Kunzima ukuchaza ngamazwi ixhala kunye noloyiko oluviwa ngumama okanye ngutata xa kuzalwa umntwana ozelwe ngaphambi kwexesha. Kubuhlungu ngakumbi xa oogqirha bebaxelela ukuba umntwana unengxaki yokuphefumla kakuhle. Ngoko ke, namhlanje sithetha ngamayeza akhethekileyo asetyenziswa ngoogqirha ngamaxesha anje kwaye anceda ekusindiseni ubomi beentsana ezininzi. YiCalfactant leyo.
Ngamafutshane, yintoni le Calfactant?
Khawucinge nje, imiphunga yomntwana ozelwe ngaphambi kwexesha ayikhuli ngokupheleleyo, ukuba sithetha ngokuchanekileyo. Njengentyatyambo edubula ngaphambi kwexesha. Ngenxa yoko, kunzima ukuba loo miphunga yenze umsebenzi wokuphefumla ngokwawo ngokufanelekileyo. Ngokwezonyango, le meko siyibiza ngokuba yi-Respiratory Distress Syndrome (RDS) .
Ngoku, khangela, umntwana osempilweni nozeleyo unencindi yendalo emiphungeni yakhe. Oku kubizwa ngokuba yi -surfactant . Umsebenzi wayo kukugcina iingxowa zomoya ezincinci emiphungeni, ii-alveoli , ezifana neebhaluni ezincinci, zivulekile kwaye azinamatheli xa siphefumla. Le surfactant yiyo esivumela ukuba siphefumle kwaye siphume lula.
Kodwa kwiintsana ezizelwe ngaphambi kwexesha, imiphunga ayivelisi nto ininzi okanye ayivelisi nto ibangela ukuba iingxowa zomoya ezincinci ezikwimiphunga zinamathelene, nto leyo eyenza kube nzima kakhulu kumntwana ukuphefumla.
Ngoko ke, iCalfactant yi-surfactant eyenziweyo enikwa ngaphandle endaweni ye-surfactant engeyoyendalo. Xa inikwa ngqo emiphungeni yomntwana, inceda ukugcina ezo ngxowa zomoya zivulekile. Ngoko ke yenza kube lula kakhulu kumntwana ukuphefumla .
Eli yeza lidla ngokwenziwa ngezinto zemvelo ezibangela ukuba umntu angakwazi ukusebenzisa i-surfactants (umzekelo, i-beef lung extract), yiyo loo nto lisebenza kakuhle.
Simnika njani umntwana eli yeza? Ngaba thina njengabazali, kufuneka soyike?
Le yeyona ngxaki inkulu abazali abaninzi abanayo. Kubalulekile ukukhumbula oku:
- Iyeza iCalfactant linikwa iintsana ezisesibhedlele kuphela, ngakumbi kwiYunithi yoKhathalelo oluNzulu lweZifo eziSandulelayo (i-NICU).
- Lo asiloyeza lokuya nalo ekhaya ulinike abazali.
- Oku kubonelelwa yiPediatricsNgoogqirha abaziingcali kunye nabasebenzi abaqeqeshwe ngokukodwa.
Indlela enikwa ngayo iyeza yile: Eli yeza limanzi lifakwa ngqo emiphungeni ngetyhubhu ye-endotracheal ebekwe ukunceda umntwana aphefumle. Ngeli xesha, iqela lezonyango lijonga ngokusondeleyo yonke into ukususela kwisantya sentliziyo yomntwana, amanqanaba eoksijini, kunye neendlela zokuphefumla. Ngoko ke umntwana wakho usezandleni ezikhuselekileyo kangangoko. Akufuneki ukhathazeke ngayo.
Zithini iziphumo ebezingalindelekanga ezinokubakho xa usebenzisa amayeza?
Njengakweminye imithi, kukho iziphumo ebezingalindelekanga . Kodwa khumbula, iingenelo kumntwana wakho ngokuthatha eli yeza zingaphezulu kakhulu kuneengozi. Yiyo loo nto iqela lezonyango lihlala likhangela ezi ziphumo bezingalindelekanga. Bakulungele ukunyanga naluphi na utshintsho ukuba luyenzeka.
