Bebi kin sik frɔm mama? (Vertical Transmission) Lɛ wi lan bɔt am.

Yu na mama we go bi mama? Ɔ sɔmbɔdi na yu famili de kam bɔn pikin? Dɔn dis atikul go rili impɔtant to yu. Sɔmtɛm, sik kin pas frɔm mama to pikin we yu nɔ no. Na dat wi de tok abaut tide, mama-to-bebi transmishon.

Wetin na Vɛtikal Transmishɔn?

Fɔ tɔk am simpul wan, ‘Vɛtikal Transmishɔn’ na di transmishɔn we infɛkshɔn, dat na sik, frɔm mama to in pikin we i gɛt bɛlɛ, we i de bɔn pikin, ɔ we i de gi in bɛlɛ afta di pikin dɔn bɔn. Di kayn jem dɛm wae kin mek dis sik na vayrɔs, baktri dɛm, ɛn parasayt dɛm. Imajin se yu gɛt smɔl kol. Sɔntɛm i nɔ go bi big tin to yu. Bɔt if yu gɛt bɛlɛ, ivin da smɔl sik de kin rili afɛkt di pikin we de na di bɛlɛ. Dis sik we de pas kin mek sɔm tɛm dɛn gɛt bɛlɛ, bɔn pikin dɛn we dɔn day, ɛn i kin afɛkt di pikin in wɛlbɔdi fɔ di res ɔf in layf. So, i rili impɔtant fɔ mek wi no bɔt dis.

Aw di sik kin pas dis we? (Tayp dɛn fɔ Vɛtikal Transmishɔn)

Tri men we dεm de we di sik kin pas frכm mama to pikin. Lɛ wi tek wan luk pan wetin dɛn bi.

1. tru di plasεnta we di pikin stil de insay di bεlε (In utero/Transplacental) .

wetin kin apin insay dis kes na we di jεm go insay di mama, i kin go insay di mama in bכdi, pas insay di plasεnta, εn i kin infεkt di pikin we de insay di bεlε. di plasεnta na di kכnεkshכn bitwin di mama εn di pikin. Di tin we di mama de it kin pas tru am. So sɔm jem dɛn kin pas bak na dis rod fɔ go to di pikin. Imajin se, jɔs lɛk di tin dɛn we di mama de it ɛn drink, di 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 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 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.

2. We yu de bɔn pikin (Intrapartum) .

Wetin kin apin we pikin kam na dis wɔl, dat na we i kam tru di mama in bɔn kanal, if di mama gɛt ɛni infɛkshɔn, i kin pas to di pikin bak. Imajin se sɔm 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 smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. We di pikin kam tru am, dɛn jem dɛn de kin go na di pikin in bɔdi, ɛn sɔntɛm dɛn kin go insay in yay ɛn in mɔt. Dis tan lɛk we yu de waka na smɔl rod ɛn tin dɛn we de na di tu say dɛn nak yu.

3. Fɔ gi pikin in bɛlɛ afta dɛn bɔn di pikin (Postpartum) .

di tכd we na fכ gεt di infεkshכn we yu de gi di pikin in bεlε afta dεn bכn di pikin. sכm jεm dεm kin pas to di pikin tru in mama in milk. Ɔ, if di mama gɛt sɔntin lɛk krak nipples, di jem dɛn kin pas to di pikin tru di blɔd. Na dat mek mama dɛn we de gi pikin dɛn bɛlɛ nid fɔ tek tɛm wit dɛn yon klin ɛn bak di wɛlbɔdi fɔ dɛn nipples.

Wetin na di difrɛns bitwin ‘Vɛtikal’ ɛn ‘Ɔrizɔntal’ transmishɔn? (Vɛtikal vs Ɔrizɔntal Transmishɔn)

Dɛn tu tin ya na we dɛn we di jem kin skata frɔm pɔsin to ɔda pɔsin, bɔt smɔl difrɛns de.

