If yu gɛt bɛlɛ, yu go dɔn si sɔntin we dɛn kɔl ‘ Nuchal Cord ’ na yu skan ripɔt. Ɔ yu go dɔn yɛri bɔt am frɔm yu padi ɔ fambul. I rili nɔmal fɔ mek mama fred smɔl ɛn fred we i yɛri dɛn wɔd ya. "Mi pikin go gɛt prɔblɛm? I go gɛt prɔblɛm fɔ blo?" Bɔku kwɛstyɔn dɛn kin kam na mi maynd. Bɔt wetin rili na dis Nuchal Kɔd? Dis na sɔntin we wi fɔ fred? Lɛ wi tɔk bɔt dis klia wan ɛn simpul wan.
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Wetin na di Nuchal Kɔd rili?
Fɔ tɔk am simpul wan, nuchal kɔd na yu pikin in ɔmbilikal kɔd we de rap rawnd in nɛk wan ɔ mɔ tɛm.
yu no se dis כmbilikal kכd na di layflayn we de kכri כksijεn εn כl di nyutriεnt dεm we yu pikin nid fכ gro εn divεlכp, εn i de pul di dɔti bak na yu pikin in bכdi. Na jɔs wan tiub we kin chenj. I gɛt tu at ɛn wan vein insay am. fכ protεkt dεn bכdi vεsul dεm ya, i de rawnd wan spεshal tin we lεk jεli we dεn kכl Wharton's jelly.'
so dis כmbilikal kכd na di kכd we de rap rawnd di pikin in nεk. Dis rap kin rili lɔs sɔntɛnde, ɛn ɔda tɛm dɛn i kin tayt smɔl. Dɛn sheb dɛn tin ya to tu men kayn dɛn:
- Tayp A (Kɔd we Nɔ Lɔk): Dis tan lɛk simpul nɛks we de rawnd di nɛk. di כmbilikal kכd de muv fri wan, so i go bכku fכ kכmכt we di pikin de muv.
- Tayp B (Locked Cord): Dis na wan kayn kɔd we dɛn rap tayt lɛk knot. So, i nɔ kin izi fɔ mek dis kayn we go pul insɛf kɔmɔt. Bɔt dis Tayp B tayp nɔ kin bɔku.
wetin mek dεn rap di כmbilik kכd rawnd di nεk lεk dis?
di men rizin fכ dis na di sכm sכm muvmεnt dεm we yu pikin de mek insay di bכdi. Imajin se i de muv rawnd, kik, ɛn wev in an dɛn. na wit dεn muvmεnt dεm ya we di כmbilik kכd kin tכn bכku tεm rawnd di nεk. Dis na tin we rili nɔmal.
Apat frɔm dat, sɔm ɔda rizin dɛn kin de :
- di wata we de kכmכt na di pikin in bכdi: if di wata we de rawnd di pikin hכy sכmtεm pas aw i nכmal, i gεt mכr rum fכ muv rawnd εn swim. mכr rum de bak fכ di כmbilikal kכd fכ tכn.
- di כmbilikal kכd we de lכng: sכm pikin dεm in כmbilik kכd kin lכng sכmtεm pas aw i nכmal. Ivin da tɛm de, di chans fɔ mek dɛn miks wit ɔda pipul dɛn kin bɔku.
Di impɔtant tin na dat, dis nɔto di mama in fɔlt. Natin we yu de du nɔ de mek dis apin. Dis na jɔs wan random tin we kin apin we uman gɛt bɛlɛ .
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Di ansa to dis kwɛstyɔn na, bɔku tɛm, nɔ . Nuchal kɔd kin bɔku pas aw wi kin tink. Risach sho se wan pan ɛvri 4 pikin dɛm we dɛn bɔn (mɔ pas 25%) gɛt dis sik.
di insidεns fכ dis kכndyushכn de inkrεs as di bεlε de go bifo. fכ egzampl, we dεn rich 20 wik, lεk 6% pan di pikin dεm gεt am, bכt we dεn rich 42 wik, da nכmba de go כp to 29%. I kin apin smɔl bak pan bɔy pikin dɛn pas gyal pikin dɛn.
Bɔt, e fayn fɔ no bɔt sɔm pan de prɔblɛm dɛn we nɔ kin apin so ɔltɛm . Bɔt mɛmba se bɔku pan dɛn tin ya nɔ kin apin so ɔltɛm.
| Pɔtɛnɛshɛl Kɔmplikeshɔn | Simpul ɛksplen |
|---|---|
| Knot dεm na di כmbilik kכd | di knot na di כmbilikal kכd kin mek di bכdi fכ fכlכ bכku. |
| Di bebi in fussiness we de dכn | di pikin kin fil nכ kכmכt εn i kin rεdכks muvmεnt bikoz fכ di כmbilikal kכd we dεn kכmprεs. |
| Intrauterin growth restrikshכn (IUGR) . | di pikin in wet we i de lכs bikoz i nכ de it fayn fayn wan εn di כksijεn we i de gi am. |
| di asid we de na di bכdi de bכku (Mεtabolik asidכsis) . | di asid lεvεl dεm na di bכdi de inkrεs biכs di כksijεn nכ de. |
| We dɛn bɔn pikin we dɔn day | Dis na di kɔmplikeshɔn we kin rili bad, we nɔ kin apin so ɔltɛm. |
sכmtεm, if dεn rap di כmbilikal kכd tayt tayt wan rawnd di nεk, wan kכndyushכn we dεn kכl tCAN (tayt kכd arawnd nεk) sεndrכm kin apin. I tan lɛk we dɛn strangul di nɛk. afta dat yu kin si sכm sכm rεd bכdi dεm (petechiae) na di pikin in fes, in nεk, εn in yay. Bɔt dis kin rili rare bak.
