Nɔs ɛn vɔmit na mɔnin we dɛn gɛt bɛlɛ na tin we bɔku mama dɛn kin gɛt. Wi kin kɔl am wit lɔv ‘Mɔnin Siknɛs’. Bɔt sɔntɛnde dis sik kin tranga smɔl. Tide wi go tɔk bɔt wan kɔndishɔn we yu nɔ kin ebul fɔ kip ɛnitin dɔŋ, yu kin vɔmit bɔku tɛm insay di de, ɛn yu bɔdi kin lɔs yu wet. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis Hyperemesis Gravidarum (HG) . Dis rili difrɛn frɔm nɔmal Mɔnin Siknɛs ɛn i nid fɔ gɛt mɛrɛsin.
Dis na nɔmal mɔnin sik? Ɔ na Hyperemesis Gravidarum na di wɔl? Mek wi no di difrɛns.
Bɔku mama dɛn kin tink se dis na jɔs smɔl smɔl sik we dɛn kin gɛt na mɔnin. Bɔt klia difrɛns de bitwin dɛn tu. Imajin, yu padi kin nɔs na mɔnin, ɛn yusɛf kin nɔs. Bɔt if i so bad dat yu nɔ ebul fɔ it ɛnitin ɔ drink wata ɔl di de, dat nɔto nɔmal tin.
Fɔ tɔk am simpul wan, lɛk 80% pan di uman dɛn we gɛt bɛlɛ kin gɛt mɔnin sik. I kin mek yu nɔs ɛn sɔntɛnde yu kin vɔmit wan ɔ tu tɛm insay di de. Bɔt bɔku tɛm dɛn kin ebul fɔ kip sɔm it ɛn drink dɔŋ. dis kכndyushכn kin sכbכt we di fכs trimεst dεn dכn.
Bɔt Hyperemesis Gravidarum (HG) na wan sik we rili difrɛn ɛn we rili bad. Insay dis, pɔsin nɔ kin ebul fɔ bia fɔ vɔmit. Dis kin mek yu nɔ gɛt bɔku bɔku bɔdi ɛn yu nɔ gɛt wata na yu bɔdi. dis kכndyushכn kin kכntinyu pas di fכs tri mכst, εn i kin bi te dεn bכn di pikin.
Lɛ wi luk dis tebul fɔ ɔndastand dis difrɛns mɔ.
| Di kwaliti we pɔsin gɛt | Nɔmal Mɔnin Siknɛs | Hyperemesis Gravidarum (HG) we gɛt di sik. |
|---|---|---|
| Di kayn we aw pɔsin kin vɔmit | Lɛk wan ɔ tu tɛm insay di de, nɔto tu bad. | I pas tri tɛm insay di de, pasmak ɛn kɔntinyu fɔ du am. |
| Fɔ it ɛn wata we yu de it | Bɔku tɛm, it ɛn wata kin de na di bɔdi. | A de vɔmit sote a nɔ ebul fɔ kip ɛnitin we a de it ɔ drink dɔŋ. |
| Di wet we yu bɔdi gɛt | Nɔbɔdi nɔ go de fɔ lɔs yu wet. Sɔntɛm i go ivin gɛt smɔl wet. | Fɔ lɔs pas 5% pan yu wet bifo yu gɛt bɛlɛ. |
| Di wata we nɔ de na di bɔdi | I nɔ kin apin. | I kin apin bɔku tɛm ɛn i kin ivin mek pɔsin go na ɔspitul. |
| Di tɛm we dɛn fɔ spɛn | I kin shɔt bay 12-14 wik. | I kin de fɔ sɔm wik, mɔnt, ɛn sɔntɛnde ivin te i bɔn pikin. |
Wetin na di sayn dɛm fɔ Hyperemesis Gravidarum?
dis kכndyushכn kin bigin arawnd 6 wiks insay di bεlε. Dɛn sayn ya kin mek yu nɔr fil fayn sote yu nɔr kin ebul fɔ du di tin dɛm wae yu kin du ɛvride.
Di men tin dɛn we pɔsin kin si
- Sivεr nausea: Na filin wae de fil wae de teik ol de εn e kin so bad dat yu nɔr kin ebul fɔ du natin.
- Fɔ vɔmit pas tri tɛm insay di de: Dis nɔto nɔmal tin, bɔt na fɔ vɔmit ɔltɛm.
- We yu de lɔs yu wet: Fɔ lɔs pas 5% pan yu wet bifo yu gɛt bɛlɛ. Fɔ ɛgzampul, if yu wet 60 kg, yu go lɔs pas 3 kg.
- Nɔ ebul fɔ kip it ɛn drink dɔŋ: Na tin we kin mek pɔsin vɔmit bak ivin afta yu dɔn drink smɔl wata.
- Di wata we nɔ de na di bɔdi: Na we di bɔdi de lɔs inof wata. Dis kin mek di mɔt ɛn di lip dray, di urine we dɛn kin mek kin stɔp, ɛn di urine kin dak yɔlɔ.
- Diziz ɛn layt ed: Fɔ fil so layt ed dat yu nɔr kin ivin tinap, ɛn fil diziz.
