Yu pikin we yu jɔs bɔn gɛt dɛn prɔblɛm ya? Lɛ wi tɔk bɔt di Nionatal Opioid Withdrawal Syndrome (NOWS) .

Di gladi at we mama kin gɛt we i kam wit pikin we dɛn jɔs bɔn na os, wi nɔ go ebul fɔ ɛksplen am. Bɔt sɔntɛnde, if di pikin kɔntinyu fɔ kray, spit milk bɔku tɛm, ɔ i tan lɛk se i de du strenj tin, i kin rili mek mama fred. Tide wi go tɔk bɔt wan pan dɛn kayn tin ya we de mek wi fred bɔt we impɔtant we wi nid fɔ no bɔt. Dat na di Nionatal Opioid Withdrawal Syndrome (NOWS) insay pikin dεm we dεn bכn pikin dεm. Bifo dis tɛm, dɛn bin de kɔl am bak Neonatal Abstinence Syndrome (NAS) .

Wetin na di nyu bכbi opioid witdrawal sεndrכm (NAWS)?

Fɔ tɔk am simpul wan, dis na we di mama de yuz sɔm drɔgs (espɛshali opioid) ɔ ɔda tin dɛn we kin mek i gɛt adikshɔn we i gɛt bɛlɛ, ɛn di pikin kin gɛt dɛn tin dɛn de we i de na di bɛlɛ, ɛn di prɔblɛm we kin apin afta dɛn pul di tin dɛn na di bɔdi afta dɛn bɔn am. yu no se we di pikin de insay di bεlε, i de gεt nyutriεnt εn כksijεn frכm di mama tru wan כgan we dεn kכl di plasεnta . semweso, sכm mεdikeshכn εn drog dεm we di mama de tek de pas bak tru dis plasεnta to di pikin. So, we di pikin de insay di bɛlɛ, i kin yus to dɛn tin ya insay wan we, dat na, i kin bigin fɔ dipen pan dɛn. we di saplae we di mama de gi am stכp afta dεn bכn am, di pikin in bכdi kin at fכ bia wit am. Na da tɛm de dɛn sayn ya fɔ lɛf fɔ it kin apia.

Us drɔgs kin mek pɔsin gɛt NAW?

Dis kכndyushכn kin kכz mεntal frכm drog dεm we de na di opioid klas. Na sɔm ɛgzampul dɛn ya:

• `( Amfɛtamin dɛn )`
• `( Buprenɔfin )`
• `(Kɔdin)`
• `(Heroin)`
• `( Ɔksijɛn )`
• `( Haydrokɔdɔn )`
• `(Mɔfin)`
• `(Mɛtadɔn)`

Apat frɔm dis, sɔm ɔda tin dɛn kin mek pɔsin gɛt dis sik bak. Dɛn na:

• Rum
• Barbiturates (sɔm kayn pils fɔ slip) .
• Benzodiazepines (sɔm tin dɛn we de mek pɔsin fil fayn) .
• Nikotin (we de insay tabak ) .
• Sɔm kayn mɛrɛsin wae de mek pɔrsin fil bad, mɔr lɛk di wan dɛm wae de na di grup wae dɛn kɔl Selective Serotonin Reuptake Inhibitors (SSRIs).

Di tin we impɔtant pas ɔl na dat, if yu gɛt bɛlɛ ɔ yu plan fɔ gɛt bɛlɛ, yu fɔ rili tɛl yu dɔktɔ bɔt ɛni mɛrɛsin, sɔpɔtmɛnt, ɔ ɔda tin dɛn we yu de tek.

Dis sik kin kɔmɔn? Udat dɛn kin afɛkt mɔ?

Dis NOWS kɔndishɔn na ɔnfɔni ripɔt fɔ de bɔku ɔlsay na di wɔl. Infakt, akɔdin to sɔm stɔdi dɛm, akɔdin to sɔm stɔdi dɛm, dɛn kin bɔn wan pikin wit NOW ɛvri 25 minit. Dat min se, lɛk sɛvin pan ɛvri tu tawzin pikin dɛn kin gɛt dis prɔblɛm. dis kin afekt nyu bכn pikin dεm we dεn mama bin de yuz opioid כ כda adiktiv tin dεm we dεn bεlε. Drug adikshɔn nɔ simpul lɛk aw i tan, na kɔmpleks tin.

