Yu pikin nɔ big lɛk aw yu bin de tink na di bɛlɛ? Lɛ wi tɔk bɔt Intrauterine Growth Restriction (IUGR)!

Bɔku tɛm, as mama, yu kin op fɔ briŋ pikin we gɛt wɛlbɔdi ɛn we dɔn divɛlɔp fayn fayn wan na di wɔl. Bɔt sɔntɛnde, yu smɔl pikin we de na yu bɛlɛ nɔ kin gro fast lɛk aw yu go want. di dכkta dεm kin kכl dis kכndyush כn Intrauterine Growth Restriction (IUGR) , כ sכmtεm Fetal Growth Restriction (FGR) . Fɔ tɔk am simpul wan, pikin smɔl fɔ di ej we i gɛt we i gɛt bɛlɛ. dis min se i we less dan nayn pan tεn כda pikin dεm (less dan di 10th percentile) na di sem gestational ej.

Naw, nɔto ɔl pikin dɛn de gro di sem we. Jɔs bikɔs pikin "smɔl" nɔ min se dɛn gɛt IUGR. Jɔs lɛk wi, sɔm lɔng ɛn sɔm shɔt. 5'1" pikin nɔ smɔl pas 6'4" pikin. Na so i bi, bɔku pikin dɛn we dɛn bɔn smɔl kin gɛt wɛlbɔdi. Bɔt sɔm mama dɛn kin gɛt sɔm kayn wɛlbɔdi prɔblɛm dɛn we kin mek dɛn pikin nɔ gro fayn.

Wetin na di men kayn IUGR?

Dɔktɔ dɛn kin sheb IUGR to tu men kayn dɛn:

1. Symmetric IUGR (Primary IUGR): dis na di say we di pikin in כl bכdi – ed, bεlε, limb dεm – כl di sem sayz. dis kin si pan lεk 30% pan di pikin dεm we gεt IUGR.

2. Asymmetric IUGR (secondary IUGR): na ya, di pikin in ed εn in bren saiz nכmal, bכt na di bכdi nכmכ sכm. dis na di kayn we we kכmכn pas כl, we de mek lεk 80% pan di pikin dεm we gεt IUGR.

aw kכmכn dis fכs fכ gro?

dis IUGR kכndishכn kin si insay lεk 10% pan di bεlε dεm. Bɔt di impɔtant tin na dat ivin if di pikin smɔl pas aw i fɔ bi, i nɔ kin min ɔltɛm se i gɛt IUGR. So, i bɛtɛ fɔ mek yu nɔ fred we yu nɔ nid, nɔto so?

Ustɛm dɛn kin no se i gɛt IUGR?

Bɔku tɛm dɛn kin sɔprayz se IUGR de afta 20 wiks we uman gɛt bɛlɛ. εvri tεm we yu si yu dכkta, dεn go mכsu yu fundal ayt – di distans frכm yu pubic bon to di tכp pat pan yu uterus. If dis mɛzhɔmɛnt smɔl pas aw dɛn bin de tink, yu dɔktɔ kin sɔprayz se IUGR de ɛn rifer yu fɔ mek dɛn du ɔda tɛst.

Aw dis IUGR kɔndishɔn go afɛkt mi bɛlɛ?

If dɛn no se yu gɛt IUGR, dɛn go nid fɔ de manej yu bɛlɛ difrɛn we smɔl. Yu dɔktɔ kin ɔda fɔ mek dɛn du ɔda skan (ultrasounds) , ɔda tɛst dɛn, ɛn fɔ go na klinik bɔku tɛm fɔ wach aw yu pikin de gro. If yu gɛt ɔda mɛrɛsin we de mek yu IUGR, yu dɔktɔ kin bigin fɔ trit da sik de bak. Bɔt dis ɔl dipen pan yu wɛlbɔdi ɛn yu pikin in wɛlbɔdi.

Sɔntɛnde yu dɔktɔ kin tek yu bɛlɛ as "high-risk." Bɔt bɔku pikin dɛn we dɛn no se gɛt IUGR gɛt wɛlbɔdi ɛn dɛn jɔs nid smɔl ɛkstra atɛnshɔn we dɛn gɛt bɛlɛ.

Wetin na di rizin dɛn we kin mek pikin nɔ ebul fɔ gro?

Bɔku rizin dɛn de we mek dɛn kin stɔp di pikin fɔ gro dis we. sכmtεm, dis kin bi fכ wan prכblεm wit di plasεnta כ di כmbilikal kכd. Dis na bikɔs di pikin kin gɛt di tin dɛn we i nid, di ɔksijɛn, ɛn di blɔd we i nid tru dɛn tin ya. So, if dεn tin ya nכ de gεt inof, di pikin in growth kin rεdכks.

