Ngaba amalungu esisu somntwana wakho aphumile? Singathetha ngale meko ibizwa ngokuba yi-Omphalocele?

Kuqhelekile ukuba umama okanye utata akhathazeke xa ebona amanye amalungu esiswini somntwana wakhe ephuma enkabeni. Ngokwezonyango, esi sifo sibizwa ngokuba yi-Omphalocele. Nangona oku kusenokuvakala kusoyikisa kancinci, ukuba nokuqonda okufanelekileyo ngaso kuya kukunceda ubhekane naso. Ngoko ke, masithethe ngaso ngokweenkcukacha.

Yintoni i-Omphalocele? Masiyiqonde ngokulula.

Ngamafutshane, i-omphalocele yinto engaqhelekanga eyenzeka xa umntwana ezalwa . Yimeko apho amalungu afanele ukuba ngaphakathi kwesisu somntwana, njengamathumbu, aphuma ngeqhosha lesisu. Nangona kunjalo, la malungu aphumayo agqunywe yi-membrane encinci, ecacileyo . Le membrane yenziwe yi-lining yesisu ebizwa ngokuba yi-peritoneum.

Le yinto eyenzekayo ngelixa umntwana esesesibelekweni, oko kukuthi, ngaphambi kokuba azalwe. Makhe sibone ukuba oku kwenzeka njani:

• Phakathi kweeveki ezi-6 ukuya kwezili-10 zokukhulelwa: Ngeli xesha, njengoko amathumbu omntwana ekhula, asenokutyhala kancinci aye kwi-umbilical cord. Oku kuqhelekile kwaye akukho nto ixhalabisayo.
• Kwiiveki ezili-11: Ngokwesiqhelo, amathumbu aphume ngolu hlobo kufuneka abuyele esiswini. Kodwa ukuba oko akwenzeki, kuvela imeko ye-omphalocele.

Okubalulekileyo kukuba, ngaphezu kwesibini kwisithathu seentsana ezine-omphalocele zinayo kunye nezinye izifo. Umzekelo:

* Iingxaki zomqolo

* Iingxaki zenkqubo yokugaya ukutya

* Iingxaki zentliziyo

* Iingxaki zenkqubo yomchamo

Iingxaki zamalungu omzimba

Kukho elinye igama lale nto, elithi `(exomphalos)`.

Ziziphi iintlobo eziphambili ze-Omphalocele?

Le meko inokuba ncinci okanye ibe nkulu. Ngoko ke, kukho iintlobo ezimbini:

• I-Omphalocele encinci: Apha, inxalenye encinci yamathumbu iphuma esiswini. Ubungakanani bale nxalenye idla ngokuba ngaphantsi kweesentimitha ezi-5.
• I-Omphalocele Enkulu: Apha, uninzi lwamalungu esisu (afana namathumbu, isibindi, kunye ne-spleen) aphume esiswini. Oku kungaphezulu kweesentimitha ezi-5. Oogqirha bakwabiza oku ngokuthi "ii-omphalocele ezinkulu".

Ixhaphake kangakanani le meko ebizwa ngokuba yi-Omphalocele?

Ngokwezibalo ezivela kumazwe afana neMelika, malunga nesinye kwiintsana ezingama-4,200 sinokuba nale meko ibizwa ngokuba yi-Omphalocele. Sibona neemeko ezifanayo eSri Lanka.

Kutheni abantwana bekhula i-omphalocele?

Njengoko besikhe sathetha ngaphambili, kuyinto eqhelekileyo ukuba intambo yomlomo ityhalele ngaphakathi njengoko amathumbu ekhula ukusuka kwiveki yesithandathu ukuya kweyeshumi yokukhulelwa. Kwiveki yeshumi elinanye, kufuneka abuyele esiswini. Xa oku kungenzeki kakuhle, kuvela i-omphalocele.

Enyanisweni, iingcali azikakwazi ukutsho ngokuqinisekileyo ukuba kutheni ezinye iintsana zisifumana esi sifo kanti ezinye azisifumani. Kwaye abazi ukuba kukho nantoni na onokuyenza ukuthintela oku ngexesha lokukhulelwa. Ngoko ke ungakhathazeki ngako.