- Taya pasmak: Fɔ fil taya bad bad wan ivin we yu jɔs de de.
- Fɔ fɔdɔm: Sɔntɛnde, yu nɔ kin no natin ɛn fɔdɔm.
- Ɛd we de at: Ɛd we de at ɔltɛm.
Dɛn nɔ kin si siriɔs sik dɛn
- Lɔw blɔd prɛshɔn
- Di at rit kwik kwik wan
- Dray skin
- Kɔnfyus
- Jandis (di skin de yɔlɔ) bikɔs ɔf di liva we dɔn pwɛl
- Wernicke-Korsakoff syndrome: Na wan rili siriɔs sik we de afɛkt di bren bikɔs ɔf di vaytamɛn B1 (Thiamine) we nɔ de.
Wetin mek dis tin kin apin?
dεn nכ fכnshכn di εksakεt kכz fכ dis yet, bכt di men sכspεshכn na fכ di כ mon chenj dεm we de apin na di bכdi we uman bεlε.
Fɔ tɔk am simpul wan, we wi gɛt bɛlɛ, di ɔmon dɛn na wi bɔdi kin chenj bad bad wan. Wan pan di men tin dɛn we de ple ya na wan ɔmon we dɛn kɔl HCG (human chorionic gonadotropin) . dis כmon de mek di bכdi we uman bεlε, εn i de bכku kwik kwik wan εn i de bכku bכku wan. di HCG lεvεl dεm de pik arawnd 10 wiks insay di bεlε. Dis na wae bɔrku mama dɛm kin gɛt de sik wae kin pasmak. fכ dat, dεn biliv se strכng kכnεkshכn de bitwin dis HCG כmon εn HG.
Apat frɔm dat, di ɔmon we dɛn kɔl ɛstrojen we kin bɔku we uman gɛt bɛlɛ kin mek bak dis nɔys ɛn vɔmit.
Di tin we impɔtant pas ɔl na dat, dis nɔto yu fɔlt. I nɔ de kam bikɔs ɔf ɛnitin we yu de it ɔ drink, ɔ ɛnitin we yu de du. Dis na ɔl di rizɔlt fɔ wan bayolojikal prɔses we de apin na di bɔdi.
Udat de pan denja pas ɔl fɔ gɛt dis sik?
Sɔm pipul dɛn kin gɛt Hyperemesis Gravidarum pas ɔda pipul dɛn. Dɛn tin ya we kin mek pɔsin gɛt prɔblɛm na:
- Fɔ gɛt HG we yu bin gɛt bɛlɛ bifo: If yu bin gɛt dis sik we yu bin de bɔn pikin bifo, i go mɔs bi se yu go gɛt am bak di nɛks bɛlɛ.
- Fɔ bɔn twins ɔ mɔ pikin dɛn: Di mɔ pikin dɛn we yu gɛt, na di mɔ yu HCG ɔmon lɛvɛl go bɔku. So, di risk kin bכku fכ mama dεm we de εkspεkt twins כ triplet.
- Dis na yu fɔs bɛlɛ.
- If pɔsin na di famili (mama, sista) gɛt siriɔs mɔnin sik ɔ HG: Dis kin gɛt sɔm jenɛtik inflɔwɛns.
- Fɔ gɛt tin dɛn lɛk maygren ɔ muv sik.
- fכ gεt wan kכndyushכn we dεn kכl Gestational Trophoblastic Disease (GTD), we na di sεl dεm we de gro na di uterus we nכ de gro.
Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt de dipen pan aw yu sik bad bad wan. De tin wae impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ bɔt dis ɛn pik di tritmɛnt wae go fayn fɔ yu. Tin dɛn de we yu kin du na os, ɛn tritmɛnt dɛn de we yu fɔ go na ɔspitul.
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|---|
| Fɔ mild symptoms (wetin kin du na os) . | |
| Di chenj dɛn we de apin na di it we dɛn de it | It smɔl, it ɔltɛm (e.g., ɛvri tu awa) pas fɔ it big it. It tin dɛn we nɔ fayn ɛn dray lɛk krak krak, bred, rays, ɛn pɔtɔtɔ we dɛn dɔn bɔyl. Nɔ it tin dɛn we gɛt ɔyl ɛn we gɛt spays. |
| Di we aw pipul dɛn de liv dɛn layf kin chenj | We yu wɛr akupreshɔn wristband fɔ mek yu nɔ gɛt bɔku bɔku nɔys. We yu de chew jinja pils ɔ yu de drink jinja ti. Fɔ de fa frɔm tin dɛm wae de mek yu nɔr de fil fayn (sɔm smel dɛm, wae yu de rayd motoka). |
| Mɛrɛsin dɛn we dɛn kin gi dɔktɔ dɛn advays | Yu dɔktɔ kin tɛl yu fɔ tek mɛrɛsin lɛk Vitamin B6 (Pyridoxine) ɛn Doxylamine. Nɔ, ɔnda ɛnitin, bay ɔ tek mɛrɛsin frɔm famasi we yu nɔ go to dɔktɔ. |
| Fɔ siriɔs sik dɛn (ɔspitul tritmɛnt) . | |
| Fɔ gi wata tru wan vein (IV Fluids) . | If yu nɔ gɛt wata na yu bɔdi, dɛn go gi yu wata ɛn tin dɛn fɔ it tru salin. Dis go nid fɔ de na ɔspitul. |
| Di mɛrɛsin dɛn we dɛn kin advays | Dɛn kin gi dɛn mɛrɛsin dɛn we strɔng lɛk Promethazine, Metoclopramide, ɛn Ondansetron fɔ kɔntrol di vɔmit. If yu nɔ ebul fɔ swɛla pils, yu kin tek injɛkshɔn ɔ sɔpɔsitɔri. |
| Tiub fɔ it tin dɛn | If yu nɔ ebul fɔ it atɔl, dɛn kin gi yu it tru wan tin tiub we dɛn kin put tru di nos ɔ yu bɛlɛ insay di bɛlɛ. |
| Tכtal parenteral nyutrishכn (TPN) . | insay di kes dεm we rili siriכs, כl di nyutrishכn dεm we nid de kכmכt dairekt to di bכdi tru wan vein, we de gi am rεst we nכ de put εni strεs pan di dijestiv sistεm. |
Aw lɔng dis sik go las? Yu tink se i go afɛkt di pikin?
