Yu pikin nɔ gɛt bɛtɛ wet we dɛn bɔn am? (Low Birth Weight) Lɛ wi no bɔt dis!

Yu dɔn ɛva yɛri se pikin we dɛn jɔs bɔn nɔ gɛt bɛtɛ wet? We yu yɛri dɛn kayn nyuz ya, yu kin fred smɔl ɛn yu kin want fɔ no mɔ, nɔto so? "Wetin mek dat apin? Di pikin go fayn?" Bɔku kwɛstyɔn dɛn kin kam na mi maynd. So tide wi go tɔk bɔt dis sik we dɛn kɔl Low Birth Weight . Dis na sɔntin we bɔku mama ɛn papa dɛn nid fɔ no.

Wetin na Lɔw Wet we dɛn bɔn am?

Fɔ tɔk am simpul wan, if yu pikin we dɛn jɔs bɔn nɔ rich 2500 gram (dat na 2.5 kilogram ɔ 5 paund 8 ɔns) , na dat wi kin kɔl lɔw wet we dɛn bɔn am. Dis na di wet we dɛn kin wej di pikin we dɛn bɔn am.

pan avrej, lεk 80 pan 100 pikin dεm we dεn bכn we dεn bכn (bitwin 37 εn 41 wiks we dεn bכn) de we bitwin 2,600 gram (2.6 kg) εn 3,800 gram (3.8 kg).

Bɔt na di tin ya, jɔs bikɔs dɛn bɔn pikin wit smɔl wet we dɛn bɔn am nɔ min se dɛn go bi pikin we nɔ gɛt bɔku wet we dɛn big. Infakt, sɔm pikin dɛn we dɛn bɔn smɔl, kin gɛt wɛlbɔdi pan ɔl we dɛn smɔl.

Bɔt di wet we di pikin bɔn kin ɛp dɔktɔ dɛn fɔ disayd if dɛn nid spɛshal kia jɔs afta dɛn bɔn am. Dis na bikɔs sɔm pikin dɛn kin gɛt siriɔs wɛlbɔdi prɔblɛm bikɔs dɛn bɔn dɛn we dɛn nɔ gɛt bɛtɛ wet. If yu pikin rili smɔl we dɛn bɔn am, i kin at fɔ mek i it, fɔ gɛt mɔ wet, ɛn fɔ fɛt sik dɛn . Sɔm bebi dɛn kin gɛt wɛlbɔdi prɔblɛm bak we kin de fɔ lɔng tɛm.

Aw dis sik kin kɔmɔn?

Dɛn de bɔn pikin dɛn we nɔ gɛt bɔku wet ɔlsay na di wɔl, ivin na wi kɔntri. Fɔ ɛgzampul, na Amɛrika, na lɛk wan pan ɛvri 12 pikin dɛn we dɛn bɔn insay 2021, dɛn bɔn dɛn wit smɔl wet we dɛn bɔn. Dat na lɛk 8.52% pan di pikin dɛn we dɛn bɔn layf layf wan. So dis nɔto tin we nɔ kɔmɔn so.

Wetin na di sayn dɛm we pɔsin kin gɛt we i bɔn we i nɔ gɛt bɛtɛ wet?

di pikin dεm we dεn bכn wit lכw wet we dεn bכn de luk sכm bכku pas pikin dεm we gεt hεlth, nכmal wet. Dɔn bak, di pikin in ed kin tan lɛk se i big pas di ɔda pat dɛn na di bɔdi. Dɛn kin tan lɛk se dɛn tan bak bikɔs dɛn nɔ gɛt bɔku fat na dɛn bɔdi.

Wetin kin mek di pikin we dɛn bɔn nɔ gɛt bɛtɛ wet?

Tu men tin dɛn de we kin mek di pikin we dɛn bɔn nɔ gɛt bɛtɛ wet. Dɛn na:

1. Fɔ bɔn pikin bifo tɛm

2. di rεstrikshכn we di pikin de gro

Fɔ bɔn pikin bifo tɛm

di pikin we dεn bכn bifo di tεm, כ ``Preterm birth``, na we dεn bכn yu pikin bifo di 37 wik we i bεlε. we yu bכn bifo di tεm min se yu pikin nכ gεt inof tεm fכ divεlכp εn gεt wet insay yu uterus. dis na biכs di pikin kin gεt bכku pan in wet insay di las wik dεm we i bεlε.

di rεstrikshכn we di pikin de gro

כda big tin we kin mek di pikin gro na di pikin in growth rεstrikshכn, כ wetin dכkta dεn kכl ``Intrauterine Growth Restriction (IUGR)''. Dis na we di pikin nɔ ebul fɔ gro ɛn gɛt wet lɛk aw dɛn fɔ gɛt we i de na di bɛlɛ. Sɔntɛnde, dɛn kin bɔn di pikin smɔl bikɔs di mama ɛn papa smɔl. Dis na nɔmal tin.

