Di gladi at we yu kin gɛt we yu briŋ pikin we dɛn jɔs bɔn na os, nɔ go ebul fɔ ɛksplen am, nɔto so? Bɔt pan di sem tɛm, smɔl fred de bak na di kɔna na yu at. Ɔl mama ɛn papa kin op se di pikin go fayn ɛn i nɔ go gɛt ɛni sik ɔ pen. Sɔmtɛm, siriɔs tin kin apin to pikin dɛm we wi nɔr kin ɛkspɛkt.
Sɛpsis na wan pan di tin dɛn we de mek pikin dɛn we dɛn jɔs bɔn, denja pas ɔl. Tide, wi de tɔk bɔt
Neonatal Sepsis .
Wetin na Nionatal Sɛpsis?
Fɔ tɔk am simpul wan,
nyu bɔbɔ sepsis na wan rili siriɔs sik we kin apin to pikin dɛn we nɔ rich 28 dez, dat min se dɛn nɔ rich wan mɔnt. dis kin apin we di pikin in bכdi de riak pasmak pan infεkshכn. Tink bɔt am lɛk se yu de mek big big fus bɔt sɔntin we smɔl. Dis kin riak pasmak,
inflamɛns kin apin ɔlsay na di pikin in bɔdi . Dis inflamɛns ɛn blɔd we de klɔt
de mek di blɔd flɔ to di pikin in an ɛn fut dɛn, ɛn bak di impɔtant pat dɛn we de insay di pikin lɛk di bren,
at , ɛn di kidni dɛn. Dis kin mek dɛn ɔgan dɛn de bigin fɔ wok smɔl smɔl. Jɔs lɛk aw tik kin day we i nɔ gɛt wata. Sɔntɛnde, dis sik kin ivin put di pikin in layf pan denja. So, dis na
sɔntin we wi nid fɔ tek am siriɔs wan. di dכkta dεn kin sheb
di nyu bכbi sεpsis to tu tכp, i dipכnt pan we di pikin gεt am: 1.
di nyu bכbi sεpsis we de bigin kwik kwik wan: Dis na sεpsis we kin apin
insay di fכs 72 awa we dεn bכn am, dat na bifo tri de. 2.
let-onset neonatal sepsis: Dis na sepsis we de apin
afta tri dez we dεn bכn am.
Udat kin gɛt di sik we dɛn kɔl sɛpsis?
Infakt, ɛni pikin kin gɛt dis sik we dɛn kɔl
neonatal sepsis . Bɔt
di pikin dɛn we dɛn bɔn bifo tɛm kin gɛt mɔ prɔblɛm. Dis na bikɔs dɛn
imyun sistɛm nɔ dɔn ful-ɔp . Dis min se dɛn nɔ kin ebul fɔ protɛkt dɛnsɛf frɔm sik. Wan ɔda rizin na bikɔs bikɔs dɛn bɔn dɛn bifo tɛm, dɛn nɔ kin gɛt sɔm pan
di antibodi dɛn we dɛn mama nid fɔ protɛkt dɛn frɔm sik dɛn. pan tap dat, dεn pikin dεm ya kin gεt bכku risk bak fכ gεt sεpsis:
- Bebi dɛn we gɛt rili smɔl wet we dɛn bɔn .
- Dɛn kin gi am we dɛn bɔn amdi pikin dεm we gεt lכ w Apgar skכ (dis de mכsu tin dεm lεk di pikin in brith εn at rεt ).
- Dɛn se dis risk kin rili bɔku fɔ man pikin dɛn .
- If di mama bin gɛt ɛni infɛkshɔn we i bin gɛt bɛlɛ .
imajin, sכmtεm mama kin gεt baktri dεm lεk `(Grup B Streptococcus - GBS)` we lod insay in vagina we i nכ no. Pan ɔl we dis nɔto big prɔblɛm fɔ di mama, di pikin kin gɛt di sik we i bɔn.
Aw dis sik kin kɔmɔn?
Ɔlsay na di wɔl, bɔku bɔku pikin dɛn kin gɛt sik we dɛn kɔl sɛpsis ɛvri ia. So, dis nɔto sɔntin we nɔ kɔmɔn.
Wetin na di sayn dɛm fɔ sepsis pan pikin we dɛn jɔs bɔn?
Dis rili impɔtant. Sɔntɛnde, di sayn dɛm fɔ sepsis na pikin kin tan lɛk ɔda sik dɛm we kin kam. So, nɔr frayd fɔ tink se na sepsis jɔs bikɔs yu gɛt dɛn sik ya ɔltɛm.
