Blɔd de kɔmɔt na di nyu bɔbɔ in ed? Dis na subgaleal hemorrhage? Mek wi tok!

Yu go mɔs gladi bad bad wan afta yu pikin kam na dis wɔl, nɔto so? Bɔt pan di sem tɛm, sɔntɛnde, yu kin fred fɔ du smɔl smɔl tin dɛn. Ɛspɛshali if di pikin bin tranga smɔl, i nɔmal fɔ mek yu wɔri if yu si dis kayn smɔl chenj na di pikin in ed. Tide wi go tɔk bɔt wan sik we kin apin na di ed dis kayn tɛm, ɛn yu nid fɔ tek tɛm smɔl.

Wetin na dis subgaleal hemorrhage? Lɛ wi ɔndastand am rili simpul wan!

Fɔ tɔk am simpul wan, dis na blɔd we dɛn gɛda ɔnda di skin na di pikin we dɛn jɔs bɔn in ed, bitwin di layers dɛn we gɛt sɔft tisu we de ɔp di skel. Jɔs tink, wi ed dɛnsɛf gɛt difrɛn layers ɔnda di skin. semweso, כnda di skin fכ pikin in ed, wan mεmbran de we dεn mek wit strכng, fayv kכnektiv tisu, we dכkta dεn kכl `(galea aponeurotica)`. כnda dat, כda mεmbran de rawnd di bon dεm na di sכkul, we dεn kכl `(periosteum)`. Dis blɔd, ɔ blɔd we dɛn kin gɛda kin apin bitwin dɛn tu layers dɛn de.

di men rizin fכ dis na biכs sכm sכm blכd vesel dεm de we de kכnekt frכm di sכl to insay di sכkul. dεn kכl dεn tin ya ``emissary veins``. dis bכdi vεsul dεm de travul tru sכm sכm ol dεm (``foramen``) na di sכkul. Sɔntɛnde, we di pikin nɔ kin izi fɔ bɔn pikin, dɛn blɔd vesel ya kin pul ɛn brok we di pikin kɔmɔt. Na da tɛm de blɔd de kɔmɔt de ɛn gɛda na di gap we dɛn tɔk bɔt.

Dis kin mek pɔsin denja smɔl. biכs, bכku bכku bכdi, bitwin 20% εn 40% pan di pikin in כl bכdi, kin kכmכt na di ed dis we. Bɔt nɔr wɔri, if dɛn no dis ɛn trit am kwik ɛn kwik, i kin wɛl ɔl. Dis sik kin bɛtɛ insay tu to tri wik.

Udat kin gɛt dis sik pas ɔlman?

dis kכndyushכn we dεn kכl ``Subgaleal Hemorrhage``, na tin we rili rεs fכ eni pikin we dεn bכn tru nכmal vagina dεlivεri. Bɔt we i nɔ kin izi fɔ mek di pikin kɔmɔt na do, dɔktɔ dɛn kin nid fɔ yuz sɔm tin dɛn fɔ ɛp fɔ bɔn pikin. fכ egzampl, if dεn yuz ``vεkyum εkstraktכ`` (wi kכl am 'vεkyum' we wi de tכk) כ ``fכsεps`` (divays lεk fכsεps), di risk de rili hכy.

Aw kɔmɔn tin dis kin apin? Yu tink se wi fɔ fred?

Fɔ tru, dis na tin we nɔ kin apin so ɔltɛm. Dat min se, i nɔto sɔntin we pipul dɛn kin si bɔku tɛm. dis kin ripot pan lεk 4 pikin dεm pan 10,000 nכmal dεlivεri dεm we dεn nכ yuz di ikwipכm. Yu nɔ tink se dat na nɔmba we rili smɔl? כltu, lεk aw a bin se bifo, if dεn yuz divays lεk ``vaykum εkstrakta`` fכ pul di pikin, dis nכmba de inkrεs sכmtεm. If dɛn kayn tin ya apin, di mɛdikal ripɔt dɛn se pan 10,000 pikin dɛn we dɛn kin bɔn, na lɛk 60 pikin dɛn kin gɛt dis sik. Bɔt nɔto so i bi fɔ ɔlman.

Wetin mek dis subgaleal hemorrhage kin apin? Wetin na di tin dɛn we kin mek i apin?