Dis kin mek yu fred, ɛn i rayt fɔ du dat. Bɔt di gud nyus na dat if yu gɛt di rayt tritmɛnt, yu ɛn yu pikin kin fayn.
- Aw fɔ tek am: Sɔm pipul dɛn kin gɛt di sik wae de kam dɔŋ afta di fɔs tri mɔnt. Ɔda pipul dɛn kin gɛt dis sik mɔ ɔ smɔl ɔl di tɛm we dɛn gɛt bɛlɛ. Bɔt afta dɛn dɔn bɔn di pikin, na lɛk ɔl dɛn sayn ya kin dɔn kpatakpata.
- I go afɛkt di pikin: If yu tek di tritmɛnt we yu nid ɔnda dɔktɔ, bɔku tɛm i nɔ go afɛkt di pikin. Bɔt if dɛn nɔ trit di pikin in wet lɛk we i de lɔs pasmak ɔ we i nɔ gɛt bɛtɛ wata na in bɔdi, i nɔ kin izi fɔ bɔn di pikin wit smɔl wet we i bɔn ɔ dɛn kin bɔn am bifo tɛm.
- Bɛlɛ we gɛt bɔku prɔblɛm: If yu gɛt HG, dɔktɔ dɛn go tek yu bɛlɛ as tin we gɛt bɔku prɔblɛm. Dat nɔ min se ɛnitin de fɔ wɔri bɔt, bɔt i min se dɛn go tek tɛm wach yu ɛn yu pikin mɔ ɛn mɔ ɛn bɔku tɛm .
We yu fɔ rili go to dɔktɔ
Nɔ jɔs de na os ɛn sɔfa, tink se fɔ vɔmit bad bad wan na "nɔmal" we yu gɛt bɛlɛ. If yu gɛt dɛn sik ya, go to yu dɔktɔ wantɛm wantɛm.
Mɛmba se, di mɔ yu bigin fɔ trit am kwik kwik wan, na di mɔ yu go ebul fɔ mek di sik nɔ wɔs.
- If yu nɔ ebul fɔ it ɛnitin bikɔs ɔf nɔs we de las ɔl di de.
- If yu kɔntinyu fɔ vɔmit pas tri tɛm insay di de fɔ sɔm dez.
- If yu fil se yu bɔdi de lɔs yu wet .
- If yu fil se yu de tɔn diziz , yu ed de layt, ɔ yu nɔ de fil fayn .
- If di urine we yu de pas dɔn go dɔŋ bad bad wan, ɔ if yu urine tɔn dak yɔlɔ/ɔrɛnj kɔlɔ.
Na dis kayn tɛm, yu kin nid fɔ admit na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) ɛn gi yu di salin ɛn mɛrɛsin dɛn we yu nid.
Mɛsej we dɛn kin kɛr go na os
- Hyperemesis Gravidarum (HG) nɔto jɔs nɔmal mɔnin sik. Na siriɔs mɛrɛsin we nid fɔ gɛt tritmɛnt.
- If yu de vɔmit sote yu nɔ ebul fɔ kip it ɔ drink dɔŋ, if yu de lɔs yu wet, ɔ if yu gɛt diziz , nɔ sɔfa yu wan ɛn go to yu dɔktɔ wantɛm wantɛm.
- Dis kɔndishɔn nɔto yu fɔlt. Na bikɔs di ɔmon dɛn we de na di bɔdi kin chenj.
- Tritmɛnt dɛn de we rili fayn fɔ dis. Dɛn kin kɔntrol dis kɔndishɔn fayn fayn wan wit wata we dɛn kin put insay di bɛlɛ (salin) ɛn mɛrɛsin.
- If yu gɛt di rayt dɔktɔ ɛn kia fɔ yu, yu kin bɔn pikin we gɛt wɛlbɔdi. So nɔ fred, gɛt di ɛp we yu nid.
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