If yu de op fɔ bɔn pikin, i nɔmal fɔ mek yu rili wɔri bɔt yu smɔl pikin in sef. Fɔ tru, if yu gɛt sɔm tin dɛn we de arawnd yu we yu gɛt bɛlɛ , dat kin mek yu pikin we de gro pan denja. Tide, wi want fɔ tɔk bɔt dɛn tin ya—dɛn kɔl dɛn ‘teratogens’ pan mɛrɛsin.
Wetin na Teratogens?
Fɔ tɔk am simpul wan, tɛratojen na tin dɛn we if yu it ɔ absɔb we yu gɛt bɛlɛ, i kin mek yu gɛt dizayd we yu bɔn wit (bɔn pikin we nɔ fayn) na yu ɛmbrayo ɔ pikin we de divɛlɔp. Dɛn tin ya kin bi mɛrɛsin, kemikal , sɔm infɛkshɔn, ɔ tin dɛn we gɛt pɔyzin . If yu gɛt teratogens, i kin rili mek yu gɛt miskɛri , bɔn pikin bifo tɛm, ɔ ivin bɔn pikin we dɔn day.
Wetin de sho aw wan teratogen siriɔs?
di lεvεl fכ risk we wan tεratojen de gi de dipכnt pan sεvεra krεs tin dεm:
- Di kayn tin, mɛrɛsin, ɔ pɔyzin. Nɔto ɔl ɛjɛn de ambɔg bɛlɛ di sem we.
- Di tɛm we di pɔsin kin gɛt di sik. Yu tink se na fɔ shɔt tɛm we dɛn mit am, ɔ we dɛn bin de si am fɔ sɔm dez ɔ mɔnt?
- Lεvεl fכ εkspכzכn (dosage). Yu tink se di mɔni bin smɔl ɔ i bin big?
- di εj we di bεlε de di tεm we dεn de εkspכz am. Dis rili impɔtant bikɔs difrɛn ɔgan dɛn kin kam pan sɔm patikyula stej dɛn we yu pikin de gro.
- Di tin dɛn we de mek pɔsin gɛt jɛnɛtiks. Di spɛshal we aw yu de mek yu pikin kin mek yu pikin gɛt sɔm prɔblɛm dɛn mɔ ɔ smɔl.
fכ dat, fכ avכyd di tεratojen dεm tru yu כl bεlε na di bεst we fכ go bifo. כltu, duya no se fכ εksposhכn di tεm we spεshal, sεnsitiv winda dεm fכ divεlכpmεnt fכ di pikin kin bi spεshal denja.
Aw kɔmɔn tin kin bi di prɔblɛm dɛn we dɛn kin bɔn we dɛn bɔn pikin dɛn we dɛn kɔl teratogens?
stכdi dεm sho se lεk 4% to 5% pan כl di dizכrd dεm we dεn bכn wit dεn gεt dairekt lεnk to teratogenic εksposhכn. pan tap dat, dεn sho se dεn kayn εkspכzכn dεm ya kin impכkt di pikin in kכgnitiv εn fכshal divεlכpmεnt . Dis na tin we yu fɔ pe atɛnshɔn to gud gud wan ɛn tek tɛm wit am.
Wetin na sɔm kɔmɔn ɛgzampul dɛn bɔt teratogens?
Teratogens na tin dεm we dεn no se kin mek bad tin apin, ilɛksɛf na bay we i de mek i bɔn pikin we nɔ fayn, we i nɔ gɛt bɛlɛ, ɔ ɔda prɔblɛm dɛn we kin apin we i gɛt bɛlɛ . Lɛ wi fɛn ɔl di kategori dɛn we impɔtant pas ɔl.
Alkol, Tabako, ɛn Drug dɛn fɔ Ɛnjɔy
Sɔntɛm dɛn kayn tɛratɔjen ya we pipul dɛn sabi pas ɔl.
- Alkol: Rɔk kin afɛkt yu pikin in sɛntral nervous system bad bad wan . If yu drink rɔm we yu gɛt bɛlɛ, i kin mek yu gɛt Fetal Alcohol Syndrome, we kin mek yu fes nɔr fayn, yu ed saiz smɔl, ɛn i kin gɛt prɔblɛm wit yu bihayvya ɛn bɔdi we go de sote go.