‘Horizontal transmission’ na di we aw wi kin no am. Dat min se pɔrsin kin gɛt sik frɔm ɔda pɔrsin tru tin dɛm lɛk fɔ kɔf, sniz, du mami ɛn dadi biznɛs, ɔr tɔch sɔmtin wae dɛn dɔn yuse. Fɔ ɛgzampul, if yu tɔk to yu padi we gɛt kol, we dɛn de kɔf, di jem kin kam to yu ɛn mek yu sik. Na dat na ‘ɔrizɔntal transmishɔn’.

כltu, ‘vεtikal transmishכn’ de tכk bכt di transmishכn fכ wan sik, spεshal wan frכm bεlε כ mama we de gi bεlε to in bεlε pikin כ nyu bכbi. Bɔku tɛm, dɛn sik ya we dɛn kin ‘vɛtikal’ kin pas ‘ɔrizɔntal’ bak.

Us simptom pikin dεm kin gεt frכm dis sik we de pas? (Di sayn dɛn we kin apin to Bebi)

If di mama pas dis sik to di pikin, di pikin kin sho difrɛn sayn dɛn. Sɔm pikin dɛn kin gɛt dɛn sik ya we dɛn bɔn dɛn. Fɔ ɔda pikin dɛn, dɛn sik ya kin apin we dɛn dɔn big smɔl, dat na we dɛn smɔl. Lɛ wi si wetin na dɛn men sayn ya:

• Blaynd ɔ yu nɔ de si fayn igen
• I nɔ de yɛri fayn ɔ i nɔ de yɛri fayn
• At sik
• Rash ɔ blista dɛn
• Seizure, dat na, kɔndishɔn dɛn we tan lɛk seizure
• We di skin ɛn di yay dɛn yɔlɔ, wi kin kɔl am janda.
• di yay dεm we de rεd, di yay sik `(Conjunctivitis)`
• Smɔl tit dɛn we gɛt notch
• Sɔm difrɛns dɛn na di fes
• di liva we de big (hεpatomegaly) εn/כ di splin (splenomegaly) .
• Smɔl ed `(maykrosɛfali)`
• dilay ɔ chenj na di mכtalman skil divεlכpmεnt, lεk fכ waka εn yuz di limb dεm

Jɔs tink bɔt, if pikin we dɛn jɔs bɔn kin yɔlɔ ɔltɛm, ɔ gɛt smɔl smɔl brus dɛn na in bɔdi, aw i impɔtant fɔ sho am to dɔktɔ wantɛm wantɛm. If dɛn kayn sayn ya de, i kin bi bikɔs ɔf di infekshɔn we di mama gɛt.

Wetin na di infεkshכn dεm we kin pas frכm mama to pikin? (Infεkshכn dεm we kin spre vεtikal)

difrεn vayral, baktri, εn parasayt sik dεm de we kin kכmכt frכm mama to pikin dis we ya. Dɔktɔ dɛn kin yuz shɔt nem fɔ mɛmba dɛn tin ya, we na ‘TORCH’ .

• T - Toxoplasmosis, Treponema pallidum (we de mek di soshal sik we dɛn kɔl sifilis) .
• O - Ɔda min ‘ɔda’ infɛkshɔn
• R - Rubɛla `(Rubɛl)`
• C - Saytomegalovayrɔs
• H - Hɛpi simpul vayrɔs dɛn

Naw, sɔm ɔda infɛkshɔn dɛn de we kin fɔdɔm insay da ‘Ɔda’ kategori de. Sɔm pan dɛn na:

• Chagas sik we dɛn kɔl Chagas
• Klamidia we gɛt di sik
• Covid-19 `(COVID-19)`
• Gɔnoria we de mek pɔsin gɛt sik
• Epataytis vayrɔs (we de afɛkt di liva) .
• HIV `(HIV)`
• Listeriosis (dis kin pas tru sɔm it dɛm) .
• Parvovayrɔs B19
• Varicella-zoster virus (na dis kin mek pɔsin gɛt chikinpoks) .
• Zika vayrɔs (na mɔskito dɛn kin pas am) .

Nɔ mek yu fred wit dis list. Nɔto ɔlman go gɛt ɔl dɛn sik ya. Bɔt i impɔtant fɔ no se dɛn de, so wi kin tek stɛp fɔ protɛkt wisɛf frɔm dɛn.

