Di gladi at we yu kin fil we yu kam fɔ no se yu gɛt twins, yu nɔ go ebul fɔ tɔk bɔt am. Fɔ tru, na spɛshal blɛsin. Bɔt wit da big big gladi at de, wi nid fɔ mɛmba bak se wi nid fɔ tek tɛm smɔl pas di tɛm we wi gɛt nɔmal bɛlɛ. Bot wit dat we yu de se, no fred, okay? Dis tan lɛk we yu de stɔdi tranga wan bifo yu du big ɛgzam. If wi no gud gud wan bɔt dis ɛn wok togɛda wit wi dɔktɔ , wi kin dɔn dis joyn fayn fayn wan. So, lɛ wi tɔk bɔt am smɔl mɔ?
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Wetin na di prɔblɛm dɛn we kin apin we twin uman gɛt bɛlɛ?
Risk de we yu gɛt ɛni bɛlɛ. Bɔt we yu gɛt tu pikin dɛn, i go mɔs bi se dɛn prɔblɛm dɛn de go bɔku smɔl. Lɛ wi tɔk bɔt sɔm pan di impɔtant wan dɛn.
1. Fɔ bɔn pikin bifo tɛm
Dis na di kכmכn kכndyushכn we dεn kin si pan mama dεm we bεlε wit twins. mכr dan af pan כl di twin dεm we dεn bכn bifo 36 wik. Fɔ tɔk am simpul wan, dɛn kin bɔn di pikin bifo i dɔn ful-ɔp. Bebi dεm we dεn bכn dis kayn we kin gεt hεlth prכblεm kwik kwik wan. dis na biכs di כgan dεm lεk di lכng dεm εn di bren de כnli fulכp machכ we di bεlε de dכn. So, sכmtεm dεn pikin ya kin gεt ifekt dεm fכ lכng tεm.
2. Lɔw wet we dɛn bɔn (LBW) .
Dis gɛt sɔntin fɔ du wit di pɔynt we wi bin dɔn tɔk bɔt. Bikɔs dɛn kin bɔn dɛn bifo tɛm, bɔku pan di twins dɛn kin gɛt smɔl wet we dɛn bɔn dɛn pas aw dɛn kin bɔn dɛn. Wi kin se dɛn wet nɔ rich 2.5 kilogram (5.5 pawn) . Fɔ pikin dɛn we gɛt dis smɔl wet we dɛn bɔn, .
- I nɔ kin ebul fɔ si ɛn yɛri fayn
- Sɔm prɔblɛm dɛn we kin apin we pɔsin de gro na in maynd
- Ɛn di risk fɔ gɛt tin dɛn lɛk sɛribra palsi kin bɔku.
Bɔt mɛmba se dɛn siriɔs tin ya kin apin mɔ bifo 32 wik, ɔ if dɛn bɔn di pikin we nɔ rich 1.5 kilogram (3.3 pawn). So nɔ mek yu fred we yu nɔ nid fɔ fred .
3. Twin to Twin Transfyushɔn Sindrom (TTTS) .
Dis na wan sik wae kin tranga smɔl. i de apin nכmכ insay twin dεm we di sem , we min twin dεm we de sheb di sem plasεnta.
imajin se dεn tu pikin dεm ya de sheb di sem "dina plet" (di plasεnta). sכmtεm di bכdi vεsεl dεm na dis plasεnta kin kכnekt insay wan abnכmal we, we kin mek mכr bכdi fכ fכm frכm wan pikin to di כda wan.Dis kin mek wan pikin gɛt tumɔs smɔl blɔd ɛn i kin gɛt blɛsin, we di ɔda pikin gɛt tumɔs blɔd ɛn i kin rɛd. Dis na wetin wi de kɔl TTTS''. dis kכndyushכn kin apin insay 10% - 15% pan di twin dεm we di sem. Bɔt nɔ wɔri, tritmɛnt de naw fɔ dis. Dɔktɔ dɛn kin yuz lɛsa ɔpreshɔn fɔ pul di abnɔmal blɔd vesel kɔnekshɔn, ɔ dɛn kin yuz amniocentesis fɔ pul di amniotic fluid we pasmak.
4. Prɛeklampsia
Dis na ay blɔd prɛshɔn we uman gɛt bɛlɛ ɛn di prɔblɛm dɛn we i kin gɛt. Mama we gɛt twins kin gɛt dis sik pas tu tɛm pas mama we gɛt wan pikin. Di men sayn dɛm wae gɛt fɔ du wit dis na:
- Di ay blɔd prɛshɔn
- An, fut, ɛn fes kin swel
- Di ed we de at bad bad wan
- Di vishɔn nɔ klia ɔ chenj
if dεn nכ trit dis kכndyushכn kwik, i kin rεdכks di כksijεn εn it we di pikin de gεt na di bεlε. I kin pwɛl di mama in ɔgan dɛn bak lɛk di kidni ɛn di liva. So, i rili impɔtant fɔ tɛl yu dɔktɔ wantɛm wantɛm if yu gɛt ɛni wan pan dɛn sik ya.
