Yu dɔn ɛva notis se yu pikin we yu jɔs bɔn in skin yɔlɔ smɔl? Sɔntɛm di wayt dɛn na dɛn yay dɛnsɛf kin yɔlɔ smɔl. Dɛn kɔl dis janda. Bɔku pikin dɛn we dɛn jɔs bɔn kin gɛt dis sik. So nɔ wɔri fɔs. Bɔrku tɛm, e nɔr kin siriɔs ɛn i go bɛtɛ fɔ insɛf insay sɔm dez. Bɔt sɔntɛnde dis sik kin siriɔs ɛn i kin pwɛl di pikin in bren. Dɛn kɔl da denja kɔndishɔn de ‘Kernicterus’. Tide, wi go tɔk bɔt di tru tin dɛn we ɔl mama ɛn papa fɔ no bɔt.
Wetin mek bebi dɛn kin gɛt janda?
Fɔ tɔk am simpul wan, we di rɛd blɔd sɛl dɛn na wi bɔdi kin brok bay insɛf, wan yɔlɔ kemikal we dɛn kɔl bilirubin kin kɔmɔt. Nɔmal wan, wi liva kin pul dis bilirubin na di bɔdi. Bɔt di pikin we dɛn jɔs bɔn in liva nɔ machɔ yet fɔ du dis wok fayn fayn wan. So dis bilirubin kin gɛda na di pikin in blɔd. Na da tɛm de di pikin in skin ɛn in yay dɛn kin tɔn yɔlɔ. Dis na wetin wi kin kɔl janda.
imajin, dis kכndyushכn de apin pan lεk 60% - 80% pan di pikin dεm we dεn bכn na Sri Lanka to sכm tεm. So dis kin rili kɔmɔn. Bɔt if dis bilirubin lɛvɛl nɔ de kɔntrol, dat min se if dɛn nɔ trit am, da bilirubin de go go na di bren ɛn pwɛl di bren sɛl dɛn. Dis na wan bren damej we nɔ go ebul fɔ chenj ɛn we pɔsin kin ebul fɔ avɔyd we dɛn kɔl Kernicterus. Dɔktɔ dɛn kin kɔl dis sik bak Bilirubin-Induced Neurologic Dysfunction, ɔ BIND.
Tek tɛm bad bad wan bɔt dɛn sayn ya!
I rili impɔtant fɔ no if yu pikin gɛt janda. Ɛn i impɔtant mɔ fɔ no if i de kam siriɔs. De tebul wae de dɔŋ ya kin ɛp yu fɔ ɔndastand dɛn sik ya klia wan.
| Tayp fɔ di simptom | Wetin yu fɔ si |
|---|---|
| Di sayn dɛm fɔ kɔmɔn janda | |
| Di kɔlɔ we di skin kin chenj | Wan yɔlɔ ɔ ɔrɛnj rash we kin bigin na di pikin in fes ɛn rɔn dɔŋ di chɛst, bɛlɛ, in an, ɛn leg. Dis kin at fɔ si smɔl pan pikin dɛn we gɛt dak skin. Na da tɛm de, luk di wayt dɛn na di yay. |
| I nɔ izi fɔ wek | I kin slip ɔltɛm, i nɔ kin izi fɔ wek, ɔ i nɔ kin slip atɔl. |
| Prɔblɛm dɛn we pɔsin kin gɛt we i de drink milk | I nɔ izi ɔ i nɔ gɛt intres fɔ drink mama in milk ɔ fɔmula. |
| Fɔ wɔri pasmak | Pɔsin we nɔ de rɛst pas aw i kin bi, we kin kray bɔku tɛm, ɛn we nɔ kin izi fɔ kɔrej am. |
| Nɔmba fɔ di wet napi dɛn | Di nɔmba fɔ di wet dayapɛt dɛn fɔ wan de smɔl pas aw i kin bi. |
| Simptom dɛm wae de sik kin kam tranga ɛn tɔn to Kernicterus | |
| Fɔ slip pasmak | Wan stet fɔ bi pɔsin we nɔ gɛt trɛnk, we nɔ gɛt layf bad bad wan. |
| Kray we nɔ kɔmɔn | Kray we pɔsin nɔ ebul fɔ kɔntrol, we de pier, we gɛt ay ay vɔys. |
| Fiva | Di pikin in bɔdi kin fil lɛk se i gɛt fiva. |
| Di bɔdi kin chenj | di ol bכdi kin bi lεf (sluggish) כ, di kכnvεshכn, di bכdi kin stif, di mכsul dεm kin twitch. |
| Ay muvmɛnt | Abnɔmal ay muvmɛnt. |
Di tin we impɔtant pas ɔl na dat, if yu notis ɛni wan pan dɛn sayn ya, go to yu dɔktɔ we yu nɔ go te.
