Ndiyazi ukuba ukhathazekile kakhulu ngempilo yomntwana wakho kule mihla, njengoko wazalwa ngaphambi kwexesha okanye enobunzima obuphantsi bokuzalwa. Ngokukodwa, abantwana abanjalo banokuba nobunzima bokuphefumla. Isizathu esiphambili soku kukuba imiphunga yabo ayikakhuli ngokupheleleyo ngaphambi kokuzalwa. Ngoko ke, namhlanje sithetha ngamayeza abaluleke kakhulu asetyenziswa ngoogqirha ngamaxesha anje, anokusindisa ubomi bomntwana.
Yintoni le Calfactant?
Ngamafutshane, 'i-lung surfactant' yinto yendalo engamanzi enceda ukugcina iingxowa zomoya ezincinci (i-alveoli) ezikwimiphunga yethu zivulekile kwaye zinganamatheli xa siphefumla. Cinga ngayo xa ufutha ibhola yesepha, umoya ongaphakathi ugcina ibhola ingawi.
Iintsana ezizelwe ngaphambi kwexesha azina-surfactant ininzi emizimbeni yazo, nto leyo eyenza kube nzima ukuba zigcine imiphunga yazo ivulekile ngelixa ziphefumla. I-Calfactant (edla ngokubizwa ngegama lophawu lwe -Infasurf ) yi-surfactant eyenziwe ngobuchule kwaye inikwe ngqo emiphungeni yomntwana ukunceda ukuhlawula olu kusilela.
Eli yeza lisetyenziselwa ukunyanga nokuthintela imeko ebizwa ngokuba yiRespiratory Distress Syndrome (RDS), eyenzeka kwiintsana ezisandula kuzalwa.
Umnika njani umntwana eli yeza?
Le ayisiyo isiraphu okanye ipilisi engasetyenziswa ekhaya. Mayinikwe esibhedlele kuphela, ingakumbi kwiYunithi yoKhathalelo oluNzulu lweZifo eziSandulelayo (i-NICU) , ngugqirha okanye abasebenzi abangoomongikazi abafumene uqeqesho olukhethekileyo koku.
Olu lwelo luthunyelwa ngqo emiphungeni ngetyhubhu encinci (ityhubhu ye-endotracheal) efakwa emlonyeni womntwana ukuze imncede aphefumle. Ngexesha nasemva koku, ugqirha kunye nabasebenzi bomongikazi baya kumjonga umntwana ngokusondeleyo. Isantya sentliziyo yomntwana kunye namanqanaba eoksijini ajongwa rhoqo ngoncedo loomatshini.
Izinto ezibalulekileyo ekufuneka zixelelwe iqela lezonyango
Ngaphambi kokuba unike eli yeza, iqela lezonyango liza kuhlola ngononophelo imbali epheleleyo yezonyango yomntwana kunye nonina. Nangona kunjalo, ukuba kukho into ekhethekileyo oyaziyo, njengomzali, kubaluleke kakhulu ukwazisa ugqirha.
- Ii-Allergies: Xelela umntwana wakho okanye nabani na kusapho lwakho ukuba une-allergies kuyo nayiphi na imithi, ukutya, okanye idayi. Ngokukodwa, iCalfactant liyeza elenziwe ngento ekhutshwe kwimiphunga yamathole.Kubaluleke kakhulu ukusazisa ukuba une-allergy kwiimveliso zenyama yenkomo.
- Amanye amayeza: Yazisa ugqirha malunga namanye amayeza, iivithamini, okanye izongezo umama azithathileyo ngexesha lokukhulelwa.
- Ukuncancisa: Ukuba umama uyancancisa, kubalulekile ukwazisa ugqirha ngale nto.
Zithini iziphumo ebezingalindelekanga?