Ziziphi izinto ezibangela umngcipheko wokukhula kwe-omphalocele?

Abaphandi basaphanda ezinye zezinto ezinokubangela oku. Ezinye zezinto ezinokubangela oku ziquka:

• Ubudala bomama bungaphezulu kweminyaka engama-35.
• Ukusela utywala ngexesha lokukhulelwa.
• Ukuchatshazelwa ziikhemikhali okanye iityhefu ezithile: Umzekelo, izinto ezifana nezibulali zinambuzane okanye izinyibilikisi.
• I-genetics: Ngamanye amaxesha le meko inokungena kwiintsapho. Inokunxulunyaniswa nokungasebenzi kakuhle kwe-chromosome. Imizekelo: `(Trisomy 13)`, `(Trisomy 18)`, kunye `(Trisomy 21)`, eyi `(Down syndrome)`.
• Iimeko zempilo yomama: Iimeko ezifana nokutyeba kakhulu koomama, isifo seswekile, kunye noxinzelelo lwegazi oluphezulu.
• Ukunqongophala kokutya okunempilo kukamama: Ukuncipha kweemfuno zesondlo zikamama okanye iivithamini ezithile ngexesha lokukhulelwa.
• Ukutshaya.
• Ukusela amayeza athile: Amayeza athile athathwa ngexesha lokukhulelwa, umzekelo, amayeza okudakumba abizwa ngokuba yi-SSRIs okanye amayeza athile okuzala.

Ezi zezinye zezinto ezibangela umngcipheko ezichongiweyo. Nangona kunjalo, kubalulekile ukukhumbula ukuba ayinguye wonke umntu onale mpawu oza kuba nale meko.

Ziziphi iingxaki ezinokubakho ze-Omphalocele?

Iintsana ezizalwa zine-omphalocele zihlala zinezinye iingxaki, kuquka:

• Isifo sikaBeckwith-Wiedemann: Esi sibonakala ngolwimi olukhulu, amanqanaba aphezulu e-insulin, kunye neswekile ephantsi egazini.
• Ukungasebenzi kakuhle kwe-chromosome.
• Ukukhubazeka kwentliziyo.
• Inkqubo yokwetyisa ukutya icotha.
• Imiphunga ayikhuli kakuhle.

Oogqirha badla ngokuxilonga le meko ngexesha lokukhulelwa. Emva koko baya kuthetha nawe ngayo baze bakuchazele ukuba loluphi unyango olufunekayo emva kokuba umntwana ezelwe. Kwangoko nje umntwana ezelwe, iqela lezonyango liya kuthatha amanyathelo afunekayo ukukhusela umntwana kwaye liqalise unyango.

Ifunyanwa njani le meko ibizwa ngokuba yi-Omphalocele?

Oogqirha badla ngokubona oku ngexesha le-ultrasound scan kwi-trimester yesibini neyesithathu yokukhulelwa. Kubonisa amalungu omntwana ekhula ngaphandle kodonga lwesibeleko. Emva kokuba oku kufunyenwe, ugqirha wakho uya kuyalela i-fetal echocardiogram (i-ultrasound scan yentliziyo yomntwana) ukujonga naziphi na iingxaki.

Ngamanye amaxesha isenokungabonwa ngexesha lokukhulelwa. Ukuba oko kuyenzeka, iya kubonwa kungekudala emva kokuba umntwana ezelwe. Emva koko iqela lezonyango lingathatha amanyathelo afunekayo ngokukhawuleza ukukhusela impilo yomntwana.

Zeziphi iimvavanyo ekufuneka mna nomntwana wam sizithathe?

