yu bin fil smɔl frayd we yu obstetrician-gynecologist (OBGYN) tɛl yu se yu bɛlɛ na smɔl ‘high-risk’? Ɔ yu bin de wɔnda se, “Udat na dat?” we dɛn tɛl yu fɔ go si Pɛrinatɔlɔjis? Bɔku pipul dɛn kin fred we dɛn yɛri dis nem. Bɔt rili natin nɔ de fɔ fred. Dis na dɔktɔ we de kia fɔ yu ɛn yu pikin we nɔ gɛt bɛlɛ, ɛkstra kia, ɛkspɛriɛns, ɛn protɛkshɔn. So tide, lɛ wi tɔk simpul wan bɔt udat na Pɛrinatɔlɔjis, wetin dɛn de du, ɛn ustɛm yu go nid dɛn ɛp.
Fɔ tɔk am simpul wan, udat na dis Pɛrinatɔlɔjis?
Perinatologist na obstetrician-gynecologist (OBGYN) we dɔn gɛt spɛshal trenin fɔ gɛt bɛlɛ we gɛt ay risk . Spɛshal wan, apat frɔm di trenin we wan jenɛral ɔbstetrishan-gaynɛkɔlɔjis dɔn gɛt, dɛn dɔn gɛt tu to tri ia ɔda spɛshal trenin (Fɛlɔship) pan kɔmpleks wɛlbɔdi prɔblɛm dɛn we kin apin to di mama ɔ di pikin we dɛn gɛt bɛlɛ.
Yu kin yɛri dɛn pipul ya wit ɔda nem dɛn.
- Maternal-Fetal Medicine (MFM) Specialist: dis min "dכkta we spεshal pan di mama εn di pikin we de insay di bεlε."
- High-Risk OBGYN: "Obstetrician we spɛshal pan ay-risk bɛlɛ kɔndishɔn."
Ɔl di tri nem dɛn de tɔk bɔt di sem spɛshal pɔsin. di men wok we dεn de du na fכ mεnεj di mama in krεse mεdikal kכndyushכn we i bεlε כ fכ mek sכh se dεn bכn di pikin wit wan sik we dεn bכn wit, εn fכ bכn di mama εn di pikin sef wan.
Us savis yu kin gɛt frɔm dɔktɔ we de mɛn yu bɔdi?
Pɛrinatɔlɔjis na spɛshal pɔsin we de sɔpɔt yu ɔl di tɛm we yu gɛt bɛlɛ we gɛt ay risk. Dɛn wok rili brayt. Lɛ wi tek tɛm luk di men tin dɛn we dɛn de du.
| Savis | Dat min se... |
|---|---|
| Kɔnsɛl we dɛn kin gi bifo dɛn gɛt bɛlɛ | If yu gɛt sik we nɔ de mɛn lɛk dayabitis ɔ ay blɔd prɛshɔn, yu kin go to dis dɔktɔ bifo yu gɛt bɛlɛ ɛn gɛt advays bɔt aw fɔ kɔntrol da sik de we yu gɛt bɛlɛ. |
| Spɛshal kia fɔ di kɔndishɔn dɛn we gɛt bɛlɛ we gɛt ay risk | If dɛn no se yu bɛlɛ de pan denja, dɛn go du tɛst ɛn monitar yu ɔltɛm ɔnda dis spɛshal dɔktɔ, apat frɔm klinik dɛn ɔltɛm. |
| Patient Kwaliti Manejmɛnt | dεn de gi tritmεnt fכ kכntrכl wan kכndyushכn we bin de bifo כ wan nyu kכndyushכn we de divεlכp we uman bεlε (e.g., jεstεshכnal dayabεtis). |
| Diagnosis fɔ di pikin we de na di bɛlɛ | spεshal כltra saund skan dεm εn כda tεst dεm (e.g., amniocentesis) de εp fכ no kwik if di pikin gεt jεnεtik sik כ bכn difεkt. |
| Ɛp we dɛn de bɔn pikin | Sɔm kɔmpleks kes dɛm, dis spɛshal dɔktɔ kin de bak na di ɔpreshɔn rum fɔ ɛp yu ɔbstetrishan we yu de bɔn pikin. |
| Manejmɛnt fɔ di kɔmplikeshɔn dɛn afta dɛn bɔn pikin | Dɛn kin ɛp bak fɔ trit prɔblɛm dɛn lɛk we di mama de blɔd pasmak we di mama kin gɛt afta i bɔn pikin. |
Wetin na ‘High-Risk Pregnancy’?