Aw bɛlɛ uman dɛn kin gɛt dɛn sik ya?

Naw di kwɛstyɔn na, aw mama we gɛt bɛlɛ ɔ we de gi pikin in bɛlɛ kin gɛt dis sik bifo in pikin gɛt di sik? Bɔku rizin dɛn kin de fɔ dis:

• Tru mami ɛn dadi biznɛs we nɔ gɛt protɛkshɔn (oral, anal ɔ vaginal sex). Sɔm sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs, i kin pas dis we ɛn leta i kin pas to di pikin.
• I kin pas tru smɔl smɔl drɔp (respiratory droplets) we kin kɔmɔt we pɔsin kɔf ɔ sniz. Fɔ ɛgzampul, i kin pas frɔm pɔsin we gɛt kol ɔ flu.
• Na bay we yu tɔch pusi poop. Na wan sik we dɛn kɔl toxoplasmosis kin pas dis we. Na dat mek dɛn kin tɛl mama dɛn we gɛt bɛlɛ nɔ fɔ tɔch dɛn pusi in dɔti bɔks.
• Parasayt kin pas bay we yu it it ɔ drink we gɛt dɔti. Fɔ ɛgzampul, tin dɛn lɛk vɛjitebul, frut, ɛn mit ɛn fish we nɔ kuk fayn.
• If insɛkt we dɛn kɔl di kis bɔg bit yu (dis nɔ kin bɔku na Sri Lanka).
• Blɔd transfyushɔn. Bɔt dis nɔ kin bɔku naw, bikɔs dɛn kin tɛst di blɔd we dɛn gi fɔ si if i gɛt 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 smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.

Yu si, if wi tek tɛm smɔl na wi layf ɛvride, wi go ebul fɔ avɔyd bɔku pan dɛn tin ya.

Wetin na de kɔmplikeshɔn wae dis kayn sik wae de kam pan pɔrsin kin kam wit?

di transmishכn fכ wan sik frכm mama to pikin, we dεn kכl ‘vεtikal transmishכn’, kin mek sכm siriכs kכndyushכn dεm. Fɔ ɛgzampul:

• Di risk fɔ mek uman we gɛt bɛlɛ ɔ bɔn pikin we dɔn day kin bɔku.
• di pikin we de na di bεlε kin gεt wata כ i kin swel bad bad wan (hydrops fetalis).

Na nɔmal tin fɔ mek yu fil fred we yu yɛri dɛn tin ya. Bɔt mɛmba se pan ɔl we dɛn tin ya kin apin, yu kin ridyus dis prɔblɛm bad bad wan if yu tɛl yu bifo tɛm, du di tɛst dɛn we yu nid, ɛn fala yu dɔktɔ in advays.

Aw dɔktɔ dɛn kin no se pɔsin gɛt dis sik? (Diagnosis) .

We di pikin bigin fɔ gɛt bɛlɛ, dɔktɔ dɛn kin du sɔm blɔd tɛst fɔ chɛk if di pikin gɛt infɛkshɔn we go afɛkt di pikin we de na di bɛlɛ. If dɛn si se di mama gɛt infekshɔn, dɔktɔ dɛn kin se dɛn fɔ du ɔda tɛst fɔ si if di pikin sɛf go afɛkt. Sɔm pan dɛn tɛst ya na:

• Amniocentesis: dis involv fכ yuz sכm nidul fכ tek sכm sכm sεmpl fכ di wata (amniotic fluid) we de rawnd di pikin εn fכ egzamin in sεl dεm.
• di chorionic villus sampling: dis involv fכ tek wan tisu sεmpl frכm di plasεnta εn tεst am.
• di pikin in bכdi sεmpl: insay dis, dεn kin pas wan tכn nidul tru di mama in bכdi εn dεn kin tek bכdi sεmpl frכm di pikin we de insay di bכdi εn tεst am.

