yu pikin in כmbilikal kכd de atak di ed pat pan di plasεnta? (Marginal Cord Insertion) Lɛ wi tɔk bɔt dis!

Bɔku mama dɛn kin wɔri ɔltɛm bɔt di wɛlbɔdi we dɛn pikin gɛt we dɛn gɛt bɛlɛ, ilɛksɛf i de gro fayn, nɔto so? so, sכmtεm we yu dכkta du כltra saund skan εn se sכmtin lεk, "sכm difrεns de na di pikin in כmbilikal kכd, i nכ de na di midul pan di plasεnta, bכt i de atak di sayd," i nכmal fכ fil sכmtεm fכ fred εn wכri sכmtεm wan wan. Na dat wi kin kɔl sityueshɔn lɛk dis ``Marginal Cord Insertion''. So, lɛ wi tɔk bɔt dis klia wan tide, di we we yu go ɔndastand? Enitin de fo fred, en mek wi fain out exactly wetin de hapun fo dis.

Yu no wetin na Marginal Cord Insertion?

fכ sכmtεm, `(Marginal Cord Insertion)` na sכm chenj na di we aw di pikin in כmbilikal kכd `(Umbilical Cord)` de kכnekt to di `(Placenta)` we i bεlε. yu no se di `(Umbilical Cord)` lεk di layflayn we de kכnekt di mama εn di pikin. di pikin de gεt כl di it εn כksijεn we i nid frכm di mama tru dis כmbilikal kכd. dis כmbilikal kכd de kכnekt to wan spεshal כgan we dεn kכl `(Placenta)`, we de divεlכp nכmכ we uman bεlε.

nכmal wan, di כmbilikal kכd fכ atak di sεntrכm fכ di plasεnta, כ rili nia am. dis na biכs di nyutriεnt dεm kin fכ fכlכ fayn fayn wan frכm di mama to di plasεnta εn frכm de to di pikin we nכ de ambɔg am. Dat na di we we sef pas ɔl.

כltu, insay di kes fכ `(Marginal Cord Insertion)`, dis כmbilikal kכd nכ de kכnεkt to di midul pan di plasεnta, bכt i de kכnekt to di ed כ margin fכ di plasεnta (we de fכ 20 milimita fכ). fכ bi prεsis, dis kכnεkshכn de tu sεntimita כ less frכm di ed fכ di plasεnta. we dεn mek dis kayn kכnεkshכn to di margin, sכmtεm (nכto כltεm) di nyutrishכnal joyn frכm di plasεnta to di pikin kin slo sכmtεm. If dat apin, di pikin kin gro slo smɔl. wi kכl dis `(IUGR - Intrauterin Growth Restriction)`. Dɔn bak, sɔntɛnde di pikin in at kin rit we i de bɔn pikin.

כltu di mכst imכtant tin ya na fכ mכst bεlε wit `(Marginal Cord Insertion)` de dכn wit hεlty bכn we nכ gεt nכ prכblεm. So, i bɛtɛ lɛ yu nɔ panik wantɛm wantɛm, nɔto so?

Aw dis sik kin kɔmɔn?

dis kכndyushכn we dεn kכl ``Marginal Cord Insertion'', kin kכmכn fכ bεlε we dεn bכn bכku bכku pikin dεm, lεk twins כ triplet, pas fכ bεlε we dεn bכn wan uman. i kin apin bitwin 2% εn 25% pan di bεlε. di rεt de lכs pan singl bεlε εn i hכy pan mכltipכl bεlε.

Wetin na di sayn dɛm wae kin ɛp yu fɔ no if yu gɛt Marginal Cord Insertion?

Na wan impɔtant pɔynt dis. Bɔku tɛm, mama we gɛt ``Marginal Cord Insertion'' nɔ kin gɛt ɛni patikyula sayn.Sɔntɛm yu nɔ go notis ɛni difrɛns. Bɔku tɛm yu dɔktɔ go si dis abnɔmal ɔmbilikal kɔd kɔnekshɔn we dɛn de du ɔltrasɔund skan ɔltɛm we yu gɛt bɛlɛ.

Wetin mek dis (Marginal Cord Insertion) kin apin? Wetin na di tin dɛn we kin mek i apin?

Risach pipul dɛm stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek dɛn put Marginal Cord Insertion. Bɔt dɛn tink se sɔm tin dɛn kin mek di risk fɔ mek dɛn put dis kayn kɔd insay. as wi bin dכn tכk bifo, i kin kכmכn fכ bεlε we gεt bכku pikin dεm (lεk twins). Apat frɔm dat, bɔku ɔda tin dɛn de we kin ɛp:

• Yuz drɔgs ɔ rɔm we yu gɛt bɛlɛ.
• Fɔ gɛt wan sik we nɔ de mɛn lɛk dayabitis.
• Mama in ej na 35 ia ɔ pas dat ( advanced maternal age ).
• Dis na yu fɔs bɔn (`Nulliparity`).
• We yu dɔn yuz IUD (Intrauterine Device) bifo yu gɛt bɛlɛ.
• bεlε tru atifishal riprodaktiv tεknכlכji (ART - Artificial Riprodaktiv tεknכlכji) (e.g. tεst tyub pikin dεm).