Rizin dɛn de bak we gɛt fɔ du wit di mama:

• If yu de ɛkspɛkt twins ɔ triplɛt pikin dɛn .
• If yu dɔn gɛt pikin bifo we gɛt IUGR .
• If yu gɛt tin dɛn lɛk ay blɔd prɛshɔn, at sik, ɔ yu blɔd nɔ bɔku .
• If yu de smok, drink rɔm, ɔ yuz ɔda drɔgs . (Dis na tin dɛn we yu fɔ stɔp fɔ du!)
• If yu gɛt ɔtoimyun kɔndishɔn lɛk lupus .
• If yu gɛt sik na yu kidni .
• If yu de tek sɔm mɛrɛsin (mɛrɛsin fɔ mɛn yu sik) fɔ trit tin dɛn lɛk ɛpilepshi .
• If yu gɛt dayabitis (Diabetes Mellitus) .
• If yu gɛt infekshɔn lɛk rubɛla, sifilis, saytomɛgalovayrɔs (CMV), ɔ toxoplasmosis we yu gɛt bɛlɛ.

sכmtεm IUGR kin kכz bak f כ wan dizכrd we dεn bכn wit in jεnεtiks na di pikin, fכ egzampl , Down syndrome (Trisomy 21) . Dɛn dɔn si bak se di pikin dɛn we mama dɛn we de na ay ay ples bɔn kin gɛt smɔl wet we dɛn bɔn dɛn.

Wetin na di men tin we kin mek di pikin nɔ gro fayn?

i at fכ se fכ sכri wetin na di kכz fכ di pikin in growth rεstrikshכn. Sɔntɛnde, bɔku tin dɛn kin de we kin mek i apin, ɔ dɛn nɔ kin no klia wan. Yu dɔktɔ go tray fɔ fɛn di ɔndalayn kɔz (if ɛni wan de).

Wetin na di sayn dɛm fɔ IUGR?

Bɔku mama dɛn nɔ kin gɛt ɛni patikyula sayn we de sho se dɛn pikin smɔl pas di nɔmba fɔ di wik. Sɔntɛnde yu kin fil lɛk se yu bɛlɛ ɔ yu pikin nɔ big lɛk aw yu bin de tink. Bɔt na yu dɔktɔ nɔmɔ go ebul fɔ no fɔ tru if yu gɛt IUGR.

Aw dɛn kin no dis IUGR kɔndishɔn?

Fɔ no if yu gɛt IUGR, yu nid fɔ no di de we yu fɔ bɔn, we dɛn kin no bay di fɔs de we yu gɛt las mɔnt ɛn we yu du ɔltra saund fɔ di fɔs tri mɔnt . We yu no dis de, i de gi yu dɔktɔ di bɛnifit fɔ no if yu gɛt IUGR.

Dɔn, di dɔktɔ go tray fɔ no if i gɛt IUGR bay we i yuz sɔm we dɛn:

• di uterin fundal ayt: lεk aw wi bin dכn tכk, yu dכkta go mכsu di ayt frכm yu pubic bon to di tכp pat pan yu uterus (di sayz fכ yu "bebi bכmp") wit pepa tep mכsu. afta 20 wik, dis ayt fכ ikwal to di nכmba fכ wik we yu bεlε insay sεntimita (cm). fכ egzampl, if yu bεlε 32 wik, yu uterin ayt fכ bi lεk 32 sεntimita. If dis mɛzhɔmɛnt ivin 4 sɛntimita smɔl pas aw dɛn bin de ɛkspɛkt (i.e., 28 sɛntimita ɔ smɔl pas dat na dis ɛgzampul), yu dɔktɔ kin sɔprayz se IUGR. Sɔntɛnde, yu dɔktɔ go no di sayz fɔ yu pikin bay we i de palp am.
• Yu Weyt: Dɛn kin chɛk yu wet ɛvri tɛm we yu go na di klinik. If yu nɔ de gɛt bɔku bɔku bɔdi, dat kin bi sayn fɔ sho se yu pikin nɔ de gɛt bɔku bɔku wet bak.
• Ultrasound: If dɛn no se yu gɛt IUGR, yu go nid fɔ de skan ɔltɛm ɔlsay na yu bɛlɛ fɔ wach aw yu pikin de gro. We yu de du dis skan, yu dɔktɔ go muv wan divays (wand ɔ prob) oba yu bɛlɛ. Di sawnd wev dɛn de mek yu pikin in pikchɔ. Di dɔktɔ go yuz di pikchɔ fɔ mɛzhɔ yu pikin in wet ɛn saiz. dεn kin yuz di skan bak fכ luk di bכdi fכ fכm frכm di plasεnta to di pikin tru di כmbilikal kכd (dεn kכl am dכpl fכ fכlכ tεst). Di blɔd we nɔ de flɔ fayn kin bi sayn fɔ IUGR. di skan kin mכsu bak di amount of amniotic fluid we de rawnd di pikin. di lכw lεvεl fכ dis wata (oligohydramnios) kin bi sayn bak fכ IUGR.
• fכ mכnitor di pikin: yu dכkta go ataya wan mכnitri divays to yu uterus wit wan strap. Yu go nid fɔ ledɔm ɛn wɛr dis divays fɔ lɛk 30 minit so. Dis go rikodɔ di pikin in at rit. Di dɔktɔ go yuz dɛn rizɔlt ya fɔ chɛk fɔ ɛni prɔblɛm we de wit di divɛlɔpmɛnt.
• Amniocentesis: Dis tεst kin εp fכ no di tin dεm we dεn bכn wit IUGR. na ya, di dכkta de put wan tint nidul tru yu skin insay yu uterus εn tek sכm sכm pan di amniotic fluid we de rawnd di pikin εn sεnd am na di lab fכ tεst am. Dis nɔto tɛst we dɛn kin du ɔltɛm, ɛn na if nid de nɔmɔ dɛn kin du am.

