Yu no bɔt tin dɛn we kin ambɔg yu pikin we yu nɔ bɔn yet? (Teratogens) Lɛ wi tɔk bɔt dis!

If yu na mama we go bi mama, yu go mɔs tink bɔku bɔt di sef we yu pikin we nɔ bɔn yet go sef. Infakt, sɔm tin dɛn we yu kin gɛt we yu gɛt bɛlɛ kin ambɔg yu pikin. Tide wi go tɔk bɔt dɛn kayn tin ya, we na mɛdikal sayɛns wi kin kɔl ‘teratogens’.

Wetin na dis teratogen?

Fɔ tɔk am simpul wan, tɛratojen na tin dɛn we if yu it am ɔ put am pan am we yu gɛt bɛlɛ, i kin mek yu gɛt prɔblɛm wit yu bɔdi we yu bɔn ɔ yu pikin we de gro. Dɛn tin ya kin bi mɛrɛsin, kemikal , sɔm infɛkshɔn, ɛn tin dɛn we gɛt pɔyzin . di tεratojen dεm kin mek di risk fכ bכn pikin , bכn pikin bifo tεm, כ ivin bכn pikin we dεn day .

Aw dɛn kin no di denja we wan teratogen gɛt?

Naw, aw i denja fɔ ɛkspos to wan teratogen de dipen pan sɔm tin dɛn:

• I nɔ mata us kayn mɛrɛsin, sɔbstans, ɔ pɔyzin i bi. Nɔto ɔltin kin du di sem tin.
• Aw lɔng yu bin de pan am? Yu tink se na bin shɔt tɛm, dez, mɔnt?
• Di amount (dose ɔ amount) fɔ ɛkspos. Smɔl mɔni ɔ big mɔni?
• di ej we di pikin de bכn na di nכmba כf wik dεm we di pikin bin de insay di bεlε we i bin de εkspos. dis na biכs tεm dεm de we di pikin in difrεn כgan dεm de divεlכp.
• Di tin dɛn we pɔsin kin gɛt frɔm in mama ɛn papa kin mek di pikin gɛt mɔ prɔblɛm. Sɔntɛnde, i kin gɛt tin dɛn we kin apin to pɔsin we gɛt jɛnɛtiks.

fכ dat, i bεst fכ de fa frכm dεn kayn tεratojen dεm ya di tεm we yu bεlε as mכch as i pכsibul . Bɔt if pɔsin de wit dɛn insay sɔm tɛm dɛn we di pikin de gro , dat kin rili ambɔg am .

Aw kɔmɔn tin kin bi di prɔblɛm dɛn we dɛn kin bɔn we dɛn bɔn pikin dɛn we dɛn kɔl teratogens?

stכdi dεn sho se bitwin 4% εn 5% pan di bכn difεkt dεm de kכz fכ εkspos to teratogens. Ɛn dɛn dɔn si bak se we di pikin gɛt dɛn teratogens ya, dat kin afɛkt di we aw di pikin de tink ɛn in bɔdi . So, dis nɔto sɔntin we wi fɔ tek am layt, nɔto so?

Wetin na ɛgzampul dɛn bɔt teratogens?

Tεratojen na tin dεm we kin ambɔg pikin we i bεlε. Stɔdi dɛn dɔn sho se dɛn kin mek dɛn bɔn pikin dɛn we nɔ fayn, dɛn kin mek di pikin nɔ gɛt bɛlɛ, bɔn pikin we dɔn day, ɔ ɔda prɔblɛm dɛn we kin apin we uman gɛt bɛlɛ . Lɛ wi luk sɔm pan di men ɛgzampul dɛn.

Rɔk, sigrɛt, ɛn drɔgs fɔ ɛnjɔy yusɛf

Dis na di kayn teratogens we bɔku pipul dɛn sabi.

• Rɔk: Rɔk kin afɛkt di pikin in sɛntral nervɔs sistɛm . If yu drink rɔm we yu gɛt bɛlɛ, dat kin mek yu gɛt wan sik we dɛn kɔl Fetal Alcohol Syndrome. Dis kin mek di pikin gɛt in fes we nɔ kɔmɔn, in ed ɛn in bren smɔl, ɛn ɔda prɔblɛm dɛn na in bɔdi ɛn aw i de biev.