Dis na wɔd we bɔku pipul dɛn kin fred. Bɔt lɛ wi ɔndastand di tru tin we i min.
We dɛn kɔl yu ‘at risk’ nɔ min se yu bɛlɛ denja ɔ prɔblɛm de wit yu pikin. I jɔs min se yu ɛn yu pikin nid smɔl mɔ atɛnshɔn ɛn monitar. I min se di dɔktɔ dɛn de luk insay yu mɔ.
jεnarali difrεn rizin dεm de we mek bεlε de fכl insay di ‘risk’ kεtכgrεf.
| Rizin fɔ di risk | Tɔk bɔt |
|---|---|
| Mama in ej | Ɛspɛshali if di mama dɔn pas 40 ia, chans de fɔ mek sɔm prɔblɛm dɛn apin, so dɛn kin pe atɛnshɔn mɔ. |
| Bɔku bɔku Gestɛshɔn dɛn | If yu gɛt bɔku pikin dɛn lɛk twins ɔ tri pikin dɛn, yu nid fɔ tek kia spɛshal wan insay da bɛlɛ de. |
| Di tin dɛn we bin dɔn apin to pɔsin we i gɛt bɛlɛ bifo | If yu bin dɔn gɛt prɔblɛm dɛn bifo lɛk we yu nɔ gɛt bɛlɛ, we yu bɔn pikin we dɔn day, ɔ we yu gɛt prɛeklampsia. |
| Famili histri bɔt sik | If ɛnibɔdi na di famili gɛt prɔblɛm wit in jɛnɛtiks, i nid fɔ luk insay dɛn. |
| Mama in sik dɛn we nɔ de mɛn | Kɔndishɔn lɛk at sik, dayabitis, ay blɔd prɛshɔn, kidni sik, ɔr ɔtoimyun disɔda. |
Wetin mek dɛn de rifer yu to Pɛrinatɔlɔjis?
yu obstetrician-gynecologist (OBGYN) kin כlwayz mεnεj mכst sכm sכm sכm kכmplikεshכn dεm we yu bεlε (e.g., we dεn kכntrol fayn fayn wan hεy blכd prεshכn). Bɔt if i fil se sɔntin rili kɔmpleks, ɔ if yu nid fɔ gɛt sɛkɔn opinion, i go sɛn yu to dɔktɔ we de mɛn yu pikin dɛn.
Sɔmtɛm yu kin no bifo yu gɛt bɛlɛ se yu bɛlɛ go de pan denja (fɔ ɛgzampul, if yu gɛt siriɔs at sik). If dɛn kayn tin ya, yu kin want fɔ go to dɔktɔ we de mɛn yu pikin dɛn kwik kwik wan.
Na sɔm kɔmɔn rizin dɛn we mek dɛn kin rifer yu to Pɛrinatɔlɔjis:
- Yu gɛt sik dɛn we dɔn de bifo lɛk at sik, lupus, ɔ dayabitis.
- Blɔd prɛshɔn we de go ɔp bad bad wan ɔ prɛeklampsia.
- If risk de fɔ mek dɛn bɔn pikin bifo tɛm.
- If yu gɛt histri fɔ gɛt sik ɔr sik na yu kidni.
- If yu dɔn gɛt bɔku bɔku bɛlɛ ɔ bɔn pikin dɛn we dɔn day trade.
- if sכm tεst dεm we dεn du we uman bεlε (Prenatal Screening) de gi abnכmal risכlt.
- If yu de ɛkspɛkt twins, triplet, ɔ mɔ pikin dɛn.
Wetin na di difrɛns bitwin Obstetrician ɛn Perinatologist?
Dis na prɔblɛm we bɔku pipul dɛn gɛt. Lɛ wi ɔndastand am simpul wan.