No sef amount de fɔ drink rɔm we yu gɛt bɛlɛ.
- Sigrɛt: Smok na di men tin we kin mek di pikin nɔ gro fayn, i kin mek di pikin bɔn bifo di tɛm we i fɔ bɔn, ɛn i kin mek di pikin nɔ gɛt bɛlɛ. I kin mek bak yu pikin in dilik lכng tisu dεm εn di bren we de divεlכp damej we yu nɔ go ebul fɔ chenj.
- Drug dɛn fɔ ɛnjɔy yusɛf:Drugs lɛk kɔkɛyn, mɛtamfɛtamin, heroin, ɛn marijuana kin mek di pikin nɔ gɛt bɛtɛ wet, i kin gɛt at prɔblɛm, ɛn i kin gɛt di sik we dɛn kɔl Neonatal Abstinence Syndrome—na wan sik we di pikin kin gɛt sɔm sayn dɛn we kin mek i lɛf fɔ smok jɔs afta dɛn bɔn am. Apat frɔm dat, we dɛn yuz nidul dɛn we dɛn kin sheb, dat kin mek dɛn gɛt bɔku sik dɛn we dɛn kin gɛt frɔm blɔd.
Di mɛrɛsin dɛn we dɛn kin yuz
Sɔntɛnde, ɔl tu di mɛrɛsin dɛn we dɛn kin bay na kɔt ɛn di mɛrɛsin dɛn we dɛn kin gi kin wok lɛk teratogens. I rili impɔtant fɔ mek yu go to yu wɛlbɔdi biznɛs bifo yu tek ɛni mɛrɛsin ɔ sɔpɔtmɛnt. Rid di lɛbl dɛn fayn fayn wan ɔltɛm. If yu ɛva nɔ shɔ bɔt di sef fɔ wan prɔdak, kɔntak yu dɔktɔ wantɛm wantɛm; i sef fɔ avɔyd fɔ yuz am te yu gɛt pɔshɔnal kliarens.
Sɔm ɛgzampul dɛn fɔ di mɛrɛsin dɛn we kin mek pɔsin gɛt teratogenic na:
- Di mɛrɛsin dɛn we de mek pɔsin nɔ gɛt ɛpilepshɔn (AED) .
- Antimaykrobial dɛn
- Antikoagulant (we de mek blɔd tan) .
- Di mɛrɛsin dɛn we dɛn kin yuz fɔ fɛt di tayroyd
- Vitamin A we gɛt ay doz (dɛn kin si am na sɔm krim dɛn we dɛn kin yuz fɔ mek yu skin) .
- Mɛrɛsin dɛn we gɛt ɔmon
Fɔ ɛgzampul, if yu de manej wan sik lɛk ɛpilepshi, yu kin nid mɛrɛsin lɛk phenytoin. Yu dɔktɔ go tek tɛm wej di prɔblɛm ɛn bɛnifit dɛn fɔ mek shɔ se yu ɛn yu pikin kɔntinyu fɔ sef as yu ebul we dɛn de manej yu wɛlbɔdi nid dɛn.
Aw dɛn kin kategoriz di risk dɛn we pɔsin kin gɛt we i gɛt bɛlɛ?
Di US FDA bin de yuz wan lɛta-bɛs sistɛm (A, B, C, D, X) fɔ kategoriz di risk dɛn. Insay 2015, dɛn bin tek dis ples wit di Pregnancy and Lactation Labeling Rule (PLLR). Dis rul de gi mɔ ditayla, kɔntɛks-rich infɔmeshɔn fɔ ɛp di wan dɛn we de kia fɔ di wɛlbɔdi biznɛs fɔ mek dɛn disayd fɔ du di rayt tin fɔ di wan dɛn we gɛt bɛlɛ ɛn di wan dɛn we de gi dɛn bɛlɛ.
Di tin we impɔtant pas ɔl na fɔ abop pan yu wɛlbɔdi biznɛs fɔ ebul fɔ no if ɛni mɛrɛsin sef bay yu yon mɛdikal prɔfayl.