Nɔr ɔmɔs rɔm nɔ de we dɛn kin tek se i nɔ bad we uman gɛt bɛlɛ.

• Sigrɛt: If pɔsin smok , i kin mek di pikin nɔ gro fayn, i kin mek di pikin nɔ gɛt bɔku wet, ɛn i kin mek di pikin nɔ gɛt bɛlɛ. Smok kin pwɛl di pikin in sɛnsitiv lɔng tisu ɛn in bren bak.
• Drug: Drugs lɛk kɔkɛyn, mɛtamfɛtamin, heroin, ɛn marijuana we dɛn kin yuz we uman gɛt bɛlɛ kin mek di pikin in wet smɔl, i kin gɛt at prɔblɛm, ɛn i kin mek i gɛt wan sik we dɛn kɔl Neonatal Abstinence Syndrome. Fɔ lɛf fɔ tek drɔgs na di prɔblɛm we kin apin we dɛn bɔn pikin. Dɔn bak, we yu sheb nidul dɛn, dat kin mek yu gɛt infɛkshɔn.

Di mɛrɛsin dɛn we dɛn kin yuz

Sɔm mɛrɛsin dɛn we dɛn kin bay na kɔt ɛn we dɛn kin gi dɛn mɛrɛsin, dɛn kin tek dɛn as teratogens. So, i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek. We yu de bay mɛrɛsin ɔ sɔpɔtmɛnt dɛn we yu nɔ kin bay, rid di lɛbl gud gud wan. If yu gɛt ɛnitin we de mɔna yu bɔt di sef fɔ wan tin, tɔk to yu dɔktɔ wantɛm wantɛm. I bɛtɛ fɔ lɛ yu stɔp fɔ yuz am te yu dɔn gɛt in advays.

Sɔm ɛgzampul dɛn bɔt drɔgs we kin bi 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 kin bɔku pan sɔm krim dɛn we dɛn kin yuz fɔ mek yu skin) .
• Mɛrɛsin we gɛt ɔmon

Imajin, yu gɛt epilepsy, ɛn yu tek mɛrɛsin lɛk `(Phenytoin)` fɔ am. I kin gɛt bad bad tin fɔ du to di pikin, bɔt da mɛrɛsin de kin rili impɔtant fɔ yu layf. Insay tɛm lɛk dis, dɔktɔ dɛn kin tink bɔt di gud ɛn bad tin dɛn we kin apin we pɔsin tek di mɛrɛsin ɛn disayd fɔ du tin dɛn we nɔ go gɛt di prɔblɛm we i gɛt di bɛlɛ.

Aw dεn kin klas di sef fכ mεdikeshכn dεm we uman bεlε?

Di United States Food and Drug Administration (FDA) bin mek wan sistem fɔ klas di prɔblɛm dɛn we kin apin we pɔsin tek drɔgs we i gɛt bɛlɛ. I bin gɛt fayv kategori dɛn: A, B, C, D, ɛn X.

Insay 2015, dɛn bin mek wan nyu sistɛm we dɛn kɔl di Pregnancy and Lactation Labeling Rule (PLLR). Dis bin pul di lɛta kategori dɛn we bin de bifo. Di PLLR sistɛm de gi dɔktɔ dɛn di rilitiv infɔmeshɔn we dɛn nid fɔ disayd we dɛn de trit mama dɛn we gɛt bɛlɛ ɔ we de gi pikin dɛn bɛlɛ. I de tek bɔku ɔda tin dɛn na kɔna ɛn i de sho di data insay bɛtɛ kɔntɛks fɔ dɔktɔ dɛn.

Di bɛst tin fɔ du na fɔ mek di pɔsin we de kia fɔ yu bifo yu bɔn disayd if di mɛrɛsin sef bay wetin dɛn sabi.