Wetin kin apin to di pikin in bɔdi bikɔs ɔf NAW? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

Dɛn sayn ya we dɛn kɔl witdraw simptom kin kɔntinyu te di pikin dɔn lɛf di mɛrɛsin kpatakpata. Dis kin mek di pikin kray bɔku, i nɔ kin rɛst bad bad wan, ɔ i kin biev lɛk se i sik. Aw i nɔ kin izi fɔ mek nyu mama ɔ papa si dɛn smɔl pikin de sɔfa lɛk dis? I kin tranga bak fɔ kɔrej di pikin insay dis tɛm. dipכnt pan di kayn sik we di pikin de si, i kin nid fכ trit di pikin na di Neonatal Intensive Care Unit (NICU) . Dis na te di pikin dɔn ɔf di drɔg kpatakpata ɛn i de du wɛl. Di Kɔmɔn Simptom dɛn:

• Fɔ vɔmit ɔltɛm ɛn/ɔ dayarɛa
• Fiva ɛn swet
• Fɔ blo kwik kwik wan
• Kɔntinyu fɔ kray lawd wan
• Fɔ sok bɔku tɛm
• Di we aw pɔsin kin shek shek
• Daypa rash (di skin de rɛd na di bɔdi we de na di bɔdi bikɔs ɔf di dayaper rash) .

Ɔda sayn dɛm wae yu kin si:

• di mכsul dεm we de stiff (Hypertonia) εn di rεflεks dεm we de wok pasmak
• I nɔ izi fɔ mek yu gɛt mɔ wet
• I nɔ kin izi fɔ slip ɛn fɔ de slip
• Prɔblɛm dɛn we pɔsin kin gɛt we i de drink milk
• Di we aw wan patɛn we tan lɛk mabul we gɛt mɔt na di skin (mottling) .

Dɛn sayn ya kin difrɛn frɔm wan pikin to ɔda wan, ɛn aw i kin tranga kin difrɛn. I dipen pan:

• I dipen pan us kayn drɔg de na di pikin in bɔdi.
• I dipen pan aw bɔku pan di mɛrɛsin de na di bɔdi.
• I dipen pan aw lɔng di pikin bin de pan di drɔg we i bin de na di bɛlɛ.

Wetin fɔ du if di sayn dɛn de wɔs?

If di pikin gɛt tumɔs pan di drɔg na in bɔdi we dɛn bɔn am, i kin gɛt siriɔs sik dɛn we kin ivin mek i day. Dɛn tin ya na:

• Fɔ bɔn pikin bifo tɛm
• Divɛlɔpmɛnt prɔblɛm ɛn bɔn pikin dɛn we nɔ fayn
• Di sik dɛn we kin mek pɔsin sik
• Wan sik we dɛn kɔl Sudden Infant Death Syndrome (SIDS) .

Ustɛm di sayn dɛn kin sho?

Dɛn sayn ya kin bigin fɔ sho insay wan ɔ tri dez afta dɛn bɔn di pikin. Sɔntɛnde, di sayn dɛm nɔ kin sho fɔ te wan wik. insay dis tεm, bכku tεm dεn kin kip di pikin na di כspitul in ``NICU'' te di tin kכmplit kכmכt na di bכdi εn di pikin bכku fכ go na os.

Yu tink se NOW kin mek i gɛt prɔblɛm dɛn we go de fɔ lɔng tɛm?