As a bin se, di men tin we kin mek dis apin na we di smɔl smɔl blɔd vesel dɛn (emissary veins) we kin kɔmɔt na di skel to di skel kin brok bikɔs ɔf sɔm prɛshɔn we dɛn de bɔn pikin. afta dat, da bכdi de kכlekt na di spεs bitwin di skin εn di sכkul (subgaleal space). dis kin apin nכmal pikin we dεn de bכn , dis kכndyushכn nכ de apin we dεn de du sizarian sεkshכn.

Sɔntɛnde, fɔ bɔn pikin kin at smɔl pas aw wi bin de tink. na da tεm de dכkta dεn fכ yuz ikwipכnt lεk ``vacuum extractor'' כ ``forceps'' fכ pul di pikin sef wan. Na sɔm rizin dɛn we mek i nɔ kin izi fɔ bɔn pikin:

• di pikin in ed כ bכdi tu big fכ fit tru di mama in bכdi. dכkta dεn kכl dis ``sεfalopεlvik disproporshכn''.
• di pikin nכ de dכn fayn εn sef wan tru di bכn kanal (fetal dystocia).
• di pikin in wet bכku pas di nכmal (macrosomia).
• di pikin we de bכn fכ lכng tεm na we di pikin nכ bכn fכ pas 20 awa afta di pikin bigin fכ bכn.
• sכmtεm, di bכdi kin kam kwik kwik wan, insay sכmtεm lεk tri awa, εn di pikin de kam bכn (`precipitous labor`). Sɔntɛnde, prɔblɛm kin kam dis tɛm bak.

dis kכndyushכn kin apin mכst we dεn pul di pikin yuz `(vεkyum εkstrakta)`. biכs, we di pat we lεk kכp pan di `(vaykum)` de atak di pikin in ed, di fכs fכ pul we i de mek kin pul di ed in skin kכmכt frכm di sכkul sכmtεm. afta dat di dilik kכnektiv tisu na di `(subgaleal space)` de lכs, we de mek wan spεs fכ bכdi fכ kכlekt. If tumɔs blɔd gɛda dis we, i kin mek di pikin day. Na dat mek dɔktɔ dɛn kin rili tek tɛm wit dis.

Wetin na di sayn dɛm fɔ dis? Aw yu go no am if yu si am?

di simptom dεm fכ ``Subgaleal Hemorrhage`` de stat fכ sho afta dεn bכn di pikin. Na sɔm tin dɛn we yu go si:

• Di pikin in skin kin tan lɛk brus , mɔ na in ed ɛn nɛk.
• Hat bit rili fast (tachycardia).
• Fɔ gɛt lɔw blɔd prɛshɔn.
• di skin kכla de sho se i rili pale (`pallor`).
• biכs fכ di lכs fכ bכku bכdi frכm di bכdi, di lεvεl dεm fכ di kכmכpכnt dεm na di bכdi we dεn kכl ``hεmoglobin`` εn ``hematocrit`` de dכn.
• wan swel we de fil lεk wata na di pikin in ed (boggy swelling) de apin. Dis kin apin bikɔs blɔd kin gɛda insay. Dis swel kin spre bak biɛn di pikin in yes ɛn go na in nɛk.

Bɔt gud tin na dat, nɔto ɔl pikin dɛn kin gɛt siriɔs sik. lεs dan 25% pan כl di kes dεm fכ sכbgaleal εmoraji de divεlכp sכmtεm dεm we siriכs fכ mek dεn layf de pan denja. Dɛn tin ya na:

• Blɔd we de kɔmɔt insay yu bɔdi pasmak ɔ prɔblɛm wit blɔd we de klɔt (coagulopathy).
• wan kכndyushכn we dεn kכl `hypovolemic or hemorrhagic shock`, we kin apin we di bכdi lכs tu mכch wata εn bכdi te di at nכ kin pכmp bכdi fayn fayn wan.
• I nɔ kin izi fɔ yu fɔ blo (respiratory distress).
• di כksijεn we nכ de gi di bren we i de bכn (intrapartum hypoxia).
• di intanεt כgan dεm sכmtεm lεk di kidni dεm (organ fεil).

Aw dɔktɔ dɛn kin no bɔt dis? Us tɛst dɛn kin du?