Infɛkshɔn ɛn vayrɔs dɛn

Infεkshכn, vayrus, parasayt, εn כda baktri sik dεm kin mek bεlε uman εn in bεlε pikin we i bεlε, de pan denja bad bad wan. Di akɔdin `(TORCH)` de ɛp fɔ klas sɔm pan dɛn infɛkshɔn ya:

• T – `(Toxoplasmosis)` (na infεkshכn we pusi fכs de spre)
• O – Ɔda infɛkshɔn dɛn – fɔ ɛgzampul, Grup B Streptococcus, Listeria, Candida ɛn infekshɔn dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs (STI).
• R – `(Rubɛla)` (Rɔbɛla) .
• C – `(Saytomegalovayrɔs – CMV)` (Saytomegalovayrɔs) .
• H – `(Hɛpi Simpleks Vayrɔs)` (Hɛpi Simpleks Vayrɔs)
• Apat frɔm dis, sik dɛn lɛk `(Syphilis)` kin fɔdɔm bak na dis kategori.

כda infεkshכn dεm εn vayrus dεm we kin mek i gεt kכmplikεshכn we i bεlε כ prכblεm fכ di pikin na:

• Chikinpoks ɛn shingles
• Epataytis B, Epataytis C ɛn ɔda vayral ɛpatitis
• HIV `(HIV)`
• Fayv sik

Pɔyzin we de na di envayrɔmɛnt, kemikal, ɔ ɔda tin dɛn we de na di bɔdi

Sɔm kemikal ɛn pɔyzin kin mek dɛn bɔn pikin dɛn we nɔ fayn. Dɛn prɔblɛm ya we dɛn kin bɔn we dɛn bɔn kin bi spina bifida, cleft palate, ɔr prɔblɛm wit in nervɔs sistɛm. Sɔm ɛgzampul dɛn bɔt dɛn pɔyzin ɔ kemikal ya na:

• We yu gɛt raytin (e.g., frɔm X-ray) ɔ kemotɛrapi
• Hot tub, sawna, ɔ ɔda tin dɛn we de mek yu bɔdi wam pasmak
• Mɛksiki (dɛn kin si am na sɔm kayn fish dɛn) .
• Lid (yu kin fɛn am na pent ɛn paip na ol os dɛn) .
• Pɔyzin kemikal ɔ ebi ebi mɛtal dɛn we de na di wokples ɔ di say dɛn we dɛn de mek tin dɛn

Di sik dɛn we pɔsin kin gɛt we i de mɛn pipul dɛn we nɔ de mɛn

Sɔm sik dɛn we yu kin gɛt we nɔ de mɛn kin mek yu pikin gɛt prɔblɛm bak. Sɔm ɛgzampul dɛn na dayabitis, tayroyd sik, ɛn ɔtoimyun sik dɛn lɛk lupus ɔ rεumatoid at. Di risk we de go ɔp fɔ gɛt teratogens kin kɔmɔt frɔm di mɛrɛsin dɛn we dɛn kin yuz fɔ trit dɛn sik ya, ɔ frɔm di mɛrɛsin kɔndishɔn dɛn we dɛn nɔ kin kɔntrol fayn.

I impɔtant fɔ tɔk to yu dɔktɔ bɔt ɛni sik we yu dɔn gɛt bifo tɛm ɛn di mɛrɛsin dɛn we yu de tek fɔ am. Yu kin nid bak fɔ chenj di we aw yu de manej yu krɛse sik dɛn we yu gɛt bɛlɛ.

Ustɛm we yu gɛt teratogens we yu gɛt bɛlɛ, i kin wɔs pas ɔl?

if yu de wit di tεratojen dεm, i de ambɔg am εni tεm we di bεlε de. Bɔt di risk kin bɔku smɔl insay di fɔs et wiks we uman gɛt bɛlɛ. dis na biכs bכku pan di pikin in כgan dεm εn sistεm dεm de divεlכp insay dis tεm, we de mek di pikin fil mכr to di bad tin dεm we di tεratojen dεm de du. stכdi dεn sho se di tεratojen dεm kin afekt di pikin as ali as tu wiks afta i bכn, we di sεl dεm fεtilayz eg.

fכ egzampl, nyural tכb dεfekt (NTD) de apin bifo fayv wiks we di bεlε de. di nyural tכb na di say we di bren εn di spεnal kכd de fכm. NTD dεm de apin we di nyural tyub nכ de kכloz fayn fayn wan. Dis kin mek dɛn bɔn difrɛn difrɛn prɔblɛm dɛn.