Tink bɔt yu OBGYN as yu famili dɔktɔ/GP we yu gɛt bɛlɛ. Na in de kia fɔ yu jenɛral wɛlbɔdi. Bɔt if yu gɛt wan patikyula at sik, dɛn go sɛn yu to dɔktɔ we de mɛn yu at, nɔto so? Semweso, if yu gɛt wan patikyula, kɔmpleks prɔblɛm we yu gɛt bɛlɛ, yu OBGYN go rifer yu to dɔktɔ we de mɛn yu bɛlɛ.
We yu go to dɔktɔ we de mɛn yu pikin dɛn, dat nɔ min se na in na yu praymari dɔktɔ. I min se yu gɛt ɔda spɛshal pɔsin we de jɔyn yu tim we de kia fɔ uman dɛn we gɛt bɛlɛ. Yu praymari kia dɔktɔ (OBGYN) ɛn perinatɔlɔjis de wok togɛda as tim fɔ disayd bɔt yu wɛlbɔdi. Yu kin jɔs go to di dɔktɔ we de mɛn yu bɛlɛ fɔ sɔm tɛm ɔl di tɛm we yu gɛt bɛlɛ. I kin rili involv fɔ kia fɔ yu.
Us spɛshal tɛst dɛn we dɔktɔ we de mɛn pikin dɛn kin du?
Dɛn kin yuz sɔm spɛshal tɛst dɛm fɔ no ɛn manej di risk kɔndishɔn dɛm.
- Ditayl Ultrasound: Dɛn kin du mɔ dip ɛgzamin fɔ di pikin in ɔgan dɛn, di divɛlɔpmɛnt, ɛn ɛnitin we nɔ fayn pas fɔ skan am ɔltɛm.
- Blɔd Tɛst: Lan difrɛn tin dɛn bɔt di mama ɛn di pikin in wɛlbɔdi.
- Prenatal Screening: Fɔ chɛk di risk fɔ mek di pikin gɛt jɛnɛtik kɔndishɔn lɛk Daun Sindrom.
- Amniocentesis: na tεst we de pul sכm sכm sכm amniotic fluid frכm di pikin in amniotic sak fכ chεk fכ di jεnεtik dεfεkt dεm.
- Chorionic Villus Sampling (CVS): na prosidכs we involv fכ tek sכm sכm sεmpl fכ di plasεnta εn du jεnεtik tεst.
Yu tink se di wan dɛn we de mɛn pikin dɛn kin du ɔpreshɔn?
Yɛs, insay sɔm kes dɛn. Bɔku tɛm, yu praymari ɔbstetrishan go du di dilivri ɔ C-sekshɔn. Bɔt pan sɔm tin dɛn we rili kɔmpleks, dɔktɔ we de mɛn di pikin dɛn we de na di bɛlɛ kin involv bak. fכ egzampl, dεn kin du spεshal כpεrayshכn lεk sεvikal sεklaj, we na wan we fכ mek di sεviks nכ opin bifo dεn bכn di pikin biכs i tu wik.
Na nɔmal tin fɔ fil se yu de fred we dɛn de rifer yu to dɔktɔ we de mɛn yu. Bɔt mɛmba se, i min se yu dɔktɔ de tray ɔl wetin dɛn ebul fɔ kia fɔ yu ɛn yu pikin di bɛst ɛn sef. So nɔ fred, ɛn tɔk opin wan bɔt ɛni kwɛstyɔn ɔ wɔri we yu gɛt wit yu dɔktɔ ɛn di dɔktɔ we de mɛn yu pikin dɛn.
Mɛsej we dɛn kin kɛr go na os
- Perinatologist na dɔktɔ we gɛt spɛshal trenin fɔ gɛt bɛlɛ we gɛt ay risk. Dɛn kin gi yu ɛn yu pikin ɛkstra, spɛshal kia.
- If dɛn rifer yu to dɔktɔ we de mɛn yu bɛlɛ, dat nɔ min se sɔntin rili rɔng wit yu bɛlɛ. I jɔs min se yu ɛn yu pikin go gɛt mɔ atɛnshɔn ɛn protɛkshɔn.
- di perinatologist de wok as tim wit yu praymar obstetrician en gaynecologist (OBGYN). Dɛn ɔl tu de disayd di bɛst tritmɛnt fɔ yu.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. If yu no tin klia wan, dat go ɛp yu fɔ mek yu nɔ fred ɛnitin we nɔ impɔtant.
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