Bɔt mɛmba se, jɔs bikɔs yu gɛt wan ɔ mɔ pan dɛn tin ya nɔ min se yu go gɛt Marginal Cord Insertion. fכ egzampl, bכku pipul dεm we de bכn tru ART kin gεt nכmal כmbilikal kכd insay. di imכtant tin na dat ivin if sכm abnכmal tin de na di כmbilikal kכd we dεn put, bכku pipul dεn kin go bifo fכ gεt bεlε we gεt hεlth.

Ustɛm dɛn kin no se dɛn gɛt di sik we dɛn kɔl Marginal Cord Insertion?

bכku tεm dεn kin no dis kayn כmbilikal kכd abnכmaliti dεm we dεn de skan כltra saund insay di sεkכn trimεst (wik 14 to 27) . Bɔt sɔntɛnde, i kin at fɔ mek di dɔktɔ no di rayt say usay di ɔmbilikal kɔd tay pan di plasɛnta.

If na so i bi, di dɔktɔ kin yuz wan spɛshal we we dɛn kɔl Doppler we dɛn de du di ɔltra saund ɛgzam. dis de mek yu si klia wan di bכdi we de fכlכ bitwin di plasεnta εn di pikin, we min di we aw di pikin de it. dis dכplεr egzamεn de εp fכ fכn di εksakכt lכkεshכn we di כmbilikal kכd atachmεnt de.

Wetin na di tritmɛnt dɛm fɔ dis?

Naw, no patikyula tritmɛnt nɔ de we go "fiks" wan kɔndishɔn we dɛn kɔl ``Marginal Cord Insertion''. dis min se dεn nכ kin chenj di כmbilik kכd. Bifo dat, yu dɔktɔ go de wach yu ɛn yu pikin gud gud wan ɔl di tɛm we yu gɛt bɛlɛ. Dis na fɔ mek dɛn nɔ gɛt ɛni prɔblɛm we go apin. Dɛn go chɛk bak fɔ si if di pikin de divɛlɔp fayn ɛn if ɛni ɔda tin de we kin mek i gɛt dis sik. Sɔntɛnde, dɛn kin se dɛn fɔ du sizarian sɛkshɔn (C-section) if ɛni prɔblɛm de.

If dɛn de wach dɛn kayn tin ya gud gud wan, dɛn kin ridyus di prɔblɛm dɛn bad bad wan. So abop pan yu dɔktɔ dɛn ɛn du wetin dɛn se.

I gɛt we fɔ mek dɛn nɔ put Marginal Kɔd insay?

Nɔ, yu nɔ go ebul fɔ mek wan Marginal Cord Insertion nɔ apin. I nɔto sɔntin we yu go ebul fɔ kɔntrol. Bɔt yu kin wok klos wit yu dɔktɔ, wach yu bɛlɛ gud gud wan, ɛn du ɔl wetin yu ebul fɔ ɛp fɔ mek shɔ se yu gɛt wɛlbɔdi pikin ɛn bɔn pikin fayn fayn wan.

Di kɔndishɔn (Marginal Cord Insertion) kin wɛl fɔ insɛf?

I kin apin. כl di tεm dεm, `(Marginal Cord Insertion)` nכ de gi big risk to di bεlε, εn i nכ de mek di pikin nכ gεt di it we i nid. If na so i bi, yu nɔ nid fɔ wɔri tumɔs bɔt di we aw di ɔmbilikal kɔd de tay. Bifo dat, trɔst se yu dɔktɔ go tek tɛm wach aw di pikin de gro, ɛn pe atɛnshɔn fɔ mek yu gɛt wɛlbɔdi we yu gɛt bɛlɛ.

Yu tink se Marginal Cord Insertion na risky kɔndishɔn?

if eni abnכmal tin de na di we aw di כmbilikal kכd de atak, i kin mek sכm risk dεm we uman bεlε. Bɔt nɔr tek di wɔs tin we dɛn no se yu gɛt `(Marginal Cord Insertion)`. Bikɔs bɔku tɛm we dɛn no se gɛt `(Marginal Cord Insertion)`, dɛn kin bɔn bɛlɛ we gɛt wɛlbɔdi ɛn pikin we gɛt wɛlbɔdi.