Us difεkt dεm we di tεratojen dεm kin mek we dεn bכn pikin?

Dɛn no se tɛratojen kin mek bɔku pikin dɛn gɛt prɔblɛm wit dɛn pikin dɛn. Sɔm pan di wan dɛn we bɔku pipul dɛn kin gɛt na:

• Prɔblɛm wit di bren ɔ di spɛnal kɔd, fɔ ɛgzampul, we di bren nɔ de na di bren smɔl ɔ i nɔ de igen (anencephaly) .
• difכmiti dεm na di fכs כ strכkchכ, fכ egzampl, sכm sכm bon dεm כ di pat dεm na di bכdi we nכ de
• Kleft lip ɛn palata
• Intɛlektual disabiliti ɔr nervɔs sistɛm prɔblɛm (cognitive impairment) .
• Di prɔblɛm dɛn we kin apin to di at ɛn di blɔd ɔ at sik

Aw fɔ avɔyd teratogens we yu gɛt bɛlɛ?

di bεst we fכ avכyd teratogens na fכ plan bifo tεm, if i pכsibul. We yu de plan fɔ gɛt bɛlɛ, yu kin ebul fɔ kɔntrol di sik dɛn we nɔ de mɛn ɛn chenj yu layf, lɛk fɔ lɛf fɔ smok.

Bɔt nɔto ɔltɛm dis kin pɔsibul. Wae yu dɔn gɛt bɛlɛ, sɔm tin dɛn de we yu kin du fɔ ridyus yu risk fɔ gɛt teratogens:

• Tɔk to yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek.
• Nɔ smok, rɔm, ɛn drɔgs fɔ ɛnjɔy yusɛf kpatakpata.
• Nɔ tek ɛni mɛrɛsin we de ɛp yu fɔ it, mɛrɛsin we yu nɔ kin bay, ɔ mɛrɛsin we yu kin gi yu if yu nɔ go to yu dɔktɔ.
• Nɔ klin di bɔks dɛn we dɛn kin put dɔti pan pusi.
• Nɔ yuz ɔt tub, sawna, ɛn ɛnitin we go mek yu bɔdi in tɛmpracha go ɔp.
• Nɔ it fish we gɛt bɔku mɛkuri, lɛk tuna ɛn sɔd fish.
• Tɔk to yu supavaysa ɔ di dipatmɛnt fɔ pipul dɛn bɔt di kemikal dɛn we de ambɔg yu na yu wokples.

I impɔtant fɔ opin yu at ɛn ɔnɛs wit yu ɔbstetrishan we yu gɛt bɛlɛ. Dis inklud fɔ tɛl di tru bɔt ɛni rɔm ɔ drɔgs we yu de yuz. Dɛn de fɔ ɛp yu fɔ gɛt bɛlɛ we sef ɛn we gɛt wɛlbɔdi. Nɔ fred fɔ aks yu dɔktɔ bifo yu tek ɛni mɛrɛsin ɔ sɔpɔtmɛnt. I bεst fɔ tek tɛm pasmak we yu gɛt bɛlɛ.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

if yu protεkt yu pikin we de bכn frכm di tεratojen dεm we i bεlε, i kin εp fכ mek i nכ bכn difεkt. Di fɔs tin we yu fɔ du na fɔ no se sɔm bad bad tin dɛn kin pas to yu pikin we nɔ gɛt bɛlɛ ɛn afɛkt di we aw i de gro bad bad wan. If yu avɔyd di teratogens, i kin ɛp fɔ mek shɔ se yu gɛt wɛlbɔdi bɛlɛ ɛn gi yu pikin gud stat na layf.

Tɔk wit yu dɔktɔ opin wan bɔt di mɛrɛsin dɛn we yu de tek, di we aw yu de drink rɔm, ɛn di tin dɛn we de apin na yu wokples ɔ di say we yu de liv. I kin ansa yu kwɛstyɔn dɛn bɔt wetin kin mek yu bɔn pikin dɛn we nɔ fayn ɛn aw fɔ protɛkt yusɛf ɛn yu pikin.