Bɔt sɔm pikin dɛn kin gɛt IUGR bikɔs sɔntin kin ambɔg dɛn fɔ gro we dɛn gɛt bɛlɛ. Dis kin bi bikɔs ɔf:

• di prכblεm dεm na di plasεnta: di pikin de gεt di nyutriεnt dεm εn כksijεn we i nid tru di plasεnta. So, if eni prכblεm de wit di plasεnta, i go afekt di pikin in divεlכpmεnt.
• yu hεlth: sכm sik dεm we di mama gεt we i bεlε (e.g. ay blכd prεshכn, dayabitis) kin afekt di pikin in divεlכpmεnt.
• di pikin in hεlth: sכmtεm, i kin stכn fכ gro bikoz fכ wan jεnεtik kכndishכn כ infεkshכn na di pikin.

Wetin na de risk factor wae kin afekt dis?

Bɔku tin dɛn de we kin mek yu gɛt mɔ chans fɔ bɔn pikin we nɔ gɛt bɔku wet. Na sɔm pan dɛn:

• Krεse sik wae yu kin gεt wae yu bεlε: Fכ egzampl, if yu gεt sik wae de teik lεk dayabitis כ hεy blכd prεshכn.
• Infεkshכn dεm we uman bεlε: sכm infεkshכn kin afekt di pikin in divεlכpmεnt.
• Yuz sɔm mɛrɛsin dɛn we yu gɛt bɛlɛ: Nɔ tek ɛni mɛrɛsin insay dis tɛm we yu nɔ gɛt dɔktɔ advays.
• Yuz tin dɛm lɛk rɔm ɛn tabak we yu gɛt bɛlɛ: Dɛn tin ya kin rili ambɔg di pikin.
• Nɔ fɔ gɛt bɛtɛ wet ɔ nɔ fɔ kip yu wet we yu gɛt bɛlɛ: Fɔ it tin we balans rili impɔtant.
• fכ bכn pas wan pikin (Mכltiples): Dis risk kin bכku we yu de εkspεkt twins כ triplet.
• Fɔ gɛt lid ɔ di pwɛl pwɛl we di briz de pwɛl.
• Mama dɛn we nɔ rich 17 ia ɔ pas 35 ia.
• Di pikin we dɛn bɔn bifo tɛm.

"Nɔto ɔlman we gɛt ɔl dɛn risk factor ya go gɛt pikin we gɛt smɔl wet we dɛn bɔn am. Dɔn bak, pɔsin we nɔ gɛt ɛni wan pan dɛn tin ya kin stil gɛt pikin we gɛt smɔl wet we dɛn bɔn am. So nɔ panik, bɔt i impɔtant fɔ no bɔt dis."

Wetin na de prɔblɛm wae kin kam wit dis sik?

Bebi dεm we dεn bכn wit lכw wet we dεn bכn kin gεt bכku risk fכ gεt sכm hεlth prכblεm dεm. Dɛn smɔl bɔdi nɔ strɔng lɛk di pikin dɛn we dɛn bɔn wit nɔmal wet we dɛn bɔn. I nɔ kin izi fɔ dɛn fɔ it, fɔ gɛt bɔku bɔku bɔdi, ɛn fɔ fɛt sik dɛn . Dɔn bak, pikin dɛn we nɔ gɛt bɛtɛ wet we dɛn bɔn dɛn nɔ kin gɛt bɔku fat na dɛn bɔdi, ɛn dis kin mek i nɔ izi fɔ dɛn fɔ wam .

Di mɔ di pikin in wet we dɛn bɔn, na di mɔ i go gɛt prɔblɛm dɛn. Sɔm pan dɛn prɔblɛm ya we kin apin kwik kwik wan na:

• di ɔksijɛn lɛvɛl we smɔl we dɛn bɔn am.
• Infεkshכn dεm.
• Jandis we gɛt di sik.
• I nɔ kin izi fɔ yu fɔ blo: Ɛspɛshali di Infant Respiratory Distress Syndrome (IRDS), we na wan sik we pɔsin kin gɛt we i de blo we di lɔng dɛn nɔ machɔ.
• Prɔblɛm dɛn na di nervɔs sistɛm: Fɔ ɛgzampul, blɔd kin kɔmɔt insay di bren (Intraventricular Hemorrhage - IVH) kin apin.
• di dijestiv sistεm prכblεm dεm: kכndishכn dεm lεk ``Necrotizing Enterocolitis (NEC)``, we de mek di intestinal tisu dεm bad bad wan.