As soon as di pikin bɔn, di mɛdikal tim go tek tɛm chɛk di pikin fɔ si if dɛn gɛt ɛni wan pan di sayn dɛn we wi bin dɔn tɔk bɔt. Fɔ ɛgzampul, dɛn go luk di pikin in skin gud gud wan fɔ si if i dɔn pale, in ed dɔn swel, ɔ if ɛni brus de we nɔ kɔmɔn.

if ivin di sכm sכspεshכn de fכ ``Subgaleal Hemorrhage'', di dכkta go כda f כ sכm spεshal tεst pan di pikin in ed.

• Wan ɔltra saund fɔ di ed.
• Sɔntɛm na `(CT skan - Kɔmpyuta Tomografi skan)`.
• Ɔ dɛn kin du wan MRI (Magnetic Resonance Imaging).
• Sɔntɛnde, dɛn kin tek ɛkstrem rayt.

Dɛn tɛst ya kin sho klia wan aw di blɔd we de kɔmɔt ɔnda di skin tan ɛn aw i big.

Imajin se dɛn yuz vaykum ɛkstrakta fɔ pul yu pikin. If dat apin, ivin if yu pikin nɔ sho ɛni big simptom wantɛm wantɛm, dɔktɔ dɛn go kip yu pikin na di nɔsri ɔ, if nid de, na di nyu bɔbɔ in intensiv kia yunit (NICU) fɔ sɔm awa fɔ wach am gud gud wan. Dis na bikɔs sɔm tɛm dis blɔd we de gɛda ɛn di tisu we de pwɛl we de mek di skin gɛt kɔlɔ kin tek tɛm fɔ mek i gro. dis min se dεn simptom dεm ya kin apin enisay frכm wan awa to 72 awa (3 de) afta dεn bכn di pikin.

Aw dɛn go trit dis? Yu tink se di pikin go wɛl kwik kwik wan?

Wae dכkta dεn kכnfכm se na ``Subgaleal Hemorrhage'', dεn kin bigin tritmεnt wantεm wantεm. dis tritmεnt kin bi na di nyu bכbi intensiv kεriכn yunit (``NICU'') .

di men tin na fכ mek di pikin in bכdi bכku bak if i dכn dכn. Dɛn kin du dis bay we dɛn de gi di pikin tin dɛn lɛk blɔd ɛn plasma transfyushɔn.

Apat frɔm dat, di pikin in mɛdikal tim go kɔntinyu fɔ wach di pikin in blɔd lɛvɛl (ɛmoglobin, ɛmatokrit), at rit, ɛn blɔd prɛshɔn. Dɛn go mɛzhɔ di pikin in ed bak ɔltɛm fɔ si if di swel de go dɔŋ ɔ i de go ɔp.

Sɔntɛnde, if di blɔd de kɔmɔt bad bad wan ɛn dɛn nɔ ebul fɔ kɔntrol am wit wata we dɛn gi am, i kin nid fɔ du ɔpreshɔn kwik kwik wan, ɛn i nɔ kin apin so ɔltɛm. Dɛn kin du dis fɔ stɔp di blɔd we de kɔmɔt na di say we di blɔd de kɔmɔt na di ed ɛn fɔ pul di blɔd we dɔn gɛda.

Aw kwik di pikin go wɛl afta dɛn dɔn trit am?

We di blɔd dɔn stɔp wit tritmɛnt, di swɛlin na di ed kin go dɔŋ smɔl smɔl ɛn ɔda sayn dɛn kin dɔn. Dɛn tin ya kin dɔn insay tu to tri wiks.

Bɔt yu fɔ kɔntinyu fɔ tɔk to yu pikin in dɔktɔ dɛn ɔlsay na di pikin in fɔs ia, ɛn go na di klinik ɛn tɛst dɛn we dɛn kin advays. Dis na fɔ chɛk if ɛni ɔda sayn de we kin afɛkt yu pikin in divɛlɔpmɛnt. Bɔrku tɛm, lɛk 75% pan di kes dɛm, if di tritmɛnt wok fayn, di pikin go wɛl ɛn yu go ebul fɔ go na os wit yu pikin.