Dis na tin we rili sɛnsitiv. Di lכng tεm ifekt dεm we NOWS kin gεt kin difrεn dipכnt pan aw di kכndyushכn de tranga. As di pikin de big, dɛn kin gɛt:

• divεlכpmεnt dilay : Dilay fכ divεlכpmεnt fכ di kכgnitiv, soshal, εn mכtal skil dεm.
• Prɔblɛm dɛn we pɔsin kin gɛt we i de biev na skul.
• Prɔblɛm dɛn wit shɔt tɛm mɛmori.
• Prɔblɛm fɔ gro (ayt, we yu de lɔs).
• Prɔblɛm fɔ yɛri ɛn si.

So, i rili impɔtant fɔ kɛr yu pikin go fɔ chɛk in wɛlbɔdi ɔltɛm fɔ mek shɔ se i de mit di divɛlɔpmɛnt maylston dɛn fɔ in ej. Stɔdi dɔn sho se pikin dɛn we dɛn bɔn wit NOWS kin gɛt dɛn kayn tin ya we dɛn de gro:

• Atɛnshɔn-Dɛfisit/Haypa Aktiviti Disɔda (ADHD) .
• Wɔri
• Pwɛl at

Aw fɔ no di NAOWS stetɔs?

Bikɔs di sayn dɛm fɔ NOWS kin tan lɛk ɔda sik dɛm we de apin to pikin dɛm we dɛn jɔs bɔn, dɔktɔ dɛn kin jɔs no bɔt di sik afta dɛn dɔn lan bɔt di mɛrɛsin dɛn we di mama bin tek we i gɛt bɛlɛ ɛn afta dɛn dɔn du drɔg skrin . Dis drɔg skrin kin no us kayn drɔgs de na di pikin in bɔdi ɛn ɔmɔs. dis kin bi bay we dεn tεst wan sεmpl fכ di pikin in כmbilik kכd, urine, bכdi, כ di pikin in fכs stכl (meconium). Sɔntɛnde, dɛn kin tɛst di mama bak fɔ gɛt drɔgs fɔ kɔnfirm se i gɛt di sik. Apat frɔm dat, dɔktɔ dɛn kin yuz wan we we dɛn kɔl NAS scoring system . Dɛn kin yuz dis fɔ gi wan mak bay aw di pikin in sik tranga ɛn plan di tritmɛnt akɔdin to dat.

Wetin na di tritmɛnt dɛm fɔ NOWS?

Di tritmɛnt we dɛn kin gi di pikin kin dipen pan di kayn mɛrɛsin we de na in bɔdi, di kayn mɛrɛsin we i gɛt, di pikin in ɔl wɛlbɔdi, ɛn aw di sik dɛn kin tranga. Di tritmɛnt kin inklud:

• Gi mɛrɛsin fɔ ridyus di sayn dɛm smɔl smɔl.
• If di pikin nɔ gɛt wata, gi am salin insay in bɛlɛ (IV fluid).
• Fɔ put krim ɔ ɔntmɛnt fɔ mek yu gɛt nɛpi rɔsh ɛn fɔ mek yu skin irita.
• Fכ chenj di frεkuεns εn di כmכnt we yu de gi in bεlε: fכ εp yu pikin fכ gεt wet, gi am fכmula we gεt bכku kalori sכm sכm sכm tεm.

di tritmεnt kin te fכ fayv dez to lεk siks mכnt, te di pikin wɛl εn nכ drog nכ de na dεn bכdi. Dɛn kin nid tritmɛnt fɔ lɔng tɛm fɔ ridyus di sayn dɛm, lɛk kɔgnitiv bihayvya tɛrapi (CBT) , ɔl di pikin in layf.

Us kayn mɛrɛsin dɛn kin gi fɔ NOW?