Yu dɔktɔ kin tɔk bɔt ɛnitin we de mɔna yu wit yu mɛdikal histri ɛn ɔltra saund rizɔlt. Wan pan di big tin we de mɔna yu pikin na dat yu pikin kin gro tumɔs sloslo, wan sik we dɛn kɔl Intrauterine Growth Restriction (IUGR). if di pikin nכ de gεt inof nyutrishכn frכm di plasεnta, i kin de pan risk fכ IUGR. Dɛn tin ya kin apin to yu pikin we dɛn jɔs bɔn:

• di wet we dεn bכn we dεn bכn lכw: Na pikin we dεn bכn we in wet we nכ rich 5 paund εn 8 כns (lεk 2.5 kilogram), pan avεj.
• Low Apgar score: Di Apgar test na wan we fɔ asɛs di pikin in wɛlbɔdi jɔs afta dɛn bɔn am. If di Apgar skɔ smɔl, dat kin sho se di pikin kin gɛt prɔblɛm wit in at ɔ in lɔng. Dɛn kayn bebi dɛn de kin nid fɔ kia fɔ dɛn mɔ.
• I go izi fɔ mek dɛn gɛt fɔ de na di Nionatal Intensive Care Unit (NICU): Dɛn kin kip di pikin na di NICU fɔ mek dɛn go kia fɔ am mɔ te di pikin wɛl ɛn dɛn kin transfa am to rɛgyula wɔd.

If yu dɔktɔ tink se prɔblɛm de fɔ yu ɔ yu pikin, i kin tɛl yu fɔ du sizarian sɛkshɔn (C-section).

Yu tink se (Marginal Cord Insertion) kin bi (Velamentous Cord Insertion)?

wan kכndyushכn we dεn kכl ``Marginal Cord Insertion'', spεshal wan insay di tכd trimεst (wik 29 to 40) we uman bεlε, kin tכn to wan kכndyushכn we dεn kכl ``Velamentous Cord Insertion''. Bɔt, dis nɔ kin apin so ɔltɛm.Velamentous Cord Insertion na we di כmbilikal kכd nכ de atak di plasεnta dεn wan dεm, bכt i de atak di mεmbran dεm we de autsay di plasεnta. dis kכndyushכn de sכmtεm sכmtεm pas di Marginal Cord Insertion (we de apin insay lεk 1% pan di bεlε) εn i nid sכm mכr atεnshכn.

yu dכkta go wach di we aw di כmbilikal kכd de atak εn εp yu fכ rich di bεst risכlt insay dεn tu situeshכn dεm ya, ``Marginal Cord Insertion`` εn ``Velamentous Cord Insertion``.

So, a fɔ wɔri bɔt Marginal Cord Insertion?

Nɔ, yu nɔ nid fɔ wɔri. Bɔrku pipul dɛm wae gɛt Marginal Cord Insertion gɛt wɛl bɔdi pikin dɛm. If di pikin de gɛt di rayt it we i nid fɔ gro, we yu gɛt Marginal Cord Insertion, i nɔ go afɛkt yu bɛlɛ.

Tɔk to yu dɔktɔ bɔt ɛnitin we de mɔna yu. Bɔku tin dɛn de we kin mek pɔsin gɛt prɔblɛm dɛn we i gɛt ɛni bɛlɛ. wan abnכmal tin na di כmbilikal kכd kin bi risk כ i nכ kin bi risk. Yu dɔktɔ kin gayd yu fɔ yu bɛlɛ ɛn gi yu ɔnɛs asɛsmɛnt.

Wetin na di impɔtant kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ?

Na nɔmal tin fɔ gɛt bɔku kwɛstyɔn dɛn na yu maynd pan tɛm lɛk dis. Na sɔm kwɛstyɔn dɛn we yu kin aks yu dɔktɔ:

• כl di tεm we a go nid fכ du כltra saund skan fכ mכnitor mi bεlε?
• A nid fɔ du ɛni ɔda tɛst?
• Aw i go bi se Marginal Cord Insertion go afɛkt mi bɛlɛ?
• Yu tink se dɛn go nid fɔ du ɔda tɛst fɔ chɛk aw di pikin de gro?
• Aw a fɔ ajɔst mi it, ɛksesaiz, ɛn mami ɛn dadi biznɛs fɔ mek a gɛt bɛlɛ we gɛt wɛlbɔdi?
• Aw bɔku slip a fɔ gɛt fɔ wan de? Aw bɔku rɛst a fɔ gɛt fɔ wan de?

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Na nɔmal tin fɔ fil smɔl frayd we yu yɛri se yu gɛt `(Marginal Cord Insertion)`. Bɔt nɔ mek dis diagnosis ad strɛs we nɔ nid to yu bɛlɛ. `(Marginal Cord Insertion)` kin nid fɔ gɛt ɔda monitarin ɔ kia. I pɔsibul bak se di sik nɔ go afɛkt yu bɛlɛ atɔl.

De tin wae impɔtant pas ɔl na fɔ mek yu dɔktɔ no se yu gɛt dis sik. Dis infɔmeshɔn go ɛp dɛn fɔ mek yu ɛn yu pikin gɛt wɛlbɔdi as dɛn ebul. Mɛmba se bɔku mama dɛn we gɛt dis sik kin go bifo fɔ bɔn pikin dɛn we gɛt wɛlbɔdi. So tink gud wan, fala yu dɔktɔ in advays, ɛn ɔltin go fayn!

` כmbilikal kכd, plasεnta, bεlε, di pikin in divεlכpmεnt, כltra saund, Marginal Kכd Insεshכn, IUGR