Ekubeni umntwana ejongwa ngononophelo ngelixa efumana la mayeza, iqela lezonyango likulungele ukuchonga nokulawula ngokukhawuleza naziphi na iziphumo ebezingalindelekanga. Nangona kunjalo, kulungile ukukwazi oku njengomzali.
| Uhlobo lwesiphumo esibi | Inkcazo kunye nento ekufuneka uyenze |
|---|---|
| Ukuba ubona ezi mpawu, xelela ugqirha wakho okanye umongikazi wakho ngokukhawuleza. | |
| Iimpendulo ze-Allergic | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi. |
| Ulusu oluluhlaza okwesibhakabhaka (iCyanosis) | Ulusu lomntwana, imilebe, okanye iinzipho zakhe zijika zibe luhlaza okwesibhakabhaka (oku kuthetha ukuba umzimba awufumani ioksijini eyaneleyo). |
| Utshintsho lokuphefumla | Ukuphefumla ngokukhawuleza, okunzima, okanye ukuyeka ukuphefumla okomzuzwana. |
| Utshintsho kuxinzelelo lwegazi | Ukunyuka okanye ukwehla ngequbuliso koxinzelelo lwegazi. |
| Iimpawu zosulelo | Ukubonisa iimpawu zesifo esosulelayo, njengomkhuhlane. |
| Ukopha okungaqhelekanga | Ukopha okungaqhelekanga okuvela kwipayipi yokuphefumla okanye kwenye indawo. |
| Ukuba ezi zinto ziyaqhubeka okanye ziyakukhathaza, xelela ugqirha wakho. | |
| Ukwehla kwesantya sentliziyo | Isantya sentliziyo yakho sisenokucotha kancinci ngelixa unikwa amayeza. Iqela lezonyango lihlala lijonga oku. |
Ngaba kukho iingxaki ngamanye amayeza?
Ewe, ngamanye amaxesha inokwenzeka. Ngokukodwa, kukho iingxaki ngee -antibiotics eziphefumlwayo ezinikwa imiphunga. Kodwa akufuneki ukhathazeke ngale nto. Iqela lezonyango lesibhedlele liyazazi zonke iziyobisi ezinikwa umntwana, ngoko ke bathatha amanyathelo okhuseleko afunekayo. Onke amayeza anikwa umntwana anikwa phantsi kweliso labo elingqongqo.
Yintoni omawuyenze ukuba umthamo weyeza unyusiwe?
Oku kunikwa esibhedlele ziingcali zonyango eziqeqeshiweyo, ezibala idosi ngokuchanekileyo ukuze ihambelane nobunzima kunye nemeko yomntwana, ngoko ke umngcipheko wokusebenzisa idosi ngokugqithisileyo uphantsi kakhulu. Ukuba oku kuyenzeka, baya kuthatha inyathelo ngoko nangoko ukuze banike unyango olufunekayo.
Ukuba ufuna naluphi na ulwazi olungxamisekileyo malunga namayeza okanye ityhefu, ungatsalela umnxeba iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo . Baza kukunika iingcebiso ezifunekayo nangaliphi na ixesha.
Umyalezo Wokuya Ekhaya
- I-Calfactant liyeza elisindisa ubomi nelikhethekileyo elinceda ukugcina imiphunga engakhulanga kakuhle yeentsana ezizelwe ngaphambi kwexesha isebenza kakuhle.
- Eli yeza linikwa esibhedlele kuphela liqela lezonyango eliqeqeshwe ngokukodwa. Eli ayiloyeza elifanele lithathwe lisiwe ekhaya okanye linikwe ngabazali.
- Usana luza kuhlolwa ngononophelo ngexesha nasemva kokuba lunikwe iyeza. Ukuba ubona into efana nolusu oluluhlaza okwesibhakabhaka okanye utshintsho kwindlela yokuphefumla, yazisa iqela lezonyango ngoko nangoko.
- Ukuba unemibuzo malunga nale yeza okanye imeko yomntwana wakho, ungoyiki ukubuza ugqirha okanye abasebenzi bonyango lomntwana wakho. Baza kukuchazela yonke into.
- Qiniseka ukuba olu nyango luya kunceda kakhulu ukuphucula impilo yomntwana wakho.
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