5. Dayabitis we pɔsin kin gɛt we i gɛt bɛlɛ
dis na di rizulεt fכ di hכy bכdi shuga lεvεl we uman bεlε. Dis risk kin ivin pasmak we yu de kɛr twins. if dis apin, di pikin dεm in bכdi saiz kin big we nכ nid fכ bi. Dis kin mek i nɔ izi fɔ bɔn di pikin we nɔmal ɛn i kin nid fɔ mek dɛn du sizarian. Dɔn bak, di pikin kin gɛt prɔblɛm fɔ blo ɛn in blɔd shuga kin smɔl afta dɛn bɔn am. Bɔt dɛn kin kɔntrol dis fayn fayn wan if dɛn kɔntrol di it fayn fayn wan ɛn if nid de, dɛn kin trit am ɔnda dɔktɔ advays.
| Risk Kɔndishɔn | In simpul wɔd dɛn... | Wetin Yu Fɔ Wach Fɔ |
|---|---|---|
| Fɔ bɔn pikin bifo tɛm | Fɔ bɔn pikin bifo 36 wik. | di uterin kכntrikshכn fכ tεm, di vagina dischaj. |
| Lɔw Wet we dɛn bɔn am | Pikin dɛn we dɛn bɔn we nɔ rich 2.5 kilogram. | Di dɔktɔ go wach di wet tru skan. |
| Preeklampsia we pɔsin kin gɛt | di ay blɔd prɛshɔn we uman gɛt bɛlɛ. | Siriv ed pen, yu nɔ de si fayn, yu an ɛn fut dɛn de swel. |
| Dayabitis we pɔsin kin gɛt we i gɛt bɛlɛ | di blɔd shuga we de go ɔp we uman gɛt bɛlɛ. | Di dɔktɔ go gi yu blɔd tɛst di rayt tɛm. |
| Ayɔn Defisiɛns Anemia | Ayɔn dɛfisiɛns anemia kin apin bikɔs ayɔn nɔ de na di bɔdi. | I kin taya pasmak, i kin gɛt pale, i nɔ kin izi fɔ blo. |
So wetin wi fɔ du? Yu tink se wi fɔ fred?
Oh nɔ! A nɔ de tɔk bɔt dɛn risk ya fɔ mek yu fred, bɔt fɔ ɛdyukeshɔn yu. Pan ɔl dis, bɔku bɔku mama dɛn de we dɔn bɔn twin pikin dɛn we gɛt wɛlbɔdi ɛn we fayn. Di tin we impɔtant pas ɔl na fɔ gɛt gud kia bifo yu bɔn .
Dat min se, .
- Go na yu klinik di rayt tɛm . Nɔ mis wan wan.
- Tek di ayɛn tablɛt ɛn vaytamɛn dɛn jɔs lɛk aw di dɔktɔ tɛl yu.
- Tɛl yu dɔktɔ bɔt ɛni chenj ɔ prɔblɛm we yu fil, ivin di smɔl wan dɛn . Nɔ ayd ɛnitin. Nɔ tink se, "Dis na jɔs smɔl tin."
- It tin dɛn we balans ɛn we gɛt fayn fayn tin dɛn fɔ it .
If yu ɛn yu dɔktɔ de wok as tim, una kin no ɛni prɔblɛm bifo dɛn kam ɛn tek di step dɛn we nid fɔ sɔlv dɛn. Dɔn yu kin ɛnjɔy dis fayn waka we yu nɔ de fred ɔ dawt.
Mɛsej we dɛn kin kɛr go na os
- I nɔmal fɔ gɛt sɔm risk dɛn we yu gɛt twin bɛlɛ. Di fɔs tin we impɔtant pas ɔl na fɔ no bɔt dɛn, nɔto fɔ fred.
- Nɔ ɛva mis di advays ɛn klinik visit we yu dɔktɔ gi yu. Dat na di bɛst tin fɔ protɛkt yu ɛn yu pikin.
- If yu notis sɔm sayn dɛm fɔ prɛeklampsia (bɔdi ed pen, yu de chenj, yu bɔdi de swel) ɔ ɛni ɔda sayn dɛm we nɔ kɔmɔn, go to yu dɔktɔ ɔ di ɔspitul imejensi rum (ETU) we de nia yu wantɛm wantɛm.
- Tek ayɛn ɛn ɔda tin dɛn we de ɛp yu fɔ it lɛk aw yu dɔktɔ tɛl yu. I rili impɔtant fɔ fala di tin dɛn we yu de it di rayt we.
- Bifo yu fred, yu fɔ wɛr tin dɛn we yu no. Yu dɔktɔ na yu bɛst padi ɛn gayd fɔ dis waka.
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