Yu smɔl pikin gɛt dis smɔl prɔblɛm wit dɛn at? (Patent Ductus Arteriosus - PDA) Lɛ wi lan bɔt am!

Yu dɔn ɛva fil lɛk se i nɔ izi fɔ yu smɔl pikin fɔ blo afta dɛn bɔn am? Ɔ yu dɔn notis se dɛn de swet ɛn swɛt we dɛn de gi dɛn bɛlɛ? Sɔntɛnde, dis kin kam bikɔs ɔf smɔl prɔblɛm we de na smɔl pikin dɛn at. wan pan dis kayn kכndyushכn we wi go tכk bכt tide dεn kכl am `Patent Ductus Arteriosus` כ `(PDA)`. Nɔ wɔri, lɛ wi tɔk bɔt dis simpul wan.

Wetin na `Patent Duktus Arteriosus (PDA)`?

Fɔ tɔk am simpul wan, `PDA` na at kכndyushכn we kin apin pan nyu bכbi pikin dεm. i kin apin we wan bכdi we dεn kכl `ductus arteriosus`, we dεn fכ klos afta dεn bכn di pikin, nכ de kכloz fayn fayn wan. Tink bɔt am lɛk smɔl ol we dɛn lɛf na wata paip.

Wetin kin apin wit di `Ductus Arteriosus`?

Fɔ ɔndastand dis, wi nid fɔ go bak smɔl to di tɛm we di pikin bin de na di mama in bɛlɛ. we di pikin de na di bεlε, in lכng dεm de wok bכku bכku wan. dis na biכs di pikin de gεt di כksijεn we i nid frכm di mama tru di כmbilikal kכd. So, insay dis tεm, bכku pan di bכdi we nid fכ kכmכt na di pikin in at to di lכng dεm de baypas di lכng dεm. wan spεshal bכdi we de εp wit dis dεn kכl am `ductus arteriosus`. dis na, fכ bi prεsis, lεk sכmכl brij bitwin di men at na di at (di `aorta`) εn di men at we de go na di lכng (di `pulmonary artery`). we dεn bכn di pikin εn bigin fכ brith in wan, dis `ductus arteriosus` nכ nid am igen, so i kin kכloz in wan insay fכ de dεm.

Wetin kin apin to bebi dɛn we gɛt `PDA`?

naw, wetin de apin pan pikin we gεt `PDA` na dat di `ductus arteriosus` nכ de kכloz kכmplit wan, i de lεf sכm ol. biכs fכ dis, εkstra bכdi de fכm frכm di men at na di at (`aorta`) to di at dεm we de go na di lכng (`pulmonary arteries`). dipכnt pan di sayz fכ dis ol, di pikin in at εn in lכng dεm fכ wok tranga wan fכ pכmp blכd. Fɔ tɔk di kɔrɛkt tin, dɛn fɔ du mɔ wok.

Udat dis `PDA` sityueshɔn kin afɛkt mɔ?

dis `PDA` kכndyushכn kin kכmכn mכst pan pikin dεm we dεn bכn bifo tεm, we min se dεn wan dεm we dεn bכn wan mכnt bifo. Dɛn dɔn si bak se i kin bɔku smɔl pan gyal pikin dɛn pas bɔy pikin dɛn.

Aw kɔmɔn tin na `PDA`?

Infakt, PDA na wan pan di at sik dɛm we dɛn kin si pan pikin dɛm we dɛn jɔs bɔn. I kin apin mɔ pan pikin dɛn we dɛn bɔn bifo tɛm. di risk kin difrεn dipכnt pan di wik we dεn bכn di pikin.

Tink bɔt am dis we:

• bכt 10% pan di pikin dεm we dεn bכn bitwin 30 εn 37 wik.
• bכt 80% pan di pikin dεm we dεn bכn bitwin 25 εn 28 wik.
• bכt 90% pan di pikin dεm we dεn bכn bifo 24 wiks di bεlε kin gεt dis kכndyushכn, we dεn kכl `PDA'.

Nɔ mek yu fred wit dɛn statystik ya. Dis kin jɔs sho di risk. Dis nɔ go siriɔs fɔ ɔlman.

Aw PDA de afɛkt yu pikin?

If yu gɛt midul ɔ big PDA, yu pikin kin blo fast ɛn tranga pas aw i kin blo. Dis na bikɔs di bɔdi de tray fɔ bia wit di ɛkstra blɔd we de go na di lɔng dɛn. If dɛn nɔ trit dis sik fɔ lɔng tɛm, i kin mek di blɔd prɛshɔn na di lɔng dɛn ay (Pulmonary Hypertension) ɛn i kin mek di blɔd vesel dɛn pwɛl. Dis na di rizin we mek i impɔtant fɔ no bɔt dis.

Wetin na di tin dɛm we de mek `PDA`?

Risach pipul dεm stil nכ kin tכk εksεkshכn wetin mek dis kכndyushכn we dεn kכl `PDA` de apin. Bɔt dɛn dɔn no sɔm tin dɛn.