Insay pikin dɛn we dɛn jɔs bɔn ɛn smɔl pikin dɛn, bɔku tɛm dɛn kin no dɛn sik ya bay we dɛn du blɔd tɛst. If dɔktɔ sɔspɛkt se di pikin gɛt wan pan di TORCH infɛkshɔn dɛn (we na bikɔs di mama gɛt di sik ɔ bikɔs di pikin gɛt sɔm sayn dɛn), dɛn go tɛst di pikin wantɛm wantɛm afta dɛn bɔn am. Dɛn kin tɛst bak fɔ di infɛkshɔn tru urine tɛst ɔ bay we dɛn tek wan sɛmpul fɔ saliva frɔm di pikin in chɛst insay.

Aw fɔ trit dɛn kayn sik ya? (Tritmɛnt)

di tritmεnt fכ mama to pikin infεkshכn de dipכnt pan us kayn infεkshכn di pikin gεt εn ustɛm dεn dכn fכ no am. Sɔntɛnde, dɔktɔ dɛn kin gi antivayrɔs, antibayɔtik, ɔ antiparasayt mɛrɛsin bifo ɔ afta dɛn bɔn di pikin.

Di impɔtant tin na dat, pan ɔl we sɔntɛnde dɛn mɛrɛsin ya kin ridyus di risk fɔ gɛt wɛlbɔdi prɔblɛm, nɔto ɔltɛm dɛn kin mek dɛn nɔ gɛt am kpatakpata. Ɛn dɛn nɔ go ebul fɔ rivɛns di damej we dɔn ɔlrɛdi apin.

Pikin dɛm wae nɔr de yɛri fayn bikɔs ɔf infekshɔn wae dɛn bɔn ɔr gɛt prɔblɛm wit dɛn divɛlɔpmɛnt kin gɛt ɛp frɔm tin dɛm lɛk tɔk tɛrapi ɛn ɔkupeshɔn tɛrapi.

Wetin fɔ ɛkspɛkt if mi pikin gɛt dis kayn sik?

Wetin kin apin to yu pikin if yu mama gɛt sik kin dipen pan bɔku tin dɛn. Fɔ ɛgzampul, we di pikin gɛt di sik we i gɛt bɛlɛ ɛn us kayn sik i bi. Jɛnɛral wan, di mɔ we di pikin gɛt di jem kwik kwik wan we di pikin gɛt bɛlɛ, na di mɔ i go gɛt prɔblɛm fɔ mek i nɔ gɛt bɛlɛ, fɔ bɔn pikin we dɔn day, ɔ fɔ bɔn pikin wit wan sik we go mek i day. Bɔt nɔto so i kin bi ɔltɛm. Bɔku tɛm, if pɔsin no am kwik kwik wan ɛn trit am, i kin mek i nɔ gɛt bɔku siriɔs prɔblɛm dɛn.

Ustɛm a fɔ go to dɔktɔ? (Wetin fɔ go to dɔktɔ)

Dis rili impɔtant. If yu gɛt bɛlɛ, tɔk to yu dɔktɔ bɔt fɔ du tɛst fɔ sik dɛn we yu kin gɛt we yu gɛt bɛlɛ ali. Dɔn bak, if yu tink se yu go dɔn gɛt wan sik we dɛn kɔl sexually transmitted infection (STI), ɔ if yu gɛt ɛni sik we yu gɛt bɛlɛ, tɛl yu dɔktɔ wantɛm wantɛm. Nɔ ignore am. Ivin if na smɔl tin fɔ yu, i kin gɛt big impak pan yu pikin.

Yu tink se dɛn kin mek dɛn nɔ ebul fɔ transmit vertikal?