Ukuba ugqirha wakho ufumanisa ukuba umntwana wakho ongekazalwa unale meko, kunokufuneka ukuba wenze iimvavanyo ezininzi ngexesha lonke lokukhulelwa kwakho. Umzekelo:

• I-Amniocentesis: Oku kuquka ukuthatha isampuli yolwelo lwe-amniotic ngaphakathi kwesibeleko sakho uze uluvavanye ukuze ubone ukuba kukho iingxaki ze-chromosome.
• Uvavanyo lwegazi: Igazi lakho liza kuhlolwa amanqanaba aphezulu eproteni ebizwa ngokuba yi-alpha-fetoprotein. Le proteni yenziwa kwisibindi somntwana ize idlulele egazini lakho. Ukuba amanqanaba aphezulu, oko kuthetha ukuba umntwana wakho udinga uvavanyo olongezelelweyo.
• I-MRI (Magnetic Resonance Imaging) Scan: Olu vavanyo lunokwenziwa ukujonga intliziyo yomntwana, imiphunga, kunye nezinye izitho zomzimba.
• I-ultrasound scan: I-ultrasound scans yenziwa rhoqo ukujonga ukuba umntwana ukhula njani.

Emva kokuba umntwana wakho ezelwe, ugqirha uza kuyihlola ngononophelo i-omphalocele aze acele olunye uvavanyo ukuba kuyimfuneko.

Iphathwa njani i-Omphalocele?

Indlela ephathwa ngayo le nto ixhomekeke kwizinto ezininzi, ezizezi:

• Ubudala bokukhulelwa yiveki yokukhulelwa apho umntwana wazalwa khona.
• Impilo yomntwana iyonke.
• Ubunzima bemeko.
• Ubungakanani be-omphalocele.
• I-Omphalocele: Ingaba i-membrane ejikeleze i-umbilicus ayigqabhukanga na.

Indlela yokuphatha i-omphalocele encinci

Kwi-omphalocele encinci, oogqirha baya kwenza utyando emva nje kokuba umntwana ezelwe. Olu tyando lubandakanya ukubuyisela amalungu aphumayo esiswini somntwana kunye nokuvala umngxuma eludongeni lwesisu. Oku kunokunceda ukuthintela usulelo kunye nokonakala kwezicubu.

Indlela yokuphatha i-omphalocele enkulu

Ukuba umntwana wakho une-omphalocele enkulu, apho amalungu amaninzi avele khona, oogqirha botyando badla ngokwenza utyando ngamanqanaba. Babuyisela amalungu kancinci kancinci esiswini somntwana kangangeentsuku okanye iiveki. Ngeli xesha, amalungu agqunywe ngeshiti engenazintsholongwane ukuze akhuseleke kusulelo.

Kutheni oku kwenziwa ngamanqanaba aliqela? Le yeyona ndlela ikhuselekileyo kwi-omphalocele enkulu. Kuba isisu somntwana asisikhulu ngokwaneleyo ukuba sibambe zonke izitho ngaxeshanye, kwaye asikakhuli kakuhle. Ukuba izitho zifakwe zonke ngaxeshanye, aziyi kufumana ukuhamba kwegazi ezikufunayo. Emva kwexesha elithile, isisu somntwana siya kuba sikhulu. Kwiimeko ezininzi, kwenziwa utyando lwesibini kwiiveki ezimbini ukuze silungelelaniswe.

Ngamanye amaxesha ugqirha wotyando unokufuna ukutsala ulusu esiswini ukuze avale umngxuma. Kwezinye iimeko, i-skin flap ingasetyenziselwa ukuvala umngxuma. Oku kuthetha ukuba ulusu luthathwa kwelinye icala lomzimba luze lufakwe kwelinye.

Iintsana ezine-omphalocele, apho isisu singakhulanga kakuhle, zinokuba nobunzima bokuphefumla . Zisenokufuna ukuqhagamshelwa kwi-ventilator ukuze zincede ziphefumle de zikwazi ukuphefumla zodwa.

Ngaba umntwana wam uza kutya emva kotyando?

Xa umntwana wakho ekulungele ukuya ekhaya, uhlala esitya kakuhle. Nangona kunjalo, ukuba unezinye iingxaki, ezifana neengxaki zentliziyo okanye zemiphunga, usenokufuna ityhubhu yokondla. Nangona kunjalo, uninzi lweentsana aludingi olu ncedo.