Masicacise oku ngakumbi ngetheyibhile engezantsi.
| Isiphumo/impawu | Oko kufuneka ukwazi kunye noko kwenziwa liqela lezonyango |
|---|---|
| Iimeko ezinzima ezifuna ingqalelo ekhawulezileyo | |
| Iimpendulo ze-allergy (Ukurhawuzelelwa lusu, ukurhawuzelelwa, ukudumba kobuso, imilebe, ulwimi) | Ezi ziziganeko ezingaqhelekanga kakhulu. Ukuba iqela lezonyango libona naziphi na ezi mpawu, liza kuyeka ngoko nangoko amayeza lize liqalise unyango olufunekayo. |
| Ukwehla kwesantya sentliziyo okanye uxinzelelo lwegazi oluphantsi (Ulusu lomntwana luba luhlaza okwesibhakabhaka/mfusa, luphaphathekile ngokungaqhelekanga, izandla neenyawo zibanda) | Isantya sentliziyo yomntwana kunye namanqanaba eoksijini ajongwa rhoqo ngelixa enikwa amayeza. Ukuba kukho naluphi na utshintsho, amayeza ayayekiswa okwethutyana aze aqaliswe kwakhona xa umntwana ephilile. |
| Ukopha engqondweni (Utshintsho kwindlela yokuphefumla, ukukhala kakhulu, ukudumba okanye ukudumba kwamabala athambileyo (iifontanelles) ekhayeni) | Le ngozi ixhaphakile kwiintsana ezizelwe ngaphambi kwexesha. Kunzima ukutsho ukuba oku kubangelwa yile mithi na. Nangona kunjalo, iqela lezonyango lihlala likhangela iimpawu ezinje. |
Ezi zinto zinokuba yinto eyoyikisayo ukuzibona. Kodwa inyani yile, xa unika umntwana wakho eli yeza, oogqirha kunye nabongikazi banikela ingqalelo engakumbi kuzo zonke ezi mpawu kunawe. Ngoko ke ungakhathazeki.
Iyintoni indima yethu njengabazali?
Usenokuziva ungenakunceda xa umntwana wakho ekwigumbi lokunyamekela abagula kakhulu, kodwa kukho izinto ezibalulekileyo onokuzenza.
1. Buza imibuzo: Buza ugqirha wakho okanye abasebenzi bomongikazi nayiphi na imibuzo okanye iinkxalabo onazo malunga nale yeza okanye imeko yomntwana wakho. Baza kukuchazela yonke into ngokulula.
2. Nika ulwazi: Xelela ugqirha ukuba kukho umntu kusapho onazo naziphi na izinto ezibangela ukuba umntwana angabi namdla, ingakumbi inyama yenkomo. Xelela ugqirha ukuba umntwana usebenzisa amanye amayeza.
3. Hlala unethemba: Amandla akho engqondo abaluleke kakhulu ngeli xesha. Kholosa ukuba iqela lezonyango lenza konke okusemandleni alo.
Ngaba eli yeza lingadibana namanye amayeza?
Kusenokubakho unxibelelwano oluthile nezinye ii-antibiotics ezifunxwayo. Kodwa akufuneki ukhathazeke ngale nto. Ekubeni onke amayeza anikwa umntwana kwi-NICU ephantsi kweliso loogqirha, bayayinyamekela. Okufuneka ukwenze kukunika ugqirha wakho iinkcukacha ezipheleleyo malunga naluphi na unyango umntwana wakho alufumana kwenye indawo.
Kwenzeka ntoni ukuba idosi yeyeza inyusiwe?
Oku kunikwa esibhedlele, phantsi kolawulo olungqongqo kakhulu, ngoko ke amathuba okuba oko kwenzeke aphantsi kakhulu . Umlinganiselo ochanekileyo ubalwa ngokusekelwe kubunzima bomntwana kunye nemeko yakhe. Kodwa ukuba kwenzeka into efana naleyo, iqela lezonyango liza kuthatha amanyathelo afunekayo.
Ngokwesiqhelo, ukuba sirhanela ukuba kukho ityhefu kwiziyobisi, sitsalela umnxeba kwiZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo . Size siye kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ekufutshane. Kodwa ngale mayeza, abazali akufuneki benze ezi zinto, kuba yonke into yenzeka ngaphakathi esibhedlele phantsi kweliso likagqirha.
Umyalezo Wokuya Ekhaya
- I-Calfactant liyeza elisindisa ubomi nelibalulekileyo elinikwa iintsana ezingekafiki ixesha ngenxa yesifo sokuphefumla (RDS).
- Oku kwenziwa ngokubonelela imiphunga yomntwana ngaphandle ngento ebizwa ngokuba yi-surfactant, engabi namanzi aneleyo emiphungeni ngokwemvelo.
- Eli yeza linikwa kuphela kwiyunithi yokhathalelo oluphezulu lweentsana ezisandul’ ukuzalwa (i-NICU) yesibhedlele. Asiloyeza elithathwa lithathwe liye ekhaya.
- Ngexesha nasemva kokuthatha amayeza, umntwana wakho uya kuhlolwa ngononophelo liqela lezonyango.
- Nangona iziphumo ebezingalindelekanga zinokwenzeka, iqela lezonyango lihlala likulungele ukuzilawula.
- Eyona nto iphambili onokuyenza njengomzali kukuthetha nogqirha wakho kunye neqela lezonyango. Musa ukoyika ukubuza imibuzo nokwabelana ngezinto ozicingayo.
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