Bɔt if yu smɔl pikin gɛt pas wan pan dɛn sik ya, ɔ if i tan lɛk se i sik pasmak, i go fayn fɔ mek yu go to dɔktɔ wantɛm wantɛm. Na sɔm pan di sayn dɛm we de sho
se di pikin dɛn we dɛn jɔs bɔn kin gɛt sɛpsis :
- Fiva ɔ di bɔdi tɛmpracha smɔl (di kol).
- Fast ɔ slo at bit.
- Fɔ blo kwik kwik wan ɔ fɔ mek i nɔ izi fɔ blo.
- Fɔ vɔmit.
- Bɛlɛ we de pwɛl (dayarɛa).
- di milk we yu de it dכn כ i at fכ gi pikin in bεlε.
- Bloating (flatulence) we de mek pɔsin blo.
- Kol an ɛn fut.
- Skin kin bi stika ɛn pale.
- Di skin kin yɔlɔ ɛn di yay kin wayt (jaundice).
- I nɔ de du bɛtɛ tin fɔ du, i kin slip ɔltɛm.
- Sizhɔ (we tan lɛk fit).
Wetin na di men tin we kin mek pikin dɛn gɛt sɛpsis we dɛn de bɔn pikin dɛn?
Bɔku tɛm, di pikin dɛn we dɛn jɔs bɔn kin gɛt sɛpsis bikɔs ɔf
baktriyal infɛkshɔn . Na E. coli, Listeria, ɛn Grup B Streptococcus (GBS) na di men tin dɛn we kin mek pɔsin gɛt dis sik. Apat frɔm dɛn baktri ya, sɔm
vayrɔs ,
fɛns, ɛn
parasayt dɛn kin mek pɔsin gɛt sɛpsis bak. Fɔ ɛgzampul,
Hɛpi Simpleks Vayrɔs (HSV) .I kin mek di pikin dɛn we dɛn jɔs bɔn gɛt siriɔs infɛkshɔn.
Aw sepsis kin kam pan pikin dɛn we dɛn jɔs bɔn?
di tu kayn
sepsis dεm we wi bin dכn tכk bכt, we dεn kin bigin kwik εn
we kin bigin, gεt difrεn we dεn fכ infεkt pikin dεm.
di nyu bכbi sεpsis we kin bigin kwik kwik wan
dis kin apin
we di pikin gεt infεkshכn frכm di mama, we i de insay di bεlε כ di tεm we i bכn . Dɛn tin ya kin apin:
- we baktri dεm lεk `GBS` de na di mama in vagina.
- If dɛn bɔn di pikin bifo tɛm.
- di wata dεm kin brok kwik kwik wan (mכr dan 18 awa bifo dεn bכn am).
- if infεkshכn de na di plasεnta εn di wata we de rawnd am (wan kכndishכn we dεn kכl `Chorioamnionitis`).
Let-onset nyu bכbi sεpsis
dis kin apin we
pikin gεt infεkshכn frכm dεn nyu envayroment afta dεn bכn am . Dat min se, nɔto frɔm dɛn mama in bɔdi. Sɔntɛnde, baktri kin go insay di pikin in bɔdi tru tin dɛn lɛk
kateta ,
IV , ɛn tiub dɛn we dɛn kin yuz na ɔspitul. Dis kin apin mɔ:
- If di pikin in wet we dɛn bɔn am smɔl.
- If dɛn put tyub fɔ blo fɔ ɛp yu fɔ blo.
- If dɛn kɔntinyu fɔ yuz antibayɔtiks.
- If dɛn dɔn put kateshɔn na blɔd vesel ɔ blad fɔ lɔng tɛm.
- If yu nid fɔ de na ɔspitul fɔ lɔng tɛm bikɔs ɔf tritmɛnt fɔ ɔda mɛrɛsin.
Aw dɔktɔ dɛn kin no se pɔsin gɛt sɛpsis?
Dɔktɔ dɛn kin yuz sɔm patikyula we dɛn fɔ no if
di pikin dɛn we dɛn jɔs bɔn gɛt sik we dɛn kɔl nyu bɔbɔ . Dɛn kin luk di pikin in sik ɛn aks bɔt di mama in wɛlbɔdi. Yu kin yɛri dɔktɔ se dɛn de du "
sepsis work-up ." Dis na sɔm tɛst fɔ no wetin mek di pikin gɛt di sik. Bɔku tɛm dis kin inklud:
- bכdi tεst dεm: `Kכmplit bכdi kכnt (CBC), `blכd kכlt` (fכ chεk fכ jεm dεm na di bכdi), `C-riaktiv protin (CRP)` (tεst we de sho se inflameshn).