Ngaba kukho naziphi na izithintelo kwimisebenzi emva kotyando?

Umntwana wakho angenza imisebenzi efanelekileyo ngokweminyaka yakhe kunye nenqanaba lokukhula kwakhe . Oogqirha baya kukucebisa ngale nto.

Ngaba i-Omphalocele ingathintelwa?

Abaphandi basakhangela iindlela zokuthintela le meko ukuba ingenzeki. Akukacaci ukuba kukho nantoni na onokuyenza ukuyithintela ngexesha lokukhulelwa.

Kodwa ngokubanzi, ungazama ezi zinto ukunciphisa umngcipheko weengxaki ngexesha lokukhulelwa kwakho kunye nosana lwakho olungekazalwa:

• Kuphephe ukusela utywala.
• Yeka ukutshaya.
• Gcina ubunzima obusempilweni obukufaneleyo.

Injani imbono yabantwana abane-omphalocele?

Imbonakalo ixhomekeke kubukhulu be-omphalocele kunye nokuba umntwana unezinye iingxaki zempilo.

Ukuba ingxaki yempilo kuphela yi-omphalocele, umntwana wakho uya kuphila ngokupheleleyo. Nangona kunjalo, i-omphalocele idla ngokuhamba nezinye iziphene zokuzalwa. Ezi meko zinokuba nemiphumo ehlala ixesha elide kwimpilo yomntwana kwaye zibangele iingxaki kamva ebomini. Ugqirha wakho uza kuxoxa nawe ngale nto ngokweenkcukacha.

Ingakanani ixesha lokuphila komntwana one-omphalocele?

Lilonke, ama-95% eentsana ezizalwa zine-omphalocele ziyasinda. Nangona kunjalo, kukho izinto ezininzi ezichaphazela la manani. Umzekelo, ingaba umntwana unezinye iingxaki zempilo kunye nokuba zeziphi iinkqubo zomzimba ezichaphazela ezo ngxaki.

Iqela lakho lezonyango lilapha ukukunceda. Ngabona bantu balungileyo bokukunceda uqonde imeko yakho.

Ubeleka njani umntwana one-omphalocele?

Kungcono ukubelekisa umntwana wakho esibhedlele kunye neengcali nezixhobo ezifunekayo, kwaye unike unyango olukhawulezileyo. Ugqirha wakho uza kuxoxa nawe ngeendlela zakho zokubelekisa. Kusenokufuneka wenze utyando lwe-C-section, ingakumbi ukuba umntwana wakho une-omphalocele enkulu.

Ndifanele ndimfowunele nini ugqirha wosana lwam emva kotyando?

Ukuba ufumana naziphi na ezi mpawu emva kotyando, fowunela ugqirha wakho ngoko nangoko:

• Ukuba into efana nobovu iphuma enxebeni.
• Ifiva.
• Ukugabha, ingakumbi ukuba kuluhlaza (oku kunokubonisa ukuba isisu sivalekile).
• Ukuba inxeba libomvu.

Ngaba i-omphalocele ingaziphilisa ngokwayo?

Amaxesha amaninzi, ii-omphaloceles ezincinci kakhulu zinokuzivalela zodwa. Nangona kunjalo, uninzi lweentsana ezinale meko ziya kufuna utyando.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kuqhelekile ukuziva usoyika kwaye uxinezelekile xa ufumanisa ukuba umntwana wakho unesimo sokuzalwa esifana ne-omphalocele. Ukungaqiniseki ngento eza kwenzeka kunokongeza uxinzelelo lokukhulelwa.

Kodwa ungalibali, iqela lakho lezonyango lihlala linawe. Ungathandabuzi ukubabuza imibuzo kwaye ucele inkxaso yabo. Baza kukuchazela yonke into, ukususela kwinto omawuyilindele xa ubeleka ukuya kuthi ga kwisicwangciso sokhathalelo lomntwana wakho emva koko. Awuwedwa, sonke sinawe.

I-Omphalocele , iziphene zokuzalwa, isisu somntwana esiphumayo, inkaba, amalungu esisu, utyando lwabantwana