Infɛkshɔn ɛn vayrɔs dɛn
Infεkshכn, vayrɔs, parasayt, εn baktriyal sik dεm kin mek yu εn yu pikin trɛtin bad bad wan. Di akɔdin ‘TORCH’ de ɛp dɔktɔ dɛn fɔ kategoriz kɔmɔn ay risk infɛkshɔn dɛn:
- T – Toxoplasmosis (bɔku tɛm i kin spre tru kɔntakt wit pusi fes) .
- O – Ɔda infɛkshɔn dɛn (ɛgz., Grup B Streptococcus, Listeria, Candida, ɛn STI) .
- R – Rubɛla we de na di wɔl
- C – Saytomɛgalovayrɔs (CMV) .
- H – Hɛpi Simpleks Vayrɔs
- Sifilis de insay dis risk kategori bak.
Ɔda infɛkshɔn ɛn vayrɔs dɛm we kin mek pɔsin gɛt prɔblɛm na:
- Chikinpoks ɛn shingles
- Epataytis B, Epataytis C, ɛn ɔda vayral ɛpatitayt dɛn
- HIV
- Fayv sik
Envayrɔmɛnt Tɔksin, Kwɛmyuɛl, ɛn Fizik Fakta dɛn
Sɔm kεmikכl dεm we de na di envayroment εn tכxin dεm kin mek di strכkchכral bכtכm dεfεkt, inklud tin dεm lεk Spina Bifida, Cleft Palate, כ nyurolכjik kכmplikεshכn dεm. Sɔm ɛgzampul dɛn bɔt dɛn kayn bad bad tin ya we pɔsin kin gɛt na:
- If yu gɛt raytin (ɛgz., ɛkstrem rayt) ɔ tritmɛnt fɔ kansa (Kɛmotɛrapi) .
- Hot tub, sawna, ɔ ɔda ɔt sɔs dɛm we de mek yu kɔr bɔdi tɛmpracha go ɔp
- Mɛksiki (dɛn kin si am na sɔm kayn fish dɛn) .
- Lid (bɔku tɛm i kin de na pent ɛn paip dɛn na ol os dɛn) .
- Kemikal ɔ ebi ebi mɛtal dɛn we de mek pɔsin sik we dɛn kin si na wokples ɔ say dɛn we dɛn de mek tin dɛn
Krɔnik Mɛdikal Kɔndishɔn dɛn
Sɔm sik dɛn we yu kin gɛt we nɔ de mɛn kin mek yu pikin gɛt prɔblɛm wit yu pikin. Sɔm ɛgzampul dɛn na Dayabitis, tayroyd disɔda, ɛn ɔtoimyun sik dɛn lɛk Lupus ɔ Rimatɔyd Atraytis. Insay dɛn kayn tin ya, di risk we de go ɔp fɔ mek pɔsin gɛt teratogens kin kɔmɔt frɔm di mɛrɛsin dɛn we dɛn kin yuz fɔ trit dɛn sik ya ɔ frɔm di kɔndishɔn dɛn we dɛn nɔ de manej fayn.
I rili impɔtant fɔ tɔk bɔt ɛni mɛrɛsin we yu bin dɔn gɛt bifo tɛm ɛn di mɛrɛsin dɛn we yu de tek wit yu dɔktɔ. Yu kin nid fɔ ajɔst di manejmɛnt plan fɔ yu krɛse sik we yu gɛt bɛlɛ.
Ustɛm we yu gɛt bɛlɛ we yu gɛt bɛlɛ kin denja pas ɔl we yu gɛt bɛlɛ?
if yu gεt di tεratojen dεm, i de ambɔg am pan eni stej we di bεlε de. כltu, di risk kin bכku bכku wan insay di fכs et wik dεm we di bεlε de. dis na biכs, insay dis winda, bכku pan yu pikin in כgan dεm εn sistεm dεm de aktivli divεlכp, we de mek di pikin rili sεnsitiv to di bad tin dεm we di tεratojen dεm de du. Risach sho se di teratogens kin afɛkt pikin as ali as tu wiks afta i gɛt bɛlɛ.
fכ egzampl, Nyural Tiub Dεfεkt (NTD) kin apin bifo di fayv wik we di bεlε de. di nyural tiub na di fawndeshכn fכ di bren εn di spayna. NTD dεm kin apin if di nyural tכb nכ kכloz fayn fayn wan, we kin mek dεn bכn difrεn difεkshכn dεm.