- di tεst dεm fכ di urine: `Urinalysis` εn `urine culture` (dεn de chεk fכ jεm dεm na di urine).
- spεnal tap / lכmba pankshכn: insay dis, dεn de yuz sכm sכm nidul fכ tek sεmpl fכ di wata we de rawnd di spεnal kכd (sεribrospεnal fכluid) frכm di pikin in lכw bak fכ chεk fכ infεkshכn. Pan ɔl we dis kin tan lɛk se i de mek pɔsin fred, dɔktɔ dɛn kin tek tɛm du am.
- Ɔda tɛst dɛn we dɛn kin du fɔ tek pikchɔ: Tin dɛn lɛk ɛkstrem rayt na di chɛst ɛn ɔltra saund skan.
Aw dɛn kin trit sepsis pan pikin dɛn we dɛn jɔs bɔn?
Nyu bɔn pikin dɛn we gɛt sɛpsisDɛn fɔ bigin di tritmɛnt wantɛm wantɛm. Yu pikin in dɔktɔ kin admit yu pikin na say usay dɛn de kia fɔ pipul dɛn we sik bad bad wan (ICU) . Dɛn kin trit sɛpsis bay we dɛn:- Fluid dɛn we dɛn kin put insay di bɛlɛ (IV).
- Fɔ gi antibayɔtik we dɛn kin put insay di bɛlɛ (IV antibayɔtik) fɔ baktriyal infɛkshɔn.
- Gi antivayral mɛrɛsin fɔ vayral infɛkshɔn.
- At ɛn/ɔ blɔd prɛshɔn mɛrɛsin dɛn.
- If nid de, ɛkstra ɔksijɛn ɛn ɔda we dɛn fɔ ɛp fɔ blo.
Sɔntɛnde, di pikin kin nid fɔ gɛt blɔd . Aw wi kin avɔyd dis kɔndishɔn fɔ sɛpsis (Neonatal Sepsis)?
Fɔ mek di infekshɔn nɔ pas frɔm mama to pikin, sɔntɛnde yu dɔktɔ we de mɛn pikin kin tɛl yu fɔ tek antibayɔtiks we go mek yu nɔ gɛt di sik bifo tɛm. Insay dɛn kayn tin ya, dɛn kin gi yu antibayɔtik tru IV sɔm awa bifo dɛn bɔn yu pikin:- If yu gɛt infɛkshɔn lɛk `chorioamnionitis`.
- if yu gεt Grup B Strep (GBS) baktri dεm na yu vagina (dεn kin no dis bay we dεn de du bεlε tεst).
- If pikin we dɛn bɔn bifo yu dɔn gɛt sɛpsis.
Apat frɔm dat, tin dɛn de we wi kin du fɔ mek wi nɔ gɛt sɛpsis:- Praktis gud hajɛns. I rili impɔtant fɔ was yu an ɔltɛm, ivin bifo yu tɔch yu pikin.
- Fɔ aks fɔ dɔktɔ ɔltɛm. I impɔtant fɔ go klinik dɛn di de dɛn we dɛn dɔn sɛtul, we yu gɛt bɛlɛ ɛn afta dɛn bɔn di pikin.
- Fɔ gɛt di vaysin dɛn we dɛn dɔn rɛkɔmɛnd.
- Fɔ no bɔt di sayn dɛm fɔ sepsis.
- If yu tink se yu ɔ yu pikin gɛt sepsis, go to dɔktɔ wantɛm wantɛm.
Yu tink se dɛn kin mɛn sepsis pan pikin dɛn we dɛn jɔs bɔn?
Yɛs, dɛn kin trit sepsis pan pikin dɛn we dɛn jɔs bɔn. כl di pikin dεm we gεt sepsis kin mek dεn rεkכva ful wan εn de liv witout nכ כda prכblεm. Bɔt di sik we dɛn kɔl neonatal sepsis na di men tin we kin mek pikin dɛn day . So, di spid we yu pikin de gɛt tritmɛnt de sho di chans fɔ mek i wɛl. Dɛn se fɔ ɛvri awa we pas we dɛn nɔ gɛt tritmɛnt, di risk fɔ day bikɔs ɔf sɛpsis de go ɔp bay lɛk 7.6%. Dis min se na tɛm na di men tin na ya.
Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt Nionatal Sɛpsis?