If yu pikin gɛt siriɔs sik, dɔktɔ dɛn kin yuz sɔm mɛrɛsin fɔ ɛp fɔ kɔntrol dɛn sik ya we i kin gɛt we i de lɛf fɔ it ɛn ɛp yu pikin fɔ it ɛn slip fayn. Dis min se yu fɔ gi yu pikin wan mɛrɛsin we rili smɔl we fiba di wan we dɛn bin gi am na di bɛlɛ, smɔl smɔl yu fɔ ridyus di doz, ɛn pul di pikin wef pan am. Dis na bikɔs if yu stɔp di mɛrɛsin wantɛm wantɛm (kol tik) i kin mek di sik wɔs. Sɔm pan di mɛrɛsin dɛn we dɛn kin yuz fɔ dis wok na:

• `(Mɛtadɔn)`
• `(Mɔfin)`
• `(Buprenɔfin)`
• `(Fɛnobarbital)`
• `(Klɔnidin)`

If yu pikin nid fɔ gɛt mɛrɛsin dis we, yu kin nid fɔ de na ɔspitul fɔ sɔm wik ɔ mɔnt. Dis na fɔ mek shɔ se di dɔktɔ dɛn gɛt wɛlbɔdi fɔ stɔp di mɛrɛsin kpatakpata ɛn sɛn di pikin go na os.

Aw di mama go ɛp fɔ kɔntrol di sik dɛn we in pikin gɛt?

We yu pikin de sɔfa wit di sayn dɛm we de sho se i de lɛf fɔ drink, i kin rili strɛs ɛn i nɔ kin izi fɔ kɔrej am. Bɔt as mama, yu kin ɛp bay we:

• Stay klos to di pikin as yu ebul.
• Ridyus di brayt layt ɛn lawd nɔys na di say we di pikin de.
• Rɔk di pikin saful wan.
• Hol yu pikin klos to yu chɛst ( skin-to-skin contact ). Dis kin rili kɔrej yu pikin.
• Rap di pikin fayn fayn wan wit saf klos (swaddling).

A kin gi mi pikin in bɛlɛ we a de tek drɔgs?

Dis na tin we rili impɔtant. Yes, drɔgs lɛk opioid kin pas insay yu pikin in mama in milk. Dis kin gɛt denja sayd ɛfɛkt fɔ yu pikin. So, if yu de yuz drɔgs we yu dɔktɔ nɔ gri fɔ, nɔ gi yu pikin in bɛlɛ fɔ ɛni rizin . Bifo dat, gi yu pikin fɔmula ɔ mama in milk we yu gi yu. Bɔt if yu de na drɔg tritmɛnt program, dat min se if yu de tek wan opioid we dɛn dɔn tɛl yu fɔ tek (lɛk mɛtadɔn) we yu gɛt bɛlɛ ɔ afta yu bɔn fɔ mek yu nɔ gɛt di sayn dɛn we de sho se yu dɔn lɛf fɔ tek drɔgs, yu kin ebul fɔ gi yu mama in bɛlɛ. Bɔt na if yu dɔktɔ gri fɔ yu ɛn if dɛn disayd se i nɔ bad fɔ yu pikin. If yu gɛt prɔblɛm wit drɔgs ɔ yu gɛt adikshɔn, tɔk to yu dɔktɔ bɔt aw fɔ gɛt tritmɛnt fɔ am. If yu gɛt wɛlbɔdi, dat go mek yu gɛt trɛnk fɔ de fɔ yu pikin we dɛn nid yu mɔ.

Aw fɔ mek yu nɔ gɛt NOW?

Yu kin tek dɛn step ya fɔ mek yu pikin nɔ gɛt siriɔs sayn dɛn fɔ NOWS:

• If yu gɛt bɛlɛ, mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni mɛrɛsin ɔ tin we yu de yuz. If yu stɔp fɔ yuz drɔgs we yu dɔn de yuz fɔ lɔng tɛm wantɛm wantɛm, yu kin gɛt siriɔs sayn dɛn fɔ lɛf fɔ yuz am, ɛn dis kin ambɔg yu pikin we yu nɔ bɔn yet. Yu dɔktɔ go tɛl yu bɔt di tritmɛnt dɛn we nɔ bad fɔ yu ɛn yu pikin.
• Tɛl yu dɔktɔ bɔt ɛni mɛrɛsin ɛn supamakit we yu de tek. Mek shɔ se dɛn sef fɔ yu ɛn yu pikin. Nɔ stɔp fɔ tek ɛni mɛrɛsin te yu dɔktɔ tɛl yu fɔ tek am.
• Yuz kɔntrasepshɔn te yu rɛdi fɔ bɔn pikin. If yu de du mami ɛn dadi biznɛs ɛn yu gɛt prɔblɛm fɔ yuz drɔgs ɔ yu de tek tritmɛnt fɔ am, du mami ɛn dadi biznɛs we sef te yu gɛt wɛlbɔdi fɔ gɛt bɛlɛ.