Yɛs! Tin dɛn de we wi kin du fɔ mek dis nɔ apin to bɔku bɔku wan. If yu gɛt infekshɔn we kin pas to yu pikin we yu gɛt bɛlɛ ɔ afta yu bɔn am, yu kin trit am wit antibayɔtik, antivayral, ɔ antiparasitic mɛrɛsin. Dis kin ridyus di risk fɔ pas di sik to yu pikin. Apat frɔm dat, na sɔm tin dɛn we yu kin du fɔ protɛkt yusɛf frɔm infɛkshɔn:

• Wash yu an fayn fayn wan wit sop ɔltɛm. Mek shɔ se yu was yu an afta yu dɔn go na do, bifo yu it, ɛn afta yu dɔn yuz tɔylɛt.
• Wear glɔv we yu de wok na gadin ɔ we yu de klin di os. Wash yu an gud gud wan we yu dɔn.
• Nɔ mek yu nɔ go na say dɛn we pipul dɛn kin bɔku as yu ebul. If yu fɔ go, wɛr mask. Tek tɛm mɔ insay di flu sizin ɛn we bɔku pipul dɛn de we gɛt COVID-19.
• Aks yu dɔktɔ bɔt di vaysin dɛn we dɛn kin gi yu ɛn gɛt dɛn ɔl di rayt tɛm. Sɔm vaysin kin protɛkt frɔm sik dɛn we kin pas frɔm mama to pikin dis we. Fɔ ɛgzampul, di rubɛla vaysin.
• Praktis mami ɛn dadi biznɛs we sef. Yuz kɔndɔm if yu du mami ɛn dadi biznɛs we yu gɛt bɛlɛ. I fayn bak fɔ mek dɛn tɛst yu patna fɔ si if i gɛt sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs (STI).
• Nɔ tray fɔ klin di pusi dɔti bɔks yusɛf we yu gɛt bɛlɛ. If yu rili fɔ du dat, wɛr glɔv ɛn was yu an fayn fayn wan afta yu dɔn.
• We yu de pripia it, pripia am klin ɛn fayn. Boil ɛn kuk mit ɛn fish fayn fayn wan bifo yu it. Wash frut ɛn vɛjitebul dɛn fayn fayn wan, pul dɛn if i pɔsibul.
• Na it nɔmɔ it we nɔ gɛt wan prɔblɛm. Nɔ drink milk we nɔ pastɔrayz ɔ wata we nɔ trit. Nɔ it raw ɔ shelfish we nɔ kuk fayn, lɛk ɔysta ɛn mɔsul.
• Protɛkt yusɛf frɔm insɛkt dɛn. Fɔ protɛkt yusɛf frɔm insɛkt lɛk mɔskito, put tin dɛn we de mek yu nɔ gɛt insɛkt ɛn wɛr lɔng klos.
• If yu de go fɔ lɔng tɛm, plan bifo tɛm. Ɛspɛshali if yu de go ɔda kɔntri we yu gɛt bɛlɛ, i fayn fɔ aks fɔ advays frɔm ``travul mɛrɛsin klinik``. Dɛn go gi yu advays we spɛshal fɔ di kɔntri we yu de go.

Dɔn bak, if yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu dɔn travul go na say usay Chagas sik bɔku, tink bɔt fɔ du tɛst fɔ di sik.

Mɛsej we dɛn kin kɛr go na os

Okay, so a op se yu don andastan gud gud wan nau fo wetin wi tok abaut tide, we dem kol ‘vertical transmission’. Fɔ tɔk am simpul wan, dis na we di sik kin pas frɔm mama to di pikin we i gɛt bɛlɛ, we i de bɔn pikin, ɔ we i de gi in bɛlɛ. Dis kin mek yu gɛt siriɔs prɔblɛm dɛn we yu go gɛt fɔ yu layf, so i impɔtant fɔ tek ɛkstra tin dɛn fɔ tek tɛm we yu gɛt bɛlɛ ɔ we yu de tray fɔ gɛt bɛlɛ.

If yu gɛt bɛlɛ, tink se yu go dɔn gɛt infekshɔn, ɔ yu gɛt ɛni sayn, tɔk to yu dɔktɔ wantɛm wantɛm. Nɔ ignore ɛnitin we tan lɛk se na smɔl tin.

Awareness na di bɛst difens. A op se yu tek dɛn tin ya na kɔnsidɛreshɔn ɛn fɛn di trɛnk fɔ briŋ wɛlbɔdi bebi na dis wɔl!

` vεtikal transmishכn, bεlε, bכn pikin, bεlε, infεkshכn, TORCH, kכndishכn dεm we dεn bכn wit, prεvεnshכn