Bɔrku pikin dɛm wae kin wɛl frɔm sɛpsis nɔr kin gɛt lɔng tɛm kɔmplikeshɔn. Bɔt sɔm bebi dɛn kin gɛt wɛlbɔdi prɔblɛm fɔ lɔng tɛm. Mɔ pas wan pat pan tri pan di pikin dɛn we kin sev frɔm di sik we dɛn kɔl sɛpsisDilɛj de pan di kɔgnitiv skil dɛm. Dɔn bak, lɛk af pan di pikin dɛn we kin wɛl frɔm di sik we dɛn kɔl sɛpsis go nid fɔ go na ɔspitul bak wan tɛm. Sɔm pikin dɛn kin gɛt mɛningaytis , we na wan infɛkshɔn na di mɛmbran dɛn we de rawnd di bren. Bebi dεm we gεt dis kכndyushכn kin gεt siriכs sayn dεm εn sayd ifekt dεm. Dɛn tin ya na:- Ekstrim slɔp - lɛtarji.
- di sכft spat bitwin di bon dεm na di sכkul (fontanelle) de sho se i bכl.
- I nɔ de yɛri fayn igen.
- Divɛlɔpmɛnt dilɛys.
- Sɛribra palsi we pɔsin kin gɛt.
- Di sik dɛn we kin mek pɔsin sik.
- Kɔma.
Ustɛm a fɔ kɛr mi pikin we dɛn jɔs bɔn go na ɔspitul wantɛm wantɛm?
Afta yu kam na os frɔm ɔspitul, if yu nyu bɔbɔ sho ɛni wan pan dɛn sayn ya fɔ sepsis, kɔl 911 wantɛm wantɛm, ɔ go na di ɔspitul imejensi dipatmɛnt we de nia yu:- If di pikin kin vɛks ɔ slip ɔltɛm.
- If di pikin in skin tan lɛk se i kol, i nɔ gɛt bɛtɛ kɔlɔ, ɔ i dɔn chenj in kɔlɔ.
- If di pikin nɔ pis fɔ pas 12 awa (if di dayapɛt dɔn dray).
- If di pikin nɔ de ansa ɔ i tan lɛk se i nɔ izi fɔ blo.
Dɛn fɔ trit dɛn tin ya lɛk imejensi . Ustɛm a fɔ go to di pikin in dɔktɔ bak?
We yu pikin in pikin dɔktɔ dischaj am na ɔspitul, dɛn go tɛl am fɔ kam bak insay tu ɔ tri dez. Mek shɔ se yu kɛr am go wit yu da tɛm de fɔ si if i de kɔntinyu fɔ impɔtant. Wetin na dis Sepsis Risk Kalkyulatɔ?
Di Kaiser neonatal sepsis calculator, ɔ early-onset sepsis calculator, na wan tul we dɔktɔ dɛn kin yuz fɔ ɛp dɛn fɔ no aw i go bi se yu nyu bɔbɔ go gɛt early-onset neonatal sepsis . I kin tek tɛm tink bɔt bɔku tin dɛn, lɛk yu wɛlbɔdi ɛn di kayn we aw di pikin de we dɛn bɔn am. Bɔku tin dɛn de we yu kin wɔri bɔt we yu bɔn pikin we yu jɔs bɔn. Neonatal sepsis na wan pan dɛn. Bɔt if yu tink se yu smɔl pikin gɛt sik we go mek i day, go to dɔktɔ wantɛm wantɛm . Neonatal sepsis na wan mεdikal imejensi. Di kwik we yu go to yu pikin fɔ go to dɔktɔ, na di mɔ i go fayn. Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .
- Nyu bכbi sεpsis na siriכs kכndyushכn, bכt i kin kכl if dεn no am εn trit am kwik.
- Yu fɔ no bɔt di sayn dɛn we de sho se yu gɛt dis sik. Yu fɔ no tin dɛn lɛk fiva, we yu nɔ de it milk, we i nɔ izi fɔ blo, ɛn we yu skin kin chenj.
- If yu gɛt dawt, go to dɔktɔ wantɛm wantɛm. Taym na di men tin na ya.
- Tek kia ɔf di mama in wɛlbɔdi we i gɛt bɛlɛ. Get test fɔ GBS.
- Tink mɔ bɔt aw fɔ klin. Simpul tin dεm lεk fכ was yu an bifo yu tכch yu pikin kin mek big difrεns.
Ɔlman want in smɔl pikin fɔ gɛt wɛlbɔdi ɛn gladi at. So, i rili impɔtant fɔ mek wi no bɔt dɛn kayn tin ya.
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