Aw dɛn kin no dis? Wetin na di tritmɛnt?
Fɔ no udat i bi
di prεsεns fכ nuchal kכd sכmtεm dεn kin si we dεn de du כltra saund skan we yu bεlε. Bɔt bɔku tɛm, dɛn nɔ kin no am te dɛn bɔn di pikin. Bɔku tɛm, dɔktɔ ɛn midwayv dɛn kin chɛk fɔ si if dɛn gɛt nuchal kɔd we dɛn de bɔn pikin. Na pat pan di nɔmal tin we dɛn kin du.
Tritmɛnt ɛn manejmɛnt
di tin we impɔtant pas ɔl na dat nɔ tritmɛnt ɔ we nɔ de fɔ mek dɛn nɔ gɛt dis nuchal kɔd bifo dɛn bɔn di pikin .
Di dɔktɔ dɛn jɔs de wach yu ɛn di pikin gud gud wan.
- Bifo yu bɔn: If skan sho se yu gɛt nuchal kɔd, yu dɔktɔ go advays yu fɔ pe atɛnshɔn mɔ to di pikin in at bit ɛn aw i de muv.
- We dɛn de bɔn pikin:
- Bɔku tɛm, di ɔmbilikal kɔd kin rili lɔs . We di dɔktɔ pul di pikin kɔmɔt, i kin tek tɛm pul am oba di pikin in ed ɛn pul am. Dis na tin we rili simpul.
- if di כmbilikal kכd rap s כmtεm tu tayt , yu kin nid fכ klem am bifo yu kכl di pikin fulכp. dis dεn kin du fכ stכp di kכd fכ pul εn pul kכmכt frכm di plasεnta. Dis na we bak we rili sef.
- If di ɔmbilikal kɔd de mek yu pikin in at rit slo , yu dɔktɔ kin aks yu fɔ chenj in pozishɔn. dis kin εp fכ rεliv prεshכn pan di כmbilik kכd. Dɛn kin gi yu ɛkstra wata ɔ ɔksijɛn bak.
- Bɔt if di sik nɔ bɛtɛ, dɛn kin tink bɔt mɛrɛsin fɔ mek dɛn nɔ fil pen ɔ fɔ mek dɛn du sizarian . Dɛn kin disayd ɔl dɛn tin ya fɔ mek shɔ se di mama ɛn di pikin sef pasmak.
So, a fɔ fred dis?
Di shɔt ansa na, i go mɔs bi se nɔto so . Nuchal kɔd kin bɔku pas aw yu go tink. Ɛn yu fɔ ɔndastand se i nɔ kin rili mek di pikin gɛt ɛni prɔblɛm ɔ prɔblɛm we go de fɔ lɔng tɛm.
di pikin dεm we dεn bכn wit nuchal kכd nכ kin gεt lכw Apgar skכ, gכt כ divεlכpmεnt prכblεm, כ inkrεs risk fכ bכn pikin dεm we dεn day. Dɛn dɔn tren di mɛdikal tim dɛn fayn fayn wan fɔ mɛn dis sik.
Bɔt if yu, as mama, gɛt ɛni kwɛstyɔn, fred, ɔ dawt bɔt dis, nɔ kip am to yusɛf. Tɔk to yu dɔktɔ bɔt am opin wan. Wetin yu yɛri na intanɛt ɔ frɔm strenja dɛn kin jɔs kɔnfyus yu mɔ. So, di bɛst ples fɔ gɛt di infɔmeshɔn we kɔrɛkt ɛn we pɔsin kin abop pan na yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Nuchal cord na wan tin we kin apin we uman gɛt bɛlɛ, ɛn bɔku tɛm i nɔ kin denja.
- dis na biכs di pikin de muv nכmal wan insay di bεlε. Dis nɔto di mama in fɔlt.
- Pan ɔl we no tritmɛnt nɔ de fɔ dis bifo di pikin bɔn, di dɔktɔ dɛn kin tek tɛm wach di pikin in wɛlbɔdi.
- we uman de bכn, di mεdikal tim dεm no aw fכ mεnεj di כmbilikal kכd sef wan.
- Siriɔs kɔmplikeshɔn dɛn nɔ kin apin so ɔltɛm.
- If yu gɛt ɛnitin fɔ fred ɔ dawt bɔt dis, na fɔ tɔk bɔt am wit yu dɔktɔ nɔmɔ, nɔto wit ɔda pipul dɛn.
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