Nɔ fred we di dɔktɔ tɛl yu fɔ du ɔda tɛst. Sɔm pikin dɛn kin smɔl pas di avɛrej, bɔt dɛn kin gɛt wɛlbɔdi ɛn dɛn kin du tin.

Aw dɛn kin trit di we aw di pikin nɔ de gro?

di tritmεnt fכ IUGR dipכnt pan aw fa yu de na yu bεlε εn di hεlth fכ yu pikin. כnכfכs, nכ wan saiz-fit כl sכlushכn de fכ di pikin in growth rεstrikshכn. Yu dɔktɔ go wach yu ɛn yu pikin gud gud wan fɔ mek shɔ se nɔ prɔblɛm de. Dɛn go trit bak ɛni ɔndalayn mɛdikal kɔndishɔn wae kin de kɔz de sik.

Dɛn kin du dɛn tin ya as tritmɛnt:

• Inkris monitarin: Di dכkta go monitar yu εn yu pikin mכr klos. Dɛn go chɛk di pikin in divɛlɔpmɛnt ɔltɛm wit skan ɛn ɔda tɛst dɛn.
• di pikin we yu bכn kwik: If di bεlε nכ de go bifo כ di pikin de pan denja, yu dכkta kin disayd fכ mek i bכn kwik (bifo 37 wik). sכmtεm dεn kin rεkomεnd fכ du sizarian (C-section) , biכs di vagina dilivεri kin strεs fכ di pikin we nכ de gro.
• Kɔtikosterɔyd mɛrɛsin: If yu dɔktɔ se yu fɔ bɔn yu pikin kwik, dɛn kin gi yu kɔtikosterɔyd mɛrɛsin fɔ ɛp yu pikin in lɔng dɛn fɔ gro.

Insay di kes dɛm we nɔ kin apin so ɔltɛm, ɔ we kin rili bad, yu dɔktɔ kin disayd fɔ admit yu na ɔspitul fɔ mek dɛn wach yu gud gud wan.

Yu tink se bebi dɛn we nɔ ebul fɔ gro go dɔn gro lɛk ɔda pikin dɛn?

Bɔku tɛm, na yɛs! כl di pikin dεm we dεn bכn wit IUGR de gro to di sem saiz lεk כda pikin dεm we dεn ej bay di tεm we dεn ol lεk 3 ia. Bɔt i impɔtant fɔ mɛmba se ɔl pikin kin divɛlɔp difrɛn we. Dɔn bak, nɔ fos yu pikin fɔ it. We yu du dat, i kin mek yu gɛt ɔda prɔblɛm dɛn wit yu wɛlbɔdi, lɛk fɔ fat ɔ fɔ gɛt dayabitis. Yu pikin in pikin dɔktɔ go advays yu if yu pikin in growth nɔ de go lɛk aw dɛn bin de tink.

Wetin a fɔ du fɔ mek mi pikin gro mɔ ɛn mɔ?