If mi pikin gɛt NAW, wetin a fɔ ɛkspɛkt?

Bebi we dɛn no se gɛt NOWS kin de na ɔspitul fɔ lɛk 20 dez fɔ mek shɔ se dɛn wɛl fɔ go na os. Sɔntɛnde, NOWS tritmɛnt kin las fɔ siks mɔnt. Dɔktɔ dɛn go wach yu pikin in sik dɛn gud gud wan ɛn sɛn am na os afta di mɛrɛsin dɛn dɔn klin frɔm dɛn sistɛm. Yu dɔktɔ go gi yu advays bɔt aw fɔ gi yu pikin in bɛlɛ ɛn aw fɔ kia fɔ yu pikin. Mɛmba se if yu de yuz drɔgs, nɔ gi yu pikin in mama in bɛlɛ, bikɔs di drɔgs kin pas to yu pikin tru yu mama in milk ɛn mek yu gɛt sayn dɛn we kin afɛkt in wɛlbɔdi. Afta yu dɔn briŋ yu pikin kam na os frɔm ɔspitul, yu pikin go nid yu ɛkstra lɔv ɛn sɔpɔt fɔ sɔm wik ɔ mɔnt, ɛn sɔntɛm ɔl di tɛm we i smɔl. Pe atɛnshɔn gud wan to aw yu pikin de gro ɛn aw i de gro. If yu pikin nɔ de mit di divɛlɔpmɛnt maylston dɛm fɔ in ej, tɛl yu dɔktɔ wantɛm wantɛm.

Ustɛm yu fɔ go to tritmɛnt kwik kwik wan?

If yu pikin gɛt dɛn kayn bad bad sik ya, go to di Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm ɔ kɔl 1990:

• Ay fiva we kin las fɔ pas 24 awa.
• If yu nɔ de drink milk, ɔ if yu vɔmit afta yu dɔn drink milk.
• If wan sik we dɛn kɔl seizure apin.
• If di at bit nɔ de bit.
• If yu gɛt prɔblɛm fɔ blo.

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

• Us mɛrɛsin dɛn we nɔ bad fɔ tek we uman gɛt bɛlɛ?
• Aw yu kin lɛf fɔ yuz drɔgs we go mek yu gɛt adikshɔn?
• Yu tink se di sik dɛn we mi pikin gɛt go afɛkt am fɔ lɔng tɛm?
• Aw a go kɔrej mi pikin we dɛn de trit mi?

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

Drug adikshɔn na tin we rili tranga ɛn i kin rili tranga. We yu gɛt bɛlɛ, dɛn filin ya kin mɔna yu, ɛn yu kin fil lɛk se yu nɔ no wetin fɔ du. Bɔt mɛmba se nɔto yu wangren de.

Tritmɛnt dɛn de fɔ ɛp yu ɛn yu pikin fɔ liv gladi ɛn wɛlbɔdi layf. Di tin we impɔtant pas ɔl na fɔ tɔk tru to yu dɔktɔ bɔt ɔl di mɛrɛsin ɛn drɔgs we yu de tek we yu gɛt bɛlɛ. Dis go ɛp yu dɔktɔ fɔ no di bɛst tritmɛnt fɔ yu ɛn yu pikin. Natin nɔ bad fɔ aks fɔ ɛp, i de gi pawa.

Nionatal Opioid Withdrawal Syndrome, Nionatal Abstinence Syndrome, NOWS, NAS, nyu bכbi we dεn dכn witdraw, pikin we dεn de tek drog, opioid adikshכn bεlε, drog bεlε, nyu bכbi pikin dεm, dכg ifekt pan di pikin