Yu tink se we de fɔ ridyus dis kayn tin we kin apin?

i rili at fכ mek i nכ kכmplit wan fכ mek ``Subgaleal Hemorrhage'' nכ apin. Dis na bikɔs bɔku tɛm i kin apin as sɔntin we dɛn nɔ bin de ɛkspɛkt bikɔs i nɔ kin izi fɔ bɔn pikin. Bɔku tɛm, na we dɛn de bɔn pikin nɔmɔ dɛn kin no se dis kayn prɔblɛm de.

Bɔt i impɔtant fɔ gɛt di rayt kia bifo yu bɔn ɛn fala wetin yu dɔktɔ tɛl yu we yu gɛt bɛlɛ. We yu de du ɔltrasɔund bifo yu bɔn, yu dɔktɔ go luk di pikin in pozishɔn, di sayz, ɛn di sayz fɔ yu bɛlɛ fɔ no if nɔmal dilivri na di bɛst tin fɔ yu ɛn yu pikin, ɔ if yu fɔ tink bɔt ɔda tin dɛn.

Wetin kin apin if mi pikin gɛt dis sik? A fɔ wɔri?

כnכfכs, wan rili sכm pasεnshכn pan di pikin dεm (bitwin 10% εn 25%) de day we dεn bεlε biכs fכ bכku bכku bכku wan. Dis kin sɔri fɔ yɛri. כltu, mכr dan 75% pan di pikin dεm we dεn no se dεn gεt ``Subgaleal Hemorrhage'' kin bכn fayn εn liv nכmal layf. Fɔ no di pikin kwik kwik wan ɛn fɔ trit am na di bɛst we fɔ ɛp yu pikin. Na dat mek dɔktɔ dɛn de wach dis.

Aw lɔng dis blɔd we de kɔmɔt na di bɔdi go las?

כltu, afta tritmεnt, di simptom dεm we yu pikin gεt fכ ``(Subgaleal Hemorrhage),'' spεshal wan we di ed de swel , go kכlכsכl kכmplit wan insay tu to tri wik. Dɔktɔ dɛn go kɔntinyu fɔ wach di pikin in wɛlbɔdi ivin afta dɛn dɔn pul am na ɔspitul. Dɛn go chɛk fɔ si if ɛni bad tin dɔn apin to di tritmɛnt, if di swel dɔn go dɔŋ kpatakpata, ɛn if di pikin in ɔda pat dɛn de wok fayn fayn wan.

Aw yu kin tek kia ɔf pikin we gɛt dis sik? Yu nid fɔ tek kia ɔf yusɛf!

yu nyu bכbi we gεt sכbgaleal εmoraji go lεk fכ de na di NICU כ spεshal nyu bכbi yunit fכ fכ dez te di dכkta dεm disayd se di pikin hεlty εn stebul fכ se dεn go sεnd am na os.

Ivin afta di pikin kam na os, i impɔtant fɔ kɛr am go na di klinik apɔntinmɛnt dɛn we di dɔktɔ dɛn dɔn tɛl am fɔ du insay di fɔs ia. Dɛn tɛst ya na dɛn kin kɔnfirm if di tritmɛnt dɔn wok fayn ɛn if ɛni ɔda prɔblɛm de fɔ lɔng tɛm we kin kam bikɔs ɔf dis sik.

Dis rili impɔtant:We tin kin so strɛs ɛn tranga wan jɔs afta yu bɔn yu pikin, i impɔtant fɔ mek yu as mama tek kia ɔf yusɛf. Dis nɔto izi tɛm. Gɛt sɔpɔt frɔm yu famili, yu man, ɛn yu padi dɛn. If yu de fil strɛs, wɔri, sɔri, ɔ frayd, duya tɔk to yu dɔktɔ ɔ midwayf. Nɔ shem fɔ aks fɔ ɛp if yu nid am.

Ustɛm a fɔ go to di dɔktɔ bak?

Afta yu pikin kam na os, go to dɔktɔ if yu notis ɛni wan pan dɛn tin ya:

• If di swɛlin na di pikin in ed nɔ go dɔŋ afta dɛn dɔn trit am, i de di sem ɔ i go bɔku.
• If yu pikin in skin kɔntinyu fɔ gɛt blɛsin, ɔ if di wayt pat na dɛn yay ɔ in skin tan lɛk yɔlɔ (lɛk janda).
• if yu pikin in divεlכpmεnt maylston dεm - lεk fכ smayl, fכ ol in nεk, εn fכ rכl oba - i lεk se i de fכl biεn כda pikin dεm insay dεn fכs ia,

Ustɛm yu fɔ go na ɔspitul (ER) wantɛm wantɛm?