No garanti nɔ de fɔ se if yu it sɔm it dɛn, dat go mɔs mek yu pikin gɛt mɔ wet. Bɔt i rili fayn fɔ it fayn it we yu gɛt bɛlɛ. Fɔ it we gɛt bɔku frut, vɛjitebul, wɛlbɔdi kabɔhaydrɛt, ɛn prɔtin go gi yu ɛn yu pikin ɔl di tin dɛn we dɛn nid we dɛn gɛt bɛlɛ. Nɔ fɔgɛt fɔ tɔk to yu dɔktɔ bifo yu mek ɛni big chenj na yu it we yu gɛt bɛlɛ.

Wetin a kin du fɔ mek a nɔ gɛt IUGR?

Sɔm tin dɛn de we kin mek di risk fɔ gɛt IUGR bɔku, bɔt wi kin chenj dɛn:

• Yuz drɔgs, rɔm, ɔ smok. (Dɛn fɔ stɔp dɛn tin ya kpatakpata!)
• Fɔ fala di it we nɔ fayn fɔ yu.
• Nɔ gɛt inɔf wet we yu gɛt bɛlɛ.

Us wɛlbɔdi kɔndishɔn a gɛt we de mek a gɛt mɔ risk fɔ IUGR?

Yu kin gɛt mɔ risk fɔ FGR/IUGR if yu gɛt ɛni wan pan dɛn kɔndishɔn ya:

• Ay blɔd prɛshɔn ɔ at sik.
• Shuga.
• Anemia ɔ sikɛl sɛl anemia.
• Imyun sistεm sik dεm lεk lupus.

IUGR de go fa?

di pikin kin "grab" sכmtεm εn gro. Bɔt di diagnosis fɔ IUGR nɔ de go. di dɔktɔ go tek tɛm wach aw di pikin de gro te di bɛlɛ dɔn.

i pכsibul fכ bכn pikin we i de fכs bikoz fכ di pikin in growth rεstrikshכn?

FGR/IUGR nɔ kin mek di pikin bɔn kwik, bɔt i kin apin. If yu pikin de gro sloslo, ɔ if prɔblɛm de wit yu plasɛnta ɔ yu ɔmbilikal kɔd, yu dɔktɔ kin se yu fɔ bɔn am kwik kwik wan. As wi bin dɔn tɔk, if di strɛs we pɔsin kin gɛt we i de bɔn pikin bay vagina tu bɔku fɔ yu pikin, dɛn kin se yu fɔ du sizarian sɛkshɔn (C-section).

Wetin na di risk fɔ pikin we dɛn bɔn wit IUGR?

Sɔm kɔndishɔn ɛn prɔblɛm dɛn de we gɛt fɔ du wit IUGR:

• Di risk de fɔ bɔn pikin bay sizarian sɛkshɔn (C-section) ɛn bɔn pikin bifo tɛm.
• I nɔ kin izi fɔ blo ɛn it tin dɛn jɔs afta dɛn bɔn am.
• Ɔksijɛn nɔ de (haypoksia) we dɛn bɔn am.
• di blכd shuga lεvεl lכw (haypoglycemia) we dεn bכn am.
• I nɔ kin izi fɔ kɔntrol di bɔdi in tɛmpracha.
• Meconium aspiration (di pikin we de sכlow in fכs stכl na di bεlε).
• Polycythemia (we de mek di rɛd blɔd sɛl dɛn bɔku).
• Di rεsistεns to infεkshכn dεm dεn dכn dכn.

Sɔm pikin dɛn we dɛn bɔn bifo tɛm ɔ we smɔl kin nid fɔ de na ɔspitul fɔ lɔng tɛm ɔ dɛn kin gɛt spɛshal kia na di Nionatal Intensive Care Unit (NICU) .

IUGR kin gɛt lɔng tɛm ifɛkt, i dipen pan dɛn tin ya:

• Di ɔndalayn mɛdikal kɔndishɔn we bin mek i apin.
• Aw di pikin nɔ de gro bɛtɛ.
• כl wik insay di bεlε dεn pas we dεn bכn di pikin.

Yu pikin kin gɛt ay risk fɔ gɛt prɔblɛm dɛn wit in maynd ɔ divɛlɔpmɛnt lɛk apaktiviti, sɛribra palsi , we i nɔ kin gɛt bɛtɛ tɛst skɔ na skul, ɛn i kin gɛt ay risk bak fɔ gɛt fat ɛn sik we de mek i gɛt at ɛn blɔd leta we i dɔn ol.

Wetin a fɔ du if mi pikin gɛt IUGR?