As di pikin de ol, di kεrniktεrus we dεn nכ trit kin mek i gεt כda sayn dεm, lεk i kin sכk, i kin muv εn gro, i kin gεt prכblεm fכ yεri, i nכ kin ebul fכ luk כp, εn in tut kin sכt.
Aw yu go fɛn dis, Dɔktɔ?
di bilirubin lεvεl kin kכmכt bitwin 3-5 de afta dεn bכn am. na dat mek dכkta εn nכs dεm de chεk yu pikin fכ janda εvri 8-12 awa we dεn de na כspitul. Dɛn kin chɛk am bak bifo yu go na os frɔm ɔspitul.
Naw, yu kin gɛt wan rɔf aidia bɔt yu bilirubin lɛvɛl yuz wan smɔl layt mita we dɛn put pan yu skin. If yu sɔspɛkt se yu lɛvɛl ay, na blɔd tɛst na di wangren we fɔ no fɔ tru. Dat na di we we kɔrɛkt pas ɔl.
If yu pikin in bilirubin lɛvɛl bɔku, yu dɔktɔ go disayd aw fɔ trit yu pikin bay ɔmɔs awa afta dɛn bɔn yu pikin ɛn if yu pikin gɛt ɔda tin dɛn we kin mek i gɛt prɔblɛm. Ivin afta di tritmɛnt bigin, dɛn kin ɔda fɔ mek dɛn du mɔ blɔd tɛst fɔ si if di bilirubin lɛvɛl go bak to nɔmal.
Wetin na di tritmɛnt dɛm fɔ dis?
Bɔrku tɛm, mild jaundice nɔr kin nid tritmɛnt. Bɔt if di bilirubin lɛvɛl bɔku, ɔ if tin dɛn de we kin mek i gɛt dis sik, lɛk we dɛn bɔn di pikin bifo tɛm, i nid fɔ gɛt tritmɛnt.
1. Fid fayn fayn wan.
if di pikin nכ de gεt inof mama in milk כ fכmula, di bilirubin we de bכku na di bכdi nכ de kכmכt tru di urine εn stכl. di pikin we dεn bכn fכ gεt at le 6 wet dayapεr dεm wan de. Dɔn bak, in stɔl fɔ tɔn frɔm dak grin to yɔlɔ. dis na sayn dεm we de sho se di pikin de gεt inof nyutrishכn.
2. Fɔtotɛrapi - dat min se yu fɔ de na layt
Dis min se yu fɔ shayn spɛshal blu layt na di pikin in skin. Dɛn kin du dis na ɔspitul ɔ ivin na os. dis layt de brok di bilirubin patikyula dεm εn mek i izi fכ kכmכt na di bכdi. Pan ɔl we dɛn bin de tink trade se i fayn fɔ de na di san, dɛn nɔ kin advays am igen bikɔs i kin bɔn di pikin in skin. Fɔtotɛrapi na wan we we rili sef. Sɔntɛnde, di pikin kin gɛt smɔl smɔl sayd ɛfɛkt dɛn, lɛk we i pas stɔl.
3. Fɔ gi wata we de kɔmɔt na di bɔdi
I rili impɔtant fɔ mek yu pikin gɛt bɔku wata we yu de pan di layt. Yu fɔ kɔntinyu fɔ gi pikin in bɛlɛ ɔ yu fɔ gi am bɔtul. If yu pikin nɔ gɛt wata bad bad wan, yu kin nid fɔ gi am IV wata.
4. Dɛn kin gi pɔsin blɔd
Dis nɔ kin apin so ɔltɛm. כnli dεn kin yus am fכ lכs di bilirubin lεvεl wan wan if di pikin nכ de rεspכnd to כda tritmεnt dεm εn i de sho sayn dεm fכ in bren damej.
Mɛsej we dɛn kin kɛr go na os
- Janda na kɔmɔn tin fɔ pikin dɛn we dɛn jɔs bɔn, bɔt nɔ tek am layt. If yu notis wan yɔlɔ kɔlɔ na yu pikin in skin ɔ in yay , go to dɔktɔ wantɛm wantɛm.
- if di bilirubin lεvεl tu hכy, i kin mek yu gεt wan denja kכndyushכn we dεn kכl ‘kernicterus’, we de pwεl di bren.
- Ɔltɛm yu fɔ de wach sayn dɛn lɛk aw i nɔ izi fɔ gi pikin in mama in bɛlɛ, we yu de slip pasmak, ɛn we yu de kray lawd wan.
- Di tritmɛnt we di dɔktɔ de gi, mɔ di foto tɛrapi, impɔtant fɔ di pikin in wɛlbɔdi. Nɔ ɛva stɔp di tritmɛnt if yu nɔ gɛt dɔktɔ advays.
- If yu gɛt ɛni dawt ɔ fred, tɔk to yu dɔktɔ bɔt am opin wan. No stupid kwɛstyɔn nɔ de, mɔ we i kam pan yu pikin.
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