Risk de bak fɔ gɛt prɔblɛm dɛn we go de fɔ lɔng tɛm :

• Dilay pan di mכtalman εn soshal divεlכpmεnt: Dis min se tin lεk fכ waka εn tכk kin let sכmtεm.
• Difrɛns dɛn we pɔsin kin lan.
• Wɛlbɔdi prɔblɛm wae kin apun as yu de ol: tin dɛm lɛk ay blɔd prɛshɔn, at sik, fat pasmak, ɛn dayabitis.

Aw fɔ no if di pikin we dɛn bɔn nɔ gɛt bɛtɛ wet?

We yu go na di klinik we yu gɛt bɛlɛ, yu dɔktɔ go yuz difrɛn we dɛn fɔ gɛt aidia bɔt yu pikin in saiz. Wan we na fɔ trak aw yu de gɛt bɔku bɔku wet. Wan ɔda wan na fɔ mɛzhɔ di `fundal height` . dis na di distans frכm di tכp pat pan di uterus to di pubic bon. yu dכkta go yuz `(ultrasound)` skan bak fכ chεk aw di pikin de gro εn divεlכpmεnt.

Insay di fɔs awa afta dɛn bɔn am, dɔktɔ go wej di pikin. Dɛn go kɔmpia di pikin in wet wit di ej we i gɛt bɛlɛ ɛn rayt am na di mɛdikal rɛkɔd. Dɛn kɔl pikin we nɔ rich 2500 gram (2.5 kilogram) we i bɔn smɔl, ɛn dɛn kɔl pikin we nɔ rich 1500 gram (1.5 kilogram) we i bɔn we i rili smɔl .

Aw dɛn kin trit di pikin we dɛn bɔn we nɔ gɛt bɛtɛ wet?

Yu pikin in dɔktɔ go disayd us tritmɛnt nid fɔ pikin we nɔ gɛt bɔku wet we dɛn bɔn am. Dɛn go disayd fɔ dis tritmɛnt bay di pikin in:

• Di ej we pɔsin kin gɛt we i gɛt bɛlɛ.
• Ɔl di wɛlbɔdi stetmɛnt.
• Mɛdikal istri.
• I go dipen pan di digri we pɔsin kin gri fɔ tek di mɛrɛsin, di we aw dɛn de mɛn am, ɔ di tritmɛnt we dɛn de gi am .

Di tritmɛnt fɔ di pikin we dɛn bɔn we nɔ gɛt bɛtɛ wet kin inklud:

• Nionatal Intensive Care Unit (NICU) care: Dis na di intensiv kia yunit fɔ nyu bɔbɔ dɛn.
• Fɔ put pikin na bed we dɛn kin kɔntrol di tɛmpracha: Dis rili impɔtant bikɔs i nɔ kin izi fɔ mek yɔŋ pikin dɛn kɔntinyu fɔ gɛt tɛmpracha na dɛn bɔdi.
• Spɛshal it: Sɔntɛnde, if di pikin nɔ ebul fɔ gi pikin in bɛlɛ, dɛn kin gi di milk as wata tru wan layn we dɛn kin put insay di bɛlɛ (IV) ɔ wan tiub we dɛn kin put insay di bɛlɛ.
• Tritmɛnt we dɛn nid fɔ ɔda kɔmplikeshɔn dɛn.

di pikin dεm we dεn bכn wit lכw wet we dεn bכn, pas כda kכmplikεshכn de, kin kech כda pikin dεm pan di fכs divεlכpmεnt as tεm. Dipen pan yu pikin in kɔndishɔn, yu dɔktɔ kin sɛn am to spɛshal dɔktɔ fɔ mek i gɛt mɔ tritmɛnt.

Wetin kin apin if dɛn bɔn mi pikin wit smɔl wet we dɛn bɔn am?