Fɔs, nɔ panik.Bɔku tɛm, dis nɔto sɔntin we yu bin du. Na sɔm tin dɛn we yu kin du fɔ ɛp:

• Mek shɔ se yu atɛnd ɔl yu prɛnatal apɔntinmɛnt ɛn pikin chɛk-ap (lɛk skan).
• If yu de tek drɔgs, smok, ɔ drink rɔm, lɛf fɔ du dɛn tin dɛn de rayt naw.
• It fayn it ɛn gɛt di kalori we yu nid fɔ wan de.
• Gɛt inof rɛst, slip at le et awa insay wan nɛt.
• If yu fil se yu pikin in muvmɛnt de go dɔŋ, kip yu yay pan am. (We dɛn de fɔ kɔnt ɔmɔs kik yu pikin de mek insay wan de, aks yu dɔktɔ.)
• Tɛl yu dɔktɔ ɔnɛs wan bɔt ɛni mɛrɛsin we yu de tek.

Wok wit yu dɔktɔ fɔ ɔndastand gud gud wan dis diagnosis, di prɔblɛm dɛn we kin apin, ɛn di chenj dɛn we yu kin mek na yu layf.

A fɔ wɔri if mi pikin smɔl?

Bɔku tɛm, nɔto so. Bebi dεm de gro difrεn rεt. כltu, difrεns de bitwin we dεn no se i gεt sכm fכ jεstεshכn εj εn we dεn no se i gεt fetal growth rεstrikshכn (FGR/IUGR). Dɛn kin no FGR/IUGR we di pikin smɔl pas nayn pan tɛn ɔda pikin dɛn we gɛt di sem ej. i rili posibul fכ pikin fכ sכm fכ di bεlε ej fכ hεlth εn nכ de pan inkrεs risk fכ kכmplikεshכn. Tɔk to yu dɔktɔ bɔt ɛnitin we de mɔna yu.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

i kכmכn fכ gεt kכwεshכn bכt di diagnosis fכ intrauterine growth restriction (IUGR). Na sɔm kwɛstyɔn dɛn we yu kin aks yu dɔktɔ:

• Yu no wetin kin mek yu gɛt IUGR?
• Aw ɔltɛm a go gɛt fɔ kam na di klinik dɛn we dɛn kin gɛt bifo dɛn bɔn pikin?
• Ɛnitin de we a go du fɔ ɛp mi pikin fɔ gro?
• Mi pikin de pan denja fɔ gɛt ɛni wɛlbɔdi prɔblɛm?
• Yu tink se mi pikin go gɛt fɔ de na ɔspitul fɔ lɔng tɛm afta dɛn bɔn am?
• Mi pikin kin gɛt ɛni wɛlbɔdi prɔblɛm leta?

Bɔku rizin dɛn de we mek pikin kin smɔl bifo dɛn bɔn am. Yu dɔktɔ go no if prɔblɛm de we de mek di pikin nɔ gro. Sɔntɛnde, fɔ no rizin, dɛn kin bɔn pikin smɔl pas aw i kin bɔn. If dεn no se yu pikin gεt IUGR, yu mεdikal tim go kכl yu pikin in divεlכpmεnt כl di bεlε. Di tin we dɛn fɔ put fɔs na fɔ mek shɔ se yu ɛn yu pikin gɛt di kia ɛn tritmɛnt we dɛn nid. כl di pikin dεm we dεn bכn wit IUGR nכ gεt εni hεlth kכmplikεshכn.

Mɛsej we dɛn kin kɛr go na os

i nכmal fכ fil frayd εn wכri we yu fכnכt se yu pikin nכ de gro lεk aw dεn bin de εkspεkt na di bεlε, כ se i gεt IUGR. Bɔt duya mɛmba se dɛn kin bɔn bɔku pikin dɛn wɛl, wɛl, ɛn dɛn kin gro fayn fayn wan pan dɛn tin ya.

Di tin we impɔtant pas ɔl na:

• Si yu dɔktɔ ɔltɛm ɛn fala in instrɔkshɔn dɛn di rayt we.
• Fɔ dɔn ɔl di tɛst dɛn we dɛn dɔn sɛtul fɔ du di rayt tɛm.
• Fɔ liv fayn layf – fɔ it fayn, fɔ avɔyd fɔ smok ɛn fɔ drink rɔm.
• Ɛni kwɛstyɔn ɔ fred we yu gɛt na yu maynd, yu fɔ tɔk to di dɔktɔ ɛn mek i klia.

Nɔto yu wan de, dɔktɔ ɛn fambul dɛn de fɔ ɛp yu. Tink gud wan, tek kia ɔf yusɛf ɛn yu smɔl pikin gud gud wan.

` intrauterin growth restrikshכn, IUGR, FGR, fetal growth restrikshכn, fetal distres, bεlε hεlth, fetal divεlכpmεnt