Us kayn difεkt we dεn bכn pikin dεn kin kכz fכ di tεratojen dεm?
dεn no se tεratojen dεm kin mek bכku bכku dεfεkt dεm we dεn bכn pikin dεm. Sɔm pan di tin dɛn we dɛn kin si mɔ na:
- Prɔblɛm dɛn na di bren ɔ di spɛshal kɔd, lɛk Anencephaly (we sɔm pat dɛn na di bren ɔ di skel nɔ de) .
- di abnכmaliti dεm na di bכdi כ di strכkchכ, lεk di limb dεm we nכ de כ di pat dεm na di bכdi we nכ fכm fayn
- Kleft lip ɛn palata
- Kɔgnitiv impairment ɔr nervous system ishu dɛm
- Di prɔblɛm dɛn we kin apin to di at ɛn di blɔd ɔ at prɔblɛm
Aw fɔ avɔyd teratogens we yu gɛt bɛlɛ?
di bεst we fכ avכyd teratogens na fכ plan yu bεlε bifo tεm if i pכsibul. We yu plan fɔ du sɔntin, dat kin mek yu ebul fɔ kɔntrol di sik dɛn we nɔ de mɛn ɛn chenj di we aw yu de liv yu layf, lɛk fɔ lɛf fɔ smok.
Bɔt, nɔto ɔltɛm dis kin apin. We yu dɔn gɛt bɛlɛ, sɔm tin dɛn de we yu kin du fɔ mek yu nɔ gɛt bɔku teratogen:
- Tɔk bɔt ɛni mɛrɛsin we yu de tek wit yu dɔktɔ.
- Strikli avɔyd sigrɛt, rɔm, ɛn drɔgs fɔ ɛnjɔy yusɛf.
- Nɔ tek ɛni sɔpɔtmɛnt, mɛrɛsin we yu nɔ de bay, ɔ ɛbul mɛrɛsin we yu nɔ go to yu dɔktɔ fɔs.
- Nɔ klin di bɔks dɛn we gɛt dɔti fɔ mek yu nɔ gɛt sɔm parasayt dɛn.
- Nɔ yuz ɔt tub, sawna, ɛn ɛnitin we go mek yu bɔdi wam insay yu bɔdi.
- Nɔ it fish we gɛt bɔku mɛkuri, lɛk tuna ɛn sɔd fish.
- Tɔk wit yu supavaysa ɔ di Human Risous dipatmɛnt bɔt ɛni bad bad kemikal we de na yu wokples.
I rili impɔtant fɔ tɔk to yu ɔnɛs ɛn ɔnɛs wan wit yu ɔbstetrician ɔl di tɛm we yu gɛt bɛlɛ. Dis inklud fɔ tɔk tru bɔt ɛnitin we pɔsin de drink ɔ tek drɔgs. Dɛn de fɔ ɛp fɔ mek shɔ se yu bɛlɛ sef ɛn gɛt wɛlbɔdi. Nɔ ɛva shem fɔ aks yu dɔktɔ bifo yu bigin ɛni mɛrɛsin ɔ sɔpɔtmɛnt. Fɔ tek tɛm pasmak we yu gɛt bɛlɛ na di bɛst we ɔltɛm.
Faynal tin dɛn fɔ tink bɔt
fכ protεkt yu pikin frכm teratogens we i bεlε de εp fכ mek i nכ bכn difεkt. di fכs tin we yu fכ du na fכ no aw sכm bad bad tin dεm kin rich to yu pikin εn i kin ambɔg in divεlכpmεnt bad bad wan. If yu avɔyd di teratogens, i de ɛp fɔ mek shɔ se yu gɛt wɛlbɔdi bɛlɛ ɛn i de gi yu pikin di bɛst stat na layf.
Tɔk wit yu dɔktɔ opin wan bɔt di mɛrɛsin dɛn we yu de tek, ɛni rɔm we yu de drink, ɛn di say we yu de wok ɔ usay yu de liv. Dɛn kin ansa yu kwɛstyɔn dɛn bɔt us tin dɛn kin mek yu bɔn pikin dɛn we nɔ fayn ɛn aw fɔ protɛkt yusɛf ɛn yu pikin di bɛst we.