If dɛn bɔn yu pikin wit smɔl wet we dɛn bɔn am, i kin nid spɛshal kia na di ɔspitul in neonatal intensive care unit (NICU) . I go de na NICU te i gɛt inof wet ɛn di dɔktɔ dɛn tink se i wɛl fɔ go na os.

di rεt fכ di rεt fכ di pikin we dεn bכn we nכ wet, de dipכnt pan in wet we dεn bכn am. di pikin dεm we we nכ rich 500 gram (0.5 kg) gεt di lכs chans fכ liv. Bɔt di tin dɛn we dɔn apin we dɛn de du mɛrɛsin sayɛns dɔn mek i pɔsibul fɔ sev ivin smɔl smɔl pikin dɛn.

We yu si yu smɔl pikin na NICU, yu go fil bad bad wan ɛn fred. Dat na nɔmal tin. Bɔt trɔst yu pikin in dɔktɔ dɛn. Dɛn go du ɔl wetin dɛn ebul fɔ ɛp yu pikin fɔ gɛt mɔ wet ɛn mek i rɛdi fɔ go na os frɔm ɔspitul.

Yu tink se dɛn kin mek di pikin nɔ gɛt bɔku bɔku wet?

Yɛs, yu kin ɛp fɔ mek dɛn nɔ bɔn yu pikin wit smɔl wet we dɛn bɔn am. Tek tɛm wit dɛn tin ya we yu gɛt bɛlɛ:

• Go na di klinik di rayt tɛm (Fɔ de chɛk ɔltɛm): Fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan.
• Gɛt di rayt kalori ɛn it: It tin we balans ɛn we gɛt fayn fayn tin dɛn fɔ it.
• If yu gɛt dayabitis, kɔntrol di shuga we yu gɛt na yu blɔd.
• Nɔ yuz rɔm ɛn tabak kpatakpata.

Aw a go kia fɔ mi pikin?

If dɛn bɔn yu pikin wit smɔl wet we dɛn bɔn am, aks yu dɔktɔ wetin yu go du fɔ ɛp am fɔ gɛt mɔ wet ɛn fɔ gɛt wɛlbɔdi. As yu pikin de ol, mek shɔ se i de it tin dɛn we go mek i gɛt wɛlbɔdi ɛn de ple ɛn de du tin . I impɔtant bak fɔ kɛr am go na di klinik di rayt tɛm fɔ in vaysin .

We yu de go na di klinik ɔltɛm, yu pikin in dɔktɔ kin no di wɛlbɔdi prɔblɛm dɛn we kin mek i gɛt prɔblɛm we i de gro. Vaksin kin protɛkt yu pikin bak frɔm sik dɛn we denja.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin a kin du fɔ ridyus di risk fɔ bɔn pikin we nɔ gɛt bɔku wet?
• If dɛn bɔn mi pikin wit smɔl wet we dɛn bɔn am, wetin a go du fɔ ɛp am fɔ gɛt mɔ wet?
• Yu tink se mi pikin go gɛt siriɔs prɔblɛm bikɔs i nɔ gɛt bɛtɛ wet we dɛn bɔn am?
• Mi pikin nid ɛni tɛst ɔ mɛrɛsin?
• Us tritmɛnt yu kin advays fɔ mi pikin?
• Mi pikin nid fɔ tek ɛni mɛrɛsin?

Fɔ dɔn, mɛmba (Take-Home Message) .

Sɔm pikin dɛn we nɔ gɛt bɛtɛ wet we dɛn bɔn dɛn, smɔl ɛn dɛn gɛt wɛlbɔdi. Bɔt di wet we di pikin we yu jɔs bɔn kin ɛp dɔktɔ dɛn fɔ disayd if i nid spɛshal kia jɔs afta dɛn bɔn am. Sɔm pikin dɛn kin gɛt siriɔs wɛlbɔdi prɔblɛm bikɔs dɛn bɔn dɛn we dɛn nɔ gɛt bɛtɛ wet. If dɛn bɔn yu pikin wit smɔl wet we dɛn bɔn am, i kin nid fɔ de na di NICU. Dat kin at fɔ bia. Bɔt abop pan yu pikin in dɔktɔ dɛn . Dɛn de du ɔl wetin dɛn ebul fɔ ɛp yu pikin. I impɔtant bak fɔ mek yu praktis wɛlbɔdi abit frɔm di tɛm we yu gɛt bɛlɛ ɛn fɔ fala yu dɔktɔ in advays afta yu dɔn bɔn yu pikin.

` lכw wet we dεn bכn, bכn bifo tεm, fεtal growth rεstrikshכn, NICU, pikin hεlth, bεlε, pikin kεriכn