• Jɛnɛtik inflɔwɛns: Sɔm jɛnɛtik kɔndishɔn ɔr famili histri bɔt at sik kin gɛt impak bak.
• rכbεla we i bεlε: If di mama gεt rubεla we i bεlε, di pikin de pan risk fכ gεt PDA.
• Nionatal Respiratory Distress Syndrome: Dis prɔblɛm we de wit di brith kin apin to pikin dɛn we nɔ de gɛt inof surfactant bifo dɛn bɔn dɛn. Dɛn kayn pikin ya kin gɛt PDA bak.

Wetin na di sayn dɛm fɔ PDA?

Di simptom dɛm fɔ wan PDA kin difrɛn difrɛn wan dipen pan di saiz fɔ di PDA. Smɔl PDA nɔ kin mek yu gɛt ɛni sayn, pas nɔmɔ if yu at de grɔmbul, we dɔktɔ kin yɛri wit stetɔskɔp.

Bɔt wan PDA we big smɔl kin sho sɔm sayn dɛn lɛk:

• Fɔ blo kwik kwik wan.
• I nɔ izi fɔ blo (dyspnea).
• We yu de swet we yu de gi pikin in bɛlɛ ɔ we yu de gi pikin in bɛlɛ.
• Fɔ taya kwik kwik wan, fɔ taya.
• Prɔblɛm fɔ it ɛn drink, di milk we yu nɔ de it bɛtɛ.
• Nɔ gɛt wet ɔ we i nɔ de gro.
• Di puls ɔ at kin blo kwik kwik wan.

If yu pikin gɛt dɛn sik ya, i bɛtɛ fɔ go to dɔktɔ we de mɛn pikin dɛn kwik kwik wan.

Aw dɔktɔ dɛn kin no if pɔsin gɛt PDA?

We yu tek yu pikin fɔ chɛk yu pikin ɔltɛm ɔ we yu tek am fɔ sik, di dɔktɔ kin yɛri di at grɔmbul we wi bin dɔn tɔk bɔt (`PDA at grɔmbul`) we i de chɛk yu pikin. If di dɔktɔ sɔprayz dis, i go rifer yu to pikin dɛn we de mɛn dɛn at.

Us tɛst dɛn kin du fɔ no if pɔsin gɛt `PDA`?

Di pikin dɛn we de mɛn dɛn at kin du sɔm tɛst fɔ kɔnfɔm di diagnosis fɔ PDA:

• X-ray na di chɛst.
• Wan ɔltra saund fɔ di at (echocardiogram). dis kin chεk tin dεm lεk aw di at de wok εn di sayz fכ di ductus arteriosus.
• Ilɛktrokardiogram (EKG) we dɛn kɔl. Dis de tɛst di ilɛktrik wok we di at de du.

Yu tink se big pipul dɛn kin gɛt PDA?

Yes, sɔmtɛm dɛn kin no PDA pan big pipul dɛn bak. If dɛn nɔ trit smɔl PDA we i smɔl, dɛn nɔ go notis am te i big. Di sayn dɛm wae kin kam pan big pipul dɛm na:

• At de grɔmbul.
• Di at we de blo.
• Pulmonari haypatɛyshɔn.

Tin dɛn lɛk dat kin apin.

Aw dɛn kin trit PDA?

Di dɔktɔ go disayd aw fɔ trit yu pikin bay tin dɛn lɛk aw yu pikin ol, in wet, ɛn in wɛlbɔdi.

• Wachful wet: Sɔntɛnde di dɔktɔ kin wach di pikin gud gud wan, chɛk ɛn tɛst fɔ si if di PDA go lɔk insɛf. Smɔl PDA nɔ kin nid tritmɛnt atɔl.
• Tritmɛnt wit mɛrɛsin: Dɛn kin gi nonsteroidal anti-inflammatory drugs (NSAID) fɔ ɛp fɔ lɔk di PDA, mɔ fɔ pikin dɛn we dɛn bɔn bifo tɛm. Dɛn tin ya kin ɛp di dakt fɔ shrink ɛn lɔk. Bɔt dɛn nɔ kin gi dɛn mɛrɛsin ya to pikin dɛn we dɔn ol ɔ big pipul dɛn.
• Ɔda tritmɛnt dɛn:
• Cardiac Catheterization: Dis min se yu fɔ put wan tin, fleksibul tyub (catheter) tru di groin ɛn trɛd am tru wan blɔd vesel to di at. Dɔn, dɛn kin pas wan smɔl tin (plɔg ɔ kɔyl) tru di tiub to di PDA ɛn sial am. Dis kin mek di ekstra blɔd flɔ. Dɛn nɔ kin du dis fɔ pikin dɛn we dɛn bɔn bifo tɛm, bɔt dɛn kin du am fɔ pikin dɛn we dɔn ol ɛn pikin dɛn.
• PDA ɔpreshɔn (Patent Ductus Arteriosus ɔpreshɔn): Insay dis, di ɔspitul dɛn kin kɔt smɔl say na di sayd na di chɛst ɛn lɔk di PDA wit ɛni wan pan di sutura ɔ smɔl mɛtal klip.

