fɔ chɛk if yu gɛt prɔtin. Dɛn go du bɔku blɔd tɛst fɔ no if dis na tru.
- Complete blood count (CBC) : I de chɛk di nɔmba fɔ di rɛd blɔd sɛl dɛn, di wayt blɔd sɛl dɛn, ɛn di pletlɛt dɛn.
- di liva fכnshכn tεst : Chεk di liva εnzym lεvεl dεm.
- Kidni fכnshכn tεst : I de chεk if di kidni dεm de wok fayn fayn wan.
If di sik bad, dɛn kin du ɔltra saund ɔ CT skan fɔ chɛk if di liva swel ɔ blɔd de kɔmɔt.
Aw dɛn kin trit HELLP sindrom?
di onli εn bεst tritmεnt fכ kכmplit kכl HELLP sεndrכ m na fכ bכn di pikin .
If yu gɛt bɛlɛ fɔ 34 wik ɔ pas dat, ɔ if yu sik rili bad, dɔktɔ dɛn kin se yu fɔ bɔn yu pikin kwik kwik wan. Dis kin mek di pikin bɔn bifo tɛm. HELLP syndrome kin go insay sɔm dez afta dɛn bɔn di pikin.
Bɔt if di bɛlɛ nɔ rich 34 wiks ɛn di mama ɛn di pikin stebul, di dɔktɔ dɛn go tray fɔ bay tɛm fɔ mek di pikin in lɔng dɛn machɔ smɔl mɔ. Insay da tɛm de, dɛn go kip yu na ɔspitul ɛn gi yu tritmɛnt dɛn lɛk:
- Mɛrɛsin fɔ mek yu blɔd prɛshɔn go dɔŋ.
- Blɔd transfyushɔn if di pletlɛt dɛn nɔ bɔku.
- Gi magnesium sulfate fɔ mek yu nɔ gɛt sik.
- fכ gi injεkshכn fכ kכtikostεroyd fכ εp di pikin in lכng dεm fכ divεlכp kwik.
- Blɔd tɛst fɔ wach yu liva ɔltɛm ɛn di pletlɛt lɛvɛl.
כl dis tεm, dכkta dεm de mכnitor di pikin in hεlth כltεm tru tεst dεm lεk `bayofyzikal prכfayl`, `nכnstrεs tεst`, εn `ultrasound`.
Aw dis sik kin afɛkt di mama ɛn di pikin?
HELLP syndrome na siriɔs sik, bɔt dɛn kin mɛn am if dɛn no am kwik ɛn trit am fayn . If dɛn nɔ trit am, i kin mek pɔsin in layf de pan denja.
Frɔm di mama in we, di risk fɔ day nɔ rich 1% if dɛn gɛt di rayt tritmɛnt. Bɔku mama dɛn kin wɛl ɔlsay insay sɔm dez afta dɛn bɔn pikin.
fכ di pikin in pεspεktiv, fכ liv de dipכnt bכku pan di bεlε ej we i bכn. Di lɔng we di pikin de na di bɛlɛ, na di mɔ di pikin in wɛlbɔdi go bɛtɛ. di pikin we dεn bכn bifo di tεm kin mek i gεt kכmplikεshכn lεk di tεm we i de blo, i kin gεt prכblεm fכ si, כ i kin delay fכ divεlכpmεnt.
Yu tink se dɛn kin ebul fɔ avɔyd HELLP syndrome?
Bɔt i sɔri fɔ no se, no shɔ we nɔ de fɔ mek dɛn nɔ gɛt HELLP sindrom. Bɔt di bɛst tin we yu kin du fɔ ridyus di prɔblɛm dɛn we yu kin gɛt we yu gɛt bɛlɛ na fɔ go de kia fɔ yu ɔltɛm bifo yu bɔn . Yu dɔktɔ go de wach yu blɔd prɛshɔn ɛn ɔda sayn dɛn, so dat dɛn go no ɛni prɔblɛm kwik kwik wan.
If yu dɔktɔ si se yu de pan big risk fɔ gɛt dis sik, i kin se yu fɔ tek smɔl smɔl aspirin afta di fɔs tri mɔnt (arawnd 12 wik).
Apat frɔm dat, dɛn tin ya go ɛp yu fɔ gɛt wɛlbɔdi bɛlɛ:
- Fɔ it tin dɛn we gɛt fayn fayn tin dɛn fɔ it (gren, slim prɔtin, frut, ɛn vɛjitebul).
- Fɔ du ɛksasaiz ɔltɛm.
- Slip fayn fɔ at le 8 awa ɛvride.
- Fɔ tɔk to yu dɔktɔ bɔt di prɔblɛm dɛn we kin apin to yu wɛlbɔdi we yu gɛt bɛlɛ.
Ustɛm a fɔ go to dɔktɔ?
If yu gɛt prɛeklampsia ɔr ay blɔd prɛshɔn, tek tɛm bad bad wan bɔt di sayn dɛm fɔ HELLP syndrome. If yu gɛt ɛni wan pan dɛn sayn ya, kɔl yu dɔktɔ wantɛm wantɛm.
- Bɛlɛ pen na di rayt say.
- Nɔs ɛn vɔmit.
- Ɛd we de at ɔ we yu nɔ de si fayn.
If yu gɛt siriɔs sayn dɛn lɛk we yu de blɔd bɔku ɔ we yu de sidɔm, go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm . I kin bi sɔntin we pɔsin kin disayd fɔ du fɔ day ɔ day.
HELLP syndrome na wan sik wae de mek pɔrsin frayd. Bɔt mɛmba se yu mɛdikal tim de du ɔl wetin dɛn ebul fɔ mek yu ɛn yu pikin sef. Fɔ no am kwik kwik wan na di men tin.
Mɛsej we dɛn kin kɛr go na os
- HELLP syndrome na wan sik we nɔ kin apin so ɔltɛm bɔt we kin rili siriɔs we kin apin we uman gɛt bɛlɛ.
- Di men sayn dɛm na pen na di ɔp rayt bɛlɛ, ed we de at bad bad wan, nɔs, ɛn vɔmit. Nɔ ignore dɛn tin ya as nɔmal bɛlɛ diskɔmfɔt.
- Di wangren we fɔ mɛn dis sik we go de sote go na fɔ bɔn di pikin, we kin mek i bɔn bifo tɛm.
- bay we yu go na di rayt klinik dεm fכ bεlε, di ebul fכ no dεn kayn kכndyushכn dεm ya kwik kwik wan de go כp.
- If yu gɛt ɛni wan pan di sayn dɛn we wi dɔn tɔk bɔt na dis atikul, tɛl yu dɔktɔ wantɛm wantɛm. If di sik bad bad wan, go na imejensi rum (ETU) wantɛm wantɛm.
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