If pikin we dɔn gɛt (ɔ gɛt) ``Subgaleal Hemorrhage`` gɛt sik, na mɛdikal imejensi. Wan sik kin bi ɛnitin frɔm:

• I tan lɛk se di pikin nɔ de no natin fɔ sɔm tɛm.
• Mi an ɛn fut dɛn de shek shek ɛn shek ɔltɛm we a nɔ ebul fɔ kɔntrol.
• Wantɛm wantɛm, i kin tan lɛk se di pikin de vɛks, i de fred, ɔ i de du tin dɛn we strenj.

Bɔrku tɛm, wan sik kin te frɔm 30 sɛkɔn to tu minit. Bɔt if di sik we pɔsin kin gɛt kin tek pas fayv minit, i kin rili denja. Ɛspɛshali if di pikin gɛt prɔblɛm fɔ blo, kɔl 911 wantɛm wantɛm, ɔ kɛr di pikin go na di ɔspitul imejensi rum we de nia am kwik kwik wan.

Wetin a fɔ aks mi dɔktɔ?

Na dis kayn tɛm, yu kin gɛt bɔku kwɛstyɔn dɛn na yu maynd. I go fayn fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya:

• "Dɔkta, aw siriɔs mi pikin in kɔndishɔn?"
• "Di pikin nid ɔpreshɔn fɔ dis? Ɔ ɔda tritmɛnt dɛn de?"
• "Wetin a go tek di pikin go haus from haus sik?"
• "Eni speshal we de we a shud tek kia of di pikin afta a get haus?"

Wetin na di difrɛns bitwin Ɛmoraji ɛn Ɛmatoma?

Sɔntɛm yu dɔn yɛri dɛn tu wɔd ya. Di wɔd ``Subgaleal`` de tɔk bɔt usay dis kɔndishɔn de apin. Dat min se di spes bitwin di skin ɛn di skel na di ed.

• `Emoraji` min se bכdi stil de bכn, כ blכd de kכntinyu, na di `subgaleal` εria na di ed. Dat min se, aktif blɔd.
• `Hematoma` min se blɔd dɔn gɛda na wan ples ɛn klot . Dis min se di blɔd we bin de na di wata, dɔn tik smɔl ɛn tan lɛk smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.

insay dis ``Subgaleal Hemorrhage``, fכs bכdi de bכn (hεmorrhage), εn afta dat di bכdi kin kכlכt ova tεm (hεmatoma). Dɛn tu tin ya kin apin we di blɔd vesel dɛn na da eria de pwɛl bikɔs ɔf sɔm injuri ɔ damej.

Fɔ dɔn, tin dɛn we yu nid fɔ mɛmba...

Afta we i nɔ izi fɔ bɔn pikin, as mama, i rili nɔmal fɔ fil bɔku wɔri ɛn strɛs as dɔktɔ dɛn de rɔsh fɔ tek akshɔn bɔt yu pikin in wɛlbɔdi. Na dis kayn tɛm, i rili impɔtant fɔ rawnd yusɛf wit yu famili, yu man, ɛn padi dɛn fɔ dɛn lɔv ɛn sɔpɔt, pas fɔ sɔfa yu wan. Tɛl dɛn aw yu de fil.

If di dɔktɔ dɛn trit yu pikin kwik kwik wan ɛn tek tɛm, i go gɛt bɛtɛ chans fɔ gɛt gud tin fɔ du. As yu pikin wɛl na ɔspitul so, yu go ebul fɔ kɛr am go na os wit yu we yu ɔg am wit lɔv. So una kɔntinyu fɔ strɔng. Wi de wish yu ɛn yu pikin fɔ wɛl kwik kwik wan!

` Subgaleal Hemorrhage, Nyu bכn pikin dεm, εd bכdi bכn, vεkyum dεlivεri, fכsεps dεlivεri, bכn kכmplikεshכn dεm, nyu bכn hεlth