Tink bɔt dɛn tritmɛnt ya lɛk fɔ mek ol na wata paip. Yu kin plɔg am wit smɔl plɔg, ɔ yu kɔt di ol ɛn mek nyu wan.

Aw kwik di blɔd go go bak to nɔmal afta dɛn dɔn trit am?

Afta dɛn dɔn lɔk di PDA, ilɛksɛf na tru kadyak kateshɔn ɔ ɔpreshɔn, di blɔd flɔ kin kam bak to nɔmal klos wan wantɛm wantɛm, if nɔto ɔda at prɔblɛm de.

PDA kin mek ɔda prɔblɛm dɛn?

Afta dɛn dɔn lɔk di PDA, di blɔd flɔ na nɔmal tin, so big big prɔblɛm dɛn nɔ kin bɔku. Bɔt di pikin dɛn we dɛn dɔn lɔk dɛn PDA bay we dɛn yuz kadyak kateshɔn go nid fɔ tek antibayɔtik fɔ lɛk siks mɔnt fɔ mek dɛn nɔ gɛt at infɛkshɔn (endocarditis). Yu dɔktɔ go ɛksplen dis to yu ditayli. Big pipul dɛn nid bak fɔ tek antibayɔtik di sem we afta dɛn dɔn lɔk PDA ɛn kɔntinyu fɔ chɛk dɛn ɔltɛm wit dɔktɔ we de mɛn dɛn at.

A kin mek mi pikin nɔ gɛt PDA?

Natin nɔ de we yu kin du fɔ mek PDA nɔ divɛlɔp. Bɔku tɛm i kin gɛt fɔ du wit aw di pikin de gro.

Ɛni kɔndishɔn de we de mek mi pikin gɛt PDA?

yes, lεk aw wi bin dכn tכk, if yu gεt Jaman mizεl (`Rubella`) we yu bεlε, di pikin de pan hכy risk fכ gεt `PDA`. So, if yu gɛt bɛlɛ ɛn yu dɔn gɛt kɔntakt wit pɔsin we gɛt Jamani mizɛl, i rili impɔtant fɔ tɛl dɔktɔ wantɛm wantɛm.

Wetin a fɔ ɛkspɛkt if mi pikin gɛt PDA?

di gud nyus na dat afta tritmεnt, bכku pikin dεm we gεt PDA kin go bifo fכ liv hεlth, aktif layf. So natin nɔ de fɔ wɔri bɔt.

Yu tink se dɛn kin mɛn PDA ɔltogɛda?

Yɛs. If di PDA nɔ lɔk fɔ insɛf, dɔktɔ dɛn kin kɔrɛkt am if nid de. Bɔt bebi ɛn pikin dɛn we gɛt midul ɔ big PDA kin gɛt mɔ risk fɔ gɛt at prɔblɛm dɛn we dɛn dɔn big if dɛn nɔ trit dɛn kwik kwik wan. So, i rili impɔtant fɔ tɔk to yu dɔktɔ bɔt if yu pikin nid fɔ kɔntinyu fɔ gɛt mɛrɛsin.

Aw a go tek kia ɔf mi pikin wit PDA?

Di tin we impɔtant pas ɔl na fɔ fala ɔl di instrɔkshɔn dɛn we yu dɔktɔ gi yu. Tek yu pikin fɔ chɛk-ap pan di de dɛn we dɛn dɔn sɛtul. If yu pikin gɛt ɛni nyu sayn, lɛk i nɔ izi fɔ blo, i nɔ de it milk igen, ɔ i tan lɛk se i taya pas aw i kin bi, mek yu dɔktɔ no wantɛm wantɛm.

Ustɛm a fɔ kɔl di dɔktɔ?

If yu pikin gɛt ɛni nyu sayn, kɔl yu dɔktɔ wantɛm wantɛm. Ɛspɛshali if yu pikin gɛt prɔblɛm fɔ blo, dis na imejensi, so kɛr am go na ɔspitul wantɛm wantɛm.

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

pan ɔl we `Patent Ductus Arteriosus` ɔ `(PDA)` na wan at sik we dɛn bɔn wit, natin nɔ de fɔ wɔri bɔt. Gud tritmɛnt dɛn de fɔ am.

De tin wae impɔtant pas ɔl na fɔ no di sik di rayt tɛm ɛn gi yu di tritmɛnt we yu nid.

Tɔk to yu dɔktɔ ɛn disayd us tritmɛnt go fayn fɔ yu pikin. If yu trit yu smɔl pikin fayn, i go ebul fɔ liv gladi ɛn wɛlbɔdi layf lɛk ɛni ɔda pikin. Di kia we yu de kia fɔ yu pikin na in trɛnk pas ɔl!

` Patent Ductus Arteriosus, PDA, Infant Hat Disease, Premature Infant, At Murmur, Respiratory Distress